Term Paper on "Health Care Database Design and Management"
Term Paper 3 pages (1419 words) Sources: 1+
[EXCERPT] . . . .
Health Care Database Design and ManagementThis report is an analysis of how the healthcare and insurance industries have adopted relational database and other related applications software technology to manage physician information. The United States healthcare system is a compilation of insurance companies, health plans, physicians, hospitals, clinics, consumers, governmental agencies and public health programs. Unnerved by the continuous runaway costs and pricing inflation, the healthcare system and private businesses are on a constant search for viable solutions that are capable of reducing these skyrocketing costs. Another concern is privacy. "A public health authority that conducts health care as part of its activities is a covered health-care provider if it also performs electronic transactions covered by the HIPAA Transactions Rule as part of these activities." (Administrative Simplification in the Health Care Industry) the entire healthcare system has begun to adopt Information Technology as an answer for cutting back. Information Technology provides an efficient and cost effective way to stop the bleeding.
The healthcare system should be efficient because of the nature of contract medicine. Consider that today's healthcare system has become a contract driven process. For example, when a private company hires a new employee, that employee then becomes eligible for healthcare coverage through the Health Maintenance Organizations (HMO) contracted with the employer. The employee is required to choose a physician who will then act on behalf of the employee and the HMO in the role of a Primary Care Physician. That HMO has already established a contract with that doctor as
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Within the healthcare environment, the need to track physicians and all of the data that is related to physicians has become an ongoing challenge. To make this challenge even more difficult, the before mentioned example of a new employee having to chose a primary care physician makes this challenge more difficult exponentially. Although there are associated rules, an employee or family member can request to change a primary care physician for almost any reason including the notion of doing it just for the heck of it. Couple that with the fact that physicians only have a finite amount of hours or staffing which limits the number of patients they can accept and still remain capable of providing quality service expected by both the patient and the HMO. Also consider the fact that doctors are human so they are in need of vacations from time to time; they have fires, lose their licenses or simply decide to retire. All of these informational details about physicians and their associated patients must be entered accurately and then maintained by insurance providers and governmental agencies such as Medicare and Medicaid.
In the not so distant past, insurance providers and governmental agencies only provided physician information for consumers and other healthcare entities through the traditional medium of phone book like printed directories. The problems stemming from these directories were to numerous to count. For one, the directories were often out of date because the books had associated printing deadlines. Thus, if a new physician moved into the area or an existing physician retired after the printing deadline, those doctors' information would not be updated until the next printing - of course, that next printing could be months away. Even if directories were up-to-date, that was not a guarantee that an employer distributing a directory to employees was using the updated copy. Maintaining this constantly changing directory was simply not cost effective and certainly not efficient.
Today, privacy requirements as well as governmental mandates like the HIPAA laws have begun to force holdout organizations to adopt more efficient computer hardware and software technologies. "The shift of medical records from paper to electronic formats has increased the potential for individuals to access, use, and disclose sensitive personal health data. Although protecting individual privacy is a long-standing tradition among health-care providers and… READ MORE
Quoted Instructions for "Health Care Database Design and Management" Assignment:
Paper discusses how the use of a database and applicable application software will address the examples of physician information management presented in the introduction paragraph that follows. Emphasize how this is accomplished more efficiently than “traditional” methods (e.g. printed directories) of representing/distributing this data. Identify potential savings as a result. Note: The paper is to be three pages long, excluding title page and bibliography.
Introduction paragraph: Within the healthcare environment, the need to track physicians and data related to physicians is an ongoing challenge. Examples are seen in the need to access physician data including: Insurance Plan Participation (directories), Referrals, Distribution of Reports/Results, Physician Selection (new patients) and overall office contact information management.
The ***** charged with this project must have a background in healthcare administration (whether through experience or a degree earned within the last two years) and thus must have a deep, concrete understanding of the flow of information within a health services organization before beginning the task. The following course information should provide some guidance as to the nature of the course and how the assignment fits with the content it is allegedly educating students with:
Course Details:
Title: Health Care Database Design and Management
Text: Modern Database Management, 7th edition, Hoffer, Prescott and McFadden.
Overview: This course will provide a study of the concepts of database technology and its application in a healthcare setting. The main focus will be in data modeling, relational database concepts and the role databases and repositories play in organizations, whether departmental, organizational, or WWW hosted. Specific discussions will focus on the CDR, MPI and data warehouse concepts in healthcare. The course will also provide an overview of legacy database technology (hierarchical), newer database technology (Object-*****, Client/Server and Knowledge bases) and data administration.
Competencies: Upon completion of this course, the student will be able to:
• Discuss the role of a CDR and issues surrounding evaluation, implementation, operation and utilization.
• Explain the importance of data architecture and its relation to business problems/modeling
• Describe the uses of a data dictionary and discuss metadata
• Create data models using Entity-Relationship Diagrams
• Apply normalization principles to the design of relational databases
• Build databases using Microsoft Access including table definition, relationships, queries, forms and reports.
• Describe the use of SQL and QBE as tools for data retrieval
• Discuss the differences between relational and object ***** data models
• Describe the concepts of client server technologies in a network environment
• Explain how methodologies are used in database system design and implementation
• Discuss and describe at least two applications of databases in healthcare information management
• Explain the differences between relational, hierarchical and network databases
AHIMA Task Competencies
1.a.1 Participate in defining data elements for institution-wide data collection
1.b.3 Design form displays for collection of data
1.b.5 Perform database queries for research or special reports
1.b.6 Retrieve patient data from departmental databases
2.a.3 Participate in institutional planning for integration of computer services
2.a.4 Participate in development of institution-wide information management
plan
2.b.6 Specify requirements for computer systems
How to Reference "Health Care Database Design and Management" Term Paper in a Bibliography
“Health Care Database Design and Management.” A1-TermPaper.com, 2004, https://www.a1-termpaper.com/topics/essay/health-care-database-design/207001. Accessed 3 Jul 2024.
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