3. PATIENT
DOCTOR INSURER
PATIENT-DOCTOR-INSURER
HEALTHCARE ECOLOGY
MANAGING
MY HEALTH
• Medical History
• Visits
• Lab Results
• Medications
• Immunizations
HEALTH & WELLNESS
CONDITION MANAGEMENT
EMERGENCY SERVICES
HEALTH & WELLNESS
• Immunization
• Screening tests
• Physical/Dental/Vision checkup
• Diet / Exercise program
• Mental health
CONDITION MANAGEMENT
• Illness: treatment + follow-up
• Chronic disease: medication + measurement
• Pregnancy: treatment + follow-up
• Elective surgery: treatment + follow-up
• Mental health: treatment + follow-up
EMERGENCY SERVICES
• Accident response
• Ambulance
• Emergency room
4. PATIENT
DOCTOR INSURER
PATIENT-DOCTOR-INSURER
HEALTHCARE ECOLOGY
MANAGING
MY HEALTH
• Medical History
• Visits
• Lab Results
• Medications
• Immunizations
HEALTH & WELLNESS
CONDITION MANAGEMENT
EMERGENCY SERVICES
HEALTH & WELLNESS
• Immunization
• Screening tests
• Physical/Dental/Vision checkup
• Diet / Exercise program
• Mental health
CONDITION MANAGEMENT
• Illness: treatment + follow-up
• Chronic disease: medication + measurement
• Pregnancy: treatment + follow-up
• Elective surgery: treatment + follow-up
• Mental health: treatment + follow-up
EMERGENCY SERVICES
• Accident response
• Ambulance
• Emergency room
PATIENT
ADVOCACY
GROUPS
• Research
• Support
• Policy
• Cure
PERSONAL
BIOMETRICS
• Family & Friends
• Websites
• Mobile Apps
HEALTH
INFORMATION
• Books & Magazines
• Websites
• Mobile Apps
PHARMACEUTICAL
MEDICAL
DEVICES
MEDICAL PRODUCTS &
SERVICES COMPANIES
• Medical Devices
• Drug Treatment
• Lab Testing
• Medical Imaging
Health & Human
Services
State Health
Laws
Food & Drug
Administration
5. PATIENT
DOCTOR INSURER
PATIENT-DOCTOR-INSURER
HEALTHCARE ECOLOGY
MANAGING
MY HEALTH
• Medical History
• Visits
• Lab Results
• Medications
• Immunizations
HEALTH & WELLNESS
CONDITION MANAGEMENT
EMERGENCY SERVICES
HEALTH & WELLNESS
• Immunization
• Screening tests
• Physical/Dental/Vision checkup
• Diet / Exercise program
• Mental health
CONDITION MANAGEMENT
• Illness: treatment + follow-up
• Chronic disease: medication + measurement
• Pregnancy: treatment + follow-up
• Elective surgery: treatment + follow-up
• Mental health: treatment + follow-up
EMERGENCY SERVICES
• Accident response
• Ambulance
• Emergency room
PATIENT
ADVOCACY
GROUPS
• Research
• Support
• Policy
• Cure
PERSONAL
BIOMETRICS
• Family & Friends
• Websites
• Mobile Apps
HEALTH
INFORMATION
• Books & Magazines
• Websites
• Mobile Apps
PHARMACEUTICAL
MEDICAL
DEVICES
MEDICAL PRODUCTS &
SERVICES COMPANIES
• Medical Devices
• Drug Treatment
• Lab Testing
• Medical Imaging
Health & Human
Services
State Health
Laws
Food & Drug
Administration
MANAGING
MY INSURANCE
• Payments
• Deductable
• Max Out of Pocket
• Reimbursements
• FSA
MEDICARE
MEDICAID
EMPLOYER
BENEFITS
MANAGEMENT
BENEFITS PACKAGE
• Health
• Disability
• Life
• FSA
6. PATIENT
DOCTOR INSURER
PATIENT-DOCTOR-INSURER
HEALTHCARE ECOLOGY
MANAGING
MY HEALTH
• Medical History
• Visits
• Lab Results
• Medications
