Please read instructions thoroughly and answer appropriately. Response neeeds to
ID: 108380 • Letter: P
Question
Please read instructions thoroughly and answer appropriately. Response neeeds to be a minium of 300 wordsAccording to Chapter 5, "Technology can enhance health care quality and quality measurement in various ways. It increases accuracy and timeliness, enables up-to-date evidence and decision support systems to be used at the point of patient care, improves coordination of information among clinicians and between patients and clinicians, and enhances the capacity to collect and report information on performance."
Do you agree or disagree with this statement? Why? Does changing the requirements/standards (i.e. transitioning from ICD-9 to ICD-10 codes) affect the views of the statement? Please read instructions thoroughly and answer appropriately. Response neeeds to be a minium of 300 words
According to Chapter 5, "Technology can enhance health care quality and quality measurement in various ways. It increases accuracy and timeliness, enables up-to-date evidence and decision support systems to be used at the point of patient care, improves coordination of information among clinicians and between patients and clinicians, and enhances the capacity to collect and report information on performance."
Do you agree or disagree with this statement? Why? Does changing the requirements/standards (i.e. transitioning from ICD-9 to ICD-10 codes) affect the views of the statement?
According to Chapter 5, "Technology can enhance health care quality and quality measurement in various ways. It increases accuracy and timeliness, enables up-to-date evidence and decision support systems to be used at the point of patient care, improves coordination of information among clinicians and between patients and clinicians, and enhances the capacity to collect and report information on performance."
Do you agree or disagree with this statement? Why? Does changing the requirements/standards (i.e. transitioning from ICD-9 to ICD-10 codes) affect the views of the statement? According to Chapter 5, "Technology can enhance health care quality and quality measurement in various ways. It increases accuracy and timeliness, enables up-to-date evidence and decision support systems to be used at the point of patient care, improves coordination of information among clinicians and between patients and clinicians, and enhances the capacity to collect and report information on performance."
Do you agree or disagree with this statement? Why? Does changing the requirements/standards (i.e. transitioning from ICD-9 to ICD-10 codes) affect the views of the statement?
Explanation / Answer
In health care, we see many clinical practices are not based on good scientific evidence regarding an intervention's impact on important outcomes or quality of care. This is because, sometimes this occurs because evidence from well conducted, randomized controlled trials is not available. However, even when good evidence is available and there is strong consensus regarding the effects of an intervention, there is often inappropriate utilization of the intervention, resulting in suboptimal care. Studies suggest that it takes an average of around 20 years for research evidence to be incorporated into standard clinical practice. The use of IT can help overcome this gap in knowledge management and application through tools to enhance the translation, implementation, and dissemination of important research findings in clinical practice. Health care has lagged far behind many other industries in harnessing the capabilities of IT to improve services, knowledge, communication, outcomes, quality, and efficiency.
Given the complexity of modern medicine, it is inevitable that IT will play an ever increasing role in improving health care quality. Health information technology (Health IT) has the potential to enable better care for patients, and to help clinicians achieve continual improvements in the quality of care in primary care settings. However, simply implementing current health IT tools will not bring about these results. To generate substantial and ongoing improvements in care, health IT adoption must go hand in hand with the implementation of a robust care model and the routine use of solid improvement methods by clinicians and other staff. Many who advocate the expanded use of health IT appear to believe that health IT itself will catalyze improvements in care. While there may be a few narrow instances where this is the case, we believe that most current health IT systems have a long way to go before they encompass the functionality that would support robust ongoing improvement of care. Additionally, the success of health IT-enabled improvement depends critically on the skills of clinical and administrative staff in primary care settings to understand and use solid improvement methods that need not rely solely on health IT to be effective. Health information technology (Health IT) allows for comprehensive management of medical information and its secure exchange between health care consumers and providers. Broad use of health IT will:
-Improve health care quality.
-Prevent medical errors.
-Reduce health care costs.
-Increase administrative efficiencies.
-Decrease paperwork.
-Expand access to affordable care.
The domain of electronic documentation domain is less mature and is the predominant focus of many current health IT efforts. Enabling the development of effective electronic medical records (EMRs) are the familiarity of paper records, as well as widely shared traditions of creating, using, saving, and retrieving paper records. These provide at least a scaffold for defining a set of enhanced functions made available through electronic technology. In the sites we studied, many identified this area as their primary focus currently, and we heard a number of success stories about implementation of EMRs, especially among networks of clinics or independent physician organizations.
ICD-10 brings a dramatic increase in the number of codes, from about 17,000 today to more than 140,000, which allows for a much greater level of specificity in coded patient data. This increased code specificity makes accurate clinical documentation critical to achieving accurate coding and billing. Physicians are already challenged to meet documentation requirements under ICD-9, so focusing on clinical documentation improvement (CDI) early in the ICD-10 transition process is important for success. Not only is it essential because of the time needed to educate physicians in ICD-10's complexity, but also because of the potential impact on revenue from incomplete or inaccurate documentation. The best ways to protect the revenue cycle and ensure proper payments start in patient access. Correct coding, medical necessity and all the other aspects of capturing information on the front end will be profoundly expanded once the industry transitions to ICD-10. Collection of co-pays, deductibles and patient payments will be greatly complicated; therefore, providers will need to ensure their systems have the capacity to analyze expected procedures to the payer contracts in order that informed decisions can be made prior to the rendering of care. Secondly, claims-processing systems will be of vital importance to ensure proper ICD-10 codes have been captured and to ensure all applicable codes are included in the electronic claims transactions. Further, these systems should have the capacity to calculate expected reimbursement to empower the providers with the tools to accurately forecast revenue. In addition, systems should include functionality to track utilization of the ICD-10 codes to ensure proper documentation is available to substantiate billed procedures.
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