For each of the four scenarios, distinguish whether it is an ad hoc representati
ID: 122887 • Letter: F
Question
For each of the four scenarios, distinguish whether it is an ad hoc representation, a standard representation, an informal standard, or a formal standard. In support of your reasoning for each of the four scenarios, provide at least one additional example of that type of distinction (ad hoc representation, standard representation, informal standard, or formal standard) that you have identified through a targeted literature review of this aspect of the classification and representation of health information.
Scenario #1
A significant portion of the U.S. population receives health care coverage under the federal government's Medicare and Medicaid programs. The Centers for Medicare and Medicaid Services dictates that health care providers and medical suppliers must use a predefined set of codes for reporting their provision of professional services, procedure, and supplies and for submitting their claims for reimbursement.
Scenario #2
As part of an initiative to improve outcomes, a small community hospital wants to determine the typical allergic reactions to drugs that its patients are experiencing. It assigns a task force to review patient records from the past five years to identify instances of prior allergic reactions and to classify these instances.
Scenario #3
At the Healthcare Information and Management Systems Society's Annual Conference, which is heavily attended by health information professionals from provider organizations across the nation, a number of information technology vendors exhibit their latest electronic health record (EHR) applications. Subsequently, a majority of the health care provider organizations within a certain geographical area choose the same EHR system for the documentation and exchange of patient information.
Scenario #4
A large regional health care delivery system consisting of five hospitals and 43 clinics is implementing a new computerized physician/provider order entry (CPOE) system mandated for use at all of its provider locations. The project team charged with overseeing the implementation creates a master list of drugs using their own numbering system; this proprietarily structured master list will be used by providers across the enterprise to enter drug orders into the CPOE system.
Explanation / Answer
Scenario 1#:- This represents an informal standard .
In this an organistaion is providing a legal documnet to an insurance company by using a code for the reimburemnet , so it is dealt by one owner to another.
for example:- submission of a legal documnets from a landlord to the owner.
Sceario2#:- Represents Formal standard.
In this Scenario a record of patient are there related to drugs which is a legal documnets .
For examples:- A documents that details the patients health care and progress.
Scenario3#:- It is a Standard representation
In this the information is been exchanged from one commercial to another through the use of information technology.
For example:- Sharing of information from laboratries to other health care systems.
Scenario4#:- It is Adhoc classification
In this the information is been computerised under the guidance of a physician.
For example:- Medical reports like mammography, biopsy etc.
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