...UnitedHealthCare A deep dive into United States’ largest health carrier Report by : Guo F. Deng Jiarui Li Malavika Verma Srikanth S. Perinkulam : December’06, 2013 Published on afafaafa United Health Care Contents Company Profile and History ........................................................................................................................ 3 Financial Statement Analysis ........................................................................................................................ 5 Major Acquisitions ...................................................................................................................................... 11 Major Litigations and Public News.............................................................................................................. 13 The Patient Protection and Affordable Care Act (PPACA) .......................................................................... 15 Strategies and Foresight ............................................................................................................................. 18 Bibliography ................................................................................................................................................ 20 2 United Health Care Company Profile and History UnitedHealth Group is one of the largest health care companies in the United States. UnitedHealth Group is currently made of three entities which are UnitedHealthcare...
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...Security and Privacy (Natural Disaster) Security and privacy is important in the healthcare industry the ABC Health Care Network located at 1326 S Dixie Hwy on the Gulf Coast in Naples, Florida. The mission of the establishment is excellent quality services to our patients the goal is to promote wellness. The activities in achieving “formulation of strategy involves making decisions about the mission and goals of the organization and the activities and initiatives it will undertake to achieve that mission and those goals” (Wager, Lee, & Glaser, 2009, p. 318). The reasoning on instructing personal on what to say when a client what her or his personal health record and at the time is accessible. Drills are incorporated to train employees to remain calm in the mist of chaos this creates implementation, which involves making decisions about how the organization structure itself, acquires skills, establishes capabilities, and alters processes in order to achieve the goals and carry out the activities defined during formulation” (2009, p. 318). According to the Sun Sentinel the tribune newspaper website, there has been 37 major hurricanes since 1851 in Florida (Keye, March 16, 2014, p. 1). The importance of knowing the kinds of disasters that occur in the area will ensure readiness. Florida’s disasters is hurricanes, California it is earth quacks, and Oklahoma has tornadoes. Knowing the time table of the natural disasters in the area, and having drills ensures a less stressful environment...
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...5 IMPROVING QUALITY OF HEALTH……………………………………………………………………………5 IMPACT ON HEALTH CARE COST………………………………………………………………………………5 IMPACT ON HEALTH CARE DELIVERY SYSTEM………………………………………………………….5 LITERATURE REVIEW…………………………………………………………………………………………………………..6 WHAT IS HEALTH INFORMATION TECHNOLOGY……………………………………………………...6-8 INFORMATICS IN HEALTHCARE……………………………………………………………………………….8-9 BENEFITS OF INFORMATICS……………………………………………………………………………………9-10 PROBLEM ANALYSIS…………………………………………………………………………………………………………..10 THE COST OF HEALTH IT………………………………………………………………………………………10-11 HOW IT IMPROVED QUALITY………………………………………………………………………………….12 POSSIBLE SOLUTIONS…………………………………………………………………………………………………………12 (1). PERSONAL HEALTH RECORDS……………………………………………………………………………12 (2). E-PRESCRIBING…………………………………………………………………………………………………13 (3). COMPUTERIZED PROVIDER ORDER ENTRY……………………………………………………….13 SOLUTION AND IT IMPLEMENTATION……………………………………………………………………………14-15 JUSTIFICATION………………………………………………………………………………………………………………15-16 REFERENCES……………………………………………………………………………………………………………………..17 ------------------------------------------------- EXECUTIVE SUMMARY The use of technology in health care has become a huge topic in the medical world today. Health care managers would like to know if technology really improves the quality of care in the health care sector and the challenges it presents in health care delivery. Health care technology allows providers...
