HHS 503 Ch.12 PDF

Health Information Management Technology: An Applied Approach, Sixth Edition Chapter 12: Healthcare Information ahima.org ahima.org © 2020 AHIMA Importance of Healthcare Information Patient care Research Reimbursement ahima.org © 2020 AHIMA Expanded Uses and Data Capture Claims data (Billing Data) S...

Health Information Management Technology: An Applied Approach, Sixth Edition Chapter 12: Healthcare Information ahima.org ahima.org © 2020 AHIMA Importance of Healthcare Information Patient care Research Reimbursement ahima.org © 2020 AHIMA Expanded Uses and Data Capture Claims data (Billing Data) Surface clinical content EHR data Detailed clinical content ahima.org © 2020 AHIMA Healthcare Information Based on personal health data Primarily for provider use Sources Provider Individual Secondary use Administrative, quality performance, research ahima.org © 2020 AHIMA Data Analytics Data analytics is the science of examining raw data with the purpose of drawing conclusions about that information. ahima.org © 2020 AHIMA Types of Data Analytics—Based on Data Type Healthcare data analytics Example: finances Clinical data analytics Example: lab values ahima.org © 2020 AHIMA Types of Data Analytics Descriptive Diagnostic Predictive Prescriptive ahima.org © 2020 AHIMA Steps to Transforming Raw Data into Meaningful Analytics Data capture Data provisioning Data analysis ahima.org © 2020 AHIMA Analytics Tools Data visualization Dashboard Data Capture Structure ahima.org © 2020 AHIMA Data Visualization Tables Charts Graphs ahima.org © 2020 AHIMA Dashboard Different from a scorecard - (More specific with goal in mind) Key indicator Metrics or benchmarks Purpose and Use ahima.org © 2020 AHIMA Data Capture skipped Process of recording data in a health record system or database Tools Written notes or traditional voice dictation Scanning Keyboard or touch screen computers Patient-generated health data devices ahima.org © 2020 AHIMA Electronic Data Capture skipped Fundamental function of EHR EHR system components—data capture an element of each one Source systems Core clinical systems Supporting infrastructure Connectivity systems ahima.org © 2020 AHIMA Core Clinical EHR Systems Point-of-care charting Unstructured – patient has a temp Structured – patient has a temp of 102 Discrete data ahima.org © 2020 AHIMA Data Capture Word processing Copy and paste Measure for preventing data quality problems ahima.org © 2020 AHIMA Data Capture Speech recognition Back-end Front-end Natural language processing ahima.org © 2020 AHIMA Data Mining Extracting and analyzing large volumes of data from a database for the purpose of identifying hidden and sometimes subtle relationships or patterns and using those relationships to predict behaviors ahima.org © 2020 AHIMA Sources of Data Clinical data repository Clinical data warehouse ahima.org © 2020 AHIMA HIM Professionals and Analytics HIM professionals understand healthcare data HIM professionals are proficient in business operations or clinical processes Knowledge topics Data mining Database queries Clinical, financial, and operational data Classification systems Healthcare reimbursement methodologies And more ahima.org © 2020 AHIMA Strategic Uses of Healthcare Information Decision support Decision support system Clinical decision support system Executive information system Quality measurement Clinical research ahima.org © 2020 AHIMA Consumers and Healthcare Information Consumer is the focus Consumer health informatics Patient portal Clinical email communication Mobile health Health literacy Telehealth ahima.org © 2020 AHIMA Health Literacy Health literacy is the ability of patient to understand health information and healthcare system National Action Plan to Improve Health Literacy PHR Patient portal ahima.org © 2020 AHIMA Telehealth Increases access to quality healthcare Connects patients and clinicians across a distance ahima.org © 2020 AHIMA Telehealth Tracks and sends clinical information Monitor chronic disease Lowers costs Allows patients to be active in the health-related decisions Short-term Long-term ahima.org © 2020 AHIMA Telehealth Barrier Patient adoption ahima.org © 2020 AHIMA Patient Portal Secure online website Functionalities can include Accessing health record Emailing healthcare provider Completing forms Scheduling appointment Requesting refills ahima.org © 2020 AHIMA Social Media Consumers Healthcare-focused social networks Providers Websites Government agencies Apps, video streaming ahima.org © 2020 AHIMA Personal Health Records Record created and managed by an individual in a private, secure, and confidential environment Different than an EHR Patient-generated health data Contents of a PHR ahima.org © 2020 AHIMA Personal Health Records Types Standalone Tethered or connected Sources Patient Healthcare provider Employers Vendors ahima.org © 2020 AHIMA Personal Health Records Patient safety Provide a more complete picture of a patient’s health Enhance existing data Fill information gaps Support telehealth Delivers information in an emergency situation ahima.org © 2020 AHIMA HIM Roles in Consumer Informatics Patient portal representative Consumer advocate PHR liaison Care coordination Patient information coordinator ahima.org © 2020 AHIMA Health Information Exchange Exchange of health information electronically between providers and others with the same level of interoperability Commonalities Exchange done electronically Capacity for different information systems and software applications to exchange data ahima.org © 2020 AHIMA Impact of Health Information Exchange Health Information Technology for Economic and Clinical Health (HITECH) Meaningful Use (MU) Health information exchange organization Medicare Access and CHIP Reauthorization Act (MACRA) Merit-Based Incentive Payment System (MIPS) ahima.org © 2020 AHIMA Impact of Health Information Exchange Better-quality care Improved population health Lower healthcare costs Decrease duplicated procedures Reduce imaging Improve patient safety ahima.org © 2020 AHIMA Health Information Exchange Interoperability Health information exchange is not the same as health information interoperability Forms Directed exchange Query-based exchange Consumer-mediated exchange ahima.org © 2020 AHIMA Health Information Exchange Benefits Enhanced patient care Reduction of duplicative treatments Achievement of a basic level of interoperability Improved transitions of care ahima.org © 2020 AHIMA Health Information Exchange Users Providers Consumers Health plans/payers Communities ahima.org © 2020 AHIMA Health Information Exchange Nationwide community Agree to securely share information using a common set of standards and specifications The nation's largest health data sharing network ahima.org © 2020 AHIMA Health Information Exchange eHealth Exchange Components ahima.org © 2020 AHIMA One unified trusted, operational, and legal framework Governance model Operating policies and procedures Technical services Operational support Health Information Exchange Challenges Patient identify Data integrity Data standards ahima.org © 2020 AHIMA Health Information Exchange Challenges Data standards Types ahima.org © 2020 AHIMA Vocabulary, code sets, and terminology Content and structure Transport Services Health Information Exchange HIM roles Examples Defining the data exchange model Developing guidelines for data stewardship and data governance Identifying strategies to ensure accurate patient identify ahima.org © 2020 AHIMA