Integrating Medical Records

1073 Words3 Pages
bulb-icon

Recommended: Importance of communication in health sectors

In the midst of changes occurring in the United States one experiment currently taking place is with new reimbursement arrangements called pay-for-performance. In pay-for-performance physicians performance becomes tied to quality. Pay-for-performance is likely to face challenges ahead as it is implemented and utilized in the United States through adoption of electronic medical records. This paper will cover those possible challenges along with addressing general concerns.
Clinical practices especially those of a smaller scale know their patients in the practice, or become formally acquainted during the first few visits. However, with the new reimbursement method called pay-for-performance (P4P) tied into providing payments to physicians, this could negatively affect that one-on-one interaction. “A physicians compensation will improve the quality of health care a patient receives, however, costs will also be lowered in order to provide that care” (Journal of General Internal Medicine, pp. 10, para. 4). The relationship between doctor and patient could be compromised because of the cost in relation to care being received. A deeper understanding of the consequences of a pay-for-performance system, and the adoption of medical records needs to be addressed.
Pay-For-Performance and Medical Record Adoption
Technologically speaking every country seeks to be at the top of the list for advancement. The electronic medical record (EMR) is also an upcoming technology that allows physicians to) practice more powerful quality improve programs with paper-based records (Miller, & Sim, 2009). Adopting EMR’s is not a low cost venture, or an easy task. According to Miller, and Sim, (2009), “Quality improvement depends heavily on a phys...

... middle of paper ...

...f utmost concern for practicing physicians in utilizing a P4P system as well. Overall P4P could bring great benefits in the next 5-10 years of utilization but initial implementation could be risky.

References
Christianson, B., & Knutson, D. (2010). Physician pay-for-performance: Implementation and research issues. Journal of General Internal Medicine. 21 (9-13). doi: 10.1111/j.1525-
1497.2006.00356.x
Miller, R., and Sim, I. (2009). Physician use of electronic medical records: Barriers and solutions. Health Affairs. 2(116-127). doi: 10.1377/hlthaff.23.2.116
RAND. (2013). Health Care Pay for Performance. Retrieved from http://www.rand.org/topics/health-care-pay-for-performance.html UPMC. (2009). Overview of 2009 quality incentive rewards program (primary care).
Retrieved from http://www.upmchealthplan.com/pdf/2009_QIRP_Overview.pdf

Show More
Related

  • Comparing Three Methods of Physician Payment in Ontario

    1942 Words  | 4 Pages

    Each model presents different types of earning incentives for physicians to provide cost effective care which improves clinical outcome.

    Read More

  • Current Status of the Electronic Health Records in the United States

    921 Words  | 2 Pages

    Jha, A. K., Burke, M. F., DesRoches, C., Joshi M. S., Kralovec P. D., Campbell E. G., & Buntin M. B. (2011). Progress Toward Meaningful Use: Hospitals’ Adoption of Electronic Health Records. The American Journal of Managed Care, 17, 117-123

    Read More

  • Role Of A Chargemaster

    933 Words  | 2 Pages

    In recent times, healthcare organization across the nation are facing unprecedented challenges as they strive to improve the overall quality of care provided to their patient’s population, while improving their organization’s financial performance. Furthermore, uncertainty of new reimbursement models, diminishing reimbursement, and complicated compliance regulations are playing the role of a catalyst for streamlining the Chargemaster process in majority of healthcare organizations.

    Read More

  • Healthcare Model: Accountable Care Organizations

    748 Words  | 2 Pages

    In Medicare's traditional fee-for-service payment system, doctors and hospitals generally are paid for each test and procedure. This drives up costs by rewarding providers for doing more, even when it’s not needed. ACOs continue to utilize fee for service by creating incentives to be more efficient by offering bonuses when providers keep ...

    Read More

  • Reimbursement and Pay-for-Performance in Healthcare

    1964 Words  | 4 Pages

    Pay-for-performance (P4P) is the compensation representation that compensates healthcare contributors for accomplishing pre-authorized objectives for the delivery of quality health care assistance by economic incentives. P4P is increasingly put into practice in the healthcare structure to support quality enhancements in healthcare systems. Thus, pay-for-performance can be seen as a means of attaching financial incentives to the main objectives of clinical care. However, reimbursement is a managed care payment by a third party to a beneficiary, hospital or other health care providers for services rendered to an insured or beneficiary. This paper discusses how reimbursement can be affected by the pay-for-performance approach and how system cost reductions impact the quality and efficiency of healthcare. In addition, it also addresses how pay-for-performance affects different healthcare providers and their customers. Finally, there will also be a discussion on the effects pay-for-performance will have on the future of healthcare.

