This book focuses on the infrastructure of an electronic health record and the impact that the government's new criteria will have on the private and public marketplace. Walking readers through what to look for in a health care record management system, it includes implementation tips and other helpful guidance. INDICE: Preface. Acknowledgements. Introduction. Chapter 1. Market Background. E-Health. How is Electronic Information Created? Information Technology Considerations. How is Health Information Created? Review of Primary HCC MarketPlayers. Patients. Providers. Third Party Vendors. Payers. Review of HCC Secondary Market Players. Major Initiative for E-Health. Audit Implication Overview. Chapter 2. Industry Application. Public Uses. Private Uses. Information Continuum. Market Standards and Initiatives. Agency for Healthcare Research and Quality. Health Level Seven. Certification Commission for Healthcare Information Technology. Department of Defense Records Management Program. Association ofRecords Managers and Administrators. Audit Implication Overview. Chapter 3. The Impact of E-health on Case Management. The Financial Picture. Hospital Based FCM Application. Background Information and Provider Perspective. The Problem: Getting Paid Correctly for Services Provided. Findings. Additional Findings. Summary. Consumer Based FCM Application. Market Problems: The Industry as ItOperates Today. Consumer FCM Model. Healthcare Portfolio Application. VirtualCase Management. VCM Payer Model. VCM Patient Model. VCM Hospital Model. VCM Physician Model. VCM Allied Health Services. VCM Non-Traditional Health Services Model. VCM Other Businesses Services Model. Audit Implication Overview. Chapter 4. Data In An E-Health Environment. The Data Library. Data Intelligence. New Data. More New Data. Processed Data. Data Warehouse. Audit Implication Overview. Chapter 5. Algorithms. Background. Understanding Algorithms. Data Elements. Case Study. Algorithm Selection Auditor Implication Overview. Chapter 6. Data-driven Health Decisions in an E-Health Environment. Knowledge Models. Primary Healthcare Continuum. Secondary Healthcare Continuum. Information Continuum. Third Party Vendor Knowledge Model. Knowledge Models For White Collar Definition. How Medical Identity Theft Occurs. Damages To Primary Victims. MedicalIdentity Theft From A Consumer Perspective. When The Consumer Is Not Aware. When The Consumer Is Involved. When An Individual Wants Products Or Services. Damages To Secondary Victims. Medical Identity Theft From An Entitys Perspective. Auditor Considerations. Sample Fraud Case. Sample Pharmaceutical Fraud Case. Audit Implication Overview. Examples Of World Wide Activity. Chapter 7. Analytic Tools Handling Subcontracted Vendors. Problem #2: Lack Of Insurance Processing Fraudulent Claims For Enrolled Beneficiaries. Plan Sponsor Business Process. Problem #1: Employee Working Environments. Problem #2: Employer Increase In Healthcare Expenditures. Third Party Vendor Business Process. Problem: Increase In Pharmaceutical Expenditures. Audit Implication Overview. Chapter 8. Electronic Health Records. Current E-Health Offerings. Market Evolution. E-health Offering Vulnerabilities. Audit Implication Overview. Chapter 9. Healthcare Portfolio. Health Infomediary Support. PHR Attributes. Future Considerations. Major Market Activity. Audit Implication Overview. Chapter 10. Conclusions. Consumer Response to PHRs. Audit Implication Overview. Index.
- ISBN: 978-0-470-25820-0
- Editorial: John Wiley & Sons
- Encuadernacion: Cartoné
- Páginas: 256
- Fecha Publicación: 01/08/2008
- Nº Volúmenes: 1
- Idioma: Inglés