Miso Dental Clinic: Technical Background, Results, and Discussion

I will do only the patient demographic part and the provider or someone for clinical has to complete the form. I still don't understand why Johana or any MA can complete the patient demographic part on vase of the list that I provide to them but anyway I will do that part so they can't said that our billing department don't want to cooperate on this process.I know we shouldn't not be responsable for this but we need to recovery that

Electronic Health Records will include the same information as the paper record. This includes basic patient information such as demographics, medical history, medications, allergies, laboratory results, radiology images, and billing information. (2006) Each individual doctor can specialize their system and what they want it to include. They can add different components to the electronic health record that are important to them and needed in their practice. (2006)

patients care. This up to date information is crucial for providing information to a variety of

The use of technology in HIM department works out well and effectively. Each patient who is new is assigned a unique medical record number and it always remains the same for the patient each time he/she want to get health care from this health care system. Another system

While this is an area of concern, I also believe that processing the patients at the registration desk is a task that could be virtually eliminated altogether. Simply by requiring patients to register online and scan or fax documents by a predetermined cutoff time, staff members could complete this process without interruption and have the necessary information already in a file when the patient arrives.

Other patient information you may find is documentation for any allergies the patient may have. Insurance information will be noted if the patient is covered were you will find the provider, the billing address, and the patient’s policy number. There will be many different forms in this system that are used to document things such as the patient’s family history, diagnostic results, immunization records, past and present medications taken and the effectiveness of them, and of course there will be doctors notes for any office visits and hospitalizations. In the doctors notes and hospitalization notes you will find documentation for medical conditions or diseases the patient may have had in the past or has presently. Last but certainly not least there will be the common release and authorization forms, there may be advanced directives or living wills on file if the patient has completed them and other relevant information that staff and medical facilities may need to provide quality care for the patient. (Whatis.com, 2008).

“a paperless, digital and computerized system of maintaining patient data, designed to increase the efficiency and reduce documentation errors by streamlining the process.”(Santiago, n.d., para. 1)

Appointment/Registration - This determines whether an individual is an established or new patient; if the patient is new, then insurance information is obtained and verified to make sure that the patient qualifies to receive services from the provider.

The potential sources of the problem that most of the healthcare institutions are experiencing could be that the healthcare organizations have not trained its staff or employees on how to do data entry as well as protection of the data that contains the information of the treatment cost as well as services. For that reason, the organizations should always train its staff on how to do data entry process and protect the data from being accessed by the unauthorized persons who could manipulate the data. The supervisors of the healthcare organizations are then supposed to be monitoring and also reviewing the process of entering data. That is to avoid the data inputted into the system being inaccurate. Another possible problem that they

Medical records are not electronic, but paper, which causes them to become lost or misfiled. Physicians need readily access to patient records so they can treat patients effectively.

The very first stage of a patient's appointment should include the notation of the patient's demographic information as well as information about his/her insurance, such as the insurance payer and policy number. Any information that will be useful and/or necessary in a claim situation should be detailed at patient check-in.

Patient fills out and signs new patient registration forms. Copies of I.D. and insurance cards are made.Create encounter form and new patient chart.

Health care providers as well as nurses must keep track of all pertinent patient information and failure to do so leads to detrimental effect on the patient's life. CIS clinical information systems are "large, computerized database management systems that support several types of activities that include physician order entry, result retrieval, documentation and decision support". CIS is intended to replace medical records department of a hospital or any other medical institution. Physicians and clinicians can safely and quickly access information, order medication and treatments and implement appropriate care. CIS will hopefully improve productivity, increase quality care and reduce costs across the organization.

• Pre-Registration - When the Patient either comes into the office or calls over the phone for the inital appoitment. If they are new Patients you will need all their insurance information prior to appoitment to confirm they infact take that insurance, co-pays, and active insurance. You then will need to know what the patient is being seen for.

In Stage 3, enhancements to the UMUC Family Clinic business process will be proposed by recommending HIT (health information technology) solution, consisting of a certified EHR (electronic health system)/EMR (electronic medical records) system. Once this system is implemented, it will immediately improve the current process. Customer complaints are high, and the focus is on the long wait times and redundant processes when a patient arrives to be checked in. Moreover, some nurses are not readily available, because they are preoccupied with other administrative duties within the practice. Inconsistent record keeping practices lead to additional time searching for patient records. A HIPPA violation may be detected if a patient’s record is misfiled or lost; henceforth, creating a need for supplemental time and possible duplication of another medical record may be required. This process can be greatly improved by the HIT solution using a terminal loaded with the EHR solution. This will allow patients the ability to enter all of their health record information upon their arrival and that information will be instantly available to the nurses and doctors. This process will also give the patient the opportunity to validate the information and make any necessary changes (benefit information, addresses, phone numbers, and medications).