• Immunizations
HEALTH & WELLNESS
CONDITION MANAGEMENT
EMERGENCY SERVICES
HEALTH & WELLNESS
• Immunization
• Screening tests
• Physical/Dental/Vision checkup
• Diet / Exercise program
• Mental health
CONDITION MANAGEMENT
• Illness: treatment + follow-up
• Chronic disease: medication + measurement
• Pregnancy: treatment + follow-up
• Elective surgery: treatment + follow-up
• Mental health: treatment + follow-up
EMERGENCY SERVICES
• Accident response
• Ambulance
• Emergency room
PATIENT
ADVOCACY
GROUPS
• Research
• Support
• Policy
• Cure
PERSONAL
BIOMETRICS
• Family & Friends
• Websites
• Mobile Apps
HEALTH
INFORMATION
• Books & Magazines
• Websites
• Mobile Apps
PHARMACEUTICAL
MEDICAL
DEVICES
MEDICAL PRODUCTS &
SERVICES COMPANIES
• Medical Devices
• Drug Treatment
• Lab Testing
• Medical Imaging
Health & Human
Services
State Health
Laws
Food & Drug
Administration
MANAGING
MY INSURANCE
• Payments
• Deductable
• Max Out of Pocket
• Reimbursements
• FSA
MEDICARE
MEDICAID
EMPLOYER
BENEFITS
MANAGEMENT
BENEFITS PACKAGE
• Health
• Disability
• Life
• FSA
TREATING
PATIENTS
PHARMACY
STAGES OF CARE
• Determine Diagnosis
• Determine Care Plan
• Activate Care Plan
• Maintain Care Plan
• Refer-Follow Patient
7. PATIENT
DOCTOR INSURER
PATIENT-DOCTOR-INSURER
HEALTHCARE ECOLOGY
MANAGING
MY HEALTH
• Medical History
• Visits
• Lab Results
• Medications
• Immunizations
HEALTH & WELLNESS
CONDITION MANAGEMENT
EMERGENCY SERVICES
HEALTH & WELLNESS
• Immunization
• Screening tests
• Physical/Dental/Vision checkup
• Diet / Exercise program
• Mental health
CONDITION MANAGEMENT
• Illness: treatment + follow-up
• Chronic disease: medication + measurement
• Pregnancy: treatment + follow-up
• Elective surgery: treatment + follow-up
• Mental health: treatment + follow-up
EMERGENCY SERVICES
• Accident response
• Ambulance
• Emergency room
PATIENT
ADVOCACY
GROUPS
• Research
• Support
• Policy
• Cure
PERSONAL
BIOMETRICS
• Family & Friends
• Websites
• Mobile Apps
HEALTH
INFORMATION
• Books & Magazines
• Websites
• Mobile Apps
PHARMACEUTICAL
MEDICAL
DEVICES
MEDICAL PRODUCTS &
SERVICES COMPANIES
• Medical Devices
• Drug Treatment
• Lab Testing
• Medical Imaging
Health & Human
Services
State Health
Laws
Food & Drug
Administration
MANAGING
MY INSURANCE
• Payments
• Deductable
• Max Out of Pocket
• Reimbursements
• FSA
MEDICARE
MEDICAID
EMPLOYER
BENEFITS
MANAGEMENT
BENEFITS PACKAGE
• Health
• Disability
• Life
• FSA
TREATING
PATIENTS
PHARMACY
STAGES OF CARE
• Determine Diagnosis
• Determine Care Plan
• Activate Care Plan
• Maintain Care Plan
• Refer-Follow Patient
PLACES
TO PRACTICE
CLINICAL
OUT-PATIENT
HOSPITAL
IN-PATIENT
LAB
IMAGING
• Clinical Staff
• Admin Staff
• Clinical Staff
• Admin Staff
SERVICE PRESENTED TO PAYER
• Patient’s Insurance Contract
• Diagnostic Code / Billing Code
• Right to Bill / Referral
DIAGNOSTIC
SERVICES
8. PATIENT
DOCTOR INSURER
PATIENT-DOCTOR-INSURER
HEALTHCARE ECOLOGY
MANAGING
MY HEALTH
• Medical History
• Visits
• Lab Results
• Medications
• Immunizations
HEALTH & WELLNESS
CONDITION MANAGEMENT
EMERGENCY SERVICES
HEALTH & WELLNESS
• Immunization
• Screening tests
• Physical/Dental/Vision checkup
• Diet / Exercise program
• Mental health
CONDITION MANAGEMENT
• Illness: treatment + follow-up
• Chronic disease: medication + measurement
• Pregnancy: treatment + follow-up
• Elective surgery: treatment + follow-up
• Mental health: treatment + follow-up
EMERGENCY SERVICES
• Accident response
• Ambulance
• Emergency room
PATIENT
ADVOCACY
GROUPS
• Research
• Support
• Policy
• Cure
PERSONAL
BIOMETRICS
• Family & Friends
• Websites
• Mobile Apps
HEALTH
INFORMATION
• Books & Magazines
• Websites
• Mobile Apps
PHARMACEUTICAL
MEDICAL
DEVICES
MEDICAL PRODUCTS &
SERVICES COMPANIES
• Medical Devices
• Drug Treatment
• Lab Testing
• Medical Imaging
Health & Human
Services
State Health
Laws
Food & Drug
Administration
MANAGING
MY INSURANCE
• Payments
• Deductable
• Max Out of Pocket
• Reimbursements
• FSA
MEDICARE
MEDICAID
EMPLOYER
BENEFITS
MANAGEMENT
BENEFITS PACKAGE
• Health
• Disability
• Life
• FSA
TREATING
PATIENTS
PHARMACY
STAGES OF CARE
• Determine Diagnosis
• Determine Care Plan
• Activate Care Plan
• Maintain Care Plan
• Refer-Follow Patient
PLACES
TO PRACTICE
CLINICAL
OUT-PATIENT
HOSPITAL
IN-PATIENT
LAB
IMAGING
• Clinical Staff
• Admin Staff
• Clinical Staff
• Admin Staff
SERVICE PRESENTED TO PAYER
• Patient’s Insurance Contract
• Diagnostic Code / Billing Code
• Right to Bill / Referral
DIAGNOSTIC
SERVICES
METHODS
TO PRACTICE
PROF/SPECIALTY
SOCIETIES
ACADEMIC
MEDICAL CTRS
MEDICAL RESEARCH
• Clinical Trials
• Published Research
• Conferences
9. PATIENT
DOCTOR INSURER
PATIENT-DOCTOR-INSURER
HEALTHCARE ECOLOGY
MANAGING
MY HEALTH
• Medical History
• Visits
• Lab Results
• Medications
• Immunizations
HEALTH & WELLNESS
CONDITION MANAGEMENT
EMERGENCY SERVICES
HEALTH & WELLNESS
• Immunization
• Screening tests
• Physical/Dental/Vision checkup
• Diet / Exercise program
• Mental health
CONDITION MANAGEMENT
• Illness: treatment + follow-up
• Chronic disease: medication + measurement
• Pregnancy: treatment + follow-up
• Elective surgery: treatment + follow-up
• Mental health: treatment + follow-up
EMERGENCY SERVICES
• Accident response
• Ambulance
• Emergency room
PATIENT
ADVOCACY
GROUPS
• Research
• Support
• Policy
• Cure
PERSONAL
BIOMETRICS
• Family & Friends
• Websites
• Mobile Apps
HEALTH
INFORMATION
• Books & Magazines
• Websites
• Mobile Apps
PHARMACEUTICAL
MEDICAL
DEVICES
MEDICAL PRODUCTS &
SERVICES COMPANIES
• Medical Devices
• Drug Treatment
• Lab Testing
• Medical Imaging
Health & Human
Services
State Health
Laws
Food & Drug
Administration
MANAGING
MY INSURANCE
• Payments
• Deductable
• Max Out of Pocket
• Reimbursements
• FSA
MEDICARE
MEDICAID
EMPLOYER
BENEFITS
MANAGEMENT
BENEFITS PACKAGE
• Health
• Disability
• Life
• FSA
TREATING
PATIENTS
PHARMACY
STAGES OF CARE
• Determine Diagnosis
• Determine Care Plan
• Activate Care Plan
• Maintain Care Plan
• Refer-Follow Patient
