Perspectives in health information management / AHIMA, American Health Information Management Association最新文献

Assessing ICD Data Quality and Its Impact on DRG Payments: Evidence from a Women and Children Special Hospital in China. 评估ICD数据质量及其对DRG支付的影响：来自中国某妇幼专科医院的证据

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2024-06-01 eCollection Date: 2024-01-01

Ying Zhang, Han Dong, Shu-Yi Xu, Chen Lyu, Ling-Yun Wei

{"title":"Assessing ICD Data Quality and Its Impact on DRG Payments: Evidence from a Women and Children Special Hospital in China.","authors":"Ying Zhang, Han Dong, Shu-Yi Xu, Chen Lyu, Ling-Yun Wei","doi":"","DOIUrl":"","url":null,"abstract":"Background: The International Statistical Classification of Diseases and Related Health Problems (ICD) codes play a critical role as fundamental data for hospital management and can significantly impact diagnosis-related groups (DRGs). This study investigated the quality issues associated with ICD data and their impact on improper DRG payments.Methods: Our study analyzed data from a Chinese hospital from 2016-2017 to evaluate the impact of ICD data quality on Chinese Diagnosis-related Group (CN-DRG) evaluation variables and payments. We assessed different stages of the ICD generation process and established a standardized process for evaluating ICD data quality and relevant indicators. The validation of the data quality assessment (DQA) was confirmed through sampling data.Results: This study of 85,522 inpatient charts found that gynecology had the highest and obstetrics had the lowest diagnosis agreement rates. Pediatrics had the highest agreement rates for MDC and DRG, while neonatal pediatrics had the lowest. The Case Mix Index (CMI) of Coder-coded data showed to be more reasonable than physician-coded data, with increased DRG payments in obstetrics and gynecology. The DQA model revealed coding errors ranging from 40.3 percent to 65.1 percent for physician and 12.2 percent to 23.6 percent for coder. Payment discrepancies were observed, with physicians resulting in underpayment and coders displaying overpayment in some cases.Conclusion: ICD data is crucial for effective healthcare management, and implementing standardized and automated processes to assess ICD data quality can improve data accuracy. This enhances the ability to make reasonable DRG payments and accurately reflects the quality of healthcare management.","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"21 2","pages":"1b"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11605374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Research on Training Competent Health Information Management Professionals: Based on A Survey of Field Experts. 培养称职的卫生信息管理专业人才的研究——基于现场专家调查。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2024-06-01

Hyunkyung Lee, Sangok Cho

引用次数: 0

Significant Events Influencing the Evolution of the Role of the Healthcare Information Systems Executive. 影响医疗保健信息系统执行人员角色演变的重大事件。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2024-06-01 eCollection Date: 2024-01-01

Douglas A Jones, Nancy Borkowski, Christy Harris Lemak, Dae Hyun Daniel Kim, Dalton E Pena

{"title":"Significant Events Influencing the Evolution of the Role of the Healthcare Information Systems Executive.","authors":"Douglas A Jones, Nancy Borkowski, Christy Harris Lemak, Dae Hyun Daniel Kim, Dalton E Pena","doi":"","DOIUrl":"","url":null,"abstract":"This systematic literature review seeks to collate the evidence of the evolution of the role of healthcare information systems (HIS) executive in the United States (US) and to identify the significant events which have influenced the development of this role and its impact on the transformation of healthcare organizations. The HIS executive has evolved over time from the manager responsible for in-house computers, advanced data processing (ADP), communication systems, and system conversions to a participatory member of the executive leadership team responsible for delivering technology solutions which transform the delivery of healthcare. The changes in the responsibilities and the attributes of HIS executives have been driven by changes in technology, standardization of clinical data, government regulation, and the ever-changing reimbursement and business environment. The responsibilities and titles of the HIS executive will evolve and adapt as the business environment and the expectations of consumers and payers change.","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"21 2","pages":"1f"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11605377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Validation Of COVID-19 Information In The Pharmacoepidemiological Research Database of Spain's Public Health System Data by Vaccination Status. 疫苗接种状况对西班牙公共卫生系统药物流行病学研究数据库中COVID-19信息的验证

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2024-03-01 eCollection Date: 2024-01-01

Oliver Astasio, Belén Castillo-Cano, Beatriz Sánchez Delgado, Fabio Riefolo, Rosa Gini, Elisa Martín-Merino

