HMIS is a set of interrelated components that work together to collect, retrieve, process, store disseminate, and use health information and knowledge to support such healthcare system activities as planning, control, and coordination (Lippeveld, 2000). A comprehensive health system offers integrated health services including curative care, rehabilitative care, disease prevention, and health promotion services. Being a functional entity within the framework of such a system, the goal of HMIS is to generate pertinent and quality information for these endeavors so that health system stakeholders use the information to make evidence-based, transparent, and rational decisions, and then interventions. The components of HMIS involve from data on events, routines, staff and other resources to everything that supports and affects decision-making including data collection and compilation formats and registers, stationery, information technologies, infrastructures, procedures, review meetings, and policies. In short, it includes anything that involves the what, where, when, who, why, and how of collecting, processing, analyzing, presenting, interpreting and using health related information. In addition to its significance to health management and service delivery, the integrated effort around HMIS also extends its benefits to program action, research, and also to influencing policy-making (AbouZahr C, Adjei S, et al. (2007). As an integral component of the health system, HMIS plays important supporting roles (Lippeveld and Sauerborn, 2000). The ultimate goal of a health system being improving the health status of individuals in a population, the major roles of HMIS can be discussed with respect to coverage, quality of health services ... ... middle of paper ... ...This model is a diagrammatic way of looking at the number of data items that need to be gathered at each level of the health system. A critical question to this end is to determine what information is needed at what level. Traditionally, information demands emanate from international agencies such as the WHO or from donor agencies that supply funds. Also, to ensure that the same basic information is available from all facilities, a national committee determines the essential data sets (EDS), “a set of those minimum data elements that are needed for the calculation of priority indicators” (Braa et al., 2004, p. 350) that should be collected by everyone delivering health services. Despite the demands for many requests of information, a selected number of essential data items by which to calculate sensitive indicators to monitor progress should be precisely identified.
Health Information Management Technology. (3rd Edition). Chicago, IL: AHIMA Press.
Integrated services help arrange services that are easy for users to scroll through. It provides financial and medicine management to work together on a goal and make the most of resources provided in the hospital (World Health Organization, 2008). For instance in the case study the hospital had a health food store, a physiotherapy clinic, an alternative medicine clinic, a pharmacy, and a home health care store under one management, making it a lot more easier for patients to access. Overall integrated services in health care can escalate the quality of care, enhance access to services and lower overall health care expenditures. Due to the fact that is more economically efficient to share human resources than have health care systems be dedicated to one particular disease, and it makes more sense to deal with all of the problems the patient is facing rather than focussing separately on just one health problem (World Health Organization,
It is enthralling to note that in spite of the advances in healthcare systems, such as our hospital’s ability to provide patients with lower cost, managed One being the Health Maintenance Organizations (HMO), which was first proposed in the 1960s by Dr. Paul Elwood in the "Health Maintenance Strategy”. The HMO concept was created to decrease increasing health care costs and was set in law as the Health Maintenance Organization Act of 1973, after promotion from the Nixon Administration. HMO would, in exchange for a fee, allow members access to employed physicians and facilities. In return, the HMO received market access and could earn federal development funds.
There are a variety of health settings that provide patient health services. With the use of health services there has to be some type of health information exchange or system that will enable users to exchange data. Today there are networks that do this. Some of these networks are Community health information network (CHIN), Regional health information network (RHINO), National Health Information Network (NHIN) and Health Information technology for economic and clinical health act (HITECH Act). The purpose of this paper is to identify these networks, discuss the relationship among each other and lastly, explain their relationship to formation of a patient-centered management system and electronic health records (EHRs).
Margaret E. O’Kane is the founder and president of the National Committee for Quality Assurance (NCQA). NCQA is one of the nation’s leading advocates for improving healthcare through measurement, reporting, and accountability. NCQA is the foremost accrediting organization for health plans including HMOs, PPOs, and consumer directed plans. (Margaret) “Our goal is to increase the value of NCQA accreditation both to organizations pursuing accreditation and to the audiences who seek help in assessing the quality of health care provided by those organizations”. NCQA has developed, maintained, and expanded the nation’s most widely used health care quality tool, which is known as the Healthcare Effectiveness Data and Information Set (HEDIS). HEDIS is responsible for evaluating whether and how well
...f clinical information systems in health care quality improvement. The Health Care Manager. 25(3): 206-212.
