In this paper I will be discussing how as a new office manager what factor pertaining to health care information need to be considered. Some of these factors are legislation, organization structure and flow of information, billing, accrediting bodies, standards, monitoring and assessing practice to HIPAA. Legislation is one of the biggest factors for the healthcare community and information management. The HITECH Act provides the US Department of Human Services the ability to establish programs to improve the quality of health care. This also includes a safety and efficiency of EHRs. HIPAA act protects the use/disclosure of a person/ patients information. Innovation Act is a legislation that changed the rules and regulation on patient infringement to reduce lawsuits. In more recent times the addition of the Affordable Health Care Act which not only provides lower cost for health care, but also new consumer protection. The …show more content…
The biggest are JCAHO (Joint Commission on the Accreditation of Healthcare Organizations), HFAP (Healthcare Facilities Accreditation Program) and DNV. Then you also have AHIMA and HIM which accredit the medical coding information staff. The other organizations for accreditation are NCQA, AMAP, AAHC/URAC, AAHC, FACCT and AHRQ. All of these help to improve patient care and quality. With keeping these bodies in mind a manger need to set standards for information flow. One standard is to enable the exchange of information electronically (from paper) using a specific format. Another standard is to reflect on the existing data to maintain patient safety and continuity. The next is the transfer of information under all regulation (including state). The last two standards are the encouragement of exchanging information electronically and to promote efficiency in information sharing as a part of the business stagey or
Healthcare technology has grown and evolved over time. With the conversion to electronic medical records and the creation of social media just to name a few, ensuring patient privacy is of the utmost importance for healthcare facilities in this day and age. In order for an organization to avoid hefty fines, it is imperative that a healthcare administrator maintains compliance with the standards and regulations associated with the Health Insurance Portability and Accountability Act (HIPAA). This paper will provide a summary
This paper will be discussing on how HIPAA has changed the medical field. HIPAA also known as Health Insurance Portability and Accountability Act, give examples on how it is applied to the clinical setting. This paper will discuss steps medical assistants take when applying HIPAA and how it protects patients and physicians.
The information sharing document is often patient-centered. This means that the patient is in relation to each type of material in rotation. In fact, when a document having the patient’s information is going around in different health information systems, it is vital in guaranteeing that all the systems are referring to the patient in question. Therefore, this type of
In 1996, the HIPPA act was passed. Health Insurance Portability and Accountability Act (HIPAA), which was directed to improve the areas in the health field. For instance, lowering the number of errors and mistreatment, for individuals to have the access to transfer health coverage according to their present situation, and most importantly it monitors security and confidentiality information to ensure its being controlled in an accurate manner. This act gives congress ability to govern financial matter such as, federal level funding processes pertaining to different health documentation. Providing quality care while protecting patient’s information is a priority controlled under HIPAA, which accepts collaboration with all state and federal
A process within healthcare that has changed as a result of HIPAA is medical information security. The laws have been tightened more. Privacy audits can be done with covered entities if they have had complaints, or even if there have been none. In the event of high-profile incidents, privacy audits can be done also. The privacy rule has also changes as a result. The privacy rule affects 3 different situations in which private health information is handled, use, disclosure, and request. Because of the minimum necessary standard, healthcare providers and covered entities have to limit the use, disclosure, and requests to only the amount of information necessary to complete this.
Interoperability is the way information is shared across an organization. Sharing information across all avenues of health care is imperative to quality patient care. Coordination between all members of the health care team can occur through a congruent system, eliminating unnecessary phone calls and paper work that take away from patient care. The sharing of information electronically reduces the likelihood that files could be lost or stolen which creates a liability for all those involved in the care of the patient.
It has only been within the last five years that health information management (HIM) has experienced exponential changes, due to the healthcare reform. The electronic health record (EHR) is connected to health information exchanges and other systems of interoperability. The timely completion of charts, coding and release of information (ROI) has become much more efficient with the electronic record. Traditional HIM functions will just be transformed and will always be an integral part of successful patient care. Professionals must be flexible and willing to adapt and even generate change. As Health Information Technology continues to evolve, so will the roles
This act aim to stop insurance fraud and abuse . Communication of healthcare information has an essential role in ensuring that individuals receive prompt and effective healthcare. HIPAA establishes provisions to encourage electronic transactions with new safeguards in order to protect the security and confidentially of health information.
