HIPAA Security Violations and Training

HI300: Information Technology and Systems for Health Care

 

Discussion Topic: Decision Support Applications

INSTRUCTIONS: Respond to all posts; response to classmates should be thoughtful and advance the discussion, response should make and/or frequent informed references to unit material or scientific literature, follow APA style if resources are used, 75 word minimum in response per post

CLASSMATE POST #1

My name is Christina Michael and I am serving as the Assistant Director in the Health Information Management department at Community Medical Center (CMC). The two EHR systems that I would like to compare are, Cerner and Allscripts.

Cerner and Allscripts can be customizable for the organization’s needs. These applications are both compatible with Windows, Linux, Andriod, Iphone/Ipad, Mac, and web-based. They both have the capability to serve small, medium, and large organizations (Compare Cerner EMR vs Allscripts EHR).

Cerner is an integrated EHR. This application can be utilized in multiple healthcare settings. It’s very diverse in its capability to capture all the different areas of healthcare, including, revenue cycle, analytics, interoperability, population help, cybersecurity, remote hosting, revenue management, and IT management (Hospital & Health Systems).

Allscripts is a completely integrated EHR for community hospitals. It’s a single platform that offers clinical, financial, and ambulatory support to assist the organization achieve operational and financial success (EHR’s. Allscripts.2020, October 1).

Cerner appears to have a better interface and ease of use compared to Allscripts; Cerner is more customizable. Allscripts interface is not as good as Cerner. There are more clicks in the system to get to the information that you are wanting to see. “Allscripts is an Open platform EHR designed for multispecialty clinics and physician practices. Cerner is designed for ambulatory practices with a focus to streamline administration and enhance patient care (Lavi, 2019).” They are pretty similar in cost of the application, both are expensive. I would have to choose Cerner as our new EHR for CMC from the comparative information listed above.

~Christina Michael~

 

 

CLASSMATE POST #2

I chose to research Allscripts and Kareo.

Allscripts is cloud based and offers clinical decision support, e- prescribing, patient portal, is meaningful use certified, and electronic billing. Allscripts can be used in small practices, medium offices or large hospitals. Most of the cons about the EHR come from personal preference and not system based. It is often hard to get in touch with the company when issues arise, contracts and upgrades can get expensive, and the never ending features can actually make it messy instead of easy to use.

Kareo is an inexpensive option that offers e-prescribing, electronic billing, patient portal, use ICD-10, and they are meaningful use certified. Kareo is also cloud based. Kareo has raving reviews about how easy to use they are. The EHR and practice management software get along well according to many reviews. Although these are all great features for the price, Kareo is a software that would be better spent on a small practice with no more than 10 providers. This may not be a good fit for a hospital.

Based on the practice size that each EHR is meant for, I would suggest going with Allscripts. Although it does have some cons regarding support and easy of use, it does have all of the features that are generally considered most important. If Kareo was made for larger practices I would suggest this EHR based on the easy of use and price.

~ Deana Mattison~

HI305: Management of Health Information

Discussion Topic: HIPAA Security Violations and Training

INSTRUCTIONS: Respond to all posts; response to classmates should be thoughtful and advance the discussion, response should make and/or frequent informed references to unit material or scientific literature, follow APA style if resources are used, 75 word minimum in response per post

CLASSMATE POST #3

Risk management is a crucial step in today’s healthcare system. The healthcare system is highly complex, and mix that with human error, it’s almost a guarantee that negative outcomes will arise.

In order to maintain high clinical quality, health systems are adapting to a more proactive approach compared to reactive. There are several key components when it comes to identifying risks. Identifying the risk, prioritize risk, and reporting are all key components to a good risk management program. Training, education, goals, and mitigation are all key components when it comes to creating a program. There really isn’t a negative to being prepared. It’s much easier to have a plan than it is to scramble to fix a problem.

~Casey Blount~

 

 

CLASSMATE POST #4

Every organization is exposed to certain types of risk, and healthcare is not immune. All organizations follow a process to minimize the risk of their risk profile. That process is called risk management. Risk management is a course of action involving planning, organizing, directing, controlling resources in a way that mitigates the risk imposed on a company (Oachs & Watters, 2020). The AHIMA article I chose for this week has a direct connection with my current job. The article I chose talks about documentation practices for risk adjustment and hierarchical condition categories (HCCs). Risk adjustment uses risk models and scoring to examine health status, spending, outcomes, and cost (Watson, 2018). CMS scores chronic conditions based on severity, cost of treatment, and management. There are three models, Medicare, Medicaid, and Commercial. There are specific coding and documentation requirements to be able to capture the diagnosis codes. One of the main requirements for HCC coding is yearly reporting (Watson, 2018). One way to satisfy the annual requirement is to complete annual wellness visits on all patients who meet the age requirement. Yearly wellness visits are an excellent way to capture your patient’s chronic conditions for the entire year. Another element involved in Risk Adjustment (RA) coding is best practices in documentation and coding. Certified medical coders complete this process. First, the coders validate the medical record, looking for provider signature, patient name, DOB, and date of visit, to ensure its eligibility. After you verify the eligibility, the coder will analyze the record to ensure the proper ICD10-cm diagnosis codes were assigned and look for missed coding opportunities. Finally, the records are submitted to CMS for reporting (Watson, 2018). This is just a high-level view of RA coding and documentation best practices. This is what I have been doing for the last four years at my job. The opportunities in RA HCC coding are adding revenue for missed codes, leading to better patient care and outcomes. One of the challenges is that RA coding can be very subjective. One coder may think a missed code is eligible to submit, but another may believe that the provider didn’t provide enough documentation to support submitting the missed code.

~Chad Welsh~

 

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