Applied Sciences

HI 300: Information Technology and Systems for Healthcare

Unit 4 Seminar

Tonight’s Agenda

Questions from Unit 2 graded assignments

Reminders about academic writing & plagiarism

Week 4 Assignment Review

Discussion Board Example

Investigate clinical decision support applications and provide a summary of at least two of the applications that you find. Please provide facts about each of the applications and answer the following questions:

What does the application do?

How does the application help the user?

VisualDx is a unique clinical decision support system that delivers diagnostic answers where and when physicians need them.

Scenario: Imagine that you are the Director of Health Information for a large hospital. As Director, you sit on various institution-wide committees which govern the organization’s policies. You have seen issues arise that cause you to propose changes in policies, procedures and operations across the hospital. Therefore, you have decided to create a proposal to the CEO and Board of Directors, which you will develop in collaboration with committee teams.

Unit 4 Assignment Breakdown

Task #1: Evaluate, implement and manage electronic applications/systems for clinical classification and coding.

Select two (2) applications/systems for clinical classification and coding (e.g., encoders, computer assisted coding (CAC), etc.) and

Appraise each vendor in terms of:

capacity to evaluate quality coding practices;

possible implementation considerations/issues; and

systems management challenges and training needs

Provide support for one (1) system that you find as the “best option“

explain why this is the best option.

Brainstorming – Task #1

3M 360 Encompass System 3M

3M CodeRyte CodeAssist Sytem

TrueCode Encoder Essentials

Artificial Medical Intelligence (AMI) Emscribe

Video Tip #1: 3M Encoder overview https://youtu.be/nUwWPU9xT0E

What is medical coding: https://youtu.be/jxwT6FRvUR8

Tip #2: Computer Assisted Coding Trends and Forecast 2016-2024: https://www.transparencymarketresearch.com/computer-assisted-coding-market.html

Tip #3: Interesting article about using encoders: http://www.hcpro.com/HIM-275961-3288/Use-encoders-alongside-of-critical-reasoning-and-clinical-knowledge.html

Tip #4: Different types of medical coding classification systems. https://www.medicalbillingandcoding.org/qnas/what-are-the-different-types-of-medical-coding-classification-systems/

Task #2: Evaluate the accuracy of diagnostic and procedural coding.

Consider the principles and applications of classification systems (e.g., ICD-10, HCPCS) and medical record auditing used within a clinical documentation improvement (CDI) program. Appraise the value and challenges of a quality CDI program by:

defending the need for ongoing CDI program support; and

critique at least three (3) challenges in the CDI process.

Make connections between auditing, accurate diagnostic and procedural coding with classification systems, and CDI programs

Your executive summary should reflect upon the need for CDI and best practices for ensuring compliance.

Brainstorming – Task #2

What is the goal of a Clinical Documentation Improvement (CDI) program?

What are the challenges (3)?

How does auditing, accurate diagnostic and procedural coding fit into the scope of CDI?

Tip #1: What is Clinical Documentation Improvement? http://www.ahima.org/topics/cdi

Tip #2: CDI is important in hospitals https://www.healthcareitnews.com/blog/why-clinical-documentation-improvement-so-important-hospitals

Tip #3: How and Why of a CDI Program? https://www.beckershospitalreview.com/finance/6-steps-to-implement-a-cdi-program.html

Tip #4: The Value of CDI https://www.healthcare-informatics.com/article/recognizing-value-clinical-documentation-improvement

Task #3: Advocate information operability and information exchange.

Critique one (1) interoperability issue that is possible within the health information exchange (HIE) (e.g., patient identity matching).

Appraise at least three (3) best practices that address the issue.

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Brainstorming – Task #3

Health Information Exchange

The need to exchange accurate, complete and timely information.

Patient identify matching

Best practices to ensure interoperability (3)

Need for standards and common vocabularies

Tip #1: What is interoperability in healthcare? https://www.himss.org/library/interoperability-standards/what-is-interoperability

Video Tip #2 Video explanation of interoperability https://youtu.be/PaWcU7rqqyA Video Tip #3: Video explanation of interoperability

https://youtu.be/cBx2bFcoviM

Tip #4: Interoperability Examples https://www.healthcareitnews.com/news/health-it-interoperability-example

Task #4: Evaluate health information systems and data storage design.

Evaluate at least three (3) health information systems (HIS)

select the best health information system

why, explain with rationale

Evaluate at least three (3) data storage designs (e.g., onsite, cloud)

select the best data storage design for disaster recovery purposes

why, explain with rationale

Brainstorming – Task #4

Health Information Systems (HIS) Examples:

Specific examples: Phillips Intellispace Console, Archimedes IndiGO, and Diagnosis One

Data Storage Design Examples:

Onsite, Hybrid, Cloud, Tape, Disc

Cost, Disaster Recovery, Oversight

Tip #1: What is a health information system? http://phinnetwork.org/resources/health-information-systems-his/

Tip #2: Different Types of health information systems www.floppybunny.org/robin/web/virtualclassroom/chap12/s2/systems1.pdf

Video Tip #3: Data Design Storage Overview https://youtu.be/xwVqmJQOcvw

Tip #4: Disaster Recovery Planning https://www.healthmgttech.com/best-practices-in-healthcare-disaster-recovery-planning.php

Task #5: Manage clinical indices/databases/registries.

Evaluate three (3) managerial challenges (as hospital’s Director of Health Information) related to:

clinical indices, databases, and registries

Recommend three (3) best practices or policies related to:

management of secondary data sources

Brainstorming – Task #5

Understanding the difference b/t primary and secondary data sources.

Maintaining security and confidentiality

Need to ensuring data quality

Need for clinical documentation (CDI) program

Need for interoperability

Need for compliance with laws, regulations, and accreditation standards.

Need for audit processes

Video Tip #1: Video about Patient Registries https://www.youtube.com/watch?v=_3ZPZ0EKVCE

Task #6: Evaluate data from varying sources to create meaningful presentations.

With respect to data warehousing, appraise at least two (2) approaches in data warehouse design that supports:

quality data management from varying sources;

processing/storage of data throughout the warehouse model;

meaningful output into the presentation layer

Summarize your recommendations in the executive summary.

Chapter 4

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Brainstorming – Task #6

Top-down, Bottom-Up and Hybrid

Cost, data quality, data marts, data mining

Give a summary of the 2 you choose

Tip #1: Data warehouse design approaches

Tip #2: Data warehouse Overview presentation

Unit 4 Assignments

Discussion

Submit Unit 4 Assignment

Quiz

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