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...Health Care Information System Terms Health Insurance Portability is known as HIPPA are rules that is made to improve effectiveness and the value of Healthcare system in America. HIPPA help with privacy of Patients Electronic Medical Records and Electronic Health Records this give patients confidences that their labs, Medication, and any conversation the patient have with the doctor with not be public knowledge past, present, or future information, even if its psychological or physical health or about the payment which I given to the medical doctor . All new staff must be trained the importance of patient privacy, implementation of proper security, risk assessment, data encryption, audit trails, and the use of firewall protection, and virus checking. Through the use of HIPPA guidelines the health care organization gave their patient greater protection. Facilities that obtain a NPI which replaced all passed patient Identification numbers, through clearinghouses, medical doctor. HIPPA rules of privacy require that medical facilities have written Notice of Privacy Practices this is a descripition of the document and its disclosure All doctors, nurses, physical therapist, pharmacists, home health agencies laboratories, nursing, chiropactors, dentist must apply HIPPA. Electronic Medical Records are digital version of paper Charts that utilized to keep patients information on the Computers, which allow a physician to access a patient ...
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...Health Care Information Systems Terms HCS/483 June 3, 2013 University of Phoenix Health Care Information Systems Terms Health Insurance Portability and Accountability Act (HIPAA) - HIPAA is the federal legislation signed in 1996 to protect all patients’ medical records with privacy guidelines that are seen by health care professionals. It also gives patients more control over their medical records. The Health Insurance Portability and Accountability Act are used mainly to protect patient information in a health care setting. HIPAA is also used to reduce fraud and abuse from health care professionals. If HIPAA regulations are not met the consequences could be great. Electronic medical record (EMR) – An EMR is an electronic record of an individual’s health information that is generated, assembled, and managed by those who are authorized physicians and other staff from a health care facility. Electronic medical records are used in a health care facility to record patient information such as patient identification, insurance information, visits, diagnosis, and labs. EMR’s can be accessed easily, and there is no need for paper files. EMR’s can be accessed by portable devices like a tablet. Electronic health record (HER) – An electronic record of an individual’s health information that is generated, assembled, and managed by authorized physicians and other health care professionals between several health care facilities. Electronic health care are used in health...
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...Analysis & Execution Project Concept Sync Doctor is the next generation of interactive Personal Health Records (PHR). At the present time, PHRs serve as an electronic repository of the personal health data of patients. Many PHRs are dependent on patient entry of data meaning that they are fraught with inaccuracies and are composed of a colorful blend of layman’s terms and inappropriate uses of medical terminology. Sending this compilation of patient data to a physician’s office is helpful, but is heavily reliant on the trained medical professional to extract the key facts from fiction and translate it into the physician medical record in a concise format utilizing correct medical terminology. This is both time-consuming and potentially dangerous as the translated medical history is hardly free from errors. The dawning era of virtually all medical records in the United States being digitized by 2014 into Electronic Medical Records (EMRs) through government mandate has presented an opportunity to take PHRs to the next level. Sync Doctor would allow key patient medical information to be extracted from the physician EMR and imported to the PHR where it can be stored, updated, and shared with anyone involved in the care of an individual patient as authorized by the patient. This is a patient centric platform that facilitates the collection and transfer of reliable protected health information (PHI) and eases the burden of time spent filling out forms and re-entering of data...
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...Health Care Information Systems Terms Sherrilynn Walters HCS/483 August 1, 2011 Health Care Information Systems Terms |Term |Definition |How It Is Used in Health Care | |Health Insurance Portability and |Health Insurance Portability and |Health Insurance Portability and | |Accountability Act |Accountability Act outlines the rules and |Accountability Act is used in healthcare to| | |regulation on protecting personal health |protect patients from having his or her | | |information of patients. |health information and identity shared | | | |unless it benefits the health of a patient.| | |Health Insurance Portability and | | | |Accountability Act states what information | | | |can and cannot be shared about a patient’s | | | |medical information and identity to | | | ...
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...Communication Paper As the health care industry moves its focus on to the Electronic Health Records (EHR) era and the United States moves towards a more patient-centered health care system, Patient Portals offer patients a way to efficiently interact and electronically communicate with their health care providers. A Patient Portal is an online interactive communication tool, where patients log in and have access to their personal health records such as lab and diagnostic testing results. Patients have a personalized way of managing their health information as well as make requests and changes related to their health care. In addition to accessing personal health records, patients can also schedule appointments, request prescription refills, view past visits, and even make changes to their existing plan coverage. This is especially helpful when patients travel out of the country, to another health care facility or when they are referred to another physician, such as a specialist. Patients can control and easily access their own personal medical history to share as they see fit. This also allows patients to feel more at ease when sharing their personal health history with others. Additionally, patients can effectively communicate with staff members about payments, and other non-medically related topics. Patient portals also offer links to useful services such as information on specific health conditions, health and wellness classes, as well as tools and health calculators that favorably...
