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HIMT Chap. 1

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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  
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Vision 2006   Information based; Data item definition, Data modeling, Data Administration, Data Auditing; Electronic searches, Shared knowledge sources, Statistical and modeling techniques;  
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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  
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Primary Purpose of Health Record   Patient care Delivery (Patient), Patient Care (Provider), Patient Care Management, Patient Care Support, Billing and Reimbursement  
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Patient Care Delivery (Patient)   To document services received, constitue proof of identity, self-manage care, verify billing  
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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  
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Patient Care Delivery (Provider cont.)   To determine preventative advice or health maintenance information, provide reminders to clinicians, to support nursing care, document services provided  
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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  
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Patient Care Support   To allocate resources, analyze trends & develop forecaset, assess workload, communicate information among departments  
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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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Created by: RHIT07