Unified Medical Coding Structure

Improved Essays
Abstract - Insufficient, disjointed and un-interoperable health care systems are the major causes of iatrogenic injuries by the means of adverse events (AE). Consequently, detecting and analyzing such events reveal problems affecting not only health care providers (HCP) and patients, but also the whole community. In this research we aim to architect a conceptual data flow model that helps in optimizing patient’s safety by the means of a newly designed Unified Medical Coding Structure (UMCS) and Structured Evidence Based Medicine (SEBM). Using this model we can assist in supporting clinical decisions at the point of care, preventing AEs as much as possible and collecting data when any missing AE occurred to be analyzed and used in setting rules

Related Documents

  • Improved Essays

    Premise: The Nursing Action-plan on the use and sustainability of Barcode Medication Administration Problem Statement According to Aiken et al. (2012), the concern regarding patients’ safety is a global issue and not concentrated to particular hospitals. The study by Van Den Bos et al. (2011) describes some of the means through which patients could be injured such as ineffectual sharing of information among clinicians, delayed treatment, and sometimes misapplication of health technology just to mention a few.…

    • 358 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    Karen reported Medical Coding Specialist (MCS) is taking their first term of general education classes. Teri told the team that there are no core classes in first term and they can spread out their classes and electives. Denise spoke about SOHOPE having five years to work out their program classes. Most of the SOHOPE students will not be ready until next year. Some students can work on their Basic Health Care certification.…

    • 319 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    • Hospital charge master- A chargemaster is also known as the charge description master which consist of a comprehensive listing of items that’s billable to a hospital patient or a patient’s health insurance provider. Hospitals have chargemaster because it helps to make the process of charge capture and billing can move smoother. • Coding Systems-…

    • 247 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    ICD-10 Coding Framework

    • 246 Words
    • 1 Pages

    The expanded ICD-10 coding framework allows care providers to document procedures with more specificity. [1] This enhanced data helps researchers gather more information and discover delivery improvement opportunities. ICD-10 Implementation Increases Coding Demand Caregiving facilities suffered from coding personnel shortages well before the ICD-10 transition. [2] The medical community’s almost four-decade reliance on ICD-9 resulted in a minimally supported coding education environment. Upon ICD-10 implementation, many organizations had no other choice but to rely on offshore coding services.…

    • 246 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Failure modes and effects analysis (FMEA) and root cause analysis (RCA) are both tools used in healthcare to identify and reduce risks to patients. FMEA proactively identifies risks while RCA identifies the cause after an event has occurred. FMEAs were originally used in the engineering industry during new product design (Mulligan & Nechodom, 2008, p. 662) and over time were adopted into healthcare to reduce potential harm to patients. “FMEA involves a multidisciplinary team mapping out a high-risk process of care, identifying the failures that can occur, and then characterizing each of these in terms of probability of occurrence, severity of effects and detectability , to give a risk priority number used to identify failures most in need…

    • 290 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    HCPCS stands for Healthcare Common Procedure Coding System. Pronounced “hicks-picks”, HCPCS was develop by CMS centers for Medicare and Medicaid for the same reason that the AMA wrote CPT and up until 1996 using HCPCS was optional and then HIPAA became into law and made HCPCS mandatory in certain cases. We as coders would use HCPCS for Medicare and Medicaid for medical procedures, and some third party payers.…

    • 68 Words
    • 1 Pages
    Decent Essays
  • Great Essays

    "For everywhere we look, there is work to be done. The state of our economy calls for action: bold and swift. And we will act not only to create new jobs but to lay a new foundation for growth. We will build the roads and bridges, the electric grids and digital lines that feed our commerce and bind us together. We will restore science to its rightful place and wield technology's wonders to raise health care's quality and lower its costs” (President Barrack Obama, Inaugural Address, 2009).…

