Question

Q3: Identify manual and automated techniques used in storage and maintenance of health records, and differentiate between the UHDDSOASIS, HEDIS and UACDS healthcare datasets and identify the types of data collected

Answer 1

A manual system is a bookkeeping system where records are maintained by hand, without using a computer system. Instead, transactions are written in journals, from which the information is manually rolled up into a set of financial statements.

Automation is when manual tasks are reduced by the use of information technology. Repetitive tasks that require least human intervention benefit the most from automation. Data automation is the process when programming takes care of the assimilation, storage, and analysis of data

the uses of computers in the automation of medical records in the delivery of primary medical care and with providing clinicians' advice and professional help in the organization and establishment of such systems in their practices. Patient medical records organized by episodes of care, or the Weed problem-oriented record appear to lend themselves most readily to the process of computer automation. Information from the patient medical record, from other areas of practice, and from the hospital admissions by the practice provide the input for establishing and updating individual patient records in the computer. Information readily available in the computer from the record system of a clinical practice will be used to improve medical care for individual patients.

Uniform Hospital Discharge Data Set (UHDDS) was an initiative of the Department of Health, Education, and Welfare, the predecessor of today’s Department of Health and Human Services (HHS). Though this set is specific to hospitals that provide medical services for those covered by Medicare and Medicaid, all insurance companies tend to gather information in similar styles to the UHDDS, as the value of having compatible data is clear. The UHDDS lists and defines a set of common, uniform data elements for every hospital inpatient and includes principal and previous diagnosis, the principal procedure, and other significant procedures.

The Uniform Ambulatory Care Data Set (UACDS) regulates the area of ambulatory care. The set includes reasons for the encounter, living arrangements, and marital status. The UACDS is a recommended set, not a mandatory one.

Health Plan Employer Data and Information Set (HEDIS) is a set of standard performance measures designed to provide health care purchasers and consumers with the information they need to compare the performance of managed health care plans. It is used by the National Committee for Quality Assurance as a part of the accrediting process for managed care organizations. The set includes administrative data, claims, and health record review data.

Health care involves a diverse set of public and private data collection systems, including health surveys, administrative enrollment and billing records, and medical records, used by various entities, including hospitals, CHCs, physicians, and health plans.