Two Years Experience with a Medical Computer File in Insurance Medicine

1975 ◽  
Vol 14 (04) ◽  
pp. 199-201
Author(s):  
D. Lahaye ◽  
D. Roosels ◽  
J. Viaene

The drafting of a medical computer file for pneumoconiosis at the Fund of Occupational Diseases was essentially based on an intuitive choice of medical information processing from a large experience. For statistical purposes, however, a more scientific selection of stored information is needed. Therefore, we checked out the medical data on 25,830 complete medical records. The frequency of all answer possib-ilities was tested question by question. A minority of questions had to be reexamined because the yled to insufficient answers. It will be possible in the future to improve the storage of medical information with this work method. A further investigation in which the results achieved by several physicians will be compared opens the possibility of rating the impact of subjective judgments in medical examinations.

1970 ◽  
Vol 09 (03) ◽  
pp. 149-160 ◽  
Author(s):  
E. Van Brunt ◽  
L. S. Davis ◽  
J. F. Terdiman ◽  
S. Singer ◽  
E. Besag ◽  
...  

A pilot medical information system is being implemented and currently is providing services for limited categories of patient data. In one year, physicians’ diagnoses for 500,000 office visits, 300,000 drug prescriptions for outpatients, one million clinical laboratory tests, and 60,000 multiphasic screening examinations are being stored in and retrieved from integrated, direct access, patient computer medical records.This medical information system is a part of a long-term research and development program. Its major objective is the development of a multifacility computer-based system which will support eventually the medical data requirements of a population of one million persons and one thousand physicians. The strategy employed provides for modular development. The central system, the computer-stored medical records which are therein maintained, and a satellite pilot medical data system in one medical facility are described.


10.12737/7354 ◽  
2014 ◽  
Vol 8 (1) ◽  
pp. 0-0
Author(s):  
Теплякова ◽  
E. Teplyakova ◽  
Щербаков ◽  
S. Shcherbakov

Implementation of information technology in health care is one of the urgent tasks of modernization. Questions automation of accounting and reporting on clinical examination carried out by certain groups of adults, clinical examination of orphans, professional examinations and adult medical examination of the child population (preventive, preliminary, periodic) make up a significant part of the activities of medical organizations both in terms of achieving the goals of the organization. The implementation of a software system "health card", its implementation and use in the medical organization is effectively used in the integration of medical information system in a medical organization. The functions of the system meet all the requirements necessary to meet its work regulations governing the procedure and forms for clinical examination and professional examinations, monitoring of accounting work, the results of clinical examination and analysis of professional examinations, the acceleration of employees by automatically filling out forms, flexible system configuration. Integration of "health map" with electronic medical records enables to collect card baseline medical examination (clinical examination) of the input specialists medical examinations and investigations.Automation of accounting and reporting of preventive medical exams and clinical examination allows medical organization to reduce the labor of doctors and other staff to fill in the documentation and accounting work to avoid mistakes in documents and reports, provide timely and accurate reporting of the established forms of the Ministry of Health.


2021 ◽  
pp. 88-99
Author(s):  
O.S. Kovalenko ◽  
◽  
L.M. Kozak ◽  
E.V. Gorshkov ◽  
M. Najafian Tumajani ◽  
...  

Introduction. The development of effective digital medicine tools is an intensive and complex process that requires the interdisciplinary efforts of a wide range of experts, from scientists and engineers to ethics experts and lawyers. Digital medicine products have great potential for improving medical measurement, diagnosis and treatment. One of the main challenges for the healthcare sector is to address the issue of fast, convenient and secure exchange of information about patients’ health. Service-oriented architectures of such products may accomplish many of the challenges facing healthcare systems. The purpose of the paper is to develop an information and software module ExchangeDMD to ensure the accumulation, storage and exchange of diagnostic medical data in accordance with modern medical information standards to maintain the interoperability function as one of the leading principles of digital medicine. Results. A special adaptive architecture of digital medicine infrastructure has been developed, which enables an integrated solution of data exchange between participants of providing medical services, which is carried out with the help of web services. The specifics of different types of medical information are analyzed and taken into account in accordance with the access regime for its processing. The module structure has been developed and implemented in software, which has three main levels: central virtual storage (virtual data center to implement certain functions), remote administration segment (technical support and administration network) and user segment (mobile devices and user-patient applications). Conclusions. The ExchangeDMD information and software module is designed to ensure the accumulation of patient data, integration between the various units within the system, as well as to ensure the management of this data by health care personnel. The ExchangeDMD module is built using the international standard HL7 CDA, which enables formalizing electronic medical records using RIM (information model links) to attract the necessary directories and classifiers when creating medical records and documents.


