Saturday, April 25, 2009

Module 5

Module 5

AHRQ Website:

What, if any relationship do you see between the information available on this webpage and regulatory, accreditation, and reimbursement issues and healthcare information system use and design?

In order to find answers to the above question I utilized the “Search” function located on the top right of the webpage. I searched the site for regulatory issues. The site located 702 results for regulatory issues. I opened and looked at the first result listed called, “Reopening Shuttered Hospitals to Expand Surge Capacity: With detailed appendix on legal and regulatory issues,” (Hassol & Zane, 2006, p. 1). The purpose of this article was to look at using previously “shuttered” [closed down] hospitals for use as a fully-functional health facility that could take on the surge capacity of patients during a mass casualty event (Hassol & Zane, 2006). The authors of this article delve into specific detail of how patient information management would be handled in mass casualty situations, stating the following, “Recommendation: Regulatory requirements regarding medical records systems and maintenance among the requirements that will need to be at least partially waived for a surge facility,” (p. 123). After perusing the AHRQ website a little further, one thing I noticed in regard to regulatory issues is that AHRQ takes on the responsibility of putting together teams or finding research that specifically focuses on issues like bioterrorism and surge capacity that could potentially cause regulatory problems.

Next, I searched the AHRQ website for accreditation issues. The first article noted was a workshop summary that was presented by Margaret VanAmringe, who at the time was the Director of Federal Relations for the Joint Commision on Health Care Organizations wise known as JCAHO (AHRQ, 1998). Most people in the health care profession know that the word JCAHO is synonymous with accreditation. I then just typed in the word “accreditation” in the search bar and the first citation retrieved compared the quality of Maryland’s HMO hospitals and included their National Committee for Quality Assurance accreditation status (MHCC, 2000). Because of these findings I would have to state that AHRQ cares about accreditation status issues and makes their website available to the public in order to increase the public’s awareness of such issues.

I perused the AHRQ Home webpage for any indicators that I felt might lead me to reimbursement issues. I clicked on the word “HIV & AIDS Cost and Use,” located under the heading “Data & Surveys,” (AHRQ, n.d.). It took me to another webpage that I had to scan a little in order to find anything related to reimbursement. I located the word “Health Insurance Coverage” and clicked on it. The next webpage briefly discusses the study that was performed on health care coverage for HIV/AIDS and provides a phone number if a person wishes to request a copy of the study (AHRQ, n.d.).

Finally, I searched the home page for any information that would lead to healthcare information system usage and design. I clicked on the word “Technology Assessments,” (AHRQ, n.d.) and it lead me to a webpage that would be useful for reimbursement issues. This page had links that would take a person to those technology assessments that are utilized by the Centers for Medicare & Medicaid Services for the purpose of coverage decisions. Back on the home page I discovered a link called “Health Information Technology,”(AHRQ, n.d.) and clicked on it. AHRQ’s Health Information Technology page discusses barcode medication administration technologies, computerized provider order entry, telehealth, etc. (AHRQ, n.d.). All of these reports on this page are specific to healthcare information system usage and design.

After inspecting AHRQ’s website I would most definitely have to say that there is a relationship between this website and regulatory, accreditation, and reimbursement issues and healthcare information system use and design.


References:

Hassol, A., & Zane, R., (2006). Reopening Shuttered Hospitals to Expand Surge Capacity: With detailed appendix on legal and regulatory issues. Retrieved April 25, 2009, from http://www.ahrq.gov/research/shuttered/shutreport.pdf

Understanding the Alphabet Soup of Managed Care Integrated Delivery Systems. Workshop Summary, October 14-16, 1998, User Liaison Program. Agency for Health Care Policy and Research, Rockville, MD. http://www.ahrq.gov/news/ulp/ulpmcids.htm

Maryland Health Care Commission, (2000). Comparing the quality of Maryland’s HMO’s 2000. Retrieved April 25, 2009, from http://www.talkingquality.gov/pdf/TQ_ID93.htm

AHRQ, (n.d.). Health Insurance Coverage. Retrieved April 25, 2009, from http://www.ahrq.gov/data/acsus2.htm

AHRQ, (n.d.). Health Information Technology. Retrieved April 25, 2009, from http://healthit.ahrq.gov/portal/server.pt?open=512&objID=650&PageID=0&parentname=ObjMgr&parentid=106&mode=2&dummy=t

AHRQ, (n.d.). Technology Assessments. Retrieved April 25, 2009, from http://www.ahrq.gov/clinic/techix.htm

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