Race and Ethnicity Data During Different Workflows

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This document discusses obtaining patient social identity data during clinical workflows in a respectful and efficient manner. It considers who should ask patients for this information, when it should be requested during a clinical encounter, and what system constraints like electronic records affect these decisions. Issues addressed include training staff to collect this data, reviewing data quality, and ensuring data obtained can be extracted and transformed to meet reporting requirements while respecting patients.

Santé & Médecine Business

MN Community Measurement April 16, 2008 Obtaining Patient Social Identity Data During the Workflow Yiscah Bracha, M.S. Research Director Center for Urban Health

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Clinical vs. Administrative Staff ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

In Person vs. Telephone ,[object Object],[object Object],[object Object]

In Person vs. Telephone BUT… Telephone is difficult if not impossible for unscheduled encounters

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Questions? Yiscah Bracha [email_address]

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Running head: STAGE 1 ORGNAIZATIONAL ANALYSIS AND REQUIREMENTS 1 STAGE 1 ORGNAIZATIONAL ANALYSIS AND REQUIREMENTS 2 Stage 1 organizational analysis and requirements Name Institution Professor Course Date Introduction Midtown Family Clinic was opened in 1990 by Dr. Harold Thompson as a small internal medical practice. It was opened in an environment characterized with increasing number of new family residences. Dr. Thompson acted as the manager and the owner of the clinic and was assisted by two registered nurses named Maria Costa and Vivian Halliday. The two nurses play rotational duties where one takes care of the front desk while the other one assists Thompson during patient visits. This situation puts the two nurses in a busy environment. Patients have been used to waiting for long hours to be attended to. This situation worsens in case one nurse is absent. Thompson needs new nurse or physician since the clinic has three examination rooms. According to him, this would reduce patients’ waiting time, aid in growing the clinic and also providing better service to patients. The operation of the clinic is paper work. The front office computer is only used for stand-alone appointment scheduling and internet connection. The clinic is faced with various challenges in its operations. Due to paper work system, there is no quick way to check in patients. This results to wastage of valuable time for the doctor. There is also risk of losing patients files hence making it difficult during looking up patient’s history. Longer time is taken in pulling the files for all patients with appointment. These challenges called for Electronic Health Records which enables smooth operation of the clinic. I. Organizational Analysis and Requirements A. Introduction This section includes the goals that will be supported by introduction of an EHR system. It also discusses the components of information system which include people, technology, processes and data. It also identifies essential requirements for the EHR system. B. Strategic Use of Technology 1. To see the clinic operate more efficiently and make some financial profit for expanding and upgrading the clinic. 2. To improve the quality of care, safety and financial management decisions of the clinic. 3. To make a larger clinic through investment of some funds in a major renovation especially in the examination rooms and the waiting area. This calls for renting another apartment next to his clinic in order to open up the space. This would enable Thompson to expand clinic into a 3-physician clinic and also have some space for physical therapy physician resulting to additional income. C. Components of an Information System: 1. People – A. Front desk nurse. Her role is to schedule appointments. EHR system would make it quick to enter patient’s appointment on the schedule. It would also make the work neat and rea ...

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3/5/2018 IFSM 305 – Case Study Page | 1 Midtown Family Clinic Case Study In 1990, Dr. Harold Thompson opened the Midtown Family Clinic, a small internal medicine practice, in an area with an increasing number of new family residences. Dr. Thompson has been the owner and manager of the medical practice. He has two nurses, Vivian and Maria, to help him. Usually, one nurse takes care of the front desk while the other nurse assists the doctor during the patient visits. They rotate duties each day. Front desk duties include all administrative work from answering the phone, scheduling appointments, taking prescription refill requests, billing, faxing, etc. So if on Monday Vivian is helping the doctor, then it is Maria who takes care of the front desk and all office work. The two nurses are constantly busy and running around, and patients are now accustomed to a minimum 1-2 hour wait before being seen. If one nurse is absent, the situation is even worse in the clinic. The clinic has three examination rooms so the owner is now looking into bringing a new physician or nurse practitioner on board. This would help him grow his practice, provide better service to his patients, and maybe reduce the patients’ waiting time. Dr. Thompson knows that this will increase the administrative overhead and the two nurses will not be able to manage any additional administrative work. He faces several challenges and cannot afford to hire any additional staff, so Dr. Thompson has to optimize his administrative and clinical operations. The practice is barely covering the expenses and salaries at the moment. Dr. Thompson’s practice operation is all paper-based with paper medical records filling his front office shelves. The only software the doctor has on his front office computer is a stand-alone appointment scheduling system. Even billing insurance companies is done in a quasi-manual way. For billing insurance, the front office nurse has to fax all the needed documentation to a third party medical billing company at the end of the day. The medical billing company then submits the claim to the insurance company and bills the patient. The clinic checks the status of the claims by logging into the medical billing system, through a login that the medical billing company has provided the clinic to access its account. There is no billing software installed at the practice, but the nurses open Internet Explorer to the URL of the medical billing company and then use the login provided by the third party medical billing company. Of course, the medical billing company takes a percentage of the amount that the clinic is reimbursed by the insurance. Although the medical practice has the one PC with the scheduling software and an internet connection, it does not have a Web site or any other technology, and essentially still operates the same as it did in 1990. One problem that is immediately noticeable is ...

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