2017 ◽  
Vol 14 (2) ◽  
pp. 29-34
Author(s):  
E V Oshchepkova ◽  
N V Lazareva ◽  
I E Chazova

Objective: to assess the quality of examination of patients with arterial hypertension in primary health care. Materials and methods. The study was carried out with the Arterial Hypertension Register method (a software with remote access, medical data inputs were made from medical records of patients with AH). The study included a selection of 29 126 patients with AH under care in primary health care in 22 regions of Russia in 2010-2014. 35% were males, females were older by 3.7 years (60.9±12.5 years and 64.6±12.0 years respectively, p


2020 ◽  
pp. 63-70
Author(s):  
K. N. Tsaranov ◽  
◽  
E. M. Klimova ◽  
T. V. Akimov ◽  
A. B. Zvansky ◽  
...  

The article presents the results of an empirical study of the value orientations of dental clinic employees. It is suggested that gaps in human values are factors that influence professional activities in terms of communication (in the production team) and ultimately the profitability of the individual in the teams. The initial data is obtained from the reports of the clinic’s medical information system and the Schwartz’s Value Survey (SVS) and Portrait Values Questionnaire (PVQ). In addition, we used a retrospective analysis and a questionnaire survey. Doctors were divided into two groups based on the impact of value gaps on the share of revenue plan fulfillment (type one and type two groups). Attention is drawn to the direction of relationships in the group of the first type, all correlations of average strength are direct, in the group of type 2 – reverse. In the structure of the profile of value orientations, there are differences between the groups on the second place in importance for the respondents in the group of the first type are the value orientation (VO) “Achievement” and secondly, “Self-Direction”, third place in the group of the first type is “Benevolence”, whereas in the group of the second type of “Benevolence” in 4th place. To increase economic efficiency, managers of medical institutions need to organize activities to create cultural artifacts about the normative ideals of those values that affect the workflow, take into account the data of the employee’s value profile for optimal selection of the team composition (work shift).


2017 ◽  
Vol 30 (1) ◽  
pp. 17-25 ◽  
Author(s):  
Abdullah Awaysheh ◽  
Jeffrey Wilcke ◽  
François Elvinger ◽  
Loren Rees ◽  
Weiguo Fan ◽  
...  

Much effort has been invested in standardizing medical terminology for representation of medical knowledge, storage in electronic medical records, retrieval, reuse for evidence-based decision making, and for efficient messaging between users. We only focus on those efforts related to the representation of clinical medical knowledge required for capturing diagnoses and findings from a wide range of general to specialty clinical perspectives (e.g., internists to pathologists). Standardized medical terminology and the usage of structured reporting have been shown to improve the usage of medical information in secondary activities, such as research, public health, and case studies. The impact of standardization and structured reporting is not limited to secondary activities; standardization has been shown to have a direct impact on patient healthcare.


2021 ◽  
Vol 1 (1) ◽  
pp. 1-8
Author(s):  
Almas Ummi Fatharina ◽  
Sri Sugiarsi ◽  
Trismianto Asmo Sutrisno

Abstract Release of medical information must be subject to applicable procedures and must be with the patient's consent. Patients must make a stamped written statement that has authorized a third party to request medical data from a doctor. The purpose of this study is to determine the policy of releasing medical information and the flow of procedures for releasing medical information to the insurer. The research method in this study is to use a literature review design, namely research that examines research articles on the release of medical information to insurance parties by comparing, summarizing, and drawing conclusions. The search strategy used keywords and operator bundles used in this study, namely "medical records" or "information release" or "insurers". The result of the research is that a hospital is in the process of releasing medical information using policies in the form of SOPs, cooperation agreements with insurance parties, and orally. In addition, there are hospitals that have different procedures for releasing medical information because they do not only serve one insurance party, but there are several insurance parties that are served such as BPJS, Jasa Raharja, and Askes. However, in the process of releasing medical information, there are hospitals that are not yet in accordance with the flow of medical information release procedures that have been determined by the Hospital. Therefore, the hospital conducts outreach on the flow of procedures for releasing medical information so that the officer in charge has a better understanding of the release of medical information. Keyword : medical records, information release, insurers Abstrak Pelepasan informasi medis harus mengacu pada prosedur yang berlaku dan harus dengan persetujuan pasien. Pasien harus membuat pernyataan tertulis bermaterai bahwa telah memberi kuasa kepada pihak ketiga untuk meminta data medis dari dokter. Tujuan penelitian ini adalah untuk mengetahui kebijakan pelepasan informasi medis dan alur prosedur pelepasan informasi medis kepada pihak asuransi. Metode penelitian dalam penelitian ini adalah menggunakan desain literature review yaitu penelitian yang mengkaji artikel-artikel penelitian tentang Pelepasan Informasi Medis Kepada Pihak Asuransi dengan cara membandingkan, meringkas, dan mengambil kesimpulan. Strategi pencarian menggunakan keyword dan booelan operator yang digunakan dalam penelitian ini yaitu “rekam medis” or “pelepasan informasi” or “pihak asuransi”. Hasil penelitian terdapat Rumah Sakit yang dalam proses pelepasan informasi medis menggunakan kebijakan dalam bentuk SOP, perjanjian kerjasama dengan pihak asuransi, dan secara lisan. Selain itu terdapat Rumah Sakit memiliki alur prosedur pelepasan informasi medis yang berbeda-beda karena tidak hanya melayani satu pihak asuransi saja, tetapi ada beberapa pihak asuransi yang dilayani seperti BPJS, Jasa Raharja, dan Askes. Akan tetapi dalam proses pelepasan informasi medis terdapat Rumah Sakit yang belum sesuai dengan alur prosedur pelepasan informasi medis yang telah ditentukan oleh Rumah Sakit. Oleh karena itu pihak Rumah Sakit melakukan sosialisasi mengenai alur prosedur pelepasan informasi medis agar petugas yang bertanggungjawab lebih paham mengenai pelepasan informasi medis.


