Saturday, June 8, 2019
Understanding the Patient Intake Process Essay Example for Free
Understanding the Patient Intake Process Essay checkup Insurance describes the aspiration process using a decision tree model (pg. 79, Figure 3.1, Valerius, Bayes, Newby, Blochowiak, 2014). The tree leads administration personnel through a list of questions to determine if the longanimous is a new tolerant or an established affected role.The first problem with this process is that some of the new unhurrieds are patients that have been seen at the practice. If an established patient has an appointment with a new specialist or sub-specialist that patient is registered as a new patient. The problem with this is describing these patients as new patients can lead to six-fold patient records and lost information between physicians. If a patient for example, was seen in a large medical office that had several types of specialists and subspecialists creating a new patient chart for each visit to a new doctor or specialist would make it difficult to ensure that all files were up dated. This would be particular central for a patient that was under more(prenominal) than champion doctors care for more than one problem at a time. In cases where a patient had more than one problem, treatment for problem A could affect the treatment for problem B. It is important for doctors to know a patients complete history as well(p) as current care when attempting to treat them.Using a master patient top executive is the first step to removing the need for duplicate records. In a master patient index a patient is registered the first time they are seen at a practice and given a eonian and unique patient identification number. Master Patient Indexs ensure that every patient is represented only once, and with constant demographic identification, inwardly all corpses of hospital data (Master Patient Index, 2011). The master patient index as well as the medical records also needs a system to nurse the circulation of paper files or electronic database.A centralized medic al records office would be the best way to control records (Green Bowie, 2011). The medical records office would controlthe master patient index, which is never changed, so if a patient is absent from the practice for a number of years and returns their number could be found in the index. The centralized medical records office would also control the circulation of paper records. To release a record, the office would require a requisition for the record. Then records management would call for the record and replace it with an outcard and log the file back in when it was returned (Green Bowie, 2011). In an electronic database system, records management would control entering the demographic data and the administration data as well as scanning any paper records into the electronic records (Green Bowie, 2011).In a practice where patients might see different specialists or subspecialists at that place are two options for organizing the patient record. The POR system where each new p roblem would be entered using the SOAP method subject (problem), objective (observations of condition and bear witness results), assessment (providers evaluation), and plan (the treatment plan) (Green Bowie). The second option would be the SOR system where each source (provider, nurse, x-ray technician, lab technician, etc.), would group their entries together (Green Bowie).Considering Table 3.1in Medical Insurance the SOR system would probably be the best system for this organization. As this practice is used to organizing files specific to providers this system would be the most similar and then the least confusing to change to. The SOR system would allow each specialist or subspecialist to easily identify their section of the patient record as well as easily reference pertinent information. For instance, a new specialist needs to get lab work done to verify a chemical substance level before prescribing a particular medication. The specialist can easily access the lab technici ans results and see if the right test has been run recently. In a system where each new visit to a different specialist results in a new patient file, this information would be stiff to cross reference.Maintaining patient records in a centralized location also allows for better control of medical files. When multiple copies of a patient file are in circulation it becomes increasingly difficult to control the circulation andcreates unnecessary possibilities for HIPPA violations. A Master Patient Index will also increase efficiency and patient care. correspond to Building a successful enterprise master patient index a case study there are more overlap patient files than an organization usually perceives an imprecise and incomplete base of demographic data will multiply the error rate for the enterprise (Lenson, 1998). The master patient index ensures that patients are given a unique identification number only once, meaning there will never be multiple patient files for one patient. A centralized records management center ensures that there are not duplicate files due to decentralization.ReferencesGreen, M. A. Bowie, M. J. (2011). Essentials of health information management Principles and practices (2nd ed.). Clifton Park, NY Delmar, Cengage Language Lenson, C. M. (1998, August). Building a successful enterprise master patient index a case study. Topics in health information management, 19(I), 66-71. http//www.ncbi.nlm.nih.gov/pubmed/10181913 Master Patient Index. (2012). In Search health IT. Retrieved from http//searchhealthit.techtarget.com/definition/master-patient-index-MPI Valerius, J., Bayes, N., Newby, C., Blochowiak, A. (2014). Medical insurance An integrated claims process approach (6th ed.). Boston, MA McGraw-Hill.Green, M. A. Bowie, M. J. (2011). Essentials of health information management Principles and practices (2nd ed.). Clifton Park, NY Delmar, Cengage Language
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