As the assistant health information management (HIM) director of
a growing health system network that currently includes 3 hospitals
and 16 outpatient clinics, you are a member on the Information
Systems Committee. You have been asked to oversee the development
of a standardized, system-wide enterprise MPI that will include all
patients and their information from all encounters within the
system network.
1. Level 1: Research the recommended core elements of a
single-entity MPI and a multi-facility enterprise MPI through
professional journals and list references used (e.g., Journal of
AHIMA).
2. Level 2: Develop a data dictionary, defining each of the data
elements needed.
3. Level 3: Design a data display screen of a multi-facility
enterprise MPI screen.
As the assistant health information management (HIM) director of a growing health system network that currently...
You are the Assistant Director of The Community Health Network, a large multi-specialty practice located in Southwest Texas. This practice has been an integral part of the community for more than 30 years and employs 43 physicians and another 140 clinical and administrative personnel. When the practice was smaller, it experienced a healthy growth rate which averaged 13% annually. As the practice grew in size, it began to experience stagnant growth and now a bit of contraction in its' patient...
You are the director of health information services in a major medical center that maintains both a psychiatric unit and a substance abuse unit in addition to general medical and surgical units. Your facility plans to join a computer network with fifteen hospitals throughout the state, which will allow online access to laboratory data, regardless of which facility performed the lab work. None of the other fifteen facilities offer psychiatric or substance abuse treatment. Identify and discuss the confidentiality issues...
THE HEALTH INFORMATION management (HIM) profession is nothing if not resilient. With every change in the process of health data collection, maintenance, and use, HIM professionals have adapted to industry transitions to ensure health information quality for effective decision-making. The most recent changes—triggered by the rapid implementation and use of electronic health record (EHR) systems and associated technologies—is yet another transition that requires the HIM profession to adapt. ms most recent change is unique because of its pace. Major changes...
THE HEALTH INFORMATION management (HIM) profession is nothing if not resilient. With every change in the process of health data collection, maintenance, and use, HIM professionals have adapted to industry transitions to ensure health information quality for effective decision-making. The most recent changes—triggered by the rapid implementation and use of electronic health record (EHR) systems and associated technologies—is yet another transition that requires the HIM profession to adapt. ms most recent change is unique because of its pace. Major changes...
Title: Partners Health Care Systems (PHS): Transforming Health Care Services Delivery through Information Management According to government sources, U.S. expenditures on health care in 2009 reached nearly $2.4 trillion dollars ($2.7 trillion by the end of 2010).[1] Despite this vaunting national level of expenditure on medical treatment, death rates due to preventable errors in the delivery of health services rose to approximately 98,000 deaths in 2009.[2] To address the dual challenges of cost control and quality improvement, some have argued...
The Executive Director of The Community Health Network, Ms. Diane Peterson, has asked you to come up with recommendations in a business memo format for how the practice can improve access and quality while containing costs and positioning the network for future growth. She has asked you to complete this important task, since she knows that you are earning your credential in the discipline of health services management and possess the requisite experience. Using the case study below: You are...
THE NEED FOR health information management (HIM) professionals in long-term and post-acute care (LT-ÉAC) settings has grown exponentially in the past decade. With the implementation of setting-specific reimbursement models and quality initiatives, the skill sets that HIM professionals bring to the table are invaluable to any healthcare organization. 'Ihey are a source of expertise in data analysis, documentation, privacy and security, quality, compliance, coding, and information systems. Organizations and HIM professionals from the various LTPAC settings have reached out to...
CASE STUDY An integrated delivery network (IDN) serving a large urban fed with high-value data from each of the clinical systems. and rural demographic area is using separate EHR systems The outpatient EHR's MPI already was being used as the mas- ts inpatient and outpatient settings. Some of the specialty ter unique identifier for most of the IDN's systems, so it can be departments have also purchased their own systems for doc incorporated with the new CDR. A robust IE...
CASE 17: WATSON’S AMBULATORY EHR TRANSITION Major theme: System acquisition Primary care physicians play a key role in the U.S. health care delivery system. These providers integrate internal and external information with their clinical knowledge to determine the patient’s treatment options. An effective ambulatory electronic health record (EHR) is critical to supply physicians with the information they need to provide quality care and maximize their efficiency. This case involves the decision-making process to replace an inadequate EHR system in a...
The activity An EHR was implemented at the General Hospital one year ago, before you were hired. The implementation process did not go smoothly and now there are strong EHR advocates and strong EHR-dissenters on the team. The CEO wants to move forward with an implementation of the bar-coded medication administration feature of the EHR, but the director of nursing does not. You have been asked to manage the implementation and see that it is successful. You will first need...