procedures electronic insurance eligibility validation claim authorization and

Procedures electronic insurance eligibility

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procedures, electronic insurance eligibility validation, claim authorization and prior approval, identification of possible research study participants, and drug recall support. American Recovery and Reinvestment Act of 2009 (ARRA) An economic stimulus package enacted in February 2009 that was intended to create jobs and promote investment and consumer spending during the recession. Also referred to as the Stimulus or Recovery Act Connectivity Ability to hook up to the electronic resources necessary to meet the user’s needs. The ability to use computer networks to link to people and resources. The unbiased transmission or transport of Internet Protocol packets between two endpoints. Decision support Recommendations for interventions based on computerized care protocols. The decision support recommendations may include such items as additional screenings, medication interactions, or drug and dosage monitoring. Electronic communication Exchange of information, electronically Electronic health records Computer-based data warehouses or repositories of information regarding the health status of a client They are the systematic documentation of a client’s health status and health care in a secured digital format, meaning that they can be processed, stored, transmitted, and accessed by authorized interdisciplinary professionals for the purpose of supporting efficiency. Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH) Under this act, healthcare organizations can qualify for financial incentives based on the level of meaningful use achieved the HITECH Act specifically incentivizes health organizations and providers to become “meaningful users.” Interoperability
Ability of various systems and organizations to work together to exchange information Order entry management A program that allows a clinician to enter medication and other care orders directly into a computer, including orders for laboratory, microbiology, pathology, radiology, nursing, and medicine; supply orders; ancillary services; and consults. Patient support The total array of tools and software that can be used to provide information and assistance to help meet the healthcare needs of consumers Population health management A term adopted by healthcare management companies to express their goal of achieving optimal health outcomes at a reasonable cost The management process involves data collection and trend analyses that are used to predict clinical outcomes in a group of people. Reporting The act of using of documents or information system outputs to convey information to stakeholders Results management An approach to evaluating the outcomes of a process to determine whether that process was useful or valuable McBride Chapter 12 National Standards for Health Information Technology American Society for Testing Materials (ASTM) One of the leading clinical document standard The result being the Continuity of Care Document

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