Various healthcare datasets play different roles in the healthcare sector. With the world working towards organization of information, efficiency and prudent information storage, the data sets are developed to suit the functions that they are designed for. In the healthcare sector, the major data sets are the HEDIS, OASIS and UHDDS. All these data sets work together to ensure that there is an efficient healthcare system that serves all citizens. This paper seeks to analyze each of these data sets in regards to their function, applicability and value added to the healthcare system.
HEDIS
HEDIS means Healthcare Effectiveness Data Information Set. It was first used in 1991 and the National Committee of Quality Assurance (NCQA) as a tool for accreditation
…show more content…
It enables key healthcare plan providers to evaluate and compare their services in terms of access and quality of care as well as member satisfaction. This helps in ensuring that member satisfaction standards keep rising since the managed care organizations will always strive to get member satisfaction. This helps these organizations to improve in efficiency not only in the care provision but also in running their internal systems and operations to ensure that the standards they aim to meet are achievable. This eventually helps in identifying the best care provider and that is why many healthcare organizations use HEDIS data so that they know the best …show more content…
At this level, the data that it offers is relevant and essential since it enables the institutions to determine new ways of ensuring member satisfactions. Various plan collect HEDIS data but the secondary data collected is controllable and this makes it quite reliable and applicable in the healthcare provider setting. The HEDIS reporting process fulfils all the components since it defines plans, constructs, distributes, collects and analyzes feedback making it the most effective data since it keeps on updating and so it helps in easy comparison and analyses done in real time. Some of the measures that HEDIS does are as
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...
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).
...f clinical information systems in health care quality improvement. The Health Care Manager. 25(3): 206-212.
Administrative Mandates, including the Health Information Technology for Economic and Clinical Health (HITECH) Act, ICD-10 and HIPAA 5010, are all part of administrative simplification and the need for systems optimiza...
To understand the strategies being adopted in various healthcare facilities in order to improve their scores on quality measures and if these strategies have proved helpful in improving the over quality of care.
In the article by John J. Dugan, “ICD-10: From Assessment to Remediation to Strategic Opportunity” HFM, the valued gained by Geisinger Health System is known as an innovative health system with outstanding quality and being to one of the country’s earliest and most sophisticated adopters of the enterprise electronic health record (EHR), health information exchange, and analytics. According to (Dugan, 2012), its estimated implementation was going to be a large undertaking lasting several years. And extend beyond merely a technology conversion or revenue cycle change. The intention was to have an enterprise wide impact assessment to uncover critical information to organize cost and plan efforts to meet regulatory and strategic deadlines. Geisinger compiled an effective working committee with leaders to start an ICD-10 to have each area carried out. The assessment included application inventory, data analysis, and process analysis.
These measure help the leaders to communicate effectively with their staff and to achieve the goals of five pillars and the areas that leader need assistance or coaching and to see how leader are doing when it comes to achieving goals and leaders start focus on the goal to provide quality of care to residents. By measuring the performance of leaders, leaders determine what their top priorities should be, work on their weakness so leaders can align training to desired
The American Health Information Management Association is a body of health information professionals that majorly concerns itself with the improvement of the quality of medical records (Harman 104). These health data records are vital for the purposes of monitoring the progress of patients, performance improvements and for improving outcomes.
ISO 27799: Health Informatics: This defines information security management in health, which uses ISO/IEC 27002 and augments the requirements of 27002 with healthcare-specific considerations for information security management (Murphy, 2015).
Only gather and report the codes and data that are further supported by health record documentation in accordance with the code and requirements;
Healthcare Information and Management Systems Society (HIMSS) is a global non -profit organization with the focus of bettering health through information and technology. HIMSS North America which includes America and Canada provides leadership, professional development, and public policies. The North America division has over 61,000 members and partners with over 400 other non-profit organizations. One way in which HIMSS helps improve health is through their Electronic Medical Record Adoption Model (EMRAM). The model was first proposed by HIMSS in 2006 and verifies digital capabilities. EMRAM drives organizations to a paperless environment and support technology to increase patient health. The model ranks facilities based on an eight-step scale,
Its purpose is to provide a uniform method for reporting medical, surgical and diagnostic services among doctors, patients, accreditation organizations and payers.
Data interchange standards are types of standards in healthcare that seeks to standardize the messaging, communication and integration of applications and systems not only nationwide but internationally. As mentioned in the text there are several types of data interchange standards, but there are four main ones that have been “recognized as important.” These four standards are Health Level Seven (HL7) standards, Digital Imaging and Communication in Medicine (DICOM), National Council for Prescription Drug Programs (NCPDP) and ANSI ASC X12N standards. (Wagner, Glaser, Lee, 2013)
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
A variety of quality of life measures can be used for research purposes said Jacob (2009) such as economic decision making, and for decision making in clinical practice, but need to be tailored to these goals. In clinical practice quality of life measures are currently used for needs assessment and monitoring purposes. Chronic disease management systems, with the aim of delivering systematic multidisciplinary care that is also targeted at individual needs, often incorporate disease-specific instruments to assess needs and to monitor changes in perceived disease consequences.