Leadership in innovation in healthcare is no different, as its initiative is to progress while maintaining strict confidentiality and maintaining an overall safe and trustworthy establishment. Healthcare laws are issued to help safeguard patient information creating a moral medical healthcare environment. Healthcare laws secure patient information and medical history and it has helped against fraudulent practices such as identity theft. Knowledge and practice of such laws strengthen leadership. For example, HIPAA (The Health Insurance Portability and Accountability Act) privacy rule was created as a way to secure patient identifiable healthcare information and limiting its disclosures for legitimate purpose use only. To explain, the HIPAA Privacy Rule is an arrangement of selected models to secure the protection of patients' health records as these guidelines give patients access to their health record and control over how their own health record are utilized and disclosed (2015). In any event, the Privacy Rule addresses a guideline for understanding situations where disclosure can be given without patient consent. For example, court proceedings, insurance billing, and
Our textbook, highlighted that as health care administration we need to direct our attention to the legal environment as part of our responsibilities. Market forces in health care continue to change, as do legal and regulatory forces. Health care organizations need to stay attentive in assessing, as well as following, new regulations and rules in addition to federal and state laws. The complexity of the health care regulatory environment is not likely to decrease soon; hence the need for administrators to keep current on ever changing
Healthcare professionals are faced with making multi-faceted decisions on a daily basis. These decisions are not just limited to clinical matters, but they include the total patient care experience. Because of emerging healthcare trends and complex health law and ethics, it is imperative that healthcare administrators have a professional organization that they can belong to. “The
All Americans require assurance and protection measures to shield their daily lives and healthcare laws, government regulations, and approaches do only that. The United States government manages these requirements with the expectation of enhancing the strength of the general population while building up the tools, alongside resources and programs to associate in the conveyance of medical care services. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) alongside the security law have affected preventive care services and how it is conveyed. HIPAA was intended to guarantee that the suitable systems were actualized to protect patient's data while getting care.
The Joint Commission is a nonprofit organization that certifies more than 18,000 health care organization and programs throughout the world. Founded in 1951, the Joint Commission provides a national symbol of quality for health care as well as analyzes each organization’s commitment to meeting high quality performance standards. The Joint commission focuses on accrediting Acute Care Hospitals, ambulatory, behavior health, long term care, health care facilities, clinical laboratories, health care networks and hospice. Numerous of accreditation organization is also taking place within the United States, but the Joint commission remains the largest The Joint commission accredits 20,000 organization” which” one third are Hospitals.
If you are in the healthcare industry, you have probably heard some rumblings about the Health Insurance Portability and Accountability Act of 1996, coolly referred to as HIPAA. The word is your medical practice will have to be HIPAA compliant by April 2003, but you're not exactly sure what this act mandates or how to accomplish it. In very basic terms, HIPAA has two primary components to which hospitals, health plans, healthcare "clearinghouses," and healthcare providers must conform: 1) Administrative simplification, which calls for use of the same computer language industry-wide; 2) Privacy protection, which requires healthcare providers to take reasonable measures to protect patients' written, oral, and
The healthcare industry consists of many strengths and weaknesses during the improvement of patient safety, efficient operations, reduction of medical errors, and ensuring that they provide timely access to all patient information. This will have to still comply with all legal guidelines as they control costs and protect patient privacy. The adoption of advanced information technology is a popular strategy being used in the healthcare industry because it allows their weaknesses to be progressively diminished as they gain and use the opportunities necessary as an analytical tool. This would allow their capabilities to be further developed with the new technologies and processes used as they unify the adoption of IT standards. In order to stay competitive within the healthcare industry, then there must be specific actions and measures that must be taken to ensure a positive outcome. This includes external opportunities to increase the capability of the IT infrastructure in a national environment as the growth of industry standards are met in order to decrease the pressured threats of legal compliance through patient trust and the high cost of IT. The growing recognition of strategic leadership often leads to both improved financial stability and contact accessibility of the system. Some challenges that may occur within the healthcare system may cause issues in a hospital setting because of the centralized society of an organization. This is because of the different visions and