Data sources ANS - Primary -patient specific and secondary data- aggregate data
Types of data ANS - Adminstration- demographic Clinical- disease and diagnosis
Internal data ANS - Data from the original source
External data ANS - CDC, NCHS, AHRQ, TJC
AHRQ ANS - Agency for healthcare research and quality -healthcare cost and utilization project
Electronic Document Management System (EDMS) ANS - Electronic system that manages documents in such a way as to improve the work process
Purpose is to manage documents not reduce paper
Document imaging ANS - Is a scanned document cannot be edited Multiple users can view, retrieval at any location. Image cannot be searched edited or changed
EHR ANS - Is a way to create a health record, assists with documentation What are some implementation issues in legal records? ANS - •Record created in normal course of business
•Individual responsible for recording the entry authenticates entries
•Record protected from alteration and tampering
•Amendments and corrections made based on industry standards
Legal record digital ANS - •Storage format must be efficient, manageable, and in compliance with laws/ regulations
•System security meet HIPAA final security rule and current industry standards
•Health records that are not considered official business records for the healthcare provider should not be scanned and made a part of the scanned health record
Advantages of documents scanned ANS - •Space savings
•Retrieval of large number of records
•Productivity gains
•Online availability of information
•System security and control
•Database retrieval
Disadvantages of documents scanned ANS - •Increased use of computer technology
•Fear of change
•Lack of manipulation/reporting
Implementing documentation scanning ANS - •Backscanning
•Roll out strategy
•Justification of cost
•Forms redesign
-Bar code
-Symbology
-Code 39