Managing Information, Improving Care

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Managing Information,Improving Care
by Lydia Washington, MS, RHIA, CPHIMS,and Beth
Hjort, RHIA, CHPS
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Information Is the Thread That Ties It All
Together

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How Does Quality Health Information Improve Care?
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What Is Health Information Management?

• Processes and practices to ensure the
  availability of high quality of information that
  will improve care

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Electronic Health Record

• EHR
• Computer-based, lifetime repository of patient
  information

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Vision of the EHR

• Collect administrative, financial, and clinical
  data at point of care
• Enhance clinical decision making
• Exchange data easily across continuum of care
• Report health data
• Health information exchanged across
  regions/nation/globe
• The longitudinal record a lifetime record

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Information Can Be Confusing

• Provider A ? Provider B

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A Universal LanguageData Standards

• Use of the same terms
• Agreed upon definitions
• Ability to understand
• Ability to compare
• Ability to interpret
• Ability to make meaningful decisions

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Health Information Exchange

• Regional Health Information Organization (RHIO)
• Thinking globally, acting locally
• Collaborative activities
• Federal initiatives and influence

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PHR Personal Health Record

• Serves as a lifelong resource needed by
  individuals to make health decisions
• Patient-owned and controlled health information

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PHR Personal Health Record

• Demographic and contact information
• General medical information
• Allergies and drug sensitivities
• Conditions
• Hospitalizations and surgeries
• Medications
• Immunizations and clinical tests

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myPHR.com

• What is a PHR, what it contains, how providers
  manage health information
• Privacy rights and myths, who can access your
  health record
• Why start a PHR, how to maintain it
• Research PHR tools
• Links to other resources
• A guided tour
• Find education programs in your community

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Privacy

• Trust
• Privacy rights
• Secure?technology safeguards
• Confidentiality policies and practices

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How Does Quality Health Information Improve
Healthcare?

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Patient Safety

• Clear communication among caregivers
• Data standards
• Documentation templates
• Validation of patient identity
• Data integrity

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Quality/Performance Measurement

• Accreditation standards
• Clinical care indicators
• Pay for performance
• Credentialing
• Benchmarking

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Population Health

• Public health/bio-surveillance
• Clinical trials/research
• Disease management
• Health services planning and administration
• Drug/device recalls

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HIM Vision

• HIM is the body of knowledge and practice that
  ensures the availability of health information to
  facilitate real-time healthcare delivery and
  critical health-related decision making for
  multiple purposes across diverse organizations,
  settings, and disciplines.

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Questions?