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...Home Health Patient Tracking Sheet Gregg Moore Western Governors University Home Health Patient Tracking Sheet Field Name | Field Type(OASIS-C Data, n.d.) | Field Size(OASIS-C Data, n.d.) | Definition(OASIS-C Data, n.d.) | Allowable Values/ Edits(OASIS-C Data, n.d.) | CMS Certification # | Number | 6 | Specifies the agency’s Centers for Medicare and Medicaid Services (CMS) certification number (CCN/Medicare provider number). | | If the HHA has a CMS Certification number, it must be entered in this field. Otherwise enter spaces. | Branch State | Text | 2 | Specifies the State where the agency branch office is located. | | Branch ID # | Text | 10 | Specifies the branch identification code, as assigned by CMS. The identifier consists of 10 digits – the State code as the first two digits, followed by Q (upper case), followed by the last four digits of the current Medicare provider number, ending with the three-digit CMS-assigned branch number. | If the assessment was performed by an HHA which has no branches or by a subunit which has no branches, then M0016_BRANCH_ID must contain the following: "N " (N followed by 9 spaces). This indicates that the assessment was completed by an HHA or subunit which has no branches. | National Provider Identifier | Number | 10 | Identifies the physician who will sign the Plan of Care | Leave blank (spaces) if a referring physician National Provider ID (NPI) is not applicable. | Patient ID # | Number | 20 | Specifies...
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...Introduction Healthcare organizations need an organized, efficient, and well trained health informatics department as it is crucial for the delivery of information that is critical to the proper care and management of a patient (Conrick 2005). The health informatics department also ensures the protection of personal health information from unauthorized access, use, and disclosure as well as from loss, damage, and accidental destruction by controlling the electronic health records (EHR), electronic medical records (EMR), and all paper records. Deficiencies Discovered Unfortunately, when Diane finally focused on the Willow Bend Hospital’s policies regarding information management, she found several deficiencies in the available policies that are in need of immediate attention. Standard IM.01.01.01 – Information Management Planning One of the first important standards that the Joint Commission will expect to review and verify is Information Management Planning (Standard IM.01.01.01). This standard requires the Hospital to identify: both internal and external information needed; how that data and information enters, flows, and leaves the Hospital; how the data is managed; and requires both staff and licensed independent practitioners to participate in the assessment, selection, integration, and use of the systems and data. Based on the brief Survey Readiness Scenario, Willow Bend Hospital may not have had the required practitioners involved in the process, and Diane...
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...security of patient’s health information is an important challenge and responsibility for every healthcare organization and a concern for every United States citizen. To receive healthcare, patients must reveal information that is very personal and often sensitive in nature. Most of the patient-physician relationships depend on very high levels of trust at the same time they also trust that the healthcare organization will protect their confidential healthcare information with belief of security and privacy. It is an ethical and legal responsibility for every healthcare organization to protect patient’s health information and should make a management plan for security and privacy of this confidential health information. “Disasters and security incidents may threaten the organization’s ability to carry out its mission as well as other operational functions. Advance planning and preparation will allow the organization to continue serving its patients and community to ensure the availability of patient protected health information as well as business information” (MHC IT Disaster Recovery Plan, 2006). If access to data is not safe and precise during a natural disaster, there are bound to be many privacy concerns. The purpose of this paper is to describe and discuss the natural disaster case scenario of a small town on the Gulf Coast that was struck by a hurricane and the detailed management plan for the security and privacy of the affected patient’s health care information. ...
