Long-Term and Post-Acute Care Providers Engaged in Health Information Exchange: Final Report. Health Information Exchange -- Perspectives from Beechwood Business Units
During the site visit, interviews were conducted with Beechwood staff to discuss key processes/workflows that require the exchange of information. Interviews were conducted with the department representatives from admissions, nursing, social service, rehab, Medicare liaisons and billing, and HIM. Based on the interviews Table I-3 summarizes disc
Long-Term and Post-Acute Care Providers Engaged in Health Information Exchange: Final Report. Overview of HEALTHeLINK Providers and Health Information Exchange
HEALTHeLINK has prioritized eight types of health information to be available on the exchange network to providers and payers. The HIE also identifies the status of which providers are submitting the clinical data. 4 Based on information reported on the HEALTHeLINK web site, there are currently 35 providers submitting clinical data and over 2,
Although the majority of Americans with health insurance obtain their coverage through group health plans offered through their employers, many individuals obtain their coverage through the nongroup (or individual) insurance market. Currently almost 18 million persons, or almost seven percent of the United States nonelderly (under age 65) popula
Improving the Coordination of Services for Adults with Mental Health and Substance Use Disorders: Profiles of Four State Medicaid Initiatives. Appendix C. Massachusetts State Profile
This state profile also available at: http://aspe.hhs.gov/pdf-report/improving-coordination-services-adults-mental-health-and-substance-use-disorders-massachusetts-state-profile A. Program Description Overview
Improving the Coordination of Services for Adults with Mental Health and Substance Use Disorders: Profiles of Four State Medicaid Initiatives. IV. Cross-State Themes and Observations
Each state implemented a different approach to improving care coordination for Medicaid beneficiaries with behavioral health conditions. Despite these diversities, state Medicaid officials, managed care representatives, providers, and consumer representatives in all states identified similar facilitators, challenges, and lessons learned for improv
Personal Privacy in an Information Society. Elements of an Expectation of Confidentiality. Prohibiting Voluntary Disclosure
In several areas of its inquiry, the Commission attempted to identify records about an individual kept by third parties in which it believes the individual should have a legitimate expectation of confidentiality-a right to expect that such records or the information in them would not ordinarily be disclosed without his consent.
If records about individuals held by third-party record keepers are to be protected against government access, the law must change. In light of the inability of the courts to refashion the application of Constitutional theory, the change must come through legislative action. VOLUNTARY DISCLOSURE AND COMPULSORY PROCESS
Personal Privacy in an Information Society. Government Access toPersonal Records and "Private Papers"
Discussion of the need to protect individuals from threats to personal privacy often conjures up ominous images of government agents conducting surreptitious investigations and compiling dossiers. Such images come forcefully to mind when one is concerned, as the Commission is, with preventing improper inquiry into and disclosure of records about i
1 1975 data conveyed to staff of the Privacy Protection Study Commission by staff at the National Center for Health Statistics. 2 National Center for Health Statistics, Health: United States 1975, (Rockville, Maryland: Department of Health, Education, and Welfare, 1975), p. 3. 3 Section 5(c)(2)A) of the Privacy Act of 1974 authorized the
The Commission considered several ways in which its medical-record recommendations might be implemented and enforced. The alternatives considered ranged from a wholly voluntary approach to Federal legislation which, like the 1974 Drug Abuse and Alcoholism statutes, 49 would make compliance with the recommendations a requirement attached to the di
The Commission's inquiry into the creation, maintenance, use, and disclosure of medical records and medical-record information led it to six basic conclusions. First , medical records now contain more information and are now available to more users than ever before.
The physician-patient relationship is an inherently intrusive one in that the patient who wants and needs medical care must grant the doctor virtually unconstrained discretion to delve into the details of his life and his person. As a practical matter, because so much information may be necessary for proper diagnosis and treatment, no area of inqu
In the early part of this century, physicians, most of them practicing alone, delivered 85 percent of all medical services in the country.
With a few important exceptions, the Commission's specific recommendations on record keeping in the employee-employer relationship also embody a voluntary scheme for resolving questions of fairness in the collection, use, and dissemination of employee records. The reasons for not recommending statutory implementation of many of these recommendatio
External forces can impinge heavily on employment-related record keeping. Government action, technological change, evolving managerial viewpoints and techniques, perspectives and goals of business firms and labor unions, market forces, and change in the composition and character of the work force can all have an effect. Yet because policy must be
To the Commission's knowledge, no systematic analysis of how employee records affect employment decisions has ever been made. After an extensive survey of the literature, one writer characterized employment decision making as a "black box" problem: an individual can find out what information was available, and can know the outcome, but he may not
In a small organization the various items of information maintainedabout an employee are frequently mingled in one file, and the custodian ofthe file may perform a number of loosely related record-keeping functions.In a large organization, on the other hand, the need to deal in a consistentway with large numbers of employees, and to match applican
1 American Council of Life Insurance, Life Insurance Fact Book, (New York: American Council of Life Insurance, 1976), p. 9. 2 Health Insurance Institute, The Source Book of Health Insurance Data 1974 - 1975, (New York: Health Insurance Institute, 1975), p. 19. 3 American Council of Life Insurance, op. cit., p. 38. 4 Automobile I
Individual: any natural person who is a past, present, or proposed named or principal insured (including any principal insured under a family or group policy or similar arrangement of coverage for a person in a group), policyowner, or past or present claimant. Insurance Institution: