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US Medical Service Lines
2013 - 2014

Rex Osborn HIT SME
HealthCare IT Layered Application View
US Medical Service Lines
Segment

Setting

E Health

Acute / Ambulatory

Applications / Functions

I

Specialties Supporte...
US Medical Service Lines

Segment

Setting

Applications / Functions
ADT / Registration

EMPI Registration

Enterprise
Sch...
US Medical Service Lines
Segment

Setting

Health Plan

Applications / Functions

Payors

Enrollment & Benefits

Provider ...
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Us medical service linesv2.0.2013 r osborn

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

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Transcript of "Us medical service linesv2.0.2013 r osborn"

  1. 1. US Medical Service Lines 2013 - 2014 Rex Osborn HIT SME HealthCare IT Layered Application View
  2. 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. 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. 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)
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