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Effective communication in healthcare
Effective communication in healthcare
Effective communication in healthcare
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A standardize language and framework in healthcare is necessary to communicate efficiently with other organizations around the world. Reference terminologies and coding systems are proper solutions to avoid any miscommunications and to have a standardize classification system. Complex healthcare services such as billing and payments, quality assurance, research and public health reporting that contain health information must be capable of delivering a cost-effective and safer results. This can be obtained by adapting an appropriate up to date medical coding classification system based on the purpose and the service provided by each clinical facility. In order to deliver critical information needs of a healthcare organization, adapting and maintaining
Generally, the development and adoption of Clinical Decision Support (CDS) systems is based on the necessity and essence of technical standards in enhancing healthcare. However, the various health IT tools must comply with some data interchange standards in order to enhance access to clinical records, lessen clinical errors and risks to patient safety, and promote innovation in “individual-based” care (Hammond, Jaffe & Kush, 2009, p.44). The need for compliance with standards is fueled by their role in enabling aggregation of informa...
The American Health Information Management Association provides guidelines of elements to be included in a health care organization’s policies of a coding compliance plan. (“Coding Compliance: Practical Strategies for Success,” ahima.org, 1998).
This is a critical review of the article entitled “Selecting a Standardized Terminology for the Electronic Health Record that Reveals the Impact of Nursing on Patient Care”. In this article, Lundberg, C.B. et al. review the different standardized terminology in electronic health records (EHR) used by nurses to share medical information to the rest of the care team. It aims at showing that due to the importance of nursing in patient care, there is a great need for a means to represent information in a way that all the members of the multidisciplinary medical team can accurately understand. This standardization varies from organization to organization as the terminologies change with respect to their specialized needs.
Eliminating abbreviations can reduce errors in the healthcare profession when it comes to medication errors, patients dealing with a life threatening medical error, and similar abbreviations.
Medical billing codes are used to communicate the diagnosis and treatment of a patient from the healthcare provider to the patient's payer (private insurance, Medicare or Medicaid). Those codes help the payer determine how much to pay the provider for services rendered to the patient. These codes allow for modifiers which describe procedures and services in greater detail.
(Charles R. McCornell, 2015, pg 514) This title is the one that has had the most affect on patients and healthcare systems. “The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA, Title II) require the Department of Health and Human Services to establish national standards for electronic health care transactions and national identifiers for providers, health plans, and employers. It also addresses the security and privacy of health data.” (HIPAA Title Information, 2015, par 2) Switching over to electronic forms allows for administrative simplification, and the codes used for each location, individual, insurance helps reduce
How does CAC Work? Computer-assisted-coding uses a natural language processor (NLP) to electronically read and interpret text-based clinical documentation from patient charts to identify key words, analyze their context, and suggest
Clinical Documentation Improvement ensures that their health care system provides the accurate recording of medical records. The health information management industry (HIM) thrives over the improvements towards clinical documentation as medical assistance validates healthcare and optimizes their medical processing system. Clinical documentation specialist (CDS) is essential in order to alter the medical landscape in a positive measure as they provide detailed documentation and medical coding. Documentation requirements for Health Information Management (HIM) professionals intend on making the healthcare data obtainable from the additional diagnoses, which will require an enhancement of the documentation system. Thus, the ICD-10 is a new tool
by Harry Breece • September 1, 2007 • Uncategorized • Comments Off on Part 2: Nursing standards, their history and significance • 1120
One of the most commonly debated topics in recent American history has been that of health care. Would Americans be able to reap more benefits if individuals continue to be independent in their pursuits of health care, or would it be beneficial for all if the government introduced more regulations regarding health care, changing our system to resemble those of other developed countries? As more solutions are offered, it becomes harder for people to reach a consensus on the best way to approach this issue. Despite this, America must decide what system of healthcare will benefit the most citizens and improve the quality of life the most. It is becoming increasingly apparent that a universal healthcare system would be the most effective and
Standardized tests are a tremendous part of most schools’ curriculum in the United States today. These tests are assessments of students’ knowledge on either one or more subjects. Standardized tests are a performance evaluation of students, teachers, and schools due to their importance. A standardized test is distinctive from other tests in two ways. One, it has common questions being answered in the same way and two, it is being scored in a consistent style allowing for comparative performance. Through extensive research Oliver’s and Visone’s statements and overall research have several key differences that shape their own separate arguments. Though their thesis and hypothesis have the same underlying idea that there is a problem with` standardized
Universal Healthcare by definition means healthcare for all. That would also mean that an insured persons rates would not be increased to cover the uninsured. Universal Healthcare is moral and just obligation. By promoting the health of our citizens we then promote our infrastructure as well.
Easily accessible, accurate health information is essential to improve patient safety, and the efficiency and effectiveness of health care delivery. Data standards are necessary for information flow through the national health information infrastructure. When determining the requirements for health data and health information systems for an occupational health center, it is imperative to consult with numerous agencies and resources to ensure that standards are being met, thereby ensuring that patients are receiving safe, efficient, and effective healthcare.
Our clinical knowledge is expanding. The researcher has first proposed the concept of electronic health record (EHR) to gather and analyze every clinical outcome. By late 1990s computer-based patient record (CPR) replaced with the term EHR (Wager et al., 2009). The process of implementing EHR occurs over a number of years. An electronic record of health-related information on individual conforms interoperability standards can create, manage and consult with the authorized health professionals (Wager et al., 2009). This information technology system electronically gather and store patient data, and supply that information as needed to the healthcare professionals, as well as a caregiver can also access, edit or input new information; this system function as a decision support tools to the health professionals. Every healthcare organization is increasingly aware of the importance of adopting EHR to improve the patient satisfaction, safety, and lowering the medical costs.
Systematic Conglomerate Sdn. Bhd. (2013, June). Malaysia Hospital Information System: MYHIS. Retrieved from Malaysia Hospital Information System: http://www.sc.net.my/v2/sc/downloads/myhis_pamplet.pdf