Term
| Difference between Registry and Index |
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Definition
| – An index is more comprehensive! |
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Term
| Examples of registries and why important |
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Definition
| – Registry is kind of specific (examples: immunization, cancer, for safety implant registry and they keep track of everything because of recalls) |
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Term
| What do Human Resource Management Systems track? |
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Definition
| – They manager HR because HR systems are complex. Salary, compensation and benefits are in the HR Management system |
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Term
| 4. What is does a Quality Management Programs do? What are they used for? |
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Definition
| – They are often in hospitals and they create registries and collect data on what is happening in Hospital and use it for performance improvement and assess for hey what’s going wrong |
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Term
| Traditionally, when (How old) should an AR account be, to be considered to turn over to collections |
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Definition
| – This is accounts receivable and basically means the money owed – How old should an account be in the old world before turned to collections – 90 days… Ideally would like to collect the money 0-90 days. After 90 days the chances of collecting are diminished |
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Term
| Hospitals have 200+ information systems and databases. These systems are typically interfaced (rather than integrated) |
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Definition
| – This means they can connect (and usually through patches etc.) and the down side is that if upgrade one, many fail so this is why many providers trying to have just one. Many are trying to be centralized to prevent having to rebuild bridges and connections after upgrade |
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Term
| Why would a provider practice monitor ARs by insurance company? |
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Definition
| -To see if insurance companies are paying their claims – to see how well they are paying,. This is important for cash flow and for contract renovation sometimes |
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Term
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Definition
| – Recovery Audit contracting. Medicare set up audit to see if Medicare payments were appropriate to make sure no fraud or abuse going on (abuse is overuse) |
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Term
| What are considered direct costs? |
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Definition
| – Direct is variable and based upon demand, patient supply, staffing and |
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Term
| What are considered as indirect costs? |
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Definition
| - indirect is more things that are set – rent, insurance etc. |
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Term
| Benefits of electronic scheduling? |
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Definition
| – better for scheduling and isolating appointments. Easier to match patients |
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Term
| Relationship – need for HL7 in interfaced and/or integrated systems – |
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Definition
| If you’re in the same hospital no need for Hl7 (data transfer w/o is fine) but when get out and get to other databases need HL7 |
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Term
| Best practice to collect ARs? |
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Definition
| – goal is to collect within 30 days |
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Term
| Mark Steiger – Ascension – goal of remote monitoring |
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Definition
| (reduce admin costs, use of specialists, use of ER/urgent care) – This is to reduce admission costs (main is target to vulnerable populations). And can get hospital to pay money because of readmissions (can pay to prevent readmission – marketing to smaller practices to allow to expand capability (must show how improving your practice) |
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Term
| Why are orgs using analytics to risk stratifying patients? – 3-part question 1. What is analytics 2. What is risk stratification |
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Definition
| – to stratify on risky people to see who is going to cost more to take care of 3. Predictive analytics – after we risk stratify, we predict that this type of person will have this or that or will likely come back and be readmitted |
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Term
| Why are providers worried that cash flow will slow in the future? |
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Definition
| – This is because the patient will have a greater responsibility for making the payment in the future and patient’s won’t be able to pay as much (insurance is not covering certain things) |
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Term
| In all your organizations what is the number one costs in all of these medical organizations? |
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Definition
| People, personnel (including benefits of course) it used to be 60% went to covering people – or this is labor number one - |
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Term
| Which place do you have to be in the hospital to not have to show your insurance? |
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Definition
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