Healthcare informatics

Abstract

The paper looks into the significance of different health care programs provided by the United States. The paper justifies their role, and throws light on their clinical quality, reimbursements and patient access. The paper also explains how they interact nationwide through supporting nationwide healthcare information network. It throws light on the evolving role of healthcare informatics and its professionals.

Table of Contents

Outline4

Introduction5

Discussion6

Medicare6

About the program6

Licensure, certification and accreditation standards6

Impact7

Clinical quality8

Reimbursement8

NHIN9

Tricare9

About the program9

Licensure, certification and accreditation9

Impact10

Clinical quality10

Reimbursement10

Patient access11

Impact11

NHIN11

The Indian health service11

About the program11

Licensure, certification and accreditation12

Impact12

Clinical quality12

Reimbursement13

Patient access13

Impact13

NHIN13

The role of health informatics and its workforce13

Medicare- DIRECT13

Tricare- EHR14

Indian health services-HIE14

Healthcare informatics professionals14

Medicare15

Tricare15

Indian health Services15

Conclusion15

References17

Outline

Introduction

Discussion

Medicare

Tricare

HIS

Healthcare informatics

Role of informatics professional

Conclusion

Healthcare informatics

Introduction

Health care is defined as “the prevention, treatment and management of illness and disease, and ensure mental and physical well being through the services offered by the medical and allied health professionals”. In the first world countries healthcare responsibilities of masses rest with the individual. In the United States, government is running many health programs for public. The established body for ensuring provision of public health care is known as the US department for human and health services. As per the data of world health organization (WHO), the United spends greatest fraction of its GDP on public health as compared to any other country, that is, approx 15.2 %.

In order to provide best health care services to the public, the Unites states has made it very procedural and documented. The provisions of health care, whether by private sector or the state; it has to follow a detailed procedure which encompasses the following procedural stages:

Licensure, certification and accreditation standards

They have different quality, access and reimbursement

They have to abide by federal legislation and programs

The paper discusses three healthcare programs which contribute to generate enormous revenue for the provisions of health care by the state; they are; Medicare, Tricare, and Indian Health Services. The paper discusses each of the programs in detail. It discusses the status of each program, as well as, the provisions under that program. It analyses how each of the afore-mentioned programs, is affected by the procedures of licensure, certification and accreditation standards. It discusses the quality of each program, the way it is reimbursed and convenience regarding access of patients and the support of program to Nationwide Health Information Network (NHIH) guidelines. The paper also elaborates the role of health informatics and the role of informatics professionals in each program, as well as, the impact of federal government programs on health informatics. In the end paper presents recommendation regarding changes needed.

The paper is an attempt to conduct thorough analysis of health programs by the US federal government and the role of health informatics to parallel the evolving change over the time. It is a research based analysis of the federal health programs of United States government with facts and recommendations, one by one.

Discussion

The United States federal health programs contribute largely to public healthcare by the state. Three major programs are discussed as under;

Medicare

About the program

Medicare is social insurance program ...