Hacking healthcare: [a guide to standards, workflows, and meaningful use]
Ready to take your IT skills to the healthcare industry> This concise book provides a candid assessment of the U.S. healthcare system as it ramps up it use of electronic health records (EHRs) and other forms of IT to comply with the government's meaningful use requirements. It's a treme...
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Beijing ; Cambridge ; Farnham ; Köln ; Sebastopol ; Tokyo
O'Reilly Media
2013
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Zusammenfassung: | Ready to take your IT skills to the healthcare industry> This concise book provides a candid assessment of the U.S. healthcare system as it ramps up it use of electronic health records (EHRs) and other forms of IT to comply with the government's meaningful use requirements. It's a tremendous opportunity for tens of thousands of IT professionals, but it's also a huge challenge: the program requires a complete makeover of archaic records systems, workflows, and other practices now in place. This book points out how hospitals and doctors' offices differ from other organizations that use IT, and explains what's necessary to bridge the gap between clinicians and IT staff |
| Beschreibung: | xi, 232 Seiten 24 cm |
Internformat
MARC
| LEADER | 00000nam a2200000 c 4500 | ||
|---|---|---|---|
| 001 | BV041371298 | ||
| 003 | DE-604 | ||
| 005 | 20170818 | ||
| 007 | t | ||
| 008 | 131021s2013 |||| 00||| eng d | ||
| 020 | |z 9781449305024 |9 978-1-449-30502-4 | ||
| 035 | |a (OCoLC)864563487 | ||
| 035 | |a (DE-599)BVBBV041371298 | ||
| 040 | |a DE-604 |b ger |e rda | ||
| 041 | 0 | |a eng | |
| 049 | |a DE-M347 |a DE-578 | ||
| 084 | |a ST 640 |0 (DE-625)143686: |2 rvk | ||
| 084 | |a XC 4000 |0 (DE-625)152514:12905 |2 rvk | ||
| 084 | |a WX 175 |2 nlm | ||
| 100 | 1 | |a Trotter, Fred |e Verfasser |0 (DE-588)1044092165 |4 aut | |
| 245 | 1 | 0 | |a Hacking healthcare |b [a guide to standards, workflows, and meaningful use] |c Fred Trotter and David Uhlman |
| 264 | 1 | |a Beijing ; Cambridge ; Farnham ; Köln ; Sebastopol ; Tokyo |b O'Reilly Media |c 2013 | |
| 300 | |a xi, 232 Seiten |c 24 cm | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 505 | 8 | |a An anatomy of medical practice -- Medical billing -- The bandwidth of paper -- Herding cars : Healthcare management and business office operations -- Patient-facing software -- Human error -- Meaningful use overview -- A selective history of EHR technology -- Ontologies -- Interoperability -- HIPAA : The far-reaching healthcare regulation -- Open source systems | |
| 520 | |a Ready to take your IT skills to the healthcare industry> This concise book provides a candid assessment of the U.S. healthcare system as it ramps up it use of electronic health records (EHRs) and other forms of IT to comply with the government's meaningful use requirements. It's a tremendous opportunity for tens of thousands of IT professionals, but it's also a huge challenge: the program requires a complete makeover of archaic records systems, workflows, and other practices now in place. This book points out how hospitals and doctors' offices differ from other organizations that use IT, and explains what's necessary to bridge the gap between clinicians and IT staff | ||
| 650 | 4 | |a Health services administration / Information technology / Standards / United States | |
| 650 | 4 | |a Health / Information services / Management | |
| 650 | 4 | |a Medical records / Management / Standards / United States | |
| 650 | 4 | |a Medical records / Access control / United States | |
| 650 | 4 | |a Medical informatics / Standards / United States | |
| 650 | 4 | |a Medical care / Information services / Standards / United States | |
| 650 | 4 | |a Medical records / Data processing / Standards / United States | |
| 650 | 4 | |a Datenverarbeitung | |
| 651 | 4 | |a USA | |
| 700 | 1 | |a Uhlman, David |e Verfasser |0 (DE-588)1044092335 |4 aut | |
| 856 | 4 | 2 | |m HBZ Datenaustausch |q application/pdf |u http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=026819446&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |3 Inhaltsverzeichnis |
| 999 | |a oai:aleph.bib-bvb.de:BVB01-026819446 | ||
Datensatz im Suchindex
| _version_ | 1804151461818400768 |
|---|---|
| adam_text | Titel: Hacking healthcare
Autor: Trotter, Fred
Jahr: 2013
Table of Contents
Preface.....................................................................vii
1. Introduction........................................................... 1
Health IT and Medical Science 3
Meaningful Use and What 1t Mcan.s to Bc an EHR 4
Why So Late? ^
Health IT in Health Reform 7
Evolution of Meaningful Usc 7
Accountable Care Organization* 8
EHR Functionality in Context 10
2. An Anatomy of Medical Practice..........................................13
How Patients Rcach Healthcare Organization^ 14
Lab Sample Collection Betöre a Visit or Admission Date 17
H1PAA and Patient Identification 17
Intake, Demographics, Visits, and Admissions 20
