Abstract
A healthcare department in remove community of Indonesia aimed for reducing paperwork and improving the electronic system. As part of a pilot project, one aspect was replaced from manual to the electronic format. The proposed system was use of electronic form for claiming for fee reimbursement made by the physicians. The design of the system is intranet based and consisted of two separate portals. The first portal is for physicians and second portal is for billing clerk. The interface is user-friendly and packed with pre-defined codes set in several of its fields and sub-fields. The electronic form is also linked to a centralized database from which a physician can copy the existing patients record. For improving the system variance from individual needs, decision support algorithm is used. Whereas, for improving the system performance, machine learning algorithm is used. For data query, database query was designed. The relationship of columns in the database is displayed as a tabulated form to the user. In situation where a user selects a particular column, a filtered display mechanism displays those columns which satisfying the portion of the query already constructed. For obtaining data from the tabulated database, the SQL query is adapted. Rule-based knowledge inference model is utilized for reasoning about terminology and required domain knowledge. The inference used is algorithmic and helpful in performing all necessary tasks under the suitable billing circumstances. A survey is conducted with 35 physicians for judging their perception towards the system. Results of the survey indicate that most participants find the system suitable and better than the paper-based system in terms of several dimensions such as user friendliness, time saving, reducing errors, and accuracy.
Highlights
Maintenance of accurate clinical documentation is important for producing higher quality healthcare to the citizens
The medical staff and healthcare units have to overcome the challenge of maintenance of large amount of paper which is imposed by regulators (Bleich, Sefran, & Slack, 1989)
The process starts with charge capture where healthcare units charge the fee of various healthcare related services to patients which is later used for final invoicing
Summary
Maintenance of accurate clinical documentation is important for producing higher quality healthcare to the citizens. Examples of healthcare units which implemented network-based IT system shows that it helps in reducing paperwork along with time and cost saving and better service to the patients. The billing information and related medical history is input in to an online database provided through the hospital’s website.
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