The Case Of Castlight And Change Healthcare

Healthcare delivery system in recent times is confronted with a lot of problems, cost, accessibility and quality of care. To be able to address these problems, healthcare organizations rely on information science technology to enhance cost-effectiveness, and safe quality care.

Equally impressive is the implementation of Computerized Physician/provider Order Entry or CPOE. CPOE is known as one of three key patient safety initiatives by Leapfrog Group, a conglomeration of non-health care Fortune 500 company leaders committed to modernizing the current healthcare system (Huston, 2014; The Leapfrog Group, 2013). CPOE is a type of software designed to reduce errors in transcription due to illegible physician handwritings or wrongly placed decimals in dosage and strengths of medications. CPOE also gives the clinician access to Clinical Decision Support, or CDS, which is a database to assist clinicians and providers to health related information for certain patient diagnosis with care planning assistance and direction. (Huston, 2014; The Leapfrog Group, 2013). CPOE and CDS will likely be streamlined and commonly used in healthcare in the next decade which appears will likely improve patient safety as well as vastly reduce medication and

In response to the “Patient Protection and Affordable Care Act (ACA) amended by the Health Care and Education Reconciliation Act (Reconciliation Act), collectively referred to as healthcare reform” (); Wishard-Eskenazi Health of Indianapolis, Indiana has begun to make milestone changes to meet the requirements of the healthcare reform. Being a leader in today’s technology which began thirty years ago with development of one of the nation’s first electronic medical record and continues to excel in the healthcare informatics technology today continues to use this technology in quality improvement initiatives, support for future technology research and improving the quality care of the patient.

The health care sector is impacted by numerous changes and challenges, such as increasing need for health care provision, changing demands from patients or rapidly evolving technologies. In the context of evolving technologies, the developments occur not only in the actual provision of the medical act, but also at the level of the complementary operations, such as health care information management.

Over the past decade, virtually every major industry invested heavily in computerization. The heath care industry was no exception to the rise in the use of technology. These technologies are starting to allow health care practitioners to offer faster, and more efficient patient care than ever before. No doubt this is the right direction we expect health care to follow.

Data collected provides the health care organization, providers, administrators and the patients with valuable information. Tools assist the organization by measuring the performance data that provide the information to improve the patient experience and improve their care. These tools engage the organization in self-evaluation on an ongoing basis. These tools also provide and effective method of containing costs and provides the means to meet the regulatory requirements to improve quality care. Tools allow organizations to provide a

While most people generally categorize war as a deathly arena consisting of gunfire, the stench of rotten corpses, and the cries of trauma of soldiers; war can be seen as a time for prosperity and growth in the medical profession. The lack of resources in battlefield hospitals, cause people to believe that treatment options are limited. However, history has shown that these limited resources provide an outlet for creativity and exploration, the seeds to advances in the medical profession. During the American Revolution, more casualties were due to illness as opposed to gunshot wounds, opening up the eyes of medical professionals that new ways for disease prevention were needed. Additionally, before World War II biomedical research was limited

Also, since healthcare laws change all the time, the software would have to be adaptable to changes.

These tools augment the features of the EHR. They are tools that assist providers in making pertinent decisions regarding patient care. CDS provides a workflow that uses special criteria to guide healthcare providers to make sure that the appropriate treatment or procedures are done at the appropriate time. It also provides red flags to alert clinician of potential medication interactions, abnormal labs and when services are due. CDS provides many benefits that can reduced errors, improved efficiency, reduce cost and improved patient and provider satisfaction for better health

Accordingly, transforming an organizational culture where developing a sense of creating a sanctuary of healing became not only a meaningful vision, but a meaningful reality at Clarian West Medical Center, in Avon, Indiana. Considerably, through the eyes of Clarian West Medical Center's Chief Executive Officer Al W. Gatmaitan, he strongly believes that when developing an organizational culture at the hospital, creating a sanctuary of healing does not only assist in improving contemporary and common hospital concerns. To cite a reference, in Anthony J. Suchman's, David J. Sluyter's, and Penelope R. Williamson's book titled, Leading Change in Healthcare: Transforming organizations using complexity, positive psychology, and relationship-centered

Meaningful Use and Physician Quality Reporting System has made the medical profession change the way medicine is practiced. Meaningful use (MU), in a health information technology (HIT) context, defines MU as a United States (US) government standard for using electronic health records (EHR) and for exchanging patient clinical information between providers in the health-care field, between health insurance providers and healthcare providers, and between clinicians and patients. The Physician Quality Reporting System (PQRS) is a voluntary Center for Medicare and Medicare Services (CMS) Program. The PQRS program urges health-care providers and practices to report data on practices in health care. MU and PQRS is said to lead to better care for patients or Medicare.

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

Due to the advances in technology, medical practitioners are more able to retrieve medical information. Coding systems, such as ICD-10-CM, CPT, and HCPCS are used to code and enter such information into a database. These coding systems are useful in administrative and statistical purposes. The Center for Medicare & Medicaid Services, CMS uses a prospective payment services, which was effected in 2012 and 2013 to ensure better health care at lower costs (CMS, 2015).

Let’s take Alteration of the patient history data for instance. If there was any tampering done with the medical records. This is considered as a criminal offense and can result in the physician to lose his medical license if found guilty of altering with the medical records This is considered as medical malpractice in the light of alteration, falsification and destruction of medical records by the physician. In this case the information in the History and the Physical examination of the patient was altered from “no known allergies” to “patient denies any drug allergies”. This was noticed by the HIM clerk and he immediately reported the same to the HIM director. The patient suffered from severe allergic reaction as the physician who took the

As your employees become more aware of their health needs, they’ll be empowered to take preventative measures to stay on top of it-- and Castlight is there to guide them all the way. “It's a great opportunity to be able to identify someone who we believe is at risk-- for example-- for surgery, and who has not gotten the surgery yet. Our goal that BJ Fogg has outlined in his model is to get them a second opinion, and if it's appropriate that they get surgery. From that, we've built these predictive models that identifies people's level of risk.