HSEM 380 Lecture 10: HSEM 380 lecture notes (10)
HIPAA
Safety, security, confidentiality
Medical arms race
Hospitals & health care providers use technology as a competitive tool
Small area variation (SAV)
Analyzes clinical practice ID's patterns over small well-defined geographic areas
Patient, provider, policy or society
3 perspectives used when discussing health care
4 parts of medicare
A:hospitals
B:physicians
C:managed Care
D: prescription drugs
Donabedians 3 domains of quality
Structure
Process
Outcomes
Structure
Staff, equipment, & resources
HCAHPS
Patient satisfaction survey for CMS
5 barriers to HIT adoption
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1:expense
2: maintenance
3:physician resistance
4:unclear return on investment
5:lack of skilled staff
P4P
Payment we are moving towards
Long term care
What service has limited coverage through Medicare?
Clinical practice guidelines
Step by step procedure receptors for how to treat
Clinical pathways
Combination of the steps
Milestones that should be at a particular phase throughout patients course of treatment
Meaningful use
Must purchase HIT that can accomplish specific tasks that help patients out
RBRVS
Reimbursement for physician services
PPS
Prices are set prior to a service or procedure
Medigap
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