2002 ◽  
Vol 28 (2-3) ◽  
pp. 309-324
Author(s):  
Jennifer Kulynych ◽  
David Korn

Perceived threats to medical privacy arouse intense emotion, even among those who might otherwise approach complex health policy issues with academic dispassion. The author of an August 2001 editorial in the New England Journal of Medicine describes medical records as “sacred secrets,” and decries the use of medical information for purposes unrelated to patient care as “an abridgement of individual rights” and “an unfolding American tragedy.


2020 ◽  
pp. 5-15
Author(s):  
Abhishek P. Patil ◽  
◽  
◽  
Neelika Chakrabarti

The Health Insurance Portability and Accountability Act of 1996 was brought in to serve as a legislation that could essentially assist in reorganizing the flow of healthcare information, prescribing how sensitive medical data stored with healthcare/insurance firms should be protected from stealing and tampering. It has served as a pioneer in the world of privacy in healthcare and set one of the earliest benchmarks for any legal instruments regarding the storing and dissemination of medical information in the form of electronic health records. The HITECH act of 2009 and the HIPAA omnibus rule of 2013 further cemented the use of standardized frameworks which can help control, reduce and track any possible breaches of confidentiality and integrity of such personal information. This paper explores the content, reasoning, and timeline of the HIPAA act and the impact it creates on the health information technology sector. It also explains the challenges that are faced in the implementation of the policy and gives a holistic perspective of the rights and responsibilities of each stakeholder involved.


Sensors ◽  
2021 ◽  
Vol 21 (18) ◽  
pp. 6253
Author(s):  
Tuan Anh Nguyen ◽  
Iure Fe ◽  
Carlos Brito ◽  
Vishnu Kumar Kaliappan ◽  
Eunmi Choi ◽  
...  

The aggressive waves of ongoing world-wide virus pandemics urge us to conduct further studies on the performability of local computing infrastructures at hospitals/medical centers to provide a high level of assurance and trustworthiness of medical services and treatment to patients, and to help diminish the burden and chaos of medical management and operations. Previous studies contributed tremendous progress on the dependability quantification of existing computing paradigms (e.g., cloud, grid computing) at remote data centers, while a few works investigated the performance of provided medical services under the constraints of operational availability of devices and systems at local medical centers. Therefore, it is critical to rapidly develop appropriate models to quantify the operational metrics of medical services provided and sustained by medical information systems (MIS) even before practical implementation. In this paper, we propose a comprehensive performability SRN model of an edge/fog based MIS for the performability quantification of medical data transaction and services in local hospitals or medical centers. The model elaborates different failure modes of fog nodes and their VMs under the implementation of fail-over mechanisms. Sophisticated behaviors and dependencies between the performance and availability of data transactions are elaborated in a comprehensive manner when adopting three main load-balancing techniques including: (i) probability-based, (ii) random-based and (iii) shortest queue-based approaches for medical data distribution from edge to fog layers along with/without fail-over mechanisms in the cases of component failures at two levels of fog nodes and fog virtual machines (VMs). Different performability metrics of interest are analyzed including (i) recover token rate, (ii) mean response time, (iii) drop probability, (iv) throughput, (v) queue utilization of network devices and fog nodes to assimilate the impact of load-balancing techniques and fail-over mechanisms. Discrete-event simulation results highlight the effectiveness of the combination of these for enhancing the performability of medical services provided by an MIS. Particularly, performability metrics of medical service continuity and quality are improved with fail-over mechanisms in the MIS while load balancing techniques help to enhance system performance metrics. The implementation of both load balancing techniques along with fail-over mechanisms provide better performability metrics compared to the separate cases. The harmony of the integrated strategies eventually provides the trustworthiness of medical services at a high level of performability. This study can help improve the design of MIS systems integrated with different load-balancing techniques and fail-over mechanisms to maintain continuous performance under the availability constraints of medical services with heavy computing workloads in local hospitals/medical centers, to combat with new waves of virus pandemics.


Sign in / Sign up

Export Citation Format

Share Document