Medicine and Health Sciences Commons^™

International Classification Of Diseases, Tenth Revision, Clinical Modification And Procedure Coding System And Clinical Documentation Improvement, Margaret L. Possel

Applied Research Projects

Today, the International Classification of Diseases, Ninth Revision, Clinical Modification is more than 35 years old and there is a great need for the United States of America to implement the International Classification of Diseases, Tenth Revision. The International Classification of Diseases, Tenth Revision has two parts: The International Classification of Diseases, Tenth Revision, Clinical Modification for diagnosis codes and The International Classification of Diseases, Tenth Revision, Procedure Coding System for inpatient procedure codes. Both classification systems incorporate greater specificity, clinical data, and information relevant to ambulatory and to managed-care encounters. With the greater specificity, it is imperative for …

Job Security In The Field Of Health Information, Davina Ikponmwosa

Applied Research Projects

The industry of Health Information Management (HIM) has remained a hidden career field for several years, affording employment for a plethora of non-traditional job opportunities. Established in 1928, the American Health Information Management Association (AHIMA) has brought some awareness to the field, and over the years has become more aggressive in popularize the field of health information management (AHIMA Workforce, 2005).

Over the past eighty-five years the field of HIM has progressed tremendously, branching out into different sectors such as compliance, information technology and insurance; establishing more jobs under the field’s umbrella. Health information management has gained much of its …

Quality Of Cancer Registry Data, Alicia Noel Richardson

Applied Research Projects

Cancer registry is a growing field and with data being collected year round the data needs to be of good quality standing. Quality of cancer care is measurable per standards when met within the time frame allotted per care regimen. Cancer programs are evaluating and implementing new process to make their data valid and complete through information technology and connection among hospital-based and community-based practices. The aim of this study is to review the available validity, barriers and utilization related to quality of cancer care data. The studies were consistent among each other in that a concurrent review of data, …

Electronic Health Record Documentation: Is It An Accurate Indicator Of Quality Of Care For Mechanically Ventilated Patients?, Joetta Powell

Applied Research Projects

Background: Ventilator associated pneumonia is one of the leading hospital acquired infections associated with increased mortality and lengths of stay in mechanically ventilated patients.

Hypothesis: It is hypothesized that the introduction of chlorhexidine gluconate will show reduction in the incidences of ventilator associated pneumonia and a greater reduction with tooth brushing vs oral swabbing. It is also hypothesized that the electronic health record will provide more evidence of quality of care than an external EHR sources.

Methods: The non-randomized, non-sampled population included 98 patient records that met the inclusion criteria. The external tool, Automated Vent Bundle tool provided information as …

Meaningful Use – Is It Worth It?, Karen Perry Callahan

Applied Research Projects

The world of medicine has long been an ever changing environment. The advancements and progress in both knowledge and techniques has made patient care and treatment an increasingly successful endeavor. Physicians are often eager to embrace any new technology in the medical field that allows them to better care for their patients. The problem with new medical technology is that unless this technology can be shared or related to others, it is somewhat useless.

The medical profession has been somewhat reluctant to come to terms with the use of computer technology and its many benefits. Generally embedded in the use …

Integrated System Post-Implementation Evaluation And Use Assessment, Anne L. Pedigo

Applied Research Projects

Part of a well-designed health informatics implementation process includes the mechanisms put in place to help the day-to-day operators of the systems. Continual appraisal of these methods necessitates up-to-date investigations. Understanding critical elements which support a positive transition of health information technology (HIT) within healthcare facilities is the objective of the following research. To help develop these findings, a prospective post-implementation and use assessment survey was conducted on two hospitals in Central Texas. The population studied included RN case managers, social workers and supportive staff in the Continuum of Care departments at two Scott & White Healthcare acute care facilities. …

Adoption Of Health Information Technology In Nursing Homes, Robert Smiley

Applied Research Projects

Background: Comprehensive knowledge about the level of Health Information Technology (HIT) adoption in Nursing Homes remains subpar to 21st century healthcare standards.

Objective: This study is to determine the factors that will aid in the adoption of HIT in Nursing Homes in the New York metropolitan area.

Methods: A pilot survey was issued to employees at three Nursing Homes to collect data that would aid in the adoption of HIT in Nursing Homes in the New York metropolitan area.

Study Design: A 16 question survey was administered to twenty-one employees at three separate Nursing Homes in the New York metropolitan …

The Impact Of Icd-10 Implementation On Hospital Providers, Gwendolyn Johnson

Applied Research Projects

The transition from ICD-9CM to ICD-10 CM for hospital providers was reviewed to identify the impact. The study will incorporate history of the change, lessons from other country adoptions, and a comparison of static industry survey results with more dynamic results from the 2014 Johnson survey for this study. Remediation and critical success factors will also be outlined. Results include financial impact and concerns from the literature review as well as participant survey feedback from payors, healthcare consultants, and hospital employees in health information management, financial analysis, patient financial services and information technology. For the 2014 Johnson study, twenty-one surveys …

Meaningful Use: Electronic Clinical Quality Measure Reporting, Rhonda K. Denzel

Applied Research Projects

The adoption of health information technology and the meaningful use of electronic health records is a byproduct of the 2009 American Recovery and Reinvestment Act (ARRA). One measure of ARRA is the Health Information and Technology for Economic and Clinical Health (HITECH) Act which authorizes the Centers for Medicare and Medicaid Services (CMS) to provide monetary incentives to hospitals and providers who demonstrate meaningful use of certified electronic health records (EHRs).

The electronic reporting of clinical quality measures is but one requirement for demonstrating meaningful use. Reporting of clinical quality measures has been around for 25 plus years as a …

The Impact Of The Electronic Medical Record On Health Information Management Staff In Two Southeastern States, Betsy W. Bradley

Applied Research Projects

Health information management (HIM) staffs in health care facilities have a long history of managing medical records in a paper format. Since 2009, with the passage of the Health Information Technology for Economic and Clinical Health Act (HITECH), health care facilities have been rapidly changing from a paper medical record system to an electronic system. The adoption of electronic record systems has reduced or eliminated paper medical record forms which consequently changed many HIM staff’s jobs. A survey of HIM professionals was conducted in two southeastern states to determine any increase or decrease in HIM staff numbers and to identify …

An Analysis Of Waiting Time Reduction In A Private Hospital In The Middle East, Husam Asfoor

Applied Research Projects

The study of patient’s waiting time reduction have been receiving attention since the implementation of recent changes in the healthcare quality indicators. However, there is still many areas of improvement the healthcare industry could implement to improve waiting time and positively affect patient satisfaction. This is especially crucial for private healthcare organizations since it has a direct effect on their bottom-line.

In this study, we examine the patient waiting time between the registration stage and the vital sign stage at a private hospital in the Middle East country of United Arab Emirates.

By retrieving the data logs from the EHR …