PLACES
TO PRACTICE
CLINICAL
OUT-PATIENT
HOSPITAL
IN-PATIENT
LAB
IMAGING
• Clinical Staff
• Admin Staff
• Clinical Staff
• Admin Staff
SERVICE PRESENTED TO PAYER
• Patient’s Insurance Contract
• Diagnostic Code / Billing Code
• Right to Bill / Referral
DIAGNOSTIC
SERVICES
METHODS
TO PRACTICE
PROF/SPECIALTY
SOCIETIES
ACADEMIC
MEDICAL CTRS
MEDICAL RESEARCH
• Clinical Trials
• Published Research
• Conferences
CLAIMS
PORTAL
PAYMENT
PORTAL
BENEFITS
PORTAL
SELF-MONITORING
APPLICATIONS
BEHAVIOR-CHANGE
APPLICATIONS
PATIENT
MANAGEMENT
• Lab / Imaging
• Medication
• Medical History
• Schedule
PRACTICE
MANAGEMENT
• Diagnosis Code
• Billing Code
• Time In/Out
• Supplies
POINT OF CARE
• Clincial decision support
10. PATIENT
DOCTOR INSURER
PATIENT-DOCTOR-INSURER
HEALTHCARE ECOLOGY
MANAGING
MY HEALTH
• Medical History
• Visits
• Lab Results
• Medications
• Immunizations
HEALTH & WELLNESS
CONDITION MANAGEMENT
EMERGENCY SERVICES
HEALTH & WELLNESS
• Immunization
• Screening tests
• Physical/Dental/Vision checkup
• Diet / Exercise program
• Mental health
CONDITION MANAGEMENT
• Illness: treatment + follow-up
• Chronic disease: medication + measurement
• Pregnancy: treatment + follow-up
• Elective surgery: treatment + follow-up
• Mental health: treatment + follow-up
EMERGENCY SERVICES
• Accident response
• Ambulance
• Emergency room
PATIENT
ADVOCACY
GROUPS
• Research
• Support
• Policy
• Cure
PERSONAL
BIOMETRICS
• Family & Friends
• Websites
• Mobile Apps
HEALTH
INFORMATION
• Books & Magazines
• Websites
• Mobile Apps
PHARMACEUTICAL
MEDICAL
DEVICES
MEDICAL PRODUCTS &
SERVICES COMPANIES
• Medical Devices
• Drug Treatment
• Lab Testing
• Medical Imaging
Health & Human
Services
State Health
Laws
Food & Drug
Administration
MANAGING
MY INSURANCE
• Payments
• Deductable
• Max Out of Pocket
• Reimbursements
• FSA
MEDICARE
MEDICAID
EMPLOYER
BENEFITS
MANAGEMENT
BENEFITS PACKAGE
• Health
• Disability
• Life
• FSA
TREATING
PATIENTS
PHARMACY
STAGES OF CARE
• Determine Diagnosis
• Determine Care Plan
• Activate Care Plan
• Maintain Care Plan
• Refer-Follow Patient
PLACES
TO PRACTICE
CLINICAL
OUT-PATIENT
HOSPITAL
IN-PATIENT
LAB
IMAGING
• Clinical Staff
• Admin Staff
• Clinical Staff
• Admin Staff
SERVICE PRESENTED TO PAYER
• Patient’s Insurance Contract
• Diagnostic Code / Billing Code
• Right to Bill / Referral
DIAGNOSTIC
SERVICES
METHODS
TO PRACTICE
PROF/SPECIALTY
SOCIETIES
ACADEMIC
MEDICAL CTRS
MEDICAL RESEARCH
• Clinical Trials
• Published Research
• Conferences
CLAIMS
PORTAL
PAYMENT
PORTAL
BENEFITS
PORTAL
SELF-MONITORING
APPLICATIONS
BEHAVIOR-CHANGE
APPLICATIONS
PATIENT
MANAGEMENT
• Lab / Imaging
• Medication
• Medical History
• Schedule
PRACTICE
MANAGEMENT
• Diagnosis Code
• Billing Code
• Time In/Out
• Supplies
POINT OF CARE
• Clincial decision support
Electronic
Health
Records
CMS
Claims
Insurance
Claims
All Payer
Claims
Personnel
Records
Benefits
Claims
Payments
Clinical Data Quality Data
Personnel
Health Records
Biometrics
Genome
Records
Medical
Text