Chapter 7 : Administrative Information Systems

Administrative information systems

A system that manages the business of healthcare; is the first information systems to be used in healthcare.

The data collected in this system are mainly financial or business-oriented in nature, rather than clinical

Algorithm

are relatively short computer programs of rules or procedures containing conditional logic for solving a problem or accomplishing a task.

Big data

is mentioned frequently when discussing data governance and business intelligence

Business intelligence (BI)

is the broad category of applications and technologies for gathering, storing, analyzing, and providing access to data to help enterprise users make better business decisions

Chargemaster

is a financial management form or software that contains information about the healthcare organization's charges for the services it provides to patients

Clinical documentation improvement (CDI)

is the process an organization undertakes that will improve clinical specificity and documentation that will allow coding professionals to assign more concise disease and procedural classification codes.

Decision support system (DSS)

gathers data from a variety of sources to assist management and staff in decision-making tasks associated with the nonroutine and nonrepetitive problems.

Enterprise master patient index (EMPI)

A database that provides access to multiple repositories of information from overlapping patient populations that are maintained in separate information systems and databases

Executive information system (EIS)

A decision support system that is designed to be used by healthcare administrators

Facilities management systems

Used by a healthcare facility to manage the physical plant; track routine maintenance such as elevator inspections, fire extinguisher inspections, and equipment preventive maintenance

Financial information system

A critical system to the fiscal health of the healthcare facility; receive accurate financial information in a timely manner to monitor and manage the finances of the healthcare facility

Hospital information system

The major information system used by a healthcare facility; is made up of many administrative systems, such as the financial information system and the MPI

Master patient index (MPI)

Part of the hospital information system; it is a patient-identifying directory, referencing all patients related to a healthcare facility;

that also serves as a link to the patient health record or information, facilitates patient identification, and assists in maintaining a longitudinal patient record from birth to death

Materials management system

A system that automates the purchasing process, inventory control, menu planning, and food service

Patient registration system

Collects information on patients receiving treatment

Practice management system

A software used by physician practices; scheduling, patient accounting, patient collections, claims submission, appointment scheduling, human resources, and other functions all are built into this single information system

Registration-admission, discharge, transfer (R-ADT)

A type of administrative information system that stores demographic information and performs functionality related to registration, admission, discharge, and transfer of patients within the organization

Revenue cycle

A very complex process involving several departments and many employees who perform tasks of reviewing services provided for claims submitted as well as reviewing outstanding claims, returned claims, denials, missing accounts, bill holds, and other claims involving the revenue of the healthcare facility

Revenue cycle management

the management of the accounts receivable and the accounts payable on a daily basis by the healthcare facility

Scheduling system

A method of using scheduling algorithms to control the use of resources throughout the healthcare facility; these resources can include staff, equipment, rooms, and more

Soundex

A phonetic-based indexing system that is easily incorporated into computer software for searching surnames that sound alike but are spelled differently