HI 300: Information Technology and Systems for Healthcare
Unit 4 Seminar
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.
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
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.
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
Submit Unit 4 Assignment