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Healthcare Information Technology
Term Paper ID:42637
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Essay Subject:
This scope of work is part of an RFP for a new medical information ...... More...
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11 Pages / 2475 Words
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Paper Abstract: This scope of work is part of an RFP for a new medical information system for a healthcare agency. The scope of work defines the parameters for the new system, which will take patient information at check-in and prevent medical errors by checking patient information prior to treatment and medication delivery. RFID technology is also incorporated to verify patient identity and medication.
Paper Introduction: Scope of Work for YA J Health Care Agency\'s New Information System Mission Statement To implement a software package that integrates YA J Health CareAgency\'s patient and medical delivery system information providing thecapability for ad hoc verification and validation of medication andtreatment administration The desired outcome will be to align patientmedical information with the Agency\'s medical delivery systems thusreducing medical errors ensuring timely medical response documentation ofpatient medical care and condition and streamlining of medical care anddocumentation The greater accuracy achieved through
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Patient SSN c. The goal of the Agency is toimprove medical care based on the enhanced patient information system,which provides accurate and timely patient data regardless of which medicalfacility within the county the patient is admitted to. Patient's physician d. E. Thus, the system needs to be capable of supporting at least 2, concurrent users, and a total number of 112, users. Patient Full Name b. System capable of printing all other patient- or treatment-related documentation recorded in the system at point of service with patient information included on each printout, including: 1. Pre-build messages o. Place of service codes g. Other forms needed by clinicians retrievable from and printed in the clinic areas. Ad Hoc Reports 1. These facilities canaccommodate 112, patients. Scope of Work for YA3J Health Care Agency's New Information System Mission Statement "To implement a software package that integrates YA3J Health CareAgency's patient and medical delivery system information, providing thecapability for ad hoc verification and validation of medication andtreatment administration. Third party carrier 1 . Patient Medical Records 1. Spouse Date of Birth ac. When the appointment is booked, the ability to view chart number and location. Point of Service Support 1. 16. In known cases of patient identity problems, further steps will be taken to ensure accurate patient identification prior to administering medication or treatment. Financial Class h. Family Member #1 Work Number ak. Patient account number j. Insurance Coverage information ag. Family Member #2 Work Number ap. Patient's medication allergies h. Reason for visit p. Recording of physician prescriptions a. Ability to apply restrictions and overrides for specific types of visit 3. Spouse Employer Name z. Comparing RFID tag data to patient SSN, physician, treatment and medication protocol, and other data on file 3. Integration capabilities a. Patient Prescribed Medication 1. Patient Treatment Protocols 1. Verification and validation of protocols a. Family Member #1 Cell Phone Number al. Ability to copy demographic and clinical information from previous visits to current visit d. Rendering physician o. Functionality a. Date of birth c. In addition, thevalidation and verification of medications and treatment offered by thesystem will enable staff to achieve greater efficiency by virtue of thefact that the system will ensure accuracy, reducing the need for multiplemanual checks." Description of Agency and Need The YA3J Health Care Agency is responsible for ensuring accurate andtimely delivery of health care services to county residents in the countyof XXX. Appointment schedule printout should include: a. 13. Family Member #1 Name ah. 14. 3. Family Size ae. Income or Income Range s. Spouse Employer Address aa. Relationship to guarantor l. Patient number g. System validates by checking scheduled treatment against physician's treatment protocol for this patient 3) Does this treatment protocol agree with standard treatment protocol for patient with these conditions and on these medications and for this age group? Primary care physicians s. Referring physician n. Checking of each facet of the treatment protocol prior to implementation/application to patient 1) Is this the correct patient? Recording of medication administration a. Immunizations/Vaccines administered. Family Member #2 Address an. Ability to override field requirements where information is not available g. Bi-Report messages tied to procedure codes p. 11. Insurance companies e. Insurance Card ID Number m. Ability to integrate all registration information with appointment, billing, treatment and treatment prescription, medication and medication prescription, management reporting, and other modules incorporated within the total software package b. Whether the system approved the medication event or advised against it, and why 2. Patient name b. a. Financial Class and description k. Ability to flag account for special attention in the event that patient needs forms signed, special interview, account inactive, or other special instructions e. Ordering physician d. Zip codes n. Treatment protocols to be used are validated by the system to be those prescribed by the physician. Charge slip b. Recording of physician-prescribed protocols a. Medication contraindications 4. Family Member #1 Address ai. 12. Patient SSN c. The desired outcome will be to align