Overview Of Health Informatics Flashcards
The area of IT involving the design, development, creation, use and maintenance of information systems for the healthcare industry.
Health information technology
Rouse 2016
More on tools
In the health information technology,
Automated and interoperable healthcare information systems are expected to …
Improve medical care
Improve patients satisfaction
Increase efficiency
Reduce error
Lower costs
HIT promises to modernize and streamline healthcare and to connect different users and stakeholders in the e-health market.
Kushniruk and Borycki 2017
More of the purpose/ use of tools
What are some systems that are promising and are becoming widely deployed worldwide
Electronic health records
Decision support systems
Personal health records
2C’s
To provide quality health care to patient
- collection
- storage
- communication
Management of health data and medical records needed to deliver quality healthcare.
American health information management association
Briefly explain the course in heath information management
BS in Health Information Management
Graduates are called health information management professionals
Examples of HIT & HIM
HIT
claire says don’t have private network
Computers
Security
Data storage
Hardware/ software
Programming
Networking
HIM
claire completely don’t allow personal records
Coding
Compliance
Documentation
Administration
Policy and guidelines
Records
It is an intersection between health information technology and health information management
Health informatics
Application of technology tools and information systems in a healthcare setting or context
Applied Educational System, Inc. 2012
The health data cleaning house which is composed of health care organizations that share data among their health information technology systems.
Health information exchange
Briefly explain the different types of healthcare software systems
electronic medical record:
local ad internal system
ex: withing institution
electroic health record:
internal-organizational system
other organizations r involoved
family history included
personal health record:
patient-centered organizational system
record patient whr he/ she can add manually
What is healthcare ecosystem
EMR
EHR
PHR
Briefly explain the two widely used types of health information technology which manage and store the patient’s medical images
PACS - picture archiving and communication system
no single point access
ex: HEIC - high efficiency image format, need to download other apps to access
VNAs - vendor neutral archives
unified viewing experience
can open file regardless its format and origin
What are some examples of patient’s medical images
X-rays
CT scans
Ultrasound images
PET scans
Dental X-rays
Briefly explain the HITECH Act of 2009
The health information technology for economic and clinical health act of 2009
Signed into law on feb 17 2009 by president Barack Obama
It is created to motivate the implementation of electronic health records and supporting technology u the US
HITECH Act of 2009
Goals of the HITECH Act:
Promote and expand the adoption of health information technology
Remove loopholes in the health insurance portability and accountability act of 1966 by thightening up the language
Tougher penalties for HIPPA compliance failures
[in dollars]
*yung maxis for repeated violations
Tier 1 - unknowing
100 - 50 000
max. 25 000
Tier 2 - reasonable
1 000 - 50 000
max. 100 000
Tier 3 - willful neglect but corrected within the required time period
10 000 - 50 000
max. 250 000
Tier 4 -willful neglect and is not corrected within required time period
50 000
max. 1.5 million
ARRA
American recovery and reinvestment act
Great Recession in 2007
To implement to save the US
To provide immediate economic relief to those who were impacted
It is to promote the use of EHR
HITECH
CMS Rule
&
ONC Rule
Centers for Medicare and Medicaid services
- defines meaningful use criteria
- establish:
incentive payment for meeting criteria
penalties for not meeting
ONC Rule
Office of the national coordinator for health IT
- establish certification criteria that EHR tech will need to meet on order to support the meaningful use
MACRA
Medicare Access and Children’s Health Insurance Plan (CHIP) Reauthorization Act of 2015
Signed on April 16 2015
Replace the old Medicare payment systems for doctors - Medicare sustainable growth rate formula
Ensure quality care for patient
Reward physicians for providing better care
- MIPS: merit-incentive payment system
- APMs: advanced alternative payment model
Defines a health interoperability ecosystem as a composition of individuals, system and processes that want to share, exchange and access all forms of health information including discrete narrative and multimedia
Health information and management system society 2017
In the health information ecosystem, who are the potential stakeholders within such an ecosystem
Individuals
Patients
Providers
Hospital health systems
Researcher
Payers
Suppliers
Systems
Each is involved in the creation, exchange and use of health information
It was named finalist at the Stockholm Challenge 2006 and one of top there e-government projects in the Philippines by the Asia Pacific Economic Cooperation Digital Opportunity Center.
CHITS - community health information tracking system
CHITS is what type of Healthcare software system
An electronic medical record developed through the collaboration of the information and communication technology community and health workers, primarily used for use in Philippine health centers in disadvantaged areas.
CHITS is currently utilized in how many gov health facilities
111
CHITS is created by the …
University of the Philippines Manila
What are the advantages and disadvantages of Health Informatics in the cloud
Advantage:
Integrated and efficient patient care
Better management of data
Error reduction
Disadvantage:
Potential risk to personal information
Cloud set up seems cumbersome
Cost justification
It is the central component of health IT infrastructure
Electronic health record
MIPS vs APMs
merit-incentive payment system:
per episode viewed assessment
formerly known as the physician quality reporting system
performance based payment
- quality of care
- resource
- meaningful use of electronic health records
- clinical practice
advanced alternative payment model:
coordination of care, lying reimbursement to value
focus on specific disease or populations
one-sided and two-sided risk
providers gives expected cost
less actual cost than expected = bonus
more actual cost than the expected cost = patient will be penalized
has higher risk
