INSTRUCTIONS: Respond to all posts; response to classmates should be thoughtful and advance the discussion, response should make and/or frequent informed references to unit material or scientific literature, follow APA style if resources are used, 75 word minimum in response per post

HI255: Medical Coding II

Discussion Topic: Survey of Health Information Systems

CLASSMATE POST #1

During our supplemental reading this week, I found it interesting that automated information systems have been in place for more than 50 years! In the beginning of automating information, a small number of hospitals used these systems for payroll and patient accounting functions, whereas today most healthcare settings use automated information systems for clinical information that support patient care, administrative systems that support the business functions of an organization, management support systems that support organizational planning, and research and data analytics systems (Sayles, 2013).

There are several major types of clinical information systems. Patient registration systems are used in most hospitals and other healthcare facilities for not only registering patients but also keeping track of the patient’s encounters over multiple points, and storing documents that require a patient’s signature all in one place. Laboratory, pharmacy, and radiology information systems are rather self-explanatory – laboratory information systems track the collection, verification, and results of a patient’s lab tests, pharmacy information systems streamline the dispensing of prescription medications, and radiology information systems generate, analyze, and manage diagnostic imaging. Nursing information systems automate the nursing process including assessment and evaluation, as well as patient care documentation. Emergency medical systems are for healthcare providers in emergency rooms, and keep track of necessary information like patient information, and offer decision support and workflow support. Patient monitoring systems automatically collect and store patient data like fetal monitoring, vital signs, and oxygen saturation rates (Sayles, 2013).

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Administrative information systems are designed to support the day-to-day operations of a healthcare setting other than a patient’s care. Financial information systems handle payroll, accounting, accounts payable, patient accounting, billing, accounts receivable, cost accounting, general ledger accounting, budgeting, and financial statement preparation. Human resource management systems assist healthcare managers with maintaining personnel records, management reports, tracking productivity, analyzing labor expenses, monitoring turnover, assessing training, and forecasting staffing needs. Materials management systems manage inventory control. Facilities management systems can help facilities become and stay well-maintained, and make patients feel more comfortable and safe (Sayles, 2013).HS 230 PU Health Information Systems Administer Facility Collected Data Response

~Abbie~

CLASSMATE POST #2

Some growth in information systems in healthcare is the health industry constantly producing data. In return healthcare systems gather and analyze data to manage not only health but to reduce healthcare costs. The data analysis can and has helped improve patient care. Three types of information systems are decision support system, management information system, and executive support systems. The decision support system gathers and analyzes data to produce comprehensive information reports. The management information system gathers data from several online systems, analyzes information, and helps aid in management making decisions. The executive support system facilitates and supports senior executive information and decision making needs. EHR, patient portals, and MPI’s are some major types of clinical information systems. EHR’s purpose is to consolidate a patient’s medical chart into digital documents, they are updated in real-time by authorized users. Patient portals is a secured website that gives patients access to their personal health information. Clinical information systems are crucial to delivering evidence-based, and patient-centered care. Reduces medical errors, cutting out unnecessary health costs and help boost quality of health care.230: Health Care Administration.

~Chasity~

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<p “=””>INSTRUCTIONS: Respond to all posts; response to classmates should be thoughtful and advance the discussion, response should make and/or frequent informed references to unit material or scientific literature, follow APA style if resources are used, 75 word minimum in response per postHS230: Heath Care Administration

Discussion Topic:

CLASSMATE POST #3

Canada: Canada operates its healthcare system through a national health insurance program that is ran by the government, includes every Canadian living there for 6+ months and covers medical, dental, vision and mental health care (Ridic et al. 2012). Canada’s program is known as Medicare, which differs from U.S. Medicare, and its origin begin in the 1940’s but Canada’s program did not officially start until 1971 (Ridic et al. 2012). Patients are never billed and have virtually nothing to do with the payment process at all for any service. Many Canadians still have private insurance for uncovered services like certain name-brand prescriptions or cosmetic services, but it is illegal to use private insurance for services that are covered through Medicare (Ridic et al. 2012). HS 230 PU Health Information Systems Administer Facility Collected Data Response

Germany: Germany runs on the principle that a government is obligated to provide certain social benefits to its citizens like, medical care, pensions, disability payments, unemployment insurance, maternity leave, etc. (Ridic et al. 2012). Germany’s healthcare system operates with very little to no government interference; instead, it runs on sickness funds (Ridic et al. 2012). Sickness funds are nongovernment insurers that are paid for through employer and employee contributions and copayments apply to some services and prescriptions with a large range of deductibles (Ridic et al. 2012). Coverage is required in Germany. If a citizen makes over $68,000 USD a year, they can opt out of sickness funds and opt into private insurance (Ridic et al. 2012). This system began in 1883 by Chancellor Otto von Bismarck, but did not fully transition into the current system until 2007 (Ridic et al. 2012).

United States: The U.S. does not have a single system it operates through. Insurance in the U.S. is either private or provided by the government to certain groups of people that meet the requirements (Ridic et al. 2012). Private insurance can be through for-profit or non-profit insurers (Ridic et al. 2012). 70% of Americans are covered through private insurance, with the majority of coverage, 61%, being employment related (Ridic et al. 2012). Unlike Canada, Americans are always involved in billing and payment for nearly all health services. The patient is solely responsible for any debt accrued through medical services. 26% of Americans are covered through public insurance known as Medicare and Medicaid which both began in 1966 (Ridic et al. 2012). Medicare is for elderly and disabled Americans while Medicaid is for economically disadvantaged Americans (Ridic et al. 2012).

~Alexis~

CLASSMATE POST #4

There are many differences between the healthcare systems of the United States, Canada, and Germany. One of those differences is the cost of the National Health Spending. The U.S. is at the top of the list with 17%, Germany is next with 11.7%, and Canada is 10.8%.

The U.S. has private insurance companies that the population pays for, and also Medicare and Medicaid. Canada has a healthcare system that is paid for from federal and provincial taxes. They also can buy insurance to fill in the gaps that the public healthcare system does not cover. Germany has 2 types of insurance, statutory health insurance (SHI) and private health insurance (PHI) SHI is made up of nonprofits that compete to sign patients up and is funded by the split of taxes from the employees and the employers. The reimbursement that they receive from the government depends on how sick the patient is. The sicker the patient the more money received. PHI is made up of non-profit and for-profit companies that premiums may be higher for pre-existing conditions. HS 230 PU Health Information Systems Administer Facility Collected Data Response

~Carol~