    Read More

  • Essay On Administrative Waste In Healthcare

    1155 Words  | 3 Pages

    Since the quality of healthcare would not suffer, the only thing to lose through maximizing efficiency is a bunch of waste. Through its administrative simplification advocacy, the American Medical Association (AMA) claims that up to 14% of a physician’s revenue is taken up by administrative waste. The goal of the administrative simplification is to inspire physician practices to use computerized, instantaneous health plan transactions, minimize manual procedures through the claims revenue cycle, while increasing transparency and reducing vagueness with the payment process involving the insurance company. It is the AMA’s hope to push this movement into high gear, getting more practices on board and to eventually see a decline in wasteful and inefficient administrative

    Read More

  • Healthcare Delivery Issues

    994 Words  | 2 Pages

    In 2009 President Obama, through the American Reinvestment and Recovery Act, pledged to provide incentives to the nation’s physicians and hospitals to convert to an electronic healthcare system in attempt to improve the quality of care and reduce cost (Freudenheim, 2010). By converting to an electronic system, we have the opportunity for improved communication between all healthcare providers and decreased cost to our healthcare system. The goal is to improve communication across all aspects of the service chain (Horan, Botts & Burkhard, 2010). Almost two years later, the conversion progress continues to be slow. Only one in four physician’s offices, mostly large groups, have implemented the electronic record system (Freudenheim, 2010).

    Read More

  • Ethical Implications of Placing Implantable Chips in Patients

    1847 Words  | 4 Pages

    Woo, A., Ranji, U., & Salganicoff, A. (2008). Reducing medical errors with technology. Retrieved March, 2012, from http://kaiseredu.org

    Read More

  • Pros And Cons Of Value Based Health Care

    887 Words  | 2 Pages

    The current health care reimbursement system in the United State is not cost effective, and politicians, along with insurance companies, are searching for a new reimbursement model. A new health care arrangement, value based health care, seems to be gaining momentum with help from the biggest piece of health care legislation within the last decade; the Affordable Care Act is pushing the health care system to adopt this arrangement. However, the community of health care providers is attempting to slow the momentum of the value based health care, because they wish to maintain their autonomy under the current fee-for-service reimbursement system (FFS).

    Read More

  • Medical Patient Records

    625 Words  | 2 Pages

    Medical patient records are organized domcuments created to obtain patient medical history and previous care. Medical records are personal documents stored by his or her health care provider. Each medical record has enough information to distinguish each patient . It contains their first and last name with gender and age.

    Read More

  • Clinical Documentation Improvement (CDI)

    483 Words  | 1 Pages

    this will cause healthcare providers with the training and education needed for clinical documentation improvements to be installed effectively. It is important that having a specialized team who can create solutions towards Clinical Documentation Improvement (CDI) in order to minimize the failures that may occur. In this case, investing in training for the materials/tools necessary for healthcare providers to excel in their work with CDI. Essentially, Clinical Documentation is used throughout the healthcare system for the analysis of care, communication, and medical records. This is important because the information of medical records that healthcare providers are able to access, will help patients track their health conditions. Thus, clinical documentation improvement has a direct impact on patients by providing quality information. On the other hand, the new technological advancements will also be able to address the efficiencies in health care system that differ from paper-based charting. Improving on the quality of information will also have the effect upon the ethical and effectiveness of care that is being provided. This has a significant impact in order to maintain patient care that ensures the documentation is accurate, timely, and reflect within the services provided. Documentation assessments can be utilized so there can be improvements on the education for healthcare providers as they intend implementation standards take effect immediately. In this case, failures must be analyzed so that they will have the ability to comprehend and determine an organization’s strengths and weaknesses

    Read More

  • Unit 3 Assignment 1 Usability Assessment

    1254 Words  | 3 Pages

    Medical professionals have a better idea of what the system should have or be able to accomplish to allow the end-user to achieve a seamless workflow along with efficient and effective patient care.

    Read More

  • Utilization Management and Healthcare Management

    1123 Words  | 3 Pages

    The balance between quality patient care and medical necessity is a top priority and the main concern of many of the healthcare organizations today. Due to the rising cost of healthcare, there has been a change in the focus of reimbursement strategies that are affecting the delivery of patient care. This shift from a fee-for-service towards a value-based system creates a challenge that has shifted many providers’ focus more directly on their revenue. As a result, organizations are forced to take a hard look at the cost of services they are providing patients and then determining if the services and level of care are appropriate for the prescribed patient care.

    Read More

  • Physician Compensation Model Analysis

    242 Words  | 1 Pages

    This article takes a look at ten physician compensation models including the incentive structure and how they affect quality of care. The article compares these different models from three perspectives: a brief description, the underlying incentive structure, and the usage-related risks. The author states that a compensation model may comprise of multiple models given that healthcare organization may have more than one contract with its payers. While the author provided a complete comparison of each model, he did not state the preferred model for the healthcare industry. He concludes that most physicians and other health care leaders lack control of reimbursement for services from the federal and state government as well as private commercial

    Read More

  • Advantage Of Fee For Service

    2236 Words  | 5 Pages

    Among them is its emphasis on productivity. Fee for service encourages the delivery of care and maximizing patient visits. As a payment mechanism, it is relatively flexible in that it can be used regardless of the size or organizational structure of a physician’s practice, the type of care provided such in clinic visit, surgery, therapy session, and the place of service such as physician’s office, nursing home, hospital, surgery center or the geographical location of care. Fee for service does support accountability for patient care, but it is often limited to the scope of the service a particular physician provides at any point in time. Although fee for service is easy to understand conceptually, it can be difficult to understand in practice. Patients may struggle to decipher the coding and nomenclature involved in billing, manage the numerous bills and explanations of benefits they might receive, and understand its application in inpatient settings, especially for lab, radiology, and anesthesia services. Because payment is limited to one provider for one interaction, fee for service does little to encourage management of care across settings and among multiple

    Read More

More about Integrating Medical Records

Open Document