{"title":"The Validation Of COVID-19 Information In The Pharmacoepidemiological Research Database of Spain's Public Health System Data by Vaccination Status.","authors":"Oliver Astasio, Belén Castillo-Cano, Beatriz Sánchez Delgado, Fabio Riefolo, Rosa Gini, Elisa Martín-Merino","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To validate COVID-19 information records in The Pharmacoepidemiological Research Database for Public Health System (BIFAP) of Spain.Methods: The recorded COVID-19 cases in primary care or positive test registries (gold-standard) were identified among vaccinated patients against COVID-19 infection and their matched unvaccinated controls, between December 2020 and October 2021. The sensitivity, specificity, positive (PPV) and negative (NPV) predictive values were estimated for primary care records.Results: Among 21,702 patients with positive tests and 20,866 with recorded COVID-19 diagnoses, the sensitivity, specificity, PPV and NPV were, respectively, 79.98 percent, 99.95 percent, 80.24 percent, and 99.94 percent among vaccinated, and 78.67 percent, 99.96 percent, 84.51 percent and 99.94 percent among controls.Conclusions: Primary care COVID-19 diagnosis recorded in BIFAP showed that sensitivity was similar and PPV was slightly lower among vaccinated than unvaccinated controls. Among the elderly, COVID-19 diagnosis was less recorded. These findings permit the design of informed algorithms for performing COVID-19-related studies.","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"21 1","pages":"1i"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11102056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Process of User-Centered Design to Create a Social Determinants of Health Data Platform. 以用户为中心的设计过程创建健康数据平台的社会决定因素。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2024-03-01 eCollection Date: 2024-01-01

Danequa Forrest, Jeremy Pyne, Laura McKieran, Cristina E Martinez

{"title":"A Process of User-Centered Design to Create a Social Determinants of Health Data Platform.","authors":"Danequa Forrest, Jeremy Pyne, Laura McKieran, Cristina E Martinez","doi":"","DOIUrl":"","url":null,"abstract":"Bexar Data Dive, an online data platform, was created to increase accessibility and use of health and social determinants of health data, such as education, economic barriers to healthcare, and hospitalization rates, to decrease racial/ethnic health disparities throughout Bexar County. A model of user-centered design helped us incorporate community input into the platform. We conducted four interviews and five focus groups to gather information on how people use data - specifically beginner and intermediate-level data users from various educational, governmental, and nonprofit organizations. Then, we launched a community survey to assess specific data needs. Lastly, once the alpha version of Bexar Data Dive was ready, we conducted user testing sessions to measure usability, identify bugs, and gather final feedback before launch. Our findings included many recommendations for incorporating user-centered design in health data management. Participants wanted a health data tool that was easy to use, had the indicators they commonly need, and would provide visualizations for presentations, grants, and other projects.","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"21 1","pages":"1g"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11102063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Availability of Sex, Gender Identity, and Sexual Orientation Data: An Electronic Medical Record Review of a Catholic Healthcare System from 2012-2023. 性别、性别认同和性取向数据的可用性：2012-2023年天主教医疗保健系统的电子病历回顾。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2024-03-01 eCollection Date: 2024-01-01

Whitney Linsenmeyer, Katie Heiden-Rootes, Michelle R Dalton, Timothy Chrusciel

{"title":"Availability of Sex, Gender Identity, and Sexual Orientation Data: An Electronic Medical Record Review of a Catholic Healthcare System from 2012-2023.","authors":"Whitney Linsenmeyer, Katie Heiden-Rootes, Michelle R Dalton, Timothy Chrusciel","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: The study purpose was to describe the availability of sex, gender identity, and sexual orientation (SOGI) data in a large, Catholic health system.Methods: A retrospective chart review on the Sisters of St. Mary (SSM) Health database was conducted from January 1, 2012, to March 27, 2024. The availability of SOGI data and number of sexual and gender minority patients was reported.Results: Among the 5,759,869 records, data on sex was available for the majority of the population (99.9 percent); data on gender identity and sexual orientation were reported for smaller proportions (7.4 percent and 4.5 percent, respectively). Sex and gender were reported among 7.4 percent of the population. A total of 4,567 gender minority and 14,644 sexual minority patients were seen.Conclusion: Though SOGI data were largely unavailable in the SSM Health database, the system has the capacity to separately record sex, gender, and sexual orientation, with a range of response options to capture gender and sexual orientation diversity.","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"21 1","pages":"1b"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11102061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Resident and Family Physician Perspectives on Billing: An Exploratory Study. 住院医师和家庭医生对计费的看法:一项探索性研究。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2022-10-01 eCollection Date: 2022-01-01

Serena Chin, Anthony Li, Maximilien Boulet, Kelly Howse, Akshay Rajaram

{"title":"Resident and Family Physician Perspectives on Billing: An Exploratory Study.","authors":"Serena Chin, Anthony Li, Maximilien Boulet, Kelly Howse, Akshay Rajaram","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Within revenue cycle management, billing is an important activity for physicians with financial implications across remuneration models. We assessed the self-reported billing confidence of residents and attending physicians practicing at an academic family health team in a single payer setting.Methods: All residents and attending physicians working or who had worked at the team were invited to complete a 20-question electronic survey on their exposure to billing education and their self-reported confidence with various billing activities.Results: Twenty-five percent (n=40) of eligible physicians completed the survey. There were statistically significant differences between attending and resident physicians' billing experience (median 117.5 vs. 7.5 months). Analysis of free text comments revealed the positive impact of early billing exposure and opportunities for longitudinal feedback.Conclusion: Despite the small sample size, findings suggest that early exposure of family medicine residents to billing with standardized training contributes to a more positive experience during residency.","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"19 4","pages":"1g"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9635049/pdf/phim0019-0001g.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40452215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Supporting HIM Professional Practice Experience Through Interprofessional Collaboration on Preceptor Orientation and Training. 通过跨专业合作的导师指导和培训，支持他的专业实践经验。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2022-10-01 eCollection Date: 2022-01-01

Darla Branda, Elizabeth Christman, Kimberly Cuetara Gibbons, Lyndsay Goss, Hanna Royce

引用次数: 0

Design and Evaluation of an Electronic Information Exchange System Connecting Laboratories and Physicians' Offices. 连接实验室和医生办公室的电子信息交换系统的设计与评价。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2022-07-01 eCollection Date: 2022-01-01

Hamid Moghaddasi, Farkhondeh Asadi, Negisa Seyyedi, Mohsen Hamidpour

{"title":"Design and Evaluation of an Electronic Information Exchange System Connecting Laboratories and Physicians' Offices.","authors":"Hamid Moghaddasi, Farkhondeh Asadi, Negisa Seyyedi, Mohsen Hamidpour","doi":"","DOIUrl":"","url":null,"abstract":"Laboratory services are a crucial part of medical care and contribute to physicians' treatment-related decision-making. However, paper-based information exchanges between physicians' offices and laboratories waste physicians' time and prevent them from using outpatient test results in a timely and effective manner. To solve this problem, improve the safety and quality of patient care, and save patients' time and energy, the present study developed a web-based system for electronic information exchange between laboratories and offices in Microsoft Visual Studio with the ASP.net technology and the Microsoft SQL Server database. The developed web-based software met the needs of the users and stakeholders (physicians, laboratory personnel, and patients) in the laboratory service cycle. To evaluate the software, user satisfaction was assessed in terms of user interface, operational functionality, and system performance, indicating the acceptability of all the criteria from the viewpoint of the stakeholders. The developed web-based software enables electronic communication between offices and laboratories (two important healthcare bases), establishes information exchange (sending requests and receiving laboratory results) between these two bases, and also notifies the patients. The software gained the overall satisfaction of the users, and this highlights the need for electronic communications in the healthcare domain.","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"19 3","pages":"1h"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9335164/pdf/phim0019-0001h.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33444455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Application of Failure Mode and Effects Analysis in Managing Medical Records for Accuracy of INA-CBGs Health Insurance Claims in a Tertiary Hospital in Indonesia. 失效模式及效果分析在印尼某三级医院医疗档案管理中对INA-CBGs健康保险理赔准确性的应用

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2022-07-01 eCollection Date: 2022-01-01

Yahya Marpaung, Werry Darta Taifur, Nur Afrainin Syah, Yusirwan Yusuf

{"title":"Application of Failure Mode and Effects Analysis in Managing Medical Records for Accuracy of INA-CBGs Health Insurance Claims in a Tertiary Hospital in Indonesia.","authors":"Yahya Marpaung, Werry Darta Taifur, Nur Afrainin Syah, Yusirwan Yusuf","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Awareness of the importance of social security systems continues to grow in Indonesia, as mandated by the amendment of the 1945 Indonesian Constitution Article 34 paragraph 2, which states the obligation of the Indonesian government to develop and implement a social security system for all Indonesian people. This study aims to evaluate the effectiveness of applying failure modes and effects analysis (FMEA) in managing inpatient medical records at the Dr. M. Djamil Padang Central General Hospital.Material methods: This is a comparative research study that uses a retrospective approach and compares the data between 2017 and 2018 inpatient National Health Insurance (NHI) patient medical records. Study samples include randomly selected 24,005 files.Results: The results showed a decrease in problematic claims by 13 percent and an increase in receipt of claims paid by 87 percent. There is a significant difference between the data in 2017 and 2018 in problematic claim decrease (p=0.000) and claim acceptance increase (p=0.000).Discussion: It was found that the redesign process of the formation of hospital claims will make hospitals more organized, precise, effective, and efficient, therefore positively impacting hospital income. In addition, the redesign was carried out because of the large number of Social Security Administrator for Health patients; thus, it greatly affected hospital income.Implication for health policies: The FMEA medical record flow process is very effective and can thus be implemented in hospitals.","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"19 3","pages":"1g"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9335167/pdf/phim0019-0001g.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33444944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0