Segment Setting Applications / Functions

E Health Acute / Ambulatory PHR Patient Health RecordCCR Continuity of Care Record

(Enterprise Access CDA Foundation)

Referral / Clinician Portal (Scheduling & Ordering)

Clinical Web Portal "Physician Access"

Executive Information Desktop (Dashboard)

C

L

I

N

I

C

A

L

Acute

CPOE Nursing DocumentationeMAR electronic Medication

Administrative RecordInterdisciplinary Clinical Notes

EDMS Electronic Document Management System

High Acuity (ICU) Flowsheet & Documentation

Patient Monitoring / Device Management

real-time Bed Board Patient Education Multi-Disciplinary Care Planning

Clinical PathwaysProblem List Management &

SupportTranscription / Dictation (H&P,

Discharge Summary etc.) **Case Management / Discharge Planning

**Voice Recognition (VR)

Critical Care Management Palliative Care SystemSkilled Nursing Facility

ManagementHome Health Monitoring High Acuity Monitoring

Residency Support Charting Assessments / VSIO Care Planning Credentialing / Clinician CME Telemetry / RFID

Ambulatory

EMR (Electronic Medical Record) Clinician Level

CPOEClosed Loop Medication &

Results ManagementEpisodes of Care Management **Voice Recognition (VR)

EDMS Electronic Document Management System

Telephony Patient Education EKG / Spirometry EnablerE/M Evaluation & Management

Coding & Calculation

Problem List Management & Reporting

Care Planning Social Welfare

Specialties SupportedCardiology, Dermatology, Endocrinology, Family Practice, Pediatrics, Gastroenterology, General Surgery, Infectious Disease ICU, CCU, NICU, Internal Medicine, Obstetrics

& Gynecology, Occupational Therapy, Respiratory Therapy, Radiation Oncology / Therapy, Physical Therapy, Speech Therapy, Ophthalmology, Plastic Surgery, Pulmonology, Rheumatology, Urology, Vascular Surgery, & Prosthetics

DepartmentalED Emergency Department

Surgery: Pre-Operative, Perioperative, Post-Operative

AnesthesiaOncology: Radiation Therapy -

PlanningCardiology / Cardiovascular

Intervention

Dialysis Sleep Lab

Ancillaries

Acute Pharmacy Ambulatory Pharmacy Radiology (PACS / RIS) Cardiology (CVIS / CPACS) Women's Imaging (U/S, Mammo)

Clinical Laboratory Reference Laboratory DentalPathology

(Anatomical, Clinical, Dermatopathology, Hematopathology, Oral & Maxillofacial and Forensic Pathology)

M HealtheMAR w/ Barcode / Flowsheets

Inventory Control (ERP - Logistics)

Clinical Data Access / VR / Flowsheet Entry

Telemedicine / Tele-Imaging Tele-Behavioral health

SurveillanceHome Health Monitoring -

RehabilitationPatient Kiosk (Wayfinding)

Surgery Instrument Tracking

Health Information Management Chart Deficiency Tracking EDMS Management Quality / HEDIS ReportingHIPAA

Release of Information (ROI)Coding & Abstracting

HealthCare IT Landscape 2015-2016

Segment Setting Applications / Functions

Intake / Eligibility

Acute

ADT / Registration EMPI RegistrationEnterprise Scheduling

Authorization & Pre-Certification Tracking

Eligibility Tracking

Help Desk Bed Management Rounds Management

AmbulatoryEnterprise Registration

Enterprise Scheduling

Referral Tracking & Management

POS Benefit & Health Alerts Eligibility Tracking

ABN Tracking

Call Management / CRM Call ManagementCustomer Relationship

Management (CRM)Nurse Triage

Decision Support

Clinical Decision Support

Acute / Ambulatory

Evidence Based Medicine (EBM)

Outcomes Based Medicine (OBM)

Health MaintenanceCDM

Chronic Disease ManagementDrug Knowledge Database

(Interaction / Contraindication)

Medication Dosing SupportSafety Monitoring ADE(Adverse Drug Event)

Clinical Alternatives Formulary Compliance Protocols / Pathways

Diagnosis-based Order Sets Active GuidelinesPopulation

ManagementNomenclature Services (UMLS)

