Marketing Strategies for Medical Billing Business by kdh40920

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									Definition and Scope
 Electronic medical record
    Departmental EMR
    Inter-departmental EMR
    Hospital EMR
    Inter-hospital EMR
 Electronic patient record
 Computerised patient record
 Electronic health care record
 Electronic client record
 Virtual EHR
 Personal health record
 Digital medical record
 Clinical data repository
 Computerised medical record
 Population health record
Definition and Scope
The basic–generic EHR
   The basic–generic definition for the EHR is a
    repository of information regarding the health status
    of a subject of care, in computer processable form.

   no assumptions about the health system of any
    country or region

   no assumptions about the type of information in the
    record
The shareable EHR
The sharing of EHR information can take place at three
 different levels :

   Level 1
   Level 2
   Level 3 = The Integrated Care EHR
Purpose of the EHR(primary)
 The primary purpose of the EHR is to provide a
  documented record of care that supports present and
  future care by the same or other clinicians.
 The primary beneficiaries are the patient and the
  clinician(s).
Purpose of the EHR(Secondary)
 medico-legal – evidence of care provided, indication of compliance with legislation,
    reflection of the competence of clinicians,
   quality management – continuous quality improvement studies, utilisation review,
    performance monitoring (peer review, clinical audit, outcomes analysis), benchmarking,
    accreditation,
   education – training of clinicians and other health professionals,
   research – development and evaluation of new diagnostic modalities, disease
    prevention measures and treatments, epidemiological studies, population health
    analysis,
   public and population health - access to quality information to enable the effective
    determination and management of real and potential public health risks.
   policy development – health statistics analysis, trends analysis, casemix analysis,
   health service management – resource allocation and management, cost
    management, reports and publications, marketing strategies, enterprise risk
    management, and
   billing/finance/reimbursement – insurers, government agencies, funding bodies.
The key role of interoperability
There are two main levels of shareability or
  interoperability of information:
1. functional interoperability – the ability of two or
    more systems to exchange information (so that it is
    human readable by the receiver)

2. semantic     interoperability – the ability for
   information shared by systems to be understood at
   the level of formally defined domain concepts (so
   that information is computer processable by the
   receiving system).
four pre-requisites of
interoperability
1. a standardised EHR reference model
2. standardised service interface models
3. a standardised set of domain-specific concept
   models
4. standardised terminologies
Standard Organization
 ASTM(The American Society for Testing and Materials )
 CEN/TC251 (Comité Européen de Normalisation
    Technical Committee 251 "Health Informatics“)
   DICOM(Digital Imaging and Communications in Medicine)
   EBI (European BioInformatics Institute)
   ETSI (European Telecommunications Standards Institute)
   HL7(Health Level 7)
   HIMSS(Healthcare Information and Management Systems Society)
   IEEE (Institute of Electrical and Electronics Engineers)
   ISO/TC215 (International Organisation for Standardization
    Technical Committee 215 "Health Informatics" )
   OASIS (Organisation for the Advancement of
    Structured Information Standards)
   Regenstrief Institute (Logical Observation Identifiers Names and
    Codes )
 ISO (International Organization for Standardization)
  is the world's largest developer and publisher of
  International Standards.
 ISO is a non-governmental organization that forms
  a bridge between the public and private sectors
 Founded on 23 February 1947
 It is headquartered in Geneva, Switzerland
 ISO has 157 national members
TC 215 - Health informatics
Standardization in the field of information for health,
  and Health Information and Communications
  Technology (ICT) to achieve compatibility and
  interoperability between independent systems. Also,
  to ensure compatibility of data for comparative
  statistical purposes (e.g. classifications), and to reduce
  duplication of effort and redundancies.
The Evolution of ICT in Health Care
Organizations in liaison
CDISC - Clinical Data Interchange Standards Consortium,
  Inc.
DICOM - Digital Imaging and Communications in Medicine
  Standards Committee
ICN - International Council of Nurses
IHTSDO - International Health Terminology Standards
  Development Organization
IMIA - International Medical Informatics Association
UNECE - United Nations Economic Commission for Europe
W3C - World Wide Web Consortium
WHO - World Health Organization
Subcommittee/Working Group
 TC 215/WG 1 Data structure
 TC 215/WG 2 Data interchange
 TC 215/WG 3 Semantic content
 TC 215/WG 4 Security
 TC 215/WG 5 Health cards
 TC 215/WG 6 Pharmacy and medicines business
 TC 215/WG 7 Devices
 TC 215/WG 8 Business requirements for Electronic
  Health Records
 TC 215/WG 9
ISO TC215 Scope
        Health               ISO/OSI Level 7:   Application

         informatics –
                              ISO/OSI Level 6:   Presentation
         generally
         interpreted as       ISO/OSI Level 5:   Session

         ISO/OSI Level 7
                              ISO/OSI Level 4:   Transport
        Some groups
                              ISO/OSI Level 3:   Network
         work in Levels 1-6
         by reference to      ISO/OSI Level 2:   Datalink
         other standards.
                              ISO/OSI Level 1:   Physical
   Thank you
http:\\tc215.behdasht.gov.ir
 isiri.tc215@behdasht.gov.ir

								
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