Dell healthcare-training-it-buzzwords-presentation

Healthcare IT Buzzwords

EMR/EHR PHI HIPAA CLOUD ICD-10

Precision
Quality Based
Genomics Data Breach Virtualization
Reporting Medicine

Lean/ Six Digital
PHR Interoperability
Sigma Pathology

Patient
Meaningful Pay for
Centered HIE BYOD
Use Performance Medical Home

E- Healthcare Risk
Attestation ACO
Prescribing Reform Assessment

1 Healthcare and Life Sciences

EMR/EHR – Electronic Medical Record/Electronic Health Records
EHR – collection of a range of data including patient demographics, medical
history, medication and allergies, immunization status, lab test results, radiology
images, vital signs, personal statistics (age, weight), billing information
In-patient – occurs during an acute stay in the hospital
Out-patient – occurs during a clinic or ambulatory visit (no overnight stay)
EMR is patient record created in hospitals and ambulatory environments, and
which can serve as a data source for the EHR. It is important to note that an
EHR is generated and maintained within an institution, such as a hospital,
integrated delivery network, clinic, or physician office, to give patients,
physicians and other health care providers, employers, and payers or insurers
access to a patient's medical records across facilities. The EMR can be used as a
legal record.
Acute EHR – Epic, MEDITECH, Cerner, McKesson, Siemens, Allscripts
Eclipsys
Ambulatory EHR – eCW, Allscripts Professional, Nextgen, Greenway,
PracticeFusion, Epic EpicCare


PHI – Protected Health Information - PHI
is any information held by a covered
entity which concerns health status,
provision of health care, or payment for
health care that can be linked to an
individual. ] This is interpreted rather
broadly and includes any part of an
individual's medical record or payment
history.


HIPAA -- Health Insurance
Portability and Accountability Act -
protects the privacy of individually
identifiable health information (PHI) ; the
HIPAA Security Rule, which sets national
standards for the security of electronic
protected health information; and the
confidentiality provisions of the Patient
Safety Rule, which protect identifiable
information being used to analyze patient
safety events and improve patient safety


Cloud – use of computing resources
(servers, storage, networking, middleware
and application software) delivered as a
service over either a public or private
network


ICD-10 is the medical classification
list used by the World Health
Organization that codes for diseases,
signs, and symptoms, abnormal findings,
complaints, social circumstances, and
external causes of injury or diseases. It
replaces version ICD-9 and becomes
mandatory in October 2014.


Genomics is a discipline in genetics that
applies recombinant DNA, DNA
sequencing methods, and bioinformatics
to sequence, assemble, and analyze the
function and structure of genomes (the
complete set of DNA within a single cell
of an organism). The field includes efforts
to determine the entire DNA sequence of
organisms and fine-scale genetic
mapping.


Quality Reporting – patient
satisfaction and performance on national,
state, county quality indicators and
practices. Key metrics include re-
admission rates. Reporting organizations
include HEIS, JCAO


Data Breach - The HIPAA Privacy Rule regulates the use and disclosure of
Protected Health Information (PHI) held by "covered entities" --
generally, health care clearinghouses, employer sponsored health
plans, health insurers, and medical service providers that engage in certain
transactions. By regulation, the Department of Health and Human Services
extended the HIPAA privacy rule to independent contractors of covered
entities who fit within the definition of "business associates". PHI is any
information held by a covered entity which concerns health status, provision
of health care, or payment for health care that can be linked to an individual.
This is interpreted rather broadly and includes any part of an individual's
medical record or payment history. Covered entities must disclose PHI to
the individual within 30 days upon request.


Virtualization – creation of virtual
(rather than physical or actual) versions of
servers, storage, networks or desktops.


Precision Based Medicine – tailoring
an individual patients treatment based on
their personal genome as opposed to
simply applying best practices or
population based medicine based on their
demographic information


Personal Health Record (PHR), as defined
in Defining Key Health Information
Technology Terms (The National Alliance
for Health Information Technology, April
28, 2008): An electronic record of health-
related information on an individual that
conforms to nationally recognized
interoperability standards and that can be
drawn from multiple sources while being
managed, shared, and controlled by the
individual.


