Actionable Information Case Study

Healthcare has evolved over past decades and continues to remain an issue of concern for individuals everywhere. Effectively managing data is important to improving the performance in the health care system. Accumulating, evaluating, deciphering and acting on data for particular performance measures allow health professionals to identify shortcomings and make the necessary adjustment, and track the outcome.

Having access to quality healthcare is major part of one’s life however the cost of care has been on the rise over the past decades and continue to rise every day due to many situation such

Over the course of our countries history, the delivery of our health care system has tried to meet the needs of our growing and changing population. However, we somehow seem to fall short in delivering our goals of providing quality, affordable and accessible healthcare to our citizens. The history of our delivery system will show we continuously changed the delivery of our system however never mange to control cost. If we can come up with efficient ways to cut cost, the delivery of quality care will follow.

The change to value based purchasing has bought many challenges to the healthcare industry. With the change to value-based purchasing for payments, it has changed how healthcare organization receive payment and delivery care. The advantage of have value based purchasing is that it improves the quality of care while reducing cost in an effort of aligning patient’s with the right provider and treatment plan (Minemyer, Jun 29, 2016). However, there are many disadvantages, such as it increases the patient volume as counteracting the reduction of procedure volume (Brown, B. & Crapo, 2016). Also it makes providers more responsible for care that is beyond the expected treatment of care needed (Minemyer, Jun 29, 2016). With quality measures tied

Our healthcare system is in a state of constant change. Just as the industry was adapting to the demands of countless healthcare reforms, the fate of regulations like the Affordable Care Act (ACA) and others like it, dangle in the wind. As the country transitions to a newly appointed administration, there is an increasing level of uncertainty among industry leaders. Federal, state, and local mandates continue to drive the need to improve the quality, costs, and outcomes of care which add to an already overburdened and burnout system. These coupled with our highly secular society who is primarily focused on the treating and curing illness through advanced technology, medications, and procedures has resulted in a

A powerful force for change can be created by embracing transparency. According to the Department of Health and Human Services, “transparency is a broad-scale initiative enabling consumers to compare quality and the price of health care services so they can make their own informative choices among doctors and hospitals. This initiative is laying the foundation for pooling and analyzing information about procedures, hospitals and physicians services. In order to create value driven health care, there are four steps to turn raw data into

Updating and maintaining the accuracy of records and reports is vitally important for any care setting. The information in records or reports could be about an individual who is being cared for in our workplace, a relative or friend, or it could be about the organisation itself, about of for someone who works there, or for administrative purposes. The information could come to us in different ways: verbally- in a conversation or on the phone; on paper- in a letter, an individual’s health record, instructions from a health

identify legislation and codes of practice that relate to handling information in health and social care

A computerized clinical database consists of clinical data for storing, retrieving, analyzing, and reporting of information (McCartney, 2012).

As a carer or healthcare provider, some of our obligations are to make sure that information is: utilized reasonably and legally, utilized for restricted, particularly expressed purposes, utilized as a part of a way that is sufficient, applicable and not unnecessary, accurate, kept for no more than is totally fundamental, handled by information insurance rights, kept protected and secure and not exchanged outside the UK without sufficient insurance (Walsh, 2011, p.88).

Common within each of these four categories is the need to collect, collate, format, and submit required data. Manual data collection is an expensive and time consuming endeavor that clinicians often outsource to billing companies or other third-party vendors. Electronic Health Records (EHR) and Anesthesia Information Systems (AIMS) are better solutions to data collection and submission. According to Dr. Emily Richardson, M.D., Chair of the Committee on Practice Quality Improvement for the ASA, there are three tiers of data categories (Emily Richardson, 2017):Tier 1: Administrative/Claims/Billing/DemographicTier 2: Registry/gross clinical (QR/ QCDR)Tier 3: AIMS/ granular

Worldwide use of computer technology in medicine began in the early 1950s with the rise of the computers. In 1949, Gustav Wagner established the first professional organization for informatics in Germany. Medical informatics research units began to appear during the 1970s in Poland and in the U.S. Since then the development of high-quality health informatics research, education and infrastructure has been a goal of the U.S. and the European Union. (NYU graduate training program, 2010) Changes in the healthcare environment produced fundamental shifts in the delivery of healthcare. The altering landscape of healthcare is creating a huge demand for health data analytics. The growth and maturity of healthcare informatics over the past decade has been a prime catalyst in positioning the healthcare industry for the changes posed by reform measures. By understanding the process of analytics, clinical informatics specialists say healthcare providers have the insight necessary to make the process adjustments in the future.(Riskin, 2013)

1). The IHI initiated this new framework of care because chronic health issues have become a global dilemma that has placed larger demands on healthcare systems, along with the aging population and longevity (IHI, 2016a). Other countries health systems outperform the United States in quality and cost in providing services for their citizens (IHI, 2016a). In order to meet the growing need for healthcare systems performance and to accommodate more enrollees through the ACA, healthcare providers and organizations must change their approach in providing healthcare for the public.

The health care industry is one of the most dynamic and delicate industries in the U.S. having experienced healthy and substantial changes for the last thirty years most of which have aimed to improve health care management and services delivery to the patients. The changes have enabled the integration of technology into the industry such as in the area of informatics, science and research and payment services and clinical treatments. The health care sector has introduced various changes to address disease and health care management such as the Modernization Act of 2003, the Patient Protection Act and Affordable Act, which aim at improving health provision and most

Having a single view of the patient and their treatment and recovery plan is invaluable in ascertaining which are the most and least effective tactics in treatment. The 360-degree view of the patient and the many processes supporting them is crucial for increasing the accuracy, effectiveness and performance of treatment programs over time (Blakeman, 1985). Computerized management systems are critical for organizing, analyzing and translating the massive amount of data captured on patients, treatment and recovery processes, and the use of supporting IT systems to optimize patient health and organizational provider performance (Peshek, Cubera, Gleespen, 2010). The ability to aggregate and intelligently use all available data, information, patient-based and process-generated data to deliver higher levels of quality care is possible when computerized management systems are used throughout healthcare organizations.