Week 1 Chapter Problems
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AHM310 Healthcare Information Systems Management
Week 1 Chapter Problems
Name: Karina Wortman
1)
Why is patient engagement referred to as “the miracle drug of the century”?
a)
Patients who have the opportunity to be involved in their treatment and care plans, and see their lab results/medical history in "real time" via patient portals, are more motivated and likely to take control of their healthcare and wellness.
2)
Why is having a primary care provider (PCP) now the norm and, in some cases, a requirement in healthcare?
a)
There are many benefits to having a PCP, such as the benefit of having a gatekeeper who knows a patient's full medical history and all aspects of patient care.
3)
How does HITECH create a more patient-centric model of healthcare?
a)
HITECH is helping healthcare become more patient-centric through the real-time communication and access afforded by EHRs and improved coordination of care and treatment.
4)
List the five main provisions for insurance under the Affordable Care Act.
a)
The Affordable Care Act stipulates, among other things, that people can remain on their parents' insurance until age 26, pre-existing conditions cannot negate coverage, insurance cannot be cancelled for individuals with chronic illnesses, insurance exchanges can lower premiums, and there is the potential for insurance company rebates to patients.
5)
Why is increased specificity in coding and healthcare data a benefit to everyone?
a)
The more specific diagnoses and treatment plans are, the better quality care can be given, and the more likely a quicker, more complete recovery can be attained.
6)
Describe one benefit and one risk of accountable care organizations.
a)
Improved population health
b)
Payment structure/financing
7)
Describe the five main uses of a health record.
a)
Patient care delivery, patient care management, patient care support processes, financial and other administrative processes, patient self-management.
8)
Explain the difference between a hospital case manager and an insurance company case manager. a)
the insurance case manager’s roles are to assess the patient’s status from the insurance carrier’s perspective and, based on what the patient’s health record says (or does not say), to determine which health ser- vices are covered. A hospital case manager’s role is to ensure that healthcare services are not being under- or overutilized.
9)
Name and describe three users of clinical information.
a)
Nursing Information Systems i)
Nursing process approach; critical pathway.
b)
Monitoring Systems i)
automatically input info into clinical information system
ii)
alarms notify caregivers of readings outside of normal range
c)
Order Entry Systems
i)
orders entered into computer are transmitted to appropriate areas
ii)
direct entry of orders by physician/NP
10) Give an example of when a health record may be released without specific patient authorization.
a)
If the patient has a communicable disease and that information needs to be sent to
the local department of health
11) What is the purpose of The Joint Commission?
a)
to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value.
12) Why are credentialed HIM professionals required to maintain their credentials through earning CEUs every two years?
a)
They can have confidence in the integrity of the content and know in advance the confirmed number of CEUs.
13) Explain the difference between health informatics and health information management. How do the two fields overlap?
a)
Health information management jobs typically focus on the information technology needed to store and retrieve patient data accurately and securely and the management of the people and processes.”
b)
Health informatics jobs focus more on utilizing data, data analytics, and technology to improve patient care delivery.”
c)
they both focus on healthcare technology and data.
14) Describe how the field of health informatics has evolved and what the introduction of EHRs and health information exchange means to the future of the field.
a)
Health informatics has evolved extensively - from studying the use of computers in patient management to now using computers almost exclusively for the capture, maintenance, and use of healthcare data. Workers need to be experienced in both health information technology and in the actual use of collected health data.
15) Identify the types of informatics skills that will be required under a patient-centric healthcare model.
a)
Types of skills required in patient-centered healthcare include advanced data mining, programming, and analytical skills. To shift the patient to the center of the healthcare model across the continuum of care, it is necessary to get data from a variety sources, including patient-sourced health information. All of these data must be assimilated, processed, and interpreted. All members of the care team, including the patient, need to get the right information at the right time. This requires advanced informatics skills.
16) What are “big data”? Explain how they can be used in healthcare.
a)
Big data refer to databases that are so large that traditional database management programs cannot be used to analyze or manipulate them. They will become increasingly important as more and more health information is being gathered, tracked, and mined.
17) Compare and contrast a health information exchange (HIE) organization and an integrated delivery network (IDN).
a)
A health information exchange in an organization of nonaffiliated providers and facilities that agree to share health information; an integrated delivery network is a private network
of related or affiliated providers and facilities for the sharing of health information.
18) Assess the importance of outcome research to accountable care organizations (ACOs). What types of work roles are required to support ACOs?
a)
Accountable care organizations (ACOs) are "fee for value" models - because they are paid based on their outcomes and costs for certain patient populations, they need to be motivated to promote wellness and track data closely.
19) Explain the role of mHealth in healthcare reform.
a)
mHealth is healthcare which is mobile-based, especially through smartphones and such, that allows for remote monitoring of patient status and increased patient involvement in their own care.
20) What elements should be incorporated into a patient portal? Will patient portals and Personal
Health Records work? Will they lead to a healthier population? How can wellness programs be
incorporated into patient portals?
a)
While patient portal content is still being debated, most experts agree that promoting
healthcare access, general medical history overviews, and wellness information should be
included.
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