Precertification and Prior Authonzation 21
Emergency Admissions 21
Prioritization and Triage 23
Outpatient Care 24
Inpatient Care 25
Labs 27
Imaging 27
Administration and Bilhng 28
3. Medical Billing........................................................ 31
Who Pays, and How 32
Claims 32
Eligibility 33
Treatment 35
Billine ^7
The ßilling Process 38
Complexities in Billing 39
Adjudication 40
The Patient s Bürden 42
4. The Bandwidth of Paper................................................ 45
Workflow Tokens 47
Why Leave Paper? 48
Step 0: Health IT Humility 49
Normalized Data 52
Good Boundaries Mean Good Data 53
Data at Peace with Itself: Linked Data 55
Flexible Data 56
Assume Health Data Changes 57
Free Text Data 57
5. Herding Cats: Healthcare Management and Business Office Operations.........61
Major Business Office Activities 63
Insurance 63
Records 64
Demographics 64
Revenue Collection 65
Auditing 65
Accounting 66
Reporting 66
Licensing, Credentials, and Enrollments 67
Nonhealthcare Interactions 68
The Evolution of the Business Office 68
6. Patient-Facing Software................................................ 69
The PHR as Platform 71
Sharing Data in Patient-Facing Software 75
Patients Using Normal Social Media 75
E-patients 77
The Quantified Seif 78
Patient-Focused Social Media 80
Patient Privacy in PHR Systems 81
Specific PHR and Patient-Directed Meaningful Use Requirements 84
7. Human Error.......................................................... 87
The Extent oi~ Error 87
Dangerous Dosing 89
Discontents oi C^omputerization 92
iv I Table of Contents
Process Errors and Organizational Change 94
Deep Medical Errors and EHR Solutions 9h
Errors Caused by Hurnan-Computer Mismatch 97
Best Practices 98
8. Meaningful Use Overview.............................................. 101
Outpatient Guidelines and Requirements 102
Inpatient Gutdelines and Requirements 118
9. A Selective History of EHR Technology....................................131
MUMPS: The Programming Language for Healthcare 131
Where Can We Buy Some Light Bulbs? 132
Fragmentation 133
In an Environment wich Gag Clauses and No Consumer Reports 1 33
VistA History 135
10. Ontologies...........................................................137
A Throw-Away Ontology 138
Learning from Our Example 140
CPT Codes, Sermo, and CMS 143
International Classification of Diseases (ICD) 146
E-patient-Dave-gate ] 47
Crosswalks and ICD Versions 149
Other Claims Codes 151
Drug Databases 151
SNOMED to the Rescue 156
SNOMED Example 157
SNOMED and the Semantic Web 159
UMLS: The Universal Mapping Metaontology 160
Extending Ontologies 161
Other Ontologies 162
Sneaky Ontologies 164
Ontologies Using APIs 164
Exercising Ontologies 165
11. Interoperability...................................................... 167
Some Lessons from Earlier Exchanges 168
TheNewHIERules 170
Strong Standards 171
Winning Protocols 173
The Billing Protocols 173
HL7 Version 2 175
First-Generation and Second-Generation HIEs 184
Table of Contents
Continuity of Care Record 185
HL7 v3, R1M, CDA, CDD, and H1TSP C32 187
The IHE Protocol 191
HIEwithIHE 194
Managing Patient Identifiers with IHE 194
IHE Data Exchange, rhe Library Model 195
IHE in the NWHIN 196
The Direct Project/Protocol 198
The PCAST Report 200
The SMART Platrorm 201
Technology and Policy Were Sitting in the Tree 201
12. HIPAA: The Far-Reaching Healthcare Regulation...........................205
Does HIPAA Cover Me? 207
Responsibilities of Covered Entities 208
HIPAA: A Reasonable Regulation 215
Duct-Tape HIPAA Strategies 216
Breach Notification Rules 218
In Summary 219
13. Open Source Systems..................................................221
Why Open Source? 222
Major Open Source Healthcare Projects 223
ClearHealth 224
Mirth Connect 225
VistA Variants and Other Certified Open Source EHR Systems 225
OpenMRS 226
Appendix: Meaningful Use Implementation Assessment.......................... 229
vi I Table of Contents
|
| any_adam_object | 1 |
| author | Trotter, Fred Uhlman, David |
| author_GND | (DE-588)1044092165 (DE-588)1044092335 |
| author_facet | Trotter, Fred Uhlman, David |
| author_role | aut aut |
| author_sort | Trotter, Fred |
| author_variant | f t ft d u du |
| building | Verbundindex |
| bvnumber | BV041371298 |
| classification_rvk | ST 640 XC 4000 |
| contents | An anatomy of medical practice -- Medical billing -- The bandwidth of paper -- Herding cars : Healthcare management and business office operations -- Patient-facing software -- Human error -- Meaningful use overview -- A selective history of EHR technology -- Ontologies -- Interoperability -- HIPAA : The far-reaching healthcare regulation -- Open source systems |
| ctrlnum | (OCoLC)864563487 (DE-599)BVBBV041371298 |
| discipline | Informatik Medizin |
| format | Book |
