1. Continuum of Care
1.1. Guides and tracks patient over time through comprehensive array of health services
1.2. Birth:
1.2.1. Hospital
1.2.1.1. Primary Care
1.2.1.1.1. Community
1.3. Acute Care
1.3.1. Hospital
1.3.1.1. Primary Care
1.4. Chronic Illness
1.4.1. Hospital
1.4.1.1. Primary Care
1.4.1.1.1. Community
1.5. Pallliative Care/Advanced Illness Management
1.5.1. Hospital
1.5.1.1. Primary
1.5.1.1.1. Community
2. HC Professionals
2.1. Physicians
2.1.1. Clincal
2.1.1.1. Family Practice, international Medicine, Pediatrician, etc.
2.1.1.1.1. Doctorate
2.2. Anesthesiologists
2.2.1. Clinical
2.3. Nurses
2.3.1. Clinical
2.3.1.1. Med Surg, Pediatric, OB, NICU, Surgical, etc.
2.3.1.1.1. Need ADN or BSN to become RN
2.4. Pharmacists
2.4.1. Clinical
2.4.1.1. NAPLEX MPJE
2.5. Practice Administrators
2.5.1. Clinical/Non Clincical
2.5.1.1. Recruit physicians, nurses, medical assistants and non medical staff
2.6. Coders & Billers
2.6.1. Non Clinical
2.6.1.1. Medical coding degree: diploma, certificate bachelor's and associate's degree
2.7. Compliance Officers
2.7.1. Clinical
2.7.1.1. Bachelor degree
3. Primary Health Record
3.1. Internal Use
3.1.1. Health Care Providers
3.1.1.1. General Health Care Purposes
3.1.1.1.1. Communication
3.2. External Use
3.2.1. Health System planning, management, quality control. public health monitoring, program evaluations, research, billing.
3.2.1.1. Researchers
3.2.1.2. Coding Specialists
3.2.1.3. Program Administraters
3.3. Documents: Who? What? When? Where? Why? How?
4. Data Governance and Quality
4.1. Data must be recognized as valued and strategic enterprise assest
4.1.1. From "My Data" to "Our Data"
4.2. Data must have clearly defined accountability
4.2.1. Data Governance is "Everyone's Responsibility"
4.3. Data must be managed to follow internal and external rules
4.3.1. Avoid risk and compliance issues
4.4. Data quality must be defined and managed consistently across the data life cycle
4.4.1. Right the first time, every time
5. Historical Evolution
5.1. Electronic Health Record
5.1.1. Makes everything quicker and more efficient for documentation purposes throughout the entire health care system
5.2. Online portal health record
5.2.1. Allows patients to view their health records. make appointments, contact their physicians
5.3. Wireless communication
5.3.1. Allows health care providers to communicate with each other and their patients more efficiently
5.4. Technology
5.4.1. MRI
5.4.1.1. CT
5.5. Patient Protection and Affordable Care Act
5.5.1. Obama-pass largest health insurance expansion
5.6. Advance Directives
5.6.1. Specifies what actions a person wants from healthcare providers if they are no longer able to make decisions for themselves
5.7. Vaccinations
5.7.1. For Children
5.8. In-Vitro Fertilization
5.9. Children's health insurance plan
5.9.1. CHIP 1997
5.10. COBRA
5.10.1. Consolidated Omnibus Budget Reconciliation Act 1985
5.10.1.1. Requires employers to offer partially subsidized health insurance to employees who lost their jobs
5.11. Nutrition labeling and Education Act 1990
5.12. Coronory Stents
6. Oversight -Agencies -Regulations & Guidelines
6.1. Medicaid Benefits
6.1.1. Mandatory
6.1.1.1. Non-emergency transportation to medical care
6.1.1.2. Family planning services and supplies
6.1.1.3. Certified pediatric or family nurse practitioner services
6.1.1.4. Nurse midwife services
6.1.1.5. Early and periodic screening, diagnostic, and treatment services for persons under 21
6.1.1.6. Birthing centers
6.1.1.7. Federally qualified health centers
6.1.1.8. Outpatient hospital services
6.1.1.9. Physician services
6.1.1.10. Inpatient hospital services
6.1.1.11. Laboratory and x-ray services
6.1.2. Optional
6.1.2.1. Community supported living arrangements
6.1.2.2. Clinical Services
6.1.2.3. Chiropractic services
6.1.2.4. Optometry Services
6.1.2.5. Dental Services
6.1.2.6. Dentures
6.1.2.7. Eyeglasses
6.1.2.8. Hospice services
6.1.2.9. Prosthetic devices
6.1.2.10. Etc.
6.2. Patient rights
6.2.1. HIPPA
6.3. Ethical Standards
6.3.1. Code of Ethics
6.3.1.1. Always be ethical to your patients, self, employer, and coworkers
6.4. Accreditation
6.4.1. Strengthen organization and prove you provide high quality care
6.4.2. Review to demonstrate their ability to meet regulatory requirement and standards met by the ACHC
6.5. Main Focus
6.5.1. Address several health care system objectives, promote quality care services, reduce health care costs, promote health care access, protect patients
7. Secondary Health Data -Clinical Terminiologies
7.1. Indices
7.1.1. Overall quality of health care system, health care professionals, equipment, staff, doctors, cost, etc.
7.2. Registry
7.2.1. Collection of information about individuals focused around a specific diagnosis or condition.
7.2.1.1. Alzheimer's Prevention Registry
7.2.1.2. Colon Cancer Family Registry
7.2.1.3. Children's Health Foundation Pediatric Asthma Registry
7.2.1.4. Gastric Cancer Registry
7.3. Nomenclature
7.3.1. Standardized, multilingual vocabulary of clinical terminology used by health care providers for the electronic exchange of clinical health information
7.3.1.1. b.id. vs bid
7.4. Vocabulary
7.4.1. Standardized way for all health care providers to communicate with each other
7.4.1.1. Purpose to facilitate electronic data collection at the point of care; retrieval of relevant data, information, and knowledge, disease surveillance, clinical decision support, patient safety reporting