Health Information Systems (HIS) are any systems that capture, store, manage, or transmit information related to the health of individuals within the organization. Within these systems are source systems that supply the electronic health record (EHR) and other applications with data. Source systems include; administrative and financial systems, and ancillary (clinical) or departmental systems. Administrative and financial systems don’t process data referencing patient care, treatment, or tests. These systems often include registration, admission, discharge, and transfer (R-ADT), patient financial systems (PFSs) or billing systems, and form creation systems. Ancillary or Departmental systems (clinical) provide key clinical data to the EHR.
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This system tracks when the patient is admitted and opens an account, changes the location info when a patient is transferred within the facility, and closes the account when the patient is discharged. Registration is the point where the patient is entered into the system, and all demographic and insurance/payer information is captured. The responsibility of Health Information Management (HIM) professionals in regards to the R-ADT system may be; to ensure there are no duplicate medical record numbers (MRN) assigned to patients, and if so to merge them, to ensure that all patients have been made aware of and received a copy of the HIPAA privacy information, and for validating that the dates and times captured by the R-ADT accurately reflect the documentation in the patient’s record. R-ADT systems can include the program used by registration to register the patient, master patient index (MPI), practice management systems (PMS), or a scheduling system. The acute care hospital that I work at uses the R-ADT system PULSE (patient unified lookup system for emergencies). It contains the MPI, and is used for the registration and ADT capturing …show more content…
Department of Health and Human Services, 2016) HIM professionals’ play a role in quality improvement as the “gatekeeper” of the EHR by ensuring that data used to make clinical decision is accurate, current, and readily available. HIM professionals are also responsible for analysis to confirm that all entries into the medical record are signed, dated, and timed, as part of the quality indicator in the National Patient Safety Goals (NPSG) issued by The Joint Commission. Regulatory quality measures, determine if the standards of which the actual patient care may be measured to identify a level of performance for that standard, set forth by quality indicators. Outcomes monitoring measures the results of the quality measures, the results reflect in the stakeholders (patients, payers, healthcare organizations). Quality improvement includes measuring whether or not core measures are met on each patient that meets the clinical criteria. Often considered part of the QI department, is Risk Management (RM). RM is a comprehensive program intended to minimize injury (risk) to patients’ staff and visitors. Risk Management is responsible for risk analysis, event and incident management, and minimizing the risk related to the clinical, financial, and legal aspects. HIM professionals are responsible for
This system tracks when the patient is admitted and opens an account, changes the location info when a patient is transferred within the facility, and closes the account when the patient is discharged. Registration is the point where the patient is entered into the system, and all demographic and insurance/payer information is captured. The responsibility of Health Information Management (HIM) professionals in regards to the R-ADT system may be; to ensure there are no duplicate medical record numbers (MRN) assigned to patients, and if so to merge them, to ensure that all patients have been made aware of and received a copy of the HIPAA privacy information, and for validating that the dates and times captured by the R-ADT accurately reflect the documentation in the patient’s record. R-ADT systems can include the program used by registration to register the patient, master patient index (MPI), practice management systems (PMS), or a scheduling system. The acute care hospital that I work at uses the R-ADT system PULSE (patient unified lookup system for emergencies). It contains the MPI, and is used for the registration and ADT capturing …show more content…
Department of Health and Human Services, 2016) HIM professionals’ play a role in quality improvement as the “gatekeeper” of the EHR by ensuring that data used to make clinical decision is accurate, current, and readily available. HIM professionals are also responsible for analysis to confirm that all entries into the medical record are signed, dated, and timed, as part of the quality indicator in the National Patient Safety Goals (NPSG) issued by The Joint Commission. Regulatory quality measures, determine if the standards of which the actual patient care may be measured to identify a level of performance for that standard, set forth by quality indicators. Outcomes monitoring measures the results of the quality measures, the results reflect in the stakeholders (patients, payers, healthcare organizations). Quality improvement includes measuring whether or not core measures are met on each patient that meets the clinical criteria. Often considered part of the QI department, is Risk Management (RM). RM is a comprehensive program intended to minimize injury (risk) to patients’ staff and visitors. Risk Management is responsible for risk analysis, event and incident management, and minimizing the risk related to the clinical, financial, and legal aspects. HIM professionals are responsible for