Component 6; Unit 9: Administrative, Billing and Financial Systems

Component 6; Unit 9: Administrative, Billing and Financial Systems

Description:

Examines the relationship of administrative, billing, and financial systems to the health care information system, explains applications that need to be integrated in health care information systems, explores health care organizations’ integration strategies, identifies the critical elements for integration of these systems with clinical information systems, and discusses how health care organizations may gain valuable insights from integrated data through data analytics and trending. Defines a master patient index or MPI and describes its core elements and discusses current trends to establish a unique patient identifier.

Objectives:

  1. Explain applications that need to be integrated in health care information systems
  2. Describe the strategies used by health care organizations to ensure integration of functions
  3. Discuss the critical elements needed to integrate billing, financial, and clinical systems
  4. Discuss the core elements of a Master Patient Index (MPI)
  5. Describe current trends to establish a Unique Patient Identifier (UPI)

Component 6; Unit 9; Lecture 9a comp6_unit9a_lecture_slides

Managing the Business of Health Care: 1) Relationship between systems; 2) Applications for integration; 3) Integration strategies; 4) Critical elements for integration; 5) Integrated data through data analytics and trending

Component 6; Unit 9; Lecture 9b comp6_unit9b_lecture_slides

Master Patient Index and the Unique Patient Identifiers: 1) Definition of MPI; 2) Core elements of MPI; 3) Current trends

Suggested Readings

AHIMA. (2010, April). Reconciling and managing EMPIs. Journal of AHIMA 81(4), 52-57. Retrieved from http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_046942.hcsp?dDocName=bok1_046942

Dimick, C. (2009, November). Exposing double identify at patient registration. Journal of AHIMA 80(11), web extra. Retrieved from http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_045561.hcsp?dDocName=bok1_045561

HIE Practice Council. (2009, July). Managing the Integrity of Patient Identify. Journal of AHIMA 80(7), 62-69. Retrieved from http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_044000.hcsp?dDocName=bok1_044000

National Committee on Vital and Health Statistics. (1997). Part three: Unique patient identifier. Retrieved from https://www.ncvhs.hhs.gov/wp-content/uploads/2014/08/APPAVU-508.pdf

Raths, D. (2009, March). A house divided. Healthcare Informatics. Retrieved from http://www.healthcare-informatics.com/article/house-divided

Raths, D. (2007, December). Getting on schedule. Healthcare Informatics. Retrieved from http://www.healthcare-informatics.com/article/getting-schedule

Raths, D. (2009, September). Getting together. Healthcare Informatics. Retrieved from http://www.healthcare-informatics.com/article/getting-together

Stevens, M., (2010, September 29). Dollars & sense: Business intelligence & financial decision support. CMIO. Retrieved from http://www.cmio.net/index.php?option=com_articles&view=article&id=24347:dollars-a-sense-business-intelligence-a-financial-decision-support

Altendorf, R.L. (October, 2007). Establishment of a quality program for the master patient index. AHIMA’s 79th National Convention and Exhibit Proceedings

Byers, J. (2010, April 20). JAMIA: Business intelligence leverages patient safety, financial efficacy. CMIO. Retrieved from http://www.cmio.net/index.php?option=com_articles&view=article&id=21806

Fera, W.A. (2010, September). The next IT challenge: From data acquisition to harmonized information management. Journal of AHIMA 81(9), 42-44.

Loshin, D. (2003). Business Intelligence: The Savvy Manager’s Guide, Addison Wesley, 2003.

Roop, E.S. (2010, June 21). National MPI — Why such a numbering system raises concerns. For the Record. Retrieved from http://www.fortherecordmag.com/archives/062110p10.shtml

Roop, E.S. (2008, February 18). Presenting a new number. For the Record. Retrieved from http://www.fortherecordmag.com/archives/ftr_02182008p12.shtml

The Data Warehousing Institute Faculty Newsletter. (2002, Fall).

Vogel, L.H., & Perreault, L.E., (2006). Management of information in healthcare organizations. In Shortliffe. E. H., & Cimino, J. J. (Eds.), Biomedical informatics: Computer applications in health care and biomedicine (3rd ed.) (pp. 476-510). New York, NY: Springer Science + Business Media.

Wheatly, V. (2006, May). Patient identification debate: The history of the national patient identifier and alternatives for accurate patient authentication. Journal of AHIMA 77(5), 62-63, 70.

Wheatly, V. (2008, October). Quality impact of the master patient index. Journal of AHIMA 79(20), 78-79.

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