HIMT Chap. 1
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| 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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