Department based, Physical records, Aggregation adn display of data, Forms and record design, Confidentality and release of information

Information based; Data item definition, Data modeling, Data Administration, Data Auditing; Electronic searches, Shared knowledge sources, Statistical and modeling techniques;

Vision 2006 continued

Logical data views, Data flow and reengineering, Application development, Application support; Security, audit and control programs, Risk assessment and analysis,Prevention and control measures

Primary Purpose of Health Record

Patient care Delivery (Patient), Patient Care (Provider), Patient Care Management, Patient Care Support, Billing and Reimbursement

Patient Care Delivery (Patient)

To document services received, constitue proof of identity, self-manage care, verify billing

Patient Care Delivery (Provider)

To foster comntinuity of care, describe disease & causes, support decision making about dx and tmt. of pts, assess & manage risk for individual pts., document pt. risk factors, assess document pt. expectations & pt. satisfaction, generate care plan

Patient Care Delivery (Provider cont.)

To determine preventative advice or health maintenance information, provide reminders to clinicians, to support nursing care, document services provided

Patient Care Management

To document case mix in institutions & practices, analyze severity of illness, formulate practic guidelines, manage risk, characterize the use of services, provide the basis for utilization review, perform quality assurance

To allocate resources, analyze trends & develop forecaset, assess workload, communicate information among departments

Billing and Reimbursement

To document services for payments, bill for services, submit ins. claims, adjudicate ins. clms, determine disabilities, manage costs, report costs, perform actuarial analysis

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HIMT AppliedApproach

HIMT Chap. 1

Health Record Primary Purpose	Explaination-Primary Purposes
Traditional HIM	Department based, Physical records, Aggregation adn display of data, Forms and record design, Confidentality and release of information
Vision 2006	Information based; Data item definition, Data modeling, Data Administration, Data Auditing; Electronic searches, Shared knowledge sources, Statistical and modeling techniques;
Vision 2006 continued	Logical data views, Data flow and reengineering, Application development, Application support; Security, audit and control programs, Risk assessment and analysis,Prevention and control measures
Primary Purpose of Health Record	Patient care Delivery (Patient), Patient Care (Provider), Patient Care Management, Patient Care Support, Billing and Reimbursement
Patient Care Delivery (Patient)	To document services received, constitue proof of identity, self-manage care, verify billing
Patient Care Delivery (Provider)	To foster comntinuity of care, describe disease & causes, support decision making about dx and tmt. of pts, assess & manage risk for individual pts., document pt. risk factors, assess document pt. expectations & pt. satisfaction, generate care plan
Patient Care Delivery (Provider cont.)	To determine preventative advice or health maintenance information, provide reminders to clinicians, to support nursing care, document services provided
Patient Care Management	To document case mix in institutions & practices, analyze severity of illness, formulate practic guidelines, manage risk, characterize the use of services, provide the basis for utilization review, perform quality assurance
Patient Care Support	To allocate resources, analyze trends & develop forecaset, assess workload, communicate information among departments
Billing and Reimbursement	To document services for payments, bill for services, submit ins. claims, adjudicate ins. clms, determine disabilities, manage costs, report costs, perform actuarial analysis

Created by: RHIT07

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