Week 3 – Understanding the Patient Intake Process
University of Phoenix
Medical Insurance describes the intake process using a decision tree model (pg. 79, Figure 3.1, Valerius, Bayes, Newby, & Blochowiak, 2014). The tree leads administration personnel through a list of questions to determine if the patient is a new patient or an established patient.
The first problem with this process is that some of the new patients are patients that have been seen at the practice. If an established patient has an appointment with a new specialist or sub-specialist that patient is registered as a new patient. The problem with this is describing these patients as new patients can lead to multiple patient records and lost data between physicians. If a patient for example, was seen in a large medical office that had several types of specialists and subspecialists creating a new patient chart for each visit to a new doctor or specialist would make it difficult to ensure that all files were updated. This would be particular important for a patient that was under more than one doctors care for more than one problem at a time. In cases where a patient had more than one problem, treatment for problem A could affect the treatment for problem B. It is important for doctors to know a patient’s complete history as well as current care when attempting to treat them.
Using a master patient index is the first step to removing the need for duplicate records. In a master patient index a patient is registered the first time they are seen at a practice and given a constant and unique patient identification number. “Master Patient Index’s ensure that every patient is represented only once, and with constant demographic identification, within all systems of hospital data” (Master Patient Index, 2011). The master patient index as well as the medical records also needs a system to control the circulation of paper files or electronic database.
A centralized medical records...
References: Green, M. A. & Bowie, M. J. (2011). Essentials of health information management: Principles and practices (2nd ed.). Clifton Park, NY: Delmar, Cengage Language
Lenson, C. M. (1998, August). Building a successful enterprise master patient index: a case study. Topics in health information management, 19(I), 66-71. http://www.ncbi.nlm.nih.gov/pubmed/10181913
Master Patient Index. (2012). In Search Health IT. Retrieved from http://searchhealthit.techtarget.com/definition/master-patient-index-MPI
Valerius, J., Bayes, N., Newby, C., & Blochowiak, A. (2014). Medical insurance: An integrated claims process approach (6th ed.). Boston, MA: McGraw-Hill.
Green, M. A. & Bowie, M. J. (2011). Essentials of health information management: Principles and practices (2nd ed.). Clifton Park, NY: Delmar, Cengage Language
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