Understanding the Patient Intake Process Essay Example for Free

Understanding the Patient Intake Process Essay Medical Insurance describes the intake 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 patient is a new patient or an established patient. The first problem with this process is that some of the new patients 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 multiple patient records and lost data 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 updated. This would be particular important for a patient that was under more than one 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 patient’s complete history as well as current care when attempting to treat them. Using a master patient index 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 constant and unique patient identification number. â€Å"Master Patient Index’s ensure that every patient is represented only once, and with constant demographic identification, within all systems of hospital data† (Master Patient Index, 2011). The master patient index as well as the medical records also needs a system to control the circulation of paper files or electronic database. A centralized medical records office would be the best way to control records (Green Bowie, 2011). The medical records office would control  the 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 remove 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 there are two options for organizing the patient record. The POR system where each new problem would be entered using the SOAP method: subject (problem), objective (observations of condition and test 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 thus 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 level before prescribing a particular medication. The specialist can easily access the lab technician’s 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 hard 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 and  creates unnecessary possibilities for HIPPA violations. A Master Patient Index will also increase efficiency and patient care. According to Building a successful enterprise master patient index: a case study: â€Å"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. References Green, 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

UK Education in Chaos :: social issues

UK Education in Chaos The British education system at one time was considered as one of the world's finest, admired and emulated by nations spanning several continents. Now it is in a state of disarray, reduced to nothing less than a complete shambles and plagued with corruption thanks to the implementation of the so-called Curriculum 2000. "Luck of the draw" is becoming an increasingly influential factor in today's exam lottery. This article's title draws on the sarcasm of a Warwick undergraduate contributing to the A Level newsgroup. Having been fortunate enough to take his A Levels back in the good old days when Edexcel was a reputable name, he was sceptical about the validity of students' current grievances. But the present state of the exam system means that come results day, such seemingly bizarre statements could be taken seriously. In all fairness, Edexcel were made the scapegoats [or "escape goats" as Jade from Big Brother would say] after a minor error by their printing company for a Maths paper resulted in disastrous consequences back in January. The media blitz that followed had everyone jumping on the bandwagon, venting all their fury at the exam board. Following the Yarm School head teacher's reporting of the unanswerable Maths question to the Beeb, suddenly allegations against poor old Edexcel reached new heights as they were blamed for more farcical errors. But with a sudden exponential increase in exam papers, these mistakes were inevitable. In fact such cock-ups had begun the previous summer, when in a much less publicised event, Question 1 in an AQA Physics A Level paper was impossible as it lacked essential data. From personal experience AQA's shoddy marking and virtually non-existent customer service means they deserve as much if not more criticism than Edexcel, with over 1 in 3 teachers finding AQA's marking quality unsatisfactory last year for some subjects. However, neither is at fault as much as the government, recklessly implementing these changes so that 24 million scripts had to be marked when teacher shortages.are clear. So why has Curriculum 2000 resulted in the introduction of these primary-school errors? Maybe because the endless module combinations and numerous resit opportunities have meant exam boards cannot sufficiently check through each and every one of the hundreds of different exam papers. AQA's report for January's A Level Literature paper casually mentioned how some of the options set had not been attempted by any candidates.

Aircraft on Ground Essay

In the case of Bennett Solutions, if the support assembly does not fit, do we need to build the tree into a recursive model of considering buying another new part from Miami supplier or buying another from ARC, etc.   can we just end that branch of the tree taking into account the cost of returning the product and the reduced refund price? A: There is no set answer, so make whatever assumption you think is reasonable, state it clearly, and proceed with it. Q: Is the cost of rebooking per passenger another decision tree? What we are trying to figure out is the % of load (occupied seats) and % of passengers looking to rebook same day etc. that are to be used as fixed for calculations or as uncertainities. A: Try to make as few assumptions as possible. As a general guideline, when the case gives you enough data (e. g. , historical numbers, estimates, etc), such that you can compute a number directly, try to do that, instead of introducing new elements in the decision tree. Q: Is it possible to fly an empty plane from Santiago to Miami in order to avoid a cancelled Miami – Santiago flight? A: Carefully read the notes at the end of the case — one of them should stipulate something about this. Q: How long does it take to make the actual repair to the system once the parts arrive in Santiago? A: Make an assumption that you consider easonable, state it clearly, and proceed from there†¦ Q: Consider the sentence: â€Å"However, since this is a current initiative, there is only a 35% to 50% probability that support assemblies of different fleets will fit perfectly and hence are interchangeable. There is no way to know in advance, this has to be checked on the aircraft when the component is installed†. Does the abo ve apply only to the part supplied by Bennett or it applies to the other suppliers? A: It is safe to assume that it only applies to Bennett Cargo Sales as it refers only to the support assembly.

Citizenship And The Right For Public Education For...

As an immigrant to the United States from El Salvador, I was really inclined to attend Robert Koulish’s talk titled â€Å"Citizenship and the Right to Public Education for Undocumented Immigrants.† I came to the US when I was six years old in 2000, it has been 16 years since I have been here. I remember very little from my birth country and most of my memories have been made in the United States. The community that raised and helped to sculpt my values is not in El Salvador, rather it is in Maryland, USA. This is something I’ve always been aware about and it is something I feel was addressed in the talk by Mr. Koulish. Mr. Koulish began his talk by addressing how many individuals have a false idea of what it means to be a citizen of the US. It is often signified as having the right to vote, idea that an individual is a full member of society, and the entitlement of certain rights. When moving to the US many immigrants look forward to the day they can become naturalized and be US citizens. But, Koulish suggest that the want to become a US citizen, goes above the right to just vote every couple of years. Wanting to be a US citizen is more of social citizenship. Koulish ask whether or not undocumented individuals, when lacking legal citizenship, do they lack the right afforded to a citizen? In terms of education, illegal immigrants face multiple hardships in the way of in-state tuition. What Koulish argues these young and eager students are being told is that they are not enough ofShow MoreRelatedThe Face Of Education And The Changes It Has Undertaken Throughout History1425 Words   |  6 PagesThe f ace of education and the changes it has undertaken throughout history in the U.S. is a constant flow that thus alters the fabric of the American society. 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