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Health Management Technology, April, 1998 by Ann McGrath
Paris Cavic, Esq, Acting Director of Information Technology, East Hudson Community Care Physicians
Linda C. Ferrara, Director, Practice and Network Development, Community Care Physicians
George A. Jolly, MD, Internist, Saratoga Medical Associates, Community Care Physicians
Chris Roggenstein, CIO, NavMed
Frank Smith, Vice President of Information Services and CIO, Saint Joseph's Care Group
* What goals are to achieved through data exchange between payors, provided and medical groups?
* What data do payors, providers and medical groups need to exchange?
* How do you really manage clinical outcomes?
* What is required to support clinical outcomes analysis?
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* What challenges/issues do these entities face when considering an exchange?
- data dictionaries, format issues; interface costs; accuracy of data from outside entities
* Explore data and technology tools to enable/enhance data exchange to improve communication, enhance the quality of care and streamline work processes
- Internet/intranet
- Data warehouses
* Discuss data assimilation, integration and application issues for outcomes measurements and management to improve benefits
* How do the following affect the creation of a seamless information exchange?
- financial, budgeting, marketing, clinical resource management, case management, disease management, quality management, ORYX or NCQA
* What impact does outside data have on managed care contracts?
* In the exchange of data between two entities:
- what legal and regulatory hurdles must be overcome?
- how will patient privacy and confidentiality be protected?
DCM-4
Create a Seamless Information Exchange Between Payors, Providers and Medical Groups (Part II)
Wednesday, April 22,115 pm - 2:30 pm
Part II of this program will be conducted as a "problem-solving" workshop. Please join us for this interactive, hands-on experience! See above session description for details on the program content.
DCM-5
Working Toward Standardization of Industry Wide Health Care Information
Wednesday, April 22, 2:45 pm - 4:00 pm Soloman I. Appavu, Director Financial Control, Cook County Hospital; Chairman, ANSI HISB Publicity/Education/Information Standing Committee
Jeff Blair, IBM Health care Solutions; Co-Chair, Technical Coordination Committee, ANSI HISB
Michael Fitzmaurice, Director, Center for Information Technology, Agency for Health care Policy and Research; Co-Chair, Legislative Standing Committee, ANSI HISB
Peter Waegamann, Executive Director, Medical Record Institute; Chairman, ASTME-31 Committee; Chairman, ANSI HISB
Tim Powell, CEO, Electronic Transmission Corporation (Moderator)
* How critical are information standards in the evolving business models for managed health care?
* Learn how to develop standards that matter to the industry and benefit managed care organizations.
* Explore the work of standards organizations
- Health care Data Interchange Standards
- Administrative Data (encounter data, eligibility data, claims data, authorization data)
- Clinical Data (results, observation, outcomes)
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