patientmedical information with the Agency's medical delivery systems, thusreducing medical errors, ensuring timely medical response, documentation ofpatient medical care and condition, and streamlining of medical care anddocumentation. System validates medication to be sure it is the correct type and dosage 1) RFID tag on medication is scanned 2) Information on RFID tag is validated against the patient SSN, treatment protocol, medication prescription by physician, and type and dosage of information 3) If medication being scanned is not the appropriate medication for this patient or is not being delivered in correct dosage or at correct time, system displays a red, blinking warning alert 2. Diagnosis codes, (ICD9, HCPCS, CPT) c. Handle group scheduling and memberships to those groups. System validates against a standard treatment protocol database B. f. Full or partial Social Security Number d. Physician's prescribed treatment protocol e. Contracts 3. Age c. Within the county are 17 health care facilities that will use the newsystem, including 8 hospitals and 9 medical centers. Appointment/visit tracking 1. Date of service b. As recent yearshave evidenced a dramatic rise in patient numbers and an accompanying needfor more staff, unavailability of sufficient numbers of trained staff hasresulted in increased medical errors and malpractice lawsuits for thecounty's medical facilities. Adjustment and payment codes l. Caseworkers r. Identification of clerk who made appointment s. Ethnicity q. Fees d. Guarantor number k. System-Assigned Number h. Comments r. Where RFID patient tagging is done, the system will be capable of the following processes: 1. Verify by SSN and validate against SSN on treatment protocol 2) Is this the correct treatment protocol that needs to be administered today? Alternate names ( and ability to search by) c. Primary Language r. Ability to produce reports including any data field as well as sort/query based on any fields. Referring physicians b. Medical record number h. B. Prescriptions 4. Medication prescriptions, dates, dosages, generic/non- generic, mode of delivery (IV, pill, liquid, powder, injection, suppository) C. Medical Record Number g. Family Member #2 Cell Phone Number 3. Treatment record a. DOB i. Ability to print all required hard copies at point of service with patient information already printed on them: a. Ability to search for next available appointment by provider or appointment type. Patient's prescribed treatment protocol f. Able to view and schedule appointment for multiple clinics from multiple locations. Ability to search for and display all appointments 2. The Agency's territory is comprised of all hospitals and medicalcenters within the county. In the event that verification of medication or treatment administered is needed, system prints ad hoc reports showing what was administered, in what dosage, time, date, and location, as well as any ensuing problems or reactions D. Codes and coverage data f. Ability to calculate next exam date and export to form letters 7. Operators k. Patient full name f. Online system editing at point of service entry. Relative's Name, Address, or Phone Number 2. Gender p. Recording every RFID scanning transaction and its associated data, including: a. Diagnoses and dates b. Referral sheet e. The RFID technology used for tagging and verifying medications will also be applied directly to patients, who will be tagged with RFID tags that must be scanned before any treatment or medication will be given. Location of medical record v. Date protocol ordered c. This can occur where patients are identical twins or where a patient's confidential medical information has been compromised through medical identity theft. Ability to search online for referring physicians, insurance companies, diagnosis codes, fees, caseworkers, rendering physicians, and clinicians. Patient Registration 1. Clients in group appointment t. Data entry function forces input of all required fields according to specified field criteria (numeric, alphanumeric, field length) and will not allow print or other capability until this is done f. Physician's prescribed medication protocol: 1) Name of medication 2) Generic/non-generic 3) Dosage 4) Mode of delivery 5) Delivery schedule 6) Contraindications to delivery that must be checked at time of delivery, such as elevated blood pressure, use of certain medications, or certain physical symptoms f. The ability to run reports by the date of entry or date of service. Date of Birth n. The facilities need a new system that recordsall medical treatment and prescriptions for a patient and that is capableof providing sufficient analysis to determine when a dosage, medication, ortreatment is to be provided that is inconsistent with the patient's historyor the physician's prescription. Financial Classes (tied to parameter set for discounting contractual adjustments and co-pay requirements) m. Ability to display patient visit history on schedule screen 9. Protocol ordered by physician b. 5. Including other forms needed by clinicians retrievable from and printed in the clinic areas 2. Family Member #2 Name am. Length of appointment m. Guarantor Number f. Ability to link patient with family members, guarantors, physicians, and other entities germane to the patient's care. Search capabilities allow searching on any combination of the following: a. A. Patient name b. Patient age e. Diagnosing physicians, dates, locations c. Access to billing screen to view payment history e. The system would also be required to link to the patient's medical records within the system and display and/or print out any and all of them as desired by the system operator at the point of service. Employer Phone x. Type of visit l. The number of concurrent users of the systemis estimated at approximately 1, at any given time, but in the event ofa natural or other disaster, this number could escalate