| fullrecord | <?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>02916nam a2200445 c 4500</leader><controlfield tag="001">BV041371298</controlfield><controlfield tag="003">DE-604</controlfield><controlfield tag="005">20170818 </controlfield><controlfield tag="007">t</controlfield><controlfield tag="008">131021s2013 |||| 00||| eng d</controlfield><datafield tag="020" ind1=" " ind2=" "><subfield code="z">9781449305024</subfield><subfield code="9">978-1-449-30502-4</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(OCoLC)864563487</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)BVBBV041371298</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-604</subfield><subfield code="b">ger</subfield><subfield code="e">rda</subfield></datafield><datafield tag="041" ind1="0" ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="049" ind1=" " ind2=" "><subfield code="a">DE-M347</subfield><subfield code="a">DE-578</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">ST 640</subfield><subfield code="0">(DE-625)143686:</subfield><subfield code="2">rvk</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">XC 4000</subfield><subfield code="0">(DE-625)152514:12905</subfield><subfield code="2">rvk</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">WX 175</subfield><subfield code="2">nlm</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Trotter, Fred</subfield><subfield code="e">Verfasser</subfield><subfield code="0">(DE-588)1044092165</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Hacking healthcare</subfield><subfield code="b">[a guide to standards, workflows, and meaningful use]</subfield><subfield code="c">Fred Trotter and David Uhlman</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="a">Beijing ; Cambridge ; Farnham ; Köln ; Sebastopol ; Tokyo</subfield><subfield code="b">O'Reilly Media</subfield><subfield code="c">2013</subfield></datafield><datafield tag="300" ind1=" " ind2=" "><subfield code="a">xi, 232 Seiten</subfield><subfield code="c">24 cm</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="b">n</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="b">nc</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="505" ind1="8" ind2=" "><subfield code="a">An anatomy of medical practice -- Medical billing -- The bandwidth of paper -- Herding cars : Healthcare management and business office operations -- Patient-facing software -- Human error -- Meaningful use overview -- A selective history of EHR technology -- Ontologies -- Interoperability -- HIPAA : The far-reaching healthcare regulation -- Open source systems</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Ready to take your IT skills to the healthcare industry> This concise book provides a candid assessment of the U.S. healthcare system as it ramps up it use of electronic health records (EHRs) and other forms of IT to comply with the government's meaningful use requirements. It's a tremendous opportunity for tens of thousands of IT professionals, but it's also a huge challenge: the program requires a complete makeover of archaic records systems, workflows, and other practices now in place. This book points out how hospitals and doctors' offices differ from other organizations that use IT, and explains what's necessary to bridge the gap between clinicians and IT staff</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Health services administration / Information technology / Standards / United States</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Health / Information services / Management</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Medical records / Management / Standards / United States</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Medical records / Access control / United States</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Medical informatics / Standards / United States</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Medical care / Information services / Standards / United States</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Medical records / Data processing / Standards / United States</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Datenverarbeitung</subfield></datafield><datafield tag="651" ind1=" " ind2="4"><subfield code="a">USA</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Uhlman, David</subfield><subfield code="e">Verfasser</subfield><subfield code="0">(DE-588)1044092335</subfield><subfield code="4">aut</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="m">HBZ Datenaustausch</subfield><subfield code="q">application/pdf</subfield><subfield code="u">http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=026819446&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA</subfield><subfield code="3">Inhaltsverzeichnis</subfield></datafield><datafield tag="999" ind1=" " ind2=" "><subfield code="a">oai:aleph.bib-bvb.de:BVB01-026819446</subfield></datafield></record></collection> |
| geographic | USA |
| geographic_facet | USA |
| id | DE-604.BV041371298 |
| illustrated | Not Illustrated |
| indexdate | 2024-07-10T00:55:12Z |
| institution | BVB |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-026819446 |
| oclc_num | 864563487 |
| open_access_boolean | |
| owner | DE-M347 DE-578 |
