EHR Interoperability and its challenges The US Department of Health and Human Services EHRs to be interoperable by the year 2024. This means that authorized practitioners can share data easily, which helps deliver better quality of care. But what is the patients’ take on this?
HIPAA has changed Healthcare Information in so many ways when it comes down to EDI. The system is designed to simplify electronic transactions and codes sets. The simplification of HIPAA was designed to show a consistency and operational improvements within the payer and the provider. In order to transfer healthcare information, it has to comply with the standards of HIPAA for that transaction.
Universal patient identifiers can safely enhance efficiency to connect patients to their healthcare records. Although, many patients evade the anguish from adverse events due to a misidentification from the existing patient-matching technology, however misidentification in patients can have inflated financial ramifications to hospital systems. “Denied claims can become a huge waste of time and money for any practice manager; per a recent MGMA Connection article the average cost to rework a claim is $25. When you multiply that cost by dozens of denied claims, it quickly adds up”. (Taufen, A., MA., 2014).
While reviewing the posts for team one discussion this week it looks like they are all agreed that standardization would have a positive within the healthcare system. Collecting data and the exchanging of health information are essential in improving patient safety and quality care. Having standardized terminology will simplify the transference of data among providers and decrease misunderstandings. I feel that only a few individuals directly mentioned how big of an impact standardization will have on overall clinical workflow. Standardization will allow clinicians to dedicate more time to patient
The purpose of HCPCS Level II codes are to represent non-physician services like ambulance rides, wheelchair, walkers and a lot more medical equipment that don’t fit into Level I. Level II codes are alphanumeric, for example J0520. HCPCS Level I CPT are codes described medical services provided. The are all numeric, for example,
Healthcare common procedure coding system (HCPCS) is a coding system developed by the Centers for Medicare and Medicaid Services that is used in coding services for Medicare, Medicaid, and other private insurance plans patients. HCPCS contains Current Procedural Terminology (CPT) codes which are often thought of as a separate system, but CPT is part of HCPCS. HCPCS codes does not provide information of diagnoses, but just what procedures were performed. In this crosspost, the author will elaborate on the original threaded discussion by Gatlin, Mburu, Jackson, and Hunt and add additional information on HCPCS. Gatlin, Mburu, Jackson, and Hunt mentioned that all healthcare providers are obligated to code correctly claims for the services
Health Insurance Portability and Accountability Act-HIPAA, was introduced in Congress as the Kennedy-Kassebaum Bill and later passed in 1996. Before HIPAA, there was no federal standardization when it came to health care programs and information, and it was up to the state to create these rules and regulations. The rules and regulations were also fragmented among government agencies. Since there was no standard authority to combat against fraud and abuse in state and federal health care programs, it became a major issue that could not be ignored. For this reason, HIPAA was created with the objective to provide provisions for the prevention of fraud and abuse, and to ensure that individuals would be able to maintain their health insurance between
The American Reinvestment and Recovery Act laid out the groundwork for a program designed to equip hospitals and medical practices around the country with electronic health record systems by providing financial incentives (p. 245). However, in some markets such as long-term care facilities the transition to electronic system has been slow. Professional nurses whose careers are in long-term care in our nation will play major role in getting electronic health systems into these settings. It will take nurse advocating for these systems and continuation of research showing evidence that supports widespread adaptation of these systems, but nurse united under one cause, best practice can make anything happen.
Hi Prof. Antoisnne, It is imperative that the HIM professional establish data standards to ensure data quality and consistency. Establishing data standards would help to ensure patient safety, consistent delivery of health care services, plan coordination of care, and standardize healthcare reporting. Essentially, data standards are needed to assess the quality and consistency of collected data. Organizations need HIM professionals to familiarize themselves with these standards to create an organizational standardized data dictionary, format electronic health records, and standardize the exchange of health information across the continuum for general data management and to ensure the integrity and reliability of gathered data.
Health Information Exchange: History The history of the health information exchange (HIE) starts in the 1990’s. It began as an attempt to organize several networks so that they could share patient data with each other. Unfortunately, these attempts were unsuccessful.
In this paper, computerized physician order entry (CPOE) systems will be discussed. The reduction of medication errors as a result of CPOE will be addressed, as well as, the possible errors or problems that it can still cause. The ease of use and how clinician input affects the efficiency, usability and safety will be included. Lastly, possible solutions to the problems and issues that arise from CPOE will also be provided. CPOE systems are very effective at reducing errors and assist with workflow.
Electronic health record (EHR) system transformed the health care system from a paper based industry to one that uses clinical information to provide higher quality of care to the patients by providers. Electronic medical records have many benefits in clinical, organizational and societal outcomes. Clinical outcomes includes improvements in the quality of care and reduction of medical errors. Organizational outcomes include, financial and operational performance as well as higher satisfaction among patients and clinicians. Societal outcomes include, conduct research and attain improved population health.