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...Organizational Change Process: The EMR in Health Care Settings In the past decade, new advances in technology have changed health care. Experts continue to speculate that information technology has and will play a key role in efficiency, costs, and quality of patient care (Mehlman, 2010). With these changes comes the demand for hospitals to keep up with the times. In January 2009 President Barack Obama spoke about the government’s recent stimulus package and drive to have Americans’ health records electronic “within the next five years in order to save both dollars and lives” (Childs, Chang, & Grayson, 2009, para. 2).The “meaningful” use of electronic medical records promises to improve processes, decrease errors, and extend far beyond cost savings for the hospital, physicians, nurses, and the patients. Transforming a paper-based system into an electronic health- record application will allow real-time patient information to pass through multiple sources faster, enhance communication throughout the hospital into the community, and provide fiscally responsible care with the click of a mouse. Updating to an electronic form of medical records storage has been proven to be more economical and efficient. However, organizations are often met with resistance when moving forward with plans to transition without adequately preparing the employees of the organization. Whenever a breakdown in the communication between the administrators and staff members has occurred, a barrier to...
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...Health Care Information Systems Terms LinetA HCS483 November 2, 2015 George DeRosa Health Care Information Systems Terms Health Insurance Portability and Accountability Act According to Wager, K. A., Lee, F. W., & Glaser, J. P. (2013), this federal legislation includes provisions to define, specify, and protect patient health information. This legislation formulates the processes for the use and de-identification of the data and authorization of that data's use in research and analytics. Healthcare "covered entities" are bound by the constraints of HIPAA to protect private health information. HIPAA training and enforcement is utilized throughout the health care industry, to include providers, payors, patients and a host of ancillary entities. These ancillary organizations can include the insurance industry, schools, employers, public health agencies, and various research organizations. Individuals, organizations, and agencies must comply with the regulations and rules to protect the “privacy and security of health information” (U.S. Department of Health & Human Services., n.d. pp.1). Electronic Medical Record An Electronic Medical Record (EMR) is the documentation, and utilization of a consumer’s health care encounter, created and managed by the providers and staff within one health care organization (Wager, K. A., Lee, F. W., & Glaser, J. P. 2013). The majority of health care records are currently in the format of EMRs. Basic office formatted...
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...assignment. After you define each term, describe in 40 to 60 words the health care setting in which each term would be applied. Include at least two research sources to support your position—one from the University Library and the other from the textbook. Cite your sources in the References section consistent with APA guidelines. Term Definition How It Is Used in Health Care Health Insurance Portability and Accountability Act Passed in August 1996, the original intent was to prohibit individuals from losing insurance coverage because of pre-existing conditions when changing employers. Also HIPAA protects patient privacy by disclosing who has access to private health information. Additionally HIPAA reduces fraud by outlining punishment for privacy violators and preventing unlawful sharing of patient information. HIPAA prohibits health care organizations and clinicians from sharing or using patient’s personal health information (PHI) without permission except when related to treatment among clinicians, payment or reimbursement, public health services, law enforcement, and certain research applications. Electronic medical record A complete, computerized copy of a patient’s physical chart and includes the patient’s history at one specific practice or organization. The hard copy pages of the paper chart are scanned into a computer chart. EMR is primarily limited to use within one specific practice or health care organization. EMR helps medical practices operate more efficiently...
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...attention no matter if it is a broken arm or getting a tooth pulled, health care is a necessity. Patients come to the physician because of a problem that they are having and with that notion they are prepared to give full details of their problem. Giving information to the medical staff is a process that has to be done in order to know what exactly the type of treatment a patient should receive, if any, and the patient is giving these personal details in full confidence that the information doesn’t go any farther than the physician that is caring for him/her. The clinical use of genetic testing and the information from this is becoming a very important part in modern health technology and keeping records of personal information has improved especially in the storing of information which has been usually written in paper form but advanced technology has created an improved format to store personal medical information in, which is called Electronic Health Records (EHR’s). Genetic information stored in the Electronic Health Records could increase the possibility of a patient’s identity being known through a few genetic variants. 2 Electronic Health Records are a longitudinal electronic record of patient health information generated through visits with any health care...
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