| owner_facet | DE-M347 DE-578 |
| physical | xi, 232 Seiten 24 cm |
| publishDate | 2013 |
| publishDateSearch | 2013 |
| publishDateSort | 2013 |
| publisher | O'Reilly Media |
| record_format | marc |
| spelling | Trotter, Fred Verfasser (DE-588)1044092165 aut Hacking healthcare [a guide to standards, workflows, and meaningful use] Fred Trotter and David Uhlman Beijing ; Cambridge ; Farnham ; Köln ; Sebastopol ; Tokyo O'Reilly Media 2013 xi, 232 Seiten 24 cm txt rdacontent n rdamedia nc rdacarrier An anatomy of medical practice -- Medical billing -- The bandwidth of paper -- Herding cars : Healthcare management and business office operations -- Patient-facing software -- Human error -- Meaningful use overview -- A selective history of EHR technology -- Ontologies -- Interoperability -- HIPAA : The far-reaching healthcare regulation -- Open source systems Ready to take your IT skills to the healthcare industry> This concise book provides a candid assessment of the U.S. healthcare system as it ramps up it use of electronic health records (EHRs) and other forms of IT to comply with the government's meaningful use requirements. It's a tremendous opportunity for tens of thousands of IT professionals, but it's also a huge challenge: the program requires a complete makeover of archaic records systems, workflows, and other practices now in place. This book points out how hospitals and doctors' offices differ from other organizations that use IT, and explains what's necessary to bridge the gap between clinicians and IT staff Health services administration / Information technology / Standards / United States Health / Information services / Management Medical records / Management / Standards / United States Medical records / Access control / United States Medical informatics / Standards / United States Medical care / Information services / Standards / United States Medical records / Data processing / Standards / United States Datenverarbeitung USA Uhlman, David Verfasser (DE-588)1044092335 aut HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=026819446&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Trotter, Fred Uhlman, David Hacking healthcare [a guide to standards, workflows, and meaningful use] An anatomy of medical practice -- Medical billing -- The bandwidth of paper -- Herding cars : Healthcare management and business office operations -- Patient-facing software -- Human error -- Meaningful use overview -- A selective history of EHR technology -- Ontologies -- Interoperability -- HIPAA : The far-reaching healthcare regulation -- Open source systems Health services administration / Information technology / Standards / United States Health / Information services / Management Medical records / Management / Standards / United States Medical records / Access control / United States Medical informatics / Standards / United States Medical care / Information services / Standards / United States Medical records / Data processing / Standards / United States Datenverarbeitung |
| title | Hacking healthcare [a guide to standards, workflows, and meaningful use] |
| title_auth | Hacking healthcare [a guide to standards, workflows, and meaningful use] |
| title_exact_search | Hacking healthcare [a guide to standards, workflows, and meaningful use] |
| title_full | Hacking healthcare [a guide to standards, workflows, and meaningful use] Fred Trotter and David Uhlman |
| title_fullStr | Hacking healthcare [a guide to standards, workflows, and meaningful use] Fred Trotter and David Uhlman |
| title_full_unstemmed | Hacking healthcare [a guide to standards, workflows, and meaningful use] Fred Trotter and David Uhlman |
| title_short | Hacking healthcare |
| title_sort | hacking healthcare a guide to standards workflows and meaningful use |
| title_sub | [a guide to standards, workflows, and meaningful use] |
| topic | Health services administration / Information technology / Standards / United States Health / Information services / Management Medical records / Management / Standards / United States Medical records / Access control / United States Medical informatics / Standards / United States Medical care / Information services / Standards / United States Medical records / Data processing / Standards / United States Datenverarbeitung |
| topic_facet | Health services administration / Information technology / Standards / United States Health / Information services / Management Medical records / Management / Standards / United States Medical records / Access control / United States Medical informatics / Standards / United States Medical care / Information services / Standards / United States Medical records / Data processing / Standards / United States Datenverarbeitung USA |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=026819446&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT trotterfred hackinghealthcareaguidetostandardsworkflowsandmeaningfuluse AT uhlmandavid hackinghealthcareaguidetostandardsworkflowsandmeaningfuluse |