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by David Uhlman, Fred Trotter
Hacking Healthcare
Preface
Audience
Organization
Conventions Used in This Book
Using Code Examples
Safari® Books Online
How to Contact Us
Acknowledgments
1. Introduction
Health IT and Medical Science
Meaningful Use and What It Means to Be an EHR
Why So Late?
Health IT in Health Reform
Evolution of Meaningful Use
Accountable Care Organizations
EHR Functionality in Context
2. An Anatomy of Medical Practice
How Patients Reach Healthcare Organizations
Lab Sample Collection Before a Visit or Admission Date
HIPAA and Patient Identification
Intake, Demographics, Visits, and Admissions
Precertification and Prior Authorization
Emergency Admissions
Prioritization and Triage
Outpatient Care
Inpatient Care
Labs
Imaging
Administration and Billing
3. Medical Billing
Who Pays, and How
Claims
Eligibility
Treatment
Billing
The Billing Process
Complexities in Billing
Adjudication
The Patient’s Burden
4. The Bandwidth of Paper
Workflow Tokens
Why Leave Paper?
Step 0: Health IT Humility
Normalized Data
Good Boundaries Mean Good Data
Data at Peace with Itself: Linked Data
Flexible Data
Assume Health Data Changes
Free Text Data
5. Herding Cats: Healthcare Management and Business Office Operations
Major Business Office Activities
Insurance
Records
Demographics
Revenue Collection
Auditing
Accounting
Reporting
Licensing, Credentials, and Enrollments
Nonhealthcare Interactions
The Evolution of the Business Office
6. Patient-Facing Software
The PHR as Platform
Sharing Data in Patient-Facing Software
Patients Using Normal Social Media
E-patients
The Quantified Self
Patient-Focused Social Media
Patient Privacy in PHR Systems
Specific PHR and Patient-Directed Meaningful Use Requirements
7. Human Error
The Extent of Error
Dangerous Dosing
Discontents of Computerization
Process Errors and Organizational Change
Deep Medical Errors and EHR Solutions
Errors Caused by Human-Computer Mismatch
Best Practices
8. Meaningful Use Overview
Outpatient Guidelines and Requirements
Inpatient Guidelines and Requirements
9. A Selective History of EHR Technology
MUMPS: The Programming Language for Healthcare
Where Can We Buy Some Light Bulbs?
Fragmentation
In an Environment with Gag Clauses and No Consumer Reports
VistA History
10. Ontologies
A Throw-Away Ontology
Learning from Our Example
CPT Codes, Sermo, and CMS
International Classification of Diseases (ICD)
E-patient-Dave-gate
Crosswalks and ICD Versions
Other Claims Codes
Drug Databases
SNOMED to the Rescue
SNOMED Example
SNOMED and the Semantic Web
UMLS: The Universal Mapping Metaontology
Extending Ontologies
Other Ontologies
Sneaky Ontologies
Ontologies Using APIs
Exercising Ontologies
11. Interoperability
Some Lessons from Earlier Exchanges
The New HIE Rules
Strong Standards
Winning Protocols
The Billing Protocols
HL7 Version 2
First-Generation and Second-Generation HIEs
Continuity of Care Record
HL7 v3, RIM, CDA, CDD, and HITSP C32
The IHE Protocol
HIE with IHE
Managing Patient Identifiers with IHE
IHE Data Exchange, the Library Model
IHE in the NWHIN
The Direct Project/Protocol
The PCAST Report
The SMART Platform
Technology and Policy Were Sitting in the Tree
12. HIPAA: The Far-Reaching Healthcare Regulation
Does HIPAA Cover Me?
Responsibilities of Covered Entities
HIPAA: A Reasonable Regulation
Duct-Tape HIPAA Strategies
Breach Notification Rules
In Summary
13. Open Source Systems
Why Open Source?
Major Open Source Healthcare Projects
ClearHealth
Mirth Connect
VistA Variants and Other Certified Open Source EHR Systems
OpenMRS
A. Meaningful Use Implementation Assessment
About the Authors
Copyright
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