Duplicate Therapy / Orders Alerting

Financial Decision Support

Acute / Ambulatory Financial Alternatives Duplicate Orders AlertingDecrement ERP Inventory

ManagementBenefits Summary

Champus / Alternative Insurance

Revenue Cycle

HOSPITAL

Hospital Billing &Patient Accounting

Anesthesia Billing Accounts Receivable Inventory Management (ERP) Abstracting & Coding

Electronic Claims & RemittanceCollections

"Acute & Ambulatory"Financial Reporting

Authorization & Pre-Certification

Concurrent Review

PROFESSIONAL

Professional Billing & Patient Accounting

Point-of-Service Copay & Prior Balance Collection

Benefits EngineClaims Management

(Charge & Claim Scrubbing)Electronic Claims & Remittance

Expected Reimbursement Tracking

Credit Card Payment System Dental Billing Home Health Billing Telemedicine Billing

HealthCare IT Landscape 2015-2016

Segment Setting Applications / Functions

Health Plan PayorsEnrollment & Benefits Premium Billing Utilization & Case Management Provider Contracting AP Claims Adjudication

Claims Processing Workers CompensationClaims & Capitation

ReconciliationClearinghouse

Enterprise Foundation

Acute / Ambulatory

Patient Registry (Research)

Cancer RegistryData Analytics

(Enterprise Content Management)

Analytical "Data" Warehouse X12 EDI Transactions

Enterprise Master Patient Index(EMPI - Community Master)

Clinical Data Repository (CDR)

Ad Hoc Reporting Cost AccountingDEERS

(US Military Master Patient Index)

TimeKeeping

HealthCare IT Standards Acute / AmbulatoryDICOM SNOMED RxNorm LOINC Health Level 7 (HL7)

UMLSClinical Document Architecture

(CDA)MeSH

NCPDP/SCRIPT (Dentistry)

X12

Interface Considerations

HITSP based

Acute / Ambulatory

Radiology – Modalities via DICOM, IHE (framework)& HL7;o Diagnostic Radiologyo Advanced Visualizationo Computerized Radiography (CR)o Direct Radiography (DR)o Computerized Tomography (CT)o Ultrasoundo PET Scannero Magnetic Resonance Imaging (MRI)o Picture Archiving & Communication System (PACS)o Nuclear Medicine

IMAGING subspecialties:- Radiation Therapy- Molecular Imaging- Ophthalmology- Pathology- Orthopedics- Endoscopy

Cardiology – DICOM, ASTM, ISO, IHE & HL7o Cardiology PACSo EEG / EKGo Physiological Monitors

Laboratory – Standard Instrumentation – ASTM - LOINC

Reference Laboratory - LOINC

Endoscopy – Camera – ASTM & HL7

Patient Tracking – ASTM, DICOM& HL7o L&D Obstetrics Patient Trackingo Ultrasound (real-time)o RFID patient tracking in behavioral health, pediatrics, geriatrico Ultrasound (real-time)

Pharmacy – ASTM, HL7, SnoMED, IHE, ISO & optional LOINC / RxNORMo Roboticso Dispensing Unitso Medication Infusion Pumpo eMAR – Barcode Patient Identificationo eRx (electronic prescription)

Emergency Department - Surgery & Critical Care – IHE, HL7, DICOM, ASTM, ISO & CORBAo C-ARMo Portable DRo Invasive Monitors / Devices § Ventral Venous Catheters (CVC) / Central Venous Pressure (CVP) § Arterial Catheter § Hemodynamic Monitors § Right Atrial Catheter (RAP) § Left Atrial Catheter (LAP) § Ventilator (Invasive & Non-Invasive) § Intracranial Pressure Monitor

Non-Invasive Monitors / Devices§ ECG§ Pulse-Oximeter § Respiratory Rate Measurement§ "Non-Invasive" Blood Pressure§ End Tidal CO2 Monitor (ETCO2)§ Near Infrared Spectroscopy (NIRS)

Medical Device / Software:

Vulnerability Studies &

Cybersecurity

HealthCare IT Landscape 2015-2016