Annotated Bibliography On Clinical Care Classification

Partners HealthCare is a non-profit, health system located in Boston that created a data based transformation (Davenport, 2013). It integrated a new system that aligned the participating organizations to cohesively run as one and to help shape the future of the organization. The system didn’t stop there as it was responsible for bettering the patient financing experience and the delivery of healthcare information to other organizations (Davenport, 2013). The initial goal of the organization was making patient care more affordable and accountable by providing integrated, evidence based, patient-oriented care.

Two organizations migrating to a common health information system would need a system that meets current regulatory requirements, meets the needs of the combined organization and their practice environment. The implementation of a common health information system would require an interdisciplinary group of forward thinking innovators, and an interoperable electronic medical record system that includes standard nursing terminology.

Demonstrate a responsible way to share health data among other hospitals and academic researchers that will develop new medical therapies and drugs.

The American Health Information Management Association (AHIMA) is a recognized, respected association of health information management (HIM) professionals worldwide. Founded in 1928, AHIMA has become a respected authority for professional education and training in the effective management of health data and medical records needed to deliver quality healthcare to the public. Throughout AHIMA’s history back to 1928, the American College of Surgeons established the Association of Record Librarians of North America (ARNLA) to “elevate the standards of clinical records in hospitals and other medical institutions” (www.ahima.org, 2015). Since its formation, the Association has undergone several name changes in its evolution of the profession. In 1938 the Association changed its name to the American Association of Medical Record Librarians (AAMRL) for a more concise representation. When the Association became the American Medical Record Association in 1970, health information professionals had increased their involvement in hospitals, community health centers, and other health service facilities. As the health industry continues to evolve, the Association changed its name in 1991 to American Health Information Management Association to capture the expanded scope of clinical data beyond medical records to health information comprising the entire continuum of care.

The information sharing document is often patient-centered. This means that the patient is in relation to each type of material in rotation. In fact, when a document having the patient’s information is going around in different health information systems, it is vital in guaranteeing that all the systems are referring to the patient in question. Therefore, this type of

AHIMA includes set values that this association adheres to and benefiting members’ their diversity, continuing education, leadership development, and professional credentialing. They adhere to their high standards in their code of ethics. AHIMA performs continual research in order to advance innovative and ethical health informatics and information management and collaborate with other professional organizations confirming the public’s privacy information is

The framework likewise has a Clinical Operations Performance Improvement Council to talk about operational issues and build up new procedures to enhance execution in the center measures. For instance, the gathering set up framework wide instructive and preparing materials to help healing center staff suspend anti-infection agents inside of 24 hours. The second hypothesis examined current hypothesis in which is in light of the idea that the association is a framework which needs to adjust to changes in its surroundings. In present day hypothesis, an association is characterized as an outlined and organized process in which people connect for destinations (Hicks and Gullet, 1975). From our case Texas Health Resources is presently executing a framework wide electronic wellbeing record framework a speculation anticipated that would help doctor 's facilities enhance the nature of consideration by giving constant access to coordinated patient records, solution cautions, and proof based clinical choice backing.

Medicare approved drugs are prescription medications covered by the Medicare Prescription Drug Plans. Also known as Medicare Part D, the government medical program publishes a formulary that includes the drugs covered under its umbrella, as explained by medicare.ghc.org.

Continued progress is very much dependent on community cooperation and vision. Barriers we anticipate include: realistic concerns about privacy law (HIPAA and FERPA). National standards and regulations for the exchange of health information are more developed than for educational records. Resistance of clinical, educational and social service professionals to change practice patterns to be able to effectively utilize cross-sector data. Significant change management and partnership development will be needed to implement new protocols to leverage an increasingly rich, yet potentially overwhelming, store of health, education and social service information (The strategic community plan for Miami Childrens Initiative,

• Administrative data frameworks that oversee administrative business related to healing hospitals or medical organizations.

