The Cost of Auditing Outpatient Records

Ahlers, P; Rj, Sullivan; We, Hammond; El, Walter; Hd, Tolley

doi:10.1097/00007611-197610000-00022

Cited by 5 publications

(1 citation statement)

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“…A list of medical records that contained the diagnostic code for this condition was compiled in the computer, and the manual records for these patients were then audited for data completeness and protocol compliance [ 4 ]. By 1980 they used their GEMISCH language CDS program to provide computergenerated reminders to improve physicians' drug prescribing practices in their Community and Family Medicine Clinic.…”

Section: Clinical Decision Support Systems (Cdss)mentioning

confidence: 99%

Decision Support Systems (DSS)

Collen¹,

McCray

2015

Health Informatics

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In the 1970s, to control costs and comply with Medicare rules, hospitals began to use computer-based systems for utilization review. In the early 1980s, a diagnostic related group (DRG) approach was applied to hospital payments, and increasingly complex data reporting requirements led hospitals to establish quality assurance programs. Medical information, or medical knowledge, databases for clinical decision support (CDS) were developed in the 1980s. The capabilities provided by online real time monitoring, vastly increased data storage, and physician order entry and results reporting (OE/RR) came together in CDS programs in the 2000s; by 2010 most physicians were using systems that provided online practice guidelines as well as clinical reminders and alerts about potential adverse clinical events. These advances build upon techniques from other fi elds, including artifi cial intelligence; the emergence of huge clinical databases in the 1990s led to the use of data mining to uncover previously unknown important relationships between clinical data elements, and the use of effi cient knowledge discovery algorithms to extract knowledge from data by identifying and describing patterns in a meaningful manner. To support knowledge creation in biomedicine, the National Library of Medicine produces and maintains hundreds of up-to-date scientifi c databases, including MEDLINE (over 23 million citations with 700,000 posted in 2013 alone), human genome resources, toxicology and environmental databases (searched billions of times a year by millions around the globe).

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Section: Clinical Decision Support Systems (Cdss)mentioning

confidence: 99%

Decision Support Systems (DSS)

Collen¹,

McCray

2015

Health Informatics

View full text Add to dashboard Cite

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A Comprehensive Patient Care System for the Family Practice

Schlager¹

1983

Computers and Medicine

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Family and Community Health Associates(FACHA) has incorporated an in-house, on-line computerized medical information system into a two office, three physician, family practice medicine group. A Basic Four System 610 minicomputer is utilized to store all the medical, pharmaceutical, financial and scheduling records. A SOAP formatted encounter form is used to collect the data. Five medical reports are printed prior to each patient encounter.Evaluations of the use and the benefits of this system are presented. A cost study, which calculated the cost of maintaining a computerstored patient record, showed that a patient record could be updated and maintained for $1.32. A quality of care evaluation revealed that the preaudit of the computer-generated medical reports increased patient compliance to health maintenance suggestions. Another quality of care evaluation revealed that computer-generated flow charts did not significantly improve the diastolic blood pressure value of chronic hypertensive patients.

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A comprehensive patient care system for the family practice

Schlager

1983

J Med Syst

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Family and Community Health Associates (FACHA) has incorporated an in-house, on-line computerized medical information system into a two-office, three-physician family practice medicine group. A Basic Four System 610 minicomputer is utilized to store all the medical, pharmaceutical, financial, and scheduling records. A SOAP-formated encounter form is used to collect the data. Five medical reports are printed prior to each patient encounter. Evaluations of the use and the benefits of this system are presented. A cost study, which calculated the cost of maintaining a computer-stored patient record, showed that a patient record could be updated and maintained for $1.32. A quality of care evaluation revealed that the preaudit of the computer-generated medical reports increased patient compliance to health maintenance suggestions. Another quality of care evaluation revealed that computer-generated flow charts did not significantly improve the diastolic blood pressure value of chronic hypertensive patients.

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The Cost of Auditing Outpatient Records

Cited by 5 publications

References 0 publications

Decision Support Systems (DSS)

Decision Support Systems (DSS)

A Comprehensive Patient Care System for the Family Practice

A comprehensive patient care system for the family practice

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