Lean/Six Sigma – applying process
optimization strategies to streamline
Healthcare workflows (both care delivery
and billing)


Interoperability – refers to the ability for
two or more EHR systems to exchange
information and use the information in
caring for patients


Digital Pathology is an image-based
information environment enabled by
computer technology that allows for the
management of information generated
from a digital slide. Digital pathology is
enabled in part by virtual
microscopy, which is the practice of
converting glass slides into digital slides
that can be viewed, managed, and
analyzed


Meaningful Use -- The Health
Information Technology for Economic
and Clinical Health Act (set meaningful
use of interoperable EHR adoption in the
health care system as a critical national
goal and incentivized EHR adoption. The
"goal is not adoption alone but
'meaningful use' of EHRs — that is, their
use by providers to achieve significant
improvements in care.


Pay for Performance (P4P) –
compensate providers (doctors), based
on meeting pre-established targets for
delivering Healthcare services (based on
outcomes), instead of the traditional fee-
for-service payment model (payments for
services are unbundled and not tied to
outcomes)


Patient Centered
Medical Home is a program
gives medical practices information about
organizing care around patients, working
in teams and coordinating and tracking
care over time, whether the patient is at
their home, at a clinic or in a hospital


HIE – Healthcare Information Exchange
focuses on the mobilization of healthcare
information electronically across
organizations within a region or
community. HIE provides the capability to
electronically move clinical information
between disparate health care
information systems while maintaining
the meaning of the information being
exchanged. The goal of HIE is to facilitate
access to and retrieval of clinical data to
provide safe, and efficient patient-
centered care.


BYOD – Bring Your Own Device --
policy of permitting employees to bring
personally owned mobile devices
(laptops, tablets, and smart phones) to
their workplace, and use those devices to
access privileged company information
and applications


Attestation -- To receive federal incentive
money, CMS requires participants in the
Medicare EHR Incentive Program to
"attest" that during a 90-day reporting
period, they used a certified EHR and met
Stage 1 criteria for meaningful use
objectives and clinical quality measures.
For the Medicaid EHR Incentive Program,
providers follow a similar process using
their state's attestation system


Electronic prescribing or e-prescribing
(e-Rx) is the computer-based electronic
generation, transmission and filling of a
medical prescription, taking the place of
paper and faxed prescriptions. e-Rx
occurs through an EHR and often uses
the Surescripts e-prescribing network.


ACO – Accountable Care
Organization is a healthcare
organization characterized by a payment
and care delivery model that seeks to tie
provider’s reimbursements to quality
metrics and reductions in the total cost of
care for an assigned population of
patients. A group of coordinated health
care providers forms an ACO, which then
provides care to a group of patients. The
ACO may use a range of payment models
(capitation, fee-for-service with
asymmetric or symmetric shared savings,
etc.)


Healthcare Reform - Patient Protection and Affordable Care Act is
enacted in 2010 providing for the purchased introduction over four years of
a comprehensive system of mandated health insurance with reforms
designed to eliminate "some of the worst practices of the insurance
companies" — pre-condition screening and premium loadings, policy
rescinds on technicalities when illness seems imminent, annual and lifetime
coverage caps. It also sets a minimum ratio of direct health care spending to
premium income, and creates price competition bolstered by the creation of
three standard insurance coverage levels to enable like-for-like comparisons
by consumers, and a web-based health insurance exchange where
consumers can compare prices and purchase plans. The system preserves
private insurance and private health care providers and provides more
subsidies to enable the poor to buy insurance.


Risk Assessment – determining risks to
patients based on lifestyle
behaviors, physical behaviors, nutritional
choices, tobacco use, weight etc


Dell is Leading the Way #1 Worldwide 13,000 employees
in Healthcare and Life Healthcare IT Services worldwide.
Sciences Vendor – Gartner, 2010,
2011 300+ MDs, RNs and
PhDs

Serving more than 50% Serving 7of top 10 Serving 100 insurance
of U.S. hospitals pharmaceutical organizations supporting
providing care to 90 companies 65 million policy holders
million Americans

Managing over 5.7 Support for over 500 Leading provider of
Billion Medical Images software, medical device converged server,
across in Cloud based and scientific storage and networking
Enterprise Archive instrument providers infrastructure

Manage 14 billion Provide OEM services to Sponsor of 1st FDA
security events a day 70+ Healthcare and Life Approved Genomics-
Sciences software, medical Medicine-Based Pediatric
device and scientific Cancer Clinical Trial
instrument providers

Healthcare and Life Sciences

Dell healthcare-training-it-buzzwords-presentation

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