HealthCare IT Applications, HIT Functional Service Lines - Services, Disciplines, Departments and Specialties

1. US Medical Service Lines
2013 - 2014
Rex Osborn HIT SME
HealthCare IT Layered Application View

2. US Medical Service Lines
Segment
Setting
E Health
Acute / Ambulatory
Applications / Functions
I
Specialties Supported
eMAR electronic Medication
Administrative Record
Interdisciplinary Clinical Notes
EDMS Electronic Document
Management System
Patient Monitoring / Device
Management
real-time Bed Board
Patient Education
Multi-Disciplinary Care Planning
Clinical Pathways
Problem List Management &
Support
Transcription / Dictation (H&P,
Discharge Summary etc.) **
Case Management /
Discharge Planning
**Voice Recognition (VR)
Palliative Care System
Skilled Nursing Facility
Management
Home Health Monitoring
High Acuity Monitoring
Charting Assessments / VSIO
Care Planning
Credentialing / Clinician CME
Telemetry / RFID
CPOE
Closed Loop Medication &
Results Management
Episodes of Care Management
**Voice Recognition (VR)
EDMS Electronic Document
Management System
Telephony
Patient Education
EKG / Spirometry Enabler
E/M Evaluation & Management
Coding & Calculation
Problem List Management &
Reporting
N
Nursing Documentation
EMR (Electronic Medical Record)
Clinician Level
Ambulatory
Executive Information Desktop
(Dashboard)
Residency Support
I
Clinical Web Portal "Physician
Access"
Critical Care Management
L
Referral / Clinician Portal
(Scheduling & Ordering)
High Acuity (ICU) Flowsheet &
Documentation
Acute
CCR Continuity of Care Record
(Enterprise Access CDA
Foundation)
CPOE
C
PHR Patient Health Record
Care Planning
Social Welfare
Cardiology, Dermatology, Endocrinology, Family Practice, Pediatrics, Gastroenterology, General Surgery, Infectious Disease ICU, CCU, NICU, Internal Medicine, Obstetrics
& Gynecology, Occupational Therapy, Respiratory Therapy, Radiation Oncology / Therapy, Physical Therapy, Speech Therapy, Ophthalmology, Plastic Surgery,
Pulmonology, Rheumatology, Urology, Vascular Surgery, & Prosthetics
Surgery: Pre-Operative,
Perioperative, Post-Operative
Sleep Lab
Acute Pharmacy
Clinical Laboratory
C
ED Emergency Department
Dialysis
Departmental
Anesthesia
Oncology: Radiation Therapy Planning
Cardiology / Cardiovascular
Intervention
Ambulatory Pharmacy
Radiology (PACS / RIS)
Cardiology (CVIS / CPACS)
Women's Imaging (U/S, Mammo)
Reference Laboratory
Dental
Inventory Control
(ERP - Logistics)
Home Health Monitoring Rehabilitation
Clinical Data Access / VR /
Flowsheet Entry
Patient Kiosk
(Wayfinding)
EDMS Management
Quality / HEDIS Reporting
Ancillaries
A
eMAR w/ Barcode / Flowsheets
M Health
L
Surveillance
Health Information Management
Chart Deficiency Tracking
Pathology
(Anatomical, Clinical, Dermatopathology, Hematopathology, Oral
& Maxillofacial and Forensic Pathology)
Telemedicine / Tele-Imaging
Tele-Behavioral health
Surgery Instrument Tracking
HIPAA
Release of Information (ROI)
Coding & Abstracting

