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Introduction to Health Care Information

Managing?Health Care Information Systems. Outline. Types of Health Care InformationPatient Encounter DataPatient Specific InformationClinicalAdministrativeCombinedAggregate InformationClinicalAdministrativeCombined. Managing?Health Care Information Systems. Outline (cont.). Comparative Info

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Introduction to Health Care Information

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    1. Managing Health Care Information Systems Introduction to Health Care Information Chapter 1

    2. Managing Health Care Information Systems Outline Types of Health Care Information Patient Encounter Data Patient Specific Information Clinical Administrative Combined Aggregate Information Clinical Administrative Combined

    3. Managing Health Care Information Systems Outline (cont.) Comparative Information Expert of Knowledge-based Information

    4. Managing Health Care Information Systems Types of Health Care Information Definitions vary HIPAA JCAHO others

    5. Managing Health Care Information Systems Types of Health Care Information Framework Internal Data/Information Patient Encounter Patient specific Aggregate Comparative General Operations

    6. Managing Health Care Information Systems Types of Health Care Information Framework External Data/Information Comparative Expert/Knowledge-based

    7. Managing Health Care Information Systems Patient Encounter Data

    8. Managing Health Care Information Systems Patient Specific—Clinical Purpose of Patient Records Patient care Communication Legal documentation Billing and Reimbursement Research and Quality Management

    9. Managing Health Care Information Systems Patient Specific—Clinical Content of Patient Records (myPHR, 2004) Identification Sheet Problem List Medication Record History and Physical Progress Notes Consultation

    10. Managing Health Care Information Systems Patient Specific--Clinical Content of Patient Records (myPHR, 2004) Imaging and X-ray reports Laboratory reports Consent and authorization forms Operative Reports Pathology Reports Discharge Summary Other

    11. Managing Health Care Information Systems Patient Specific—Clinical Overview of Inpatient Encounter Scheduling Preadmission Admission/Registration Treatment Medical Nursing Ancillary Discharge

    12. Managing Health Care Information Systems

    13. Managing Health Care Information Systems Patient Specific—Clinical Physician’s Office Patient Flow Check In Move to Exam Room Examination Check Out Later activities

    14. Managing Health Care Information Systems

    15. Managing Health Care Information Systems Patient Specific—Administrative Data Needed for Reimbursement UB 92 CMS 1500 Other Uniform Data Sets ACDS UHDDS

    16. Managing Health Care Information Systems Uniform Hospital Discharge Data Set Elements Journal of AHIMA 72, no.10 (2001). UHDDS elements as adopted in 1986 are: 1.    Personal identification 2.    Sex 3.    Race 4.    Ethnicity 5.    Residence 6.    Hospital identification 7-8.  Admission and discharge dates 9-10.  Attending physician and operating physician 11.    Diagnoses: Principal diagnosis & Other diagnoses 12.    Procedure and date 13.    Disposition of patient 14.    Expected payer

    17. Managing Health Care Information Systems Patient Specific—Combined Coding Systems ICD-9-CM National Center for Health Statistics Inpatient and Outpatient Diagnoses Inpatient Procedures CPT American Medical Association Outpatient Procedures

    18. Managing Health Care Information Systems Patient Specific—Combined Coding Standards Compliance Issues Fraud & Abuse Issues

    19. Managing Health Care Information Systems Aggregate—Clinical Disease and Procedure Indexes Specialized Registers Emergency Room Operating Room Trauma Tumor Other Ad hoc Reports

    20. Managing Health Care Information Systems Aggregate—Administrative Limitless Ad hoc Reports Specific Examples Medicare Cost Reports Health Care Statistics Census Discharge

    21. Managing Health Care Information Systems Aggregate—Combined Ad hoc Reports Trend analysis Statistical reports Quality improvement

    22. Managing Health Care Information Systems Comparative Outcome Measures Benchmarking Balanced Scorecards Clinical Value Compass

    23. Managing Health Care Information Systems Sources for Comparative Data Kelly, 2003

    24. Managing Health Care Information Systems Comparative Health Care Data Sets HEDIS NCQA ORYNX JCAHO CMS Leapfrog Group

    25. Managing Health Care Information Systems Expert of Knowledge-based Clinical, scientific and management print literature On-line resources

    26. Managing Health Care Information Systems Summary Types of Health Care Information Internal Patient Specific Information Clinical Administrative Combined Aggregate Information Clinical Administrative Combined

    27. Managing Health Care Information Systems Summary (cont.) External Comparative Information Expert of Knowledge-based Information

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