Chapter 1 Flashcards
Plan of HHS
-Strengthen healthcare
-Advance scientific knowledge and innovation
-Advance the health safety and well-being of Americans
-Efficiency, transparency, accountability, and effectiveness of HHS programs
Continuum of Care
-Developed mis 1990’s
-Response to rise in healthcare costs
-Three levels of care
*Primary
*Secondary
*Tertiary
Primary Care offices
-Physicians
-Group practices
-Private clinics
-Community based clinics
Primary care services
-Preventative care
-Early detection of neoplastic diseases and other serious illnesses through routine screening and laboratory tests
-Periodic physical examinations
-Diagnosis and treatment of minor infectious illnesses, common bacterial, and fungal infection which may be diagnosed with a combination of examination and laboratory testing and treated with prescription drugs
-DIagnosis and management services for chronic illnesses which are monitored through periodic examinations and laboratory testing and treated with prescription drugs
-Diagnosis and treatment of minor injuries
AHRQ Defines PCMH with five major functions:
-Comprehensive care through the use of a team of care providers
-Patient-centered care and partnering with patients and their families
-Coordinated care across an expanded health care system in all settings
-Accessible services using customised and alternative communication methods
-Quality and safety activities that guide shared decision making with patients and families
Joint Principles of the Patient-Centered Medical Home
-Personal physician
-Physician-directed medical practice
-Whole person orientation
-Coordination of care
-Quality and safety
-Enhanced access
-Payment
Secondary Care
encompasses the diagnostic and therapeutic services provided by medical specialists working in private offices, specialty group practices, private clinics, community-based clinics, and general and community hospitals
-Medical and Surgical Specialties
Tertiary Care
-Highly specialized
-Technically advanced
Health IT Playbook
-Actionable steps or addressing the challenges of implementing health IT
-Guidance on how to implement and use health IT to advance care information and delivery
-A recourse to help establish a common language for stakeholders
Health IT Playbook questions
-How do i choose, implement, or upgrade an EHR system?
-How do I redesign workflows to improve and optimise practice efficiency and effectiveness?
-How can I connect and share information with other providers and public health officials?
-How can I activate and engage patients and their families?
-How do I learn more about improving patient outcomes and prepare for new quality payment programs?
-How do I protect the confidentiality, integrity, and availability of personal health information in my EHR system?
Personal Health Record is:
a tool that can be used to “collect, track and share past and current information about their health or the health of someone in their care” (AHIMA)
PHR sample content
-Identification sheet
-Medication Record
-History and Physical
-Progress Notes
-Imaging and X-ray reports
-Consultations
-Physician’s orders
-Lab reports
-Immunization Record
-Operative report
-Pathology Report
-Consent and Authorization forms
-Discharge summery
(AHIMA)
Benefits of eHIE
-Better coordination of care
-Reduction of duplicative treatments
-Immediate access to clinical information
-Structure to public health reporting
-Avoidance of costly mistakes
Laws and regulations impacting eHIE
-Privacy Act of 1974
-HIPAA
-HITECH
-Medicare Conditions of Participation
-Federal regulations for confidentiality of alcohol and drug abuse patient records
-Family Educational Rights and Privacy Act
-Gramm-Leach-Bliley Act
-Food, Drug, and Cosmetic Act
-Any more stringent stare law preempting the federal laws and regulations