Health Maintenance Organizations, or HMO’s, are a very important part of the American health care system. Also referred to as managed care programs, HMO's are combinations of doctors and insurance companies that are formed into one organization. This organization provides treatment to its members at fixed costs and decides on what treatment, if any, will be given based on the patient's or doctor's current health plan. Sometimes, no treatment is given at all. HMO's main concerns are to control costs and supposedly provide the best possible treatment to their patients. But it seems to the naked eye that instead their main goal is to get more people enrolled so that they can maintain or raise current premiums paid by consumers using their service. For HMO's, profit comes first- not patients' lives.
The NHQDR 2012 is a comprehensive report that implies there are changes that need to occur at multiple levels within the health care system and public policy. The report implies that the health care system needs to become more accessible to all populations, and the disparities in quality of care need to decrease. Health care providers need to evaluate access to care, treatment quality and its effectiveness. Meanwhile public policy needs to support funded programs that will improve access to care and support preventative services.
Managed care dominates health care in the United States. It is any health care delivery system that combines the functions of health insurance and the actual delivery of care, where costs and utilization of services are controlled by methods such as gatekeeping, case management, and utilization review. Different types of managed care plans came into development by three major factors. These factors include choice of providers, different ways of arranging the delivery of services, and payment and risk sharing. Types of managed care organizations include Health Maintenance Organizations (HMOs) which consist of five common models that differ according to how the HMO is related to the participating physicians, Preferred Provider Organizations (PPOs), Exclusive Provider Organizations (EPO), and Point of Service Plans (POS). `The information management system in a managed care organization is determined by the structure of the organization' (Peden,1998, p.90). The goal of a managed care system is to provide subscribers and dependants with needed health care services at the lowest possible cost. Certain managed care plans also focus on prevention by trying to keep members healthy.
As part of the health care reform, many hospitals have focused their marketing strategies on population health management as part of the transformation to value-based care. Managing population health requires a close relationships with physicians, partnerships with organizations in the community, and expansion into preventive and outpatient care and therefore must be implemented further. Likewise, comprised as key components are investing in technology - to connect with physicians, customers and the community and gather data necessary for improving quality (Takvorian, 2015) and merging with other hospitals and health care systems - consolidation as a strategy to gain capital necessary for health IT investments, outpatient facility construction, physician partnerships and other projects (Johns Hopkins Bloomberg School of Public Health, 2015; Ropak, 2012).
...s that relies on data from assessment and monitoring activities, surveys and reporting systems, and projection techniques. Then, this data must be transformed into meaningful information to support effective policy decisions (Longest, 2010, pp. 29-57). Health policies should bridge the gaps between the current situation and desired outcomes without the financial influence of lobbyists.
According to the American Health Information Management Association, Health information is the data related to a person’s medical history, including symptoms, diagnoses, procedures, and outcomes. Health information records include patient histories, lab results, x-rays, clinical information, and notes. The data can be analyzed to see how a patient’s health might have changed. I took interest in Health Information Management when it was brought to my attention by a doctor. He told me that is a very interesting field and it is in high demand as they have more jobs than people to fill them. I went home, researched it and now here I am making my entry into the field.
National health systems are assessed by the extent to which expenditure and actions in public health and medical care contributes to the crucial social goals of improving health, increasing access to quality healthcare, reducing health disparities, protecting citizens from penury due to medical e...
My overall vision is to develop and promote information technology solutions to better improve health outcomes, patient safety, and prevention of medical errors in underserved countries. In closing, Health informatics and Health Information Management is an exciting program that is designed to provide me with a suite of resources to help me develop essential leadership, teamwork, and healthcare management skills that will help me to become successful leader in healthcare
... understand where and how each statistic is coming from. Health records are the primary source of data used in compiling health care statistics. The health record staff, therefore, may be responsible for .When a person gains this knowledge this allows for an Administrator are fully be able to make the proper changes in the healthcare organization that will end with the best effective and successful solution.