Assume you are the project manager called in to implement an EMR system for a la
ID: 342945 • Letter: A
Question
Assume you are the project manager called in to implement an EMR system for a large group practice (75 physicians). The physicians are asking for an evaluation of the system and its possible impact on quality, costs, and patient satisfaction.In addition to the physicians are aware that the Regional Health Information Organization (RHIO) in your region wants to access patient identifiable data from their organizations (and their patients) to monitor the incidence and management of patients diagnosed with autoimmune disease, for example, Lupus. The RHIO also intends to monitor participating providers to rank them for the provision of preventive services to their patients diagnosed with Lupus. The physicians would like you to review and answer the following questions:
What is the best mode for the provider organizations to transfer the information to the RHIOs? What type of data/patient information should be provided to the RHIO? Are there any HIPAA issues that must be addressed during the transfer? Devise a 5–6 page plan for evaluating the EMR system’s impact on the organization in these three areas:
Quality Cost Patient Satisfaction Assume you are the project manager called in to implement an EMR system for a large group practice (75 physicians). The physicians are asking for an evaluation of the system and its possible impact on quality, costs, and patient satisfaction.
In addition to the physicians are aware that the Regional Health Information Organization (RHIO) in your region wants to access patient identifiable data from their organizations (and their patients) to monitor the incidence and management of patients diagnosed with autoimmune disease, for example, Lupus. The RHIO also intends to monitor participating providers to rank them for the provision of preventive services to their patients diagnosed with Lupus. The physicians would like you to review and answer the following questions:
What is the best mode for the provider organizations to transfer the information to the RHIOs? What type of data/patient information should be provided to the RHIO? Are there any HIPAA issues that must be addressed during the transfer? Devise a 5–6 page plan for evaluating the EMR system’s impact on the organization in these three areas:
Quality Cost Patient Satisfaction Assume you are the project manager called in to implement an EMR system for a large group practice (75 physicians). The physicians are asking for an evaluation of the system and its possible impact on quality, costs, and patient satisfaction.
In addition to the physicians are aware that the Regional Health Information Organization (RHIO) in your region wants to access patient identifiable data from their organizations (and their patients) to monitor the incidence and management of patients diagnosed with autoimmune disease, for example, Lupus. The RHIO also intends to monitor participating providers to rank them for the provision of preventive services to their patients diagnosed with Lupus. The physicians would like you to review and answer the following questions:
What is the best mode for the provider organizations to transfer the information to the RHIOs? What type of data/patient information should be provided to the RHIO? Are there any HIPAA issues that must be addressed during the transfer? Devise a 5–6 page plan for evaluating the EMR system’s impact on the organization in these three areas:
Quality Cost Patient Satisfaction
Explanation / Answer
Respected Student,
An electronic medical record (EMR) is a digital version of a paper chart that contains all of a patient’s medical history from one practice. An EMR is mostly used by providers for diagnosis and treatment.
Benefits of Electronic Medical Records
An EMR is more beneficial than paper records because it allows providers to:
The information stored in EMRs is not easily shared with providers outside of a practice. A patient’s record might even have to be printed out and delivered by mail to specialists and other members of the care team.
Here is the case of large group of physicians(75 practitioners) wanting to implement Electronic Medical Records(EMR) system between them.
The practitioners are asking for an evaluation of the system and it's possible impact on quality,costs, and patient information to the project manager hired by them for consultancy.
Regional Health Information Organization(RHIO) wants to access patient identifiable data from their group organization for the purpose of recording incidence & monitoring auto immune diseases cases like lupus and others as per state law.
The RHIO also intends to monitor participating providers to rank physicians(from group of 75) for the provision of preventive services to their patients diagonised with Lupus and hence promote them.
A) The best mode for the provider organizations to transfer the information to the RHIO's is in the form of hard copy mailed to the office of RHIO by a person appointed by 75 physicians as it can be accessed from any of the 75 locations but prior approval must be there from a designated physician (out of 75) of the group.
The printed copy must be signed by authorized practitioner before sending it to RHIO and all the co-ordination work is going to be done by an appointed person.
B) The data which is related to auto immune diseases like lupus and others and that with refrence to preventive services should only be provided to RHIO as it is a regulatory requirement(HIPAA).
C) "HIPAA" is an acronym to Health Insurance Portability And Accountability Act.
It was enacted (August 21, 1996) by the United States Congress and signed by President Bill Clinton in 1996. It has been known as the Kennedy–Kassebaum Act or Kassebaum–Kennedy Act after two of its leading sponsors.
The Act consists of five Titles.
Title I of HIPAA protects health insurance coverage for workers and their families when they change or lose their jobs. Title II of HIPAA, known as the Administrative Simplification (AS) provisions, requires the establishment of national standards for electronic health care transactions and national identifiers for providers, health insurance plans, and employers. Title III sets guidelines for pre-tax medical spending accounts, Title IV sets guidelines for group health plans, and Title V governs company-owned life insurance policies.
Yes,there are HIPPA issues that must be addressed during the transfer.
The effective compliance date of the Privacy Rule was April 14, 2003, with a one-year extension for certain "small plans". The HIPAA Privacy Rule regulates the use and disclosure of protected health information (PHI) held by "covered entities" (generally, health care clearinghouses, employer sponsored health plans, health insurers, and medical service providers that engage in certain transactions). By regulation, the Department of Health and Human Services extended the HIPAA privacy rule to independent contractors of covered entities who fit within the definition of "business associates".
PHI is any information held by a covered entity that concerns health status, provision of health care, or payment for health care that can be linked to an individual. This is interpreted rather broadly and includes any part of an individual's medical record or payment history.
The Privacy Rule requires covered entities to notify individuals of uses of their PHI. Covered entities must also keep track of disclosures of PHI and document privacy policies and procedures.
They must appoint a Privacy Official and a contact person responsible for receiving complaints and train all members of their workforce in procedures regarding PHI.
An individual who believes that the Privacy Rule is not being upheld can file a complaint with the Department of Health and Human Services Office for Civil Rights (OCR).
Regards.
Related Questions
drjack9650@gmail.com
Navigate
Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.