    • 2027 Words
    • 9 Pages
    Great Essays
  • Decent Essays

    Inaccurate data threatens patient safety and can lead to increased costs, inefficiencies, and poor financial performance. Further, inaccurate or insufficient data also inhibits health information exchange (HIE) and hinders clinical research, performance improvement, and quality measurement initiatives. A meaningful electronic health record (EHR) improves the ability for healthcare professionals to enact evidence-based knowledge management and aids decision making for care. EHRs can have a positive impact on quality of care, patient safety, and efficiencies. However, without accurate and appropriate content in a usable and accessible form, these benefits will not be realized.…

    • 256 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    Meaningful use has greatly impacted healthcare interoperability by implementing certified electronic health records (EHR). With EHR put into act we are now able to view real time information of patients medical history, past and current medications, immunization dates, any diagnoses or allergies, as well as testing and lab reports. It contains all complete and accurate information to give providers access to evidence based tools when making decisions of a patients care. Some EHRs now allow patients to access web portals to view their own health records and even email their doctors. A major contribution to why meaningful use has helped healthcare interoperability is the fact that electronic health records can be accessible to authorized staff…

    • 255 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Electronic Medication Administration Records Affect on Patient Safety In today’s society it is excepted to receive exemplary quality care when admitted to a healthcare facility. This means that the patient is to receive safe and effective care from the nurse and interdisciplinary health care team, with the goal of obtaining positive patient outcomes. These goals can be partially obtained with the use of the advancements in information technology. Information technology has the potential to increase patient safety, improve continuity of care, and change the way healthcare is delivered (Moreland, Gallagher, Bena, Morrison, & Albert, 2012).…

    • 1167 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Annotated Bibliography

    • 873 Words
    • 4 Pages

    As a whole we are seeing many hospital systems move towards technology when delivering care to each patient. By doing in helps to reduce potential errors, provided a higher level of care, and streamlines the processes being utilized. This article summarized how these systems can reduce errors that can occur and ensures a base level of care can be provided to…

    • 873 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    In order to overcome disease and injury, PAs and myself must first understand how they occur, using the medical model as our primary playbook. This model outlines a game plan for patient care based on the principles of physical examination, diagnostic testing, and appropriate treatment. I believe that patients, themselves, should be educated on how their risk factors, lifestyles, and medical histories play a role in their performance and prevention against injury and illness. In this sense, patients who suffer from ailments, ranging from polio to heart attacks, may avoid emergencies with the proper medical advice. My experience in emergency medicine and primary care make me a strong candidate because of the exposure to multiple fields of medicine.…

    • 737 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Health Information exchange (HIE) allow providers which includes doctors, nurses, pharmacist and patients to have access to patient healthcare information. The health information exchange is a secure and safe electronic data, as well as helps facilitate coordinated patient care, reduce duplicative treatments and avoid costly mistakes. Working in the healthcare industry, I do see the benefit of government mandate that all electronic based healthcare system exchange information. It allows physicians, nurses and other providers to avoid readmissions, medication error, improve diagnoses, and decrease duplicate testing. I have come across numerous mistakes when, information is missing from the patients charts, and the doctor don’t see what other…

    • 362 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    Strategic initiatives should be formulated using evidence-based practice [“EBP”] that enhances the opportunity to achieve optimal patient outcomes. Patients and families expect to receive quality care when seeking healthcare services. Dr. David Sackett and colleagues defined EBP as “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. The practice of evidence-based medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research” (Sackett, Rosenberg, Muir Gray, Haynes, & Richardson, 1996, para 2). Sustaining evidence-based change can be difficult when individual clinical expertise and practice…

    • 1352 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Formal standards in healthcare have derived from the need to develop a standardized system for informal applications within hospitals (Laureate Education, 2010). For example; hospital pharmacies, medical billing and clinical staff required an application to accomplish patient care in an ever growing field of information technology. Standards in healthcare were created to make processes work more efficiently (Hammond, Cimino, 2006) and comprise a set of rules and definitions that specify exactly what something is. In healthcare, specifically a hospital environment, a formal standard is useful because it permits two or more disassociated departments such as clinicians and pharmacies along with the billing department to work together in a cooperative way.…

    • 444 Words
    • 2 Pages
    Improved Essays