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Patient Flow in a Hospital Departments involved and interface activity
| Date post: | 07-Jan-2017 |
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Patient Flow in a HospitalDepartments involved and interface activity
911: The Bronx, Saint Barnabus Hospital
• https://youtu.be/AfKuwOynVCU?t=864
Registration
Medical Nursing Station
Intensive Care Unit
Surg Nursing Station
Emergency Department
Recovery Unit
Business Office
Hospital Administration
Laboratory Department
Pharmacy Department
Radiology Department
Surgery Department
Physical Therapy
Dietary Department
Coders
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Major Departments in CHS Hospitals
Normal Inpatient flow in CHS Hospital
Registration
Nursing Unit
Surgery
Recovery
Nursing Unit
Ancillary Depts.
Business office
Inpatient Flow for Hospital StayRegistration
Patient goes to Registration
Registration Functions are:• Schedules Patients for arrival at hospital facility• Collection of Demographic Information• Collection of Financial information for billing• Prints Face sheet to the patient chart• Prints and attaches arm band to patient• Assigns patient room and bed they are to occupy• Sends patient off to nursing station
Ancillary Departments
Pharmacy
Lab
Radiology
Registration
Software utilized:• Medhost Patient
Accounting• Cerner FirstNet
MModal
HL7
Inte
rface
Inpatient Flow for Hospital StayNursing Station
Patient arrives at nursing stationPlaced in a Bed
Nursing Station Functions are:• Doctor makes rounds and provides
orders to be filled.• Create orders• Receive Results• Schedule Surgery, Tests to be performed• Carry out procedures given by Doctor• All activity is documented in our system
Ancillary Departments
Pharmacy
Lab
Radiology
Software utilized:• Medhost
• Patient Care• Clinview (clindoc)
• MModal• Green Screen
• Pyxis • Cerner
• Pharmnet• Pathnet• Radnet
MModalHL
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Patient vital signs are collected
• Vital sign monitors are placed on the patient selected data is entered into the patient chart and may also set off alarms to call staff to the patient bedside.
Monitors and network
Patient care and documentation starts
• The nurses evaluate each patient and documents in the patient record.
CernerPatient Care
Computerized Provider Order Entry links to every department
• Orders are transmitted to appropriate departments which send staff to perform procedures and nurses to evaluate, administer care, medications and notify
the physician.
Order sets
Pharmacy and nurses collaborate to medicate patients with precision.
• Barcodes from the beginning to end of the process are a mandated safety requirement.
Barcoded wrist band patient identification Bedside medication identification
All medications barcoded by manufacturer or pharmacy
Lab collects, analyzes and reports
• Data is placed into the patient chart and is reported to state and federal health departments
Barcode label on each tube Analyzer data output to records
Medical Imaging
• The patient is transported to imaging, images are collected and posted to the patient chart to be
reviewed by physicians.Image generation Image viewing
Inpatient Flow for Hospital StaySurgery
Patient arrives at Surgery
Surgery Functions are:• Scheduling Patient and Surgeon for
Procedure to be performed• Create Pre-Operative orders• Create Post-Operative orders• Assure all supplies are obtained from
Material Management• Perform procedure• Send patient to recovery unit• Patient is returned to nursing station
Ancillary Departments
Pharmacy
Lab
Radiology
Software utilized:• Medhost
• PIMS• Mckesson PHS/HMS• Cerner
• SurgiNet• HSM/PHS Horizon
Surgery Manager (McKesson)
Materials Management
HL7
Inte
rface
Physicians have no extra time in emergencies to waste
• Pre-surgical evaluations by OR staff and physicians get documented and dictated.
Dictation softwarePhysician documentation software
Critical patient data is collected and documented almost continuously
• Patient into recovery room. Post op orders entered by physicians.
Image systemClinical documentation Monitor system
Inpatient Flow for Hospital StayPatient Returns to Nursing Station
Patient returns to Nursing Station
Nursing Station completes doctor orders, procedures and results until patient is ready to be discharged.
Ancillary Departments
Lab
Radiology
Software utilized:• Medhost
• Patient Care• Clinview (clindoc)
• MModal• Green Screen
• Pyxis • Cerner
• Pharmnet• Pathnet• Radnet
Pharmacy
Physical TherapyHL
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Nurses and all services document in the patient record
• Patient moved to room on nursing unit. • Vital signs monitored and documented. • Medications administered and documented.
Clinical software & networkMonitor & network
All services provide care for the patient and document in the record
• Ancillary departments (RT, PT, OT, ST, Dietary) evaluate and perform treatments as ordered.
softwareDietician consult &menus
Inpatient Flow for Hospital StayBusiness Office
Business Office Functions are:• Discuss with patient how bill is to be
paid prior to being discharged.• Coders code bills for reimbursement
from Insurance companies• Shared Services personnel follow up
with insurance companies and patients to bring bills to zero balance.
Business Office
Software utilized:• Medhost Patient
Accounting• HIM 360 3M• Cerner FirstNet
External from Facilities Coders assign ICD-10 Codes to patient account for reimbursement purposes
Inpatient Flow for Hospital StayPatient leaves Facility
Emergency Room Patient flow in CHS Hospital
ER Registration
ER Unit
Nursing Unit
Ancillary Depts.
Business office
911: The Bronx, Saint Barnabus Hospital
• https://youtu.be/KZQ0HUpb9zs?t=1412
Patient is treated by EMS staff prior to arrival at the Emergency Department
• Ambulance has onboard computer for prehospital patient record. This record will be uploaded to the
patient record at the hospital.
Document upload to patient record
Patient arrives at hospital and enters the Emergency Department• Patient registration occurs.
• Eligibility verified.Patient Registration software
Patient care and documentation starts
• The nurses evaluate each patient and documents in the patient record.
Patienttracking
Emergency Room Patient flow in CHS HospitalER Unit Stay
Patient arrives at ER Unit
Emergency Room Function:• Provide patient care and
get patient off to Nursing Unit.
• Provide patient care and send Patient Home.
Ancillary Departments
Lab
RadiologySoftware utilized:• Medhost
• EDIS• HMS
• Cerner• First Net• Powerchart
Pharmacy
HL7
Inte
rface
Patient Billing Process – Shared Services
Shared Services
Software utilized:• Medhost Patient Accounting• HIM 360 3M• Cerner FirstNet• PASI
Patient Demographic
s EntryInsurance Eligibility
Charge Posting most posting are bi-products from
orders and results
ICD-10, CPT Coding
Claims Submission Electronic Bill &
Paper Billing
Claims Payment Posting
A/R Follow up Denial
Management & Appeals
Patient Statement
Reporting
Bad Debt Process
Payment posting. Brings Account to
zero balance
Remote Coder
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Questions
