Mercy Children’s Hospital, Washington, DC MED INFO 405 Project Draft Group 2 Lisa Heavilon David...
-
Upload
christopher-robinson -
Category
Documents
-
view
214 -
download
2
Transcript of Mercy Children’s Hospital, Washington, DC MED INFO 405 Project Draft Group 2 Lisa Heavilon David...
Mercy Children’s Hospital, Mercy Children’s Hospital, Washington, DCWashington, DC
MED INFO 405MED INFO 405Project DraftProject Draft
Group 2
Lisa Heavilon
David Robbins
Lisa-Marie Williams, RN
Mercy Children’s Hospital, Mercy Children’s Hospital, Washington, DCWashington, DC
• A mid size pediatric hospital • 430 beds
• Non-profit• Medical Resident and Intern
Program (teaching hospital)• Located in an large metropolitan
city
Mercy Children’s Hospital Mercy Children’s Hospital Specializes InSpecializes InPediatric Oncology Infectious Disease Emergency Medicine Anatomic Pathology Reconstructive surgeryEach of these specialties presents a unique
requirement for data flow
Systems Installed at Systems Installed at MercyMercy• New HIT system – Meditech• Automated Pharmacy • Automated Lab • Automated Radiology • Med Stations - AccuDose • CPOE - Meditech Physician Care
Manager • Blood Bank - Meditech• Tissues and Biologics - TIMS
4
Meditech Screen Prints
Automated Lab Results through Meditech on test patient Apple Green.
Meditech Screen Prints
CPOE in Meditech of Continuous tube Feed on test patient Jan08 Documentation.
Systems Installed at Systems Installed at MercyMercy• Infection Control: Infection
Monitor Pro• Human Resources: People Soft• Staffing: Daptiv• Payroll: Kronos• Inventory Control: Home grown• Finance and Accounting: People
Soft
7
Internal Stake HoldersInternal Stake Holders
Physicians, Nurses, other clinicians
PharmacyLab & Blood BankRadiologyAdmissionsDietaryHousekeeping
External Stake HoldersExternal Stake Holders
Physicians and other cliniciansExternal LabsExternal Radiology CentersThe Red CrossOther Hospitals/ Medical CentersRetail PharmaciesState and Local Public Health
AgenciesThe Centers for Disease Control (CDC)Payers
Logical Data FlowsLogical Data Flows
Provider
Pharmacy
Payer
Lab
Imaging
Prescription OrderResults
Claims / Pre-Auth / Benefit CheckOrder
ResultsRemittance / Auth / Eligibility
Public Health Agency
Disease ReportsVital Statistics
Accreditation Organization
External Provider
ReferralRequests
Chart Requests
Health Care Transactions – Logical Data Flow – Team 2
Physical Data FlowsPhysical Data Flows
ProviderPayer
HIPAA 820 - EDI Payroll Deducted and other group Premium Payment for Insurance Products
HIPAA 834 – EDI Benefit Enrollment and Maintenance Set
HIPAA 270 - EDI Health Care Eligibility/Benefit Inquiry
HIPAA 271 - EDI Health Care Eligibility/Benefit Response
HIPAA 276 - EDI Health Care Claim Status Request
HIPAA 277 - EDI Health Care Claim Status Notification
HIPAA 278 - EDI Health Care Service Review Information
HIPAA 278 - EDI Health Care Service Review Information
HIPAA 837 - EDI Health Care Claim Transaction set
HIPAA 835 - EDI Health Care Claim Payment/Advice Transaction Set
Payer Transactions – Physical Data Flow – Team 2
Standards Used at MercyStandards Used at Mercy
CCR: EHRHIPAA (835, 837 276/277, 270/271):
ClaimsNCPDP(5.1): Pharmacy RetailersHL7 (2.5) Meditech in/outboundSNOMED – CT: PathologyJoint Commission: HTTPS/XML: CPOEICD-9: Insurance Collections
Applications with No StandardsApplications with No Standards
Proprietary Interface: Tissues and Biologics◦ Each donor bank has its own way
DiscussionDiscussion