Health Information Exchange is the electronic movement of healthcare information amongst organizations according to the national standards. HIE as it is widely known, serves the purpose of providing a safe, timely, and efficient way of accessing or retrieving patient clinical data. Health Information Exchange allows for doctors, nurses, pharmacists, and other vital healthcare professionals to have appropriate access and securely share vital medical information regarding patient care. Health Information Exchange has been in efforts of developing for over 20 years in the United States. In 1990 the Community Health Management Information Systems (CHMIS) program was formed by the Hartford Foundation to foster a development of a centralized data repository in seven different geographically defined communities. Many of the communities struggled in securing a cost-effective technology with interoperable data sources and gaining political support. In the mid-1990s a similar initiative began known as the Community Health Information Networks (CHINs) with the intention of sharing data between providers in a more cost-effective manner. In 2004, the Agency for Healthcare Quality and Research Health Information Technology Portfolio was funded $166 million in grants and contracts to improve the quality and safety to support more patient-centered care. This was the beginning of the progress we have seen in HIE today. Health Information Exchange devolvement serves the purpose of improving

Quality measures are strategies that gauge, evaluate or compute health care processes, results, discernments, patient insight, and administrative structure. In addition, quality measures are frameworks that are connected with the capacity to deliver first-class health care and/or that are able to identify with one or more quality objectives for medicinal services. These objectives include: compelling, protected, effective, quiet focused, impartial, and opportune consideration. Quality measures can be used to measure quality improvement, public reporting, and pay-for-reporting programs specific for health care providers (CMS.gov, 2016). There are an assortment of quality measures in which health care organizations can use to determine the status of the care they are delivering. Many are appropriate, but few are chosen for this research paper. Among them are: National Health Care Surveys, Hospital IQR Programs, Scorecards, and Political, Power, and Perception/Data for Decision-making tools.

Healthcare quality has many different terms that relate to the field itself. Each term has its own definition, which in turn influences the decision making in the world of healthcare. There are three types of variation: process, outcomes, and performance. The first term being discussed is process variation. Process variation refers to the different usage of a therapeutic or diagnostic procedure in any given healthcare organization or geographic area (Joshi, Ransom & Nash, 2014). In other words, there are several procedures and or tests that can be used to achieve the same results, which creates variation in healthcare. A great example is to test whether or not an athlete has a concussion. There are several ways to do this such as neurological

The first quality initiative that could increase patient satisfaction and potentially reduce healthcare cost is the national data warehouse. According to Brennan, Cafarella, Kocot, McKethan, Morrison, Nguyen, Shepard & Williams II (2009), “this type of quality analysis needs to be valuable to both payers and consumers. For payers, quality analysis helps them potentially understand payment mechanisms, quality providers, regional differences and medical management techniques. For consumers, there is a better understanding of practice and potentially cost differences of providers. So, the primary purpose for creating a national data warehouse will be to develop key quality measures that all parties can agree on.” The second quality initiative that could increase patient satisfaction and potentially reduce healthcare cost is creating one common contract between all health plans and providers (Brennan et al., 2009). According to Brennan et al., (2009), “to accomplish this, a national group comprised of government personnel and knowledgeable provider contractors from the health plans will set national guidelines. Regional contracting groups will be entirely made up of current health plan contractors and will do the local contracting under

In the healthcare industry, nursing is underrepresented in the development of healthcare policies. Current nursing practice depends on the use of standardized nursing terminology and documentation to accurately communicate and identify nursing diagnoses, nursing care provided, and interventions that were performed within healthcare disciplines process (Mennella & Caple, 2016). The essential solution to making nursing more visible is having necessary data to adequately measure the direct effects and retrieve associated nursing care costs to attach nursing care services with each patient. Minimum data sets for nursing are vital classification systems necessary to categorize the practice of nursing, and they allow consistent collection of essential nursing data that provide accurate descriptions of the complete nursing process (Dolezel & Moczygemba, 2015).