3. US Medical Service Lines
Segment
Setting
Applications / Functions
ADT / Registration
EMPI Registration
Enterprise
Scheduling
Help Desk
Bed Management
Rounds Management
Enterprise Registration
Enterprise
Scheduling
Referral Tracking &
Management
Customer Relationship
Management (CRM)
Nurse Triage
Acute
Intake / Eligibility
Ambulatory
Authorization & PreCertification Tracking
Eligibility Tracking
POS Benefit & Health Alerts
Eligibility Tracking
ABN Tracking
Call Management / CRM
Call Management
Clinical Decision Support
Evidence Based Medicine
(EBM)
Health Maintenance
Medication Dosing Support
Safety Monitoring ADE
(Adverse Drug Event)
Clinical Alternatives
Formulary Compliance
Protocols / Pathways
Diagnosis-based Order Sets
Acute / Ambulatory
Outcomes Based Medicine
(OBM)
Active Guidelines
Population
Management
Nomenclature Services (UMLS)
Duplicate Therapy / Orders
Alerting
Decision Support
CDM
Drug Knowledge Database
Chronic Disease Management (Interaction / Contraindication)
Financial Decision Support
HOSPITAL
Revenue Cycle
PROFESSIONAL
Financial Alternatives
Duplicate Orders Alerting
Decrement ERP Inventory
Management
Benefits Summary
Champus / Alternative
Insurance
Hospital Billing &
Patient Accounting
Anesthesia Billing
Accounts Receivable
Inventory Management (ERP)
Abstracting & Coding
Electronic Claims & Remittance
Acute / Ambulatory
Collections
"Acute & Ambulatory"
Financial Reporting
Authorization & PreCertification
Concurrent Review
Professional Billing &
Patient Accounting
Point-of-Service Copay & Prior
Balance Collection
Benefits Engine
Claims Management
(Charge & Claim Scrubbing)
Electronic Claims & Remittance
Expected Reimbursement
Tracking
Credit Card Payment System
Dental Billing
Home Health Billing
Telemedicine Billing

4. US Medical Service Lines
Segment
Setting
Health Plan
Applications / Functions
Payors
Enrollment & Benefits
Provider Contracting
Workers Compensation
Claims & Capitation
Reconciliation
Clearinghouse
Patient Registry
(Research)
Acute / Ambulatory
Utilization & Case Management
Claims Processing
Enterprise
Foundation
Premium Billing
AP Claims Adjudication
Cancer Registry
Data Analytics
(Enterprise Content
Management)
Analytical "Data" Warehouse
X12 EDI Transactions
Enterprise Master Patient Index
(EMPI - Community Master)
Clinical Data Repository
(CDR)
Ad Hoc Reporting
Cost Accounting
DEERS
(US Military
Master Patient Index)
RxNorm
LOINC
NCPDP/SCRIPT
(Dentistry)
TimeKeeping
DICOM
HealthCare IT Standards
Acute / Ambulatory
Interface Considerations
Acute / Ambulatory
HITSP based
UMLS
SNOMED
Clinical Document Architecture
(CDA)
Radiology – Modalities via
Cardiology – DICOM, ASTM, ISO,
DICOM, IHE (framework)& HL7; IHE & HL7
o Diagnostic Radiology
o Cardiology PACS
o Advanced Visualization
o EEG / EKG
o Computerized Radiography (CR) o Physiological Monitors
o Direct Radiography (DR)
o Computerized Tomography (CT) Laboratory – Standard
o Ultrasound
Instrumentation – ASTM - LOINC
o PET Scanner
o Magnetic Resonance Imaging Reference Laboratory - LOINC
(MRI)
o Picture Archiving &
Endoscopy – Camera – ASTM &
Communication System (PACS) HL7
o Nuclear Medicine
IMAGING subspecialties:
- Radiation Therapy
- Molecular Imaging
- Ophthalmology
- Pathology
- Orthopedics
- Endoscopy
MeSH
Patient Tracking – ASTM,
DICOM& HL7
o L&D Obstetrics Patient Tracking
o Ultrasound (real-time)
o RFID patient tracking in
behavioral health, pediatrics,
geriatric
o Ultrasound (real-time)
Health Level 7 (HL7)
X12
Emergency Department - Surgery Non-Invasive Monitors /
& Critical Care – IHE, HL7, DICOM, Devices
ASTM, ISO & CORBA
§ ECG
o C-ARM
§ Pulse-Oximeter
o Portable DR
§ Respiratory Rate
o Invasive Monitors / Devices
Measurement
§ Ventral Venous Catheters (CVC) § "Non-Invasive" Blood
/ Central Venous Pressure (CVP) Pressure
§ Arterial Catheter
§ End Tidal CO2 Monitor
Pharmacy – ASTM, HL7, SnoMED, § Hemodynamic Monitors
(ETCO2)
IHE, ISO & optional LOINC /
§ Right Atrial Catheter (RAP)
§ Near Infrared Spectroscopy
RxNORM
§ Left Atrial Catheter (LAP)
(NIRS)
o Robotics
§ Ventilator (Invasive & Nono Dispensing Units
Invasive)
o Medication Infusion Pump
§ Intracranial Pressure Monitor
o eMAR – Barcode Patient
Identification
o eRx (electronic prescription)