to as many as2, . Phone Number k. Additional patient identity verification when needed In some cases, patient identity is problematic. Abnormal reports should be immediately transmitted to provider with an on-screen alert. Time of visit e. Clinic/Program/Service b. Ability to generate report of missed appointments and associated letters to patients asking them to reschedule 8. Point of Service documentation 1. Tag scanning and reading by the RFID reader is virtually instantaneous and will not create any significant delay in administering treatment but will ensure that no identity mix-up takes place. Family Member #2 Phone Number ao. Ability to print CHDP forms with patient data, including demographics. Treating physicians, dates, locations d. Emergency contact g. A. Department d. Clinic location/chart location af. Ability to add, change, delete and produce a master list of: a. Facilities j. Referral sheet 5. Lab & x-ray slips 3. The system will capture patientinformation at registration and manage this information with respect toappointments and reporting, and it will also verify and validate alltreatment and medication prior to their being administered to the patientand will thus not only ensure accurate treatment and medication but willalso capture a running history of what has been administered to thepatient. 4. Audit trail of all appointment changes and those made to provider schedules 4. Ability to flag duplications h. E. Spouse Employer Phone ab. Employment status t. Ability to view/book appointments for multiple providers. Driver's License Number l. Data fields to be recorded a. Supports the collection and identification of patient/client demographic information and history b. After administration of medication, system is updated to record the event b. Blood type 2. System provides printout on demand of the medication event, including: a. Spouse Full Name y. 2. 15. System records every dose of medication delivered to patient, along with: 1) Date of delivery 2) Time of delivery 3) Dosage administered 4) Location-which facility and department 5) Individual administering the medication c. System Functions I. Lab & x-ray slips c. Marital status i. Income Source u. 2. Statement messages q. Unique appointment identifier u. Ability to view/book multiple days for a single provider. Has hot keys and function keys that will provide short cuts for entering much-used information d. Relationship to insured m. Type, Series of Vaccine II. All amendments and cancellations of protocol and associated dates 2. Address j. Telephone number j. System records all physician prescriptions for each patient along with: 1) Date of prescription 2) Link to physician-prescribed treatment protocol 3) Generic/non-generic approval 4) Dosage 5) Mode of delivery b. Employer Address w. Social Security Number o. Spouse Social Security Number ad. The system would be required to prepare a report of the treatment or medication event to send to the physician's office as per physician's instructions on file; some physicians may not ever want to see these, while others may only want to see them for certain patients. Patient's prescribed medication protocol g. Family Member #1 Phone Number aj. The greater accuracy achieved through this integration isexpected to reduce stress that results from the fear of committing aserious medical error, as well as to increase the comprehensiveness andusefulness of patient medical and treatment records. Charge slip 2. Patient phone number e. Clinical Capabilities The system's clinical capabilities are designed to track patient treatment protocols and prescribed medication as prescribed by physicians and to verify and validate those protocols prior to delivering treatment or medication to the patient. Prescriptions d. Primary language q. Administrative Capabilities The system's administrative capabilities are designed to facilitate admittance of patient to the medical facility, collect information for validation and verification purposes, and facilitate recordkeeping about the patient and related diagnoses, treatment, and medications, as well as all visits to any medical facility in the county. Revenue center (department codes) i. If system provides warning alert cautioning against giving the medication, it prints a report detailing all of the parameters analyzed and explaining why 3. This RFP is to provide a single data system tosupport the administration of medications and treatment to patients withinthe hospitals and medical centers in the county, regardless of patientdiagnosis, condition, or treatment protocol. Ethnicity d. The system will verify and validate that the correct patient is being treated and that RFID technology will be incorporated in conjunction with use of the system to ensure that the medication to be administered is being administered in accordance with physician's prescription in the correct dosage, type, mode of delivery, and time of administration as prescribed. Ability to transfer patient from one guarantor or family account to another c. D. Employer Name v. Waiting list capability for physicians and services 5. Treatments, dates, locations e. Gender e. Clinic location c. Name b. Ability to integrate with the appointment system to track when CHDP examination, immunization or other state required examinations are due, with letter and other alerts automatically generated 4. Reading data via the RFID reader that receives data scanned through RFID scanner from the RFID tag. System updates patient records with the medication event and all associated variables C. Has a replication function that will copy information into family member demographics c. Providers (sites) h. Patient Number e. Optional Medi-Cal Number i. Patient's physician d. Patient's Guarantor name and address f. Ability to set up regularly scheduled events 6. Patient address, zip code d.
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