Types of Healthcare information systems

Question 1

What are the two primary information system?

Answer 1

Administrative and Clinical

Question 2

Write down the characteristics of Administrative IS

Answer 2

• Charge capture
• Coding and documentation review
• Managed care contracting
• Denial management of claims
• Payment posting
• Accounts receiveable follow up
  -Patient collections
• report and benchmarking

Question 3

Clinical IS

Answer 3

Departmental Systems
- Decision support
- Medication administration
-Provider order entry
- EHR system s
- Can be limited to one single area or comprehensive over all aspects of patient care.

Question 4

1970? 1980? 1990? 2000s? and 2010- present?

Answer 4

1970: Administrative and financial, mainframe computing, only found in large hospitals
1980: Need for clinical and administrative data , advent of microcomputer
1990s: Internet and www.
IOM calls for widespread adoption of CPR
Continued growth of clinical application
2000s:
IOM reports on patient safety, leapfrog recommends CPOE, E-prescribing expands and PHRS are available
2010- present: ACA and HITECH, CMS EHR incentive program
Payment reform
population health
Big Data and data analytics
Cloud computing
Mobile application

Question 5

What are the functions and features of EHR?

Answer 5

Electronically collect and store patient data
Supply information to providers
Allow direct input into computerized provider order entry (CPOE) system
Advise healthcare practioners.

Question 6

Features and Functions of Patient Portals?

Answer 6

Secure website
Electronically access their records
Schedule appointments
Communicate with providers
Request refill on prescriptions
Review test results
pay bills

Question 7

Features and Functions of PHRs?

Answer 7

Receive customized content based on needs, values and preferences
Lifelong comprehensive, support information exchange and portabilityz
Reduce costs by avoiding unnecessary duplicate tests and improving communications
Person-generated health data (PGHD)
Mobile technologies to capture health and wellness
step tracker, web based food diaries, networked weight scales and blood pressure machines

Question 8

What is the benefit of EHR ?

Answer 8

1 Quality, outcomes and safety
- adherence to evidence based care
- enhanced surveillance and monitoring
decreased medication errors
2 Efficiency, improved revenues and cost reduction
3 provider and patient satisfaction

Question 9

Key issues with HCIS

Answer 9

1. Interoperability
   - Ability of the system to exchange health information from other systems without special effort on the part of the user
   -Information blocking
   -ONC Roadmap to interoperability
   - requiring standard
   -motivating the use standards through appropriate incentives
   - creating a trusted environment for collecting, sharing and using electronic health information
   2 Usabiltiy
   3 Health IT Safety
   Safety , Revenue and Satisfaction