Healthcare Reimbursement and Quality Improvement: Integration Using the Electronic Medical Record Comment on "Fee-for-Service Payment--an Evil Practice That Must Be Stamped Out?"

Reimbursement for healthcare has utilized a variety of payment mechanisms with varying degrees of effectiveness. Whether these mechanisms are used singly or in combination, it is imperative that the resulting systems remunerate on the basis of the quantity, complexity, and quality of care provided. Expanding the role of the electronic medical record (EMR) to monitor provider practice, patient responsiveness, and functioning of the healthcare organization has the potential to not only enhance the accuracy and efficiency of reimbursement mechanisms but also to improve the quality of medical care.

Keywords: Capitation; Diagnosis- Related Groups (DRGs); Electronic Medical Record (EMR); Fee-for-service (FFS); Health Information Technology (HIT); Healthcare; Pay-for-performance (P4P); Quality Improvement.

Comment on

Ikegami N. Ikegami N. Int J Health Policy Manag. 2015 Feb 6;4(2):57-9. doi: 10.15171/ijhpm.2015.26. eCollection 2015 Feb. Int J Health Policy Manag. 2015. PMID: 25674568 Free PMC article.

Cited by

Dayama N, Pradhan R, Davlyatov G, Weech-Maldonado R. Dayama N, et al. J Multidiscip Healthc. 2024 May 23;17:2577-2589. doi: 10.2147/JMDH.S457420. eCollection 2024. J Multidiscip Healthc. 2024. PMID: 38803618 Free PMC article.

Bhati D, Deogade MS, Kanyal D. Bhati D, et al. Cureus. 2023 Oct 26;15(10):e47731. doi: 10.7759/cureus.47731. eCollection 2023 Oct. Cureus. 2023. PMID: 38021686 Free PMC article. Review.

Vukotich G. Vukotich G. Health Serv Insights. 2023 Jul 19;16:11786329231187826. doi: 10.1177/11786329231187826. eCollection 2023. Health Serv Insights. 2023. PMID: 37485022 Free PMC article.

Nojomi M, Tehrani-Banihashemi A, Safarani S, Ahangar A. Nojomi M, et al. Int J Prev Med. 2022 Oct 5;13:124. doi: 10.4103/ijpvm.ijpvm_405_21. eCollection 2022. Int J Prev Med. 2022. PMID: 36452473 Free PMC article. No abstract available.

Coustasse A, Layton W, Nelson L, Walker V. Coustasse A, et al. Perspect Health Inf Manag. 2021 Oct 1;18(4):1f. eCollection 2021 Fall. Perspect Health Inf Manag. 2021. PMID: 34975355 Free PMC article. Review.

References

1. Flodgren G, Eccles MP, Shepperd S, Scott A, Parmelli E, Beyer FR. An overview of reviews evaluating the effectiveness of financial incentives in changing healthcare professional behaviors and patient outcomes. Cochrane Database Syst Rev. 2011;7:CD009255. doi: 10.1002/14651858.cd009255. - DOI - PMC - PubMed
1. Ikegami N. Fee-for-service payment-an evil practice that must be stamped out? Int J Health Policy Manag. 2015;4:57–9. doi: 10.15171/ijhpm.2015.26. - DOI - PMC - PubMed
1. Ben-Assuli O. Electronic health records, adoption, quality of care, legal and privacy issues and their implementation in emergency departments. Health Policy. 2015;119:287–297. - PubMed
1. Clynch N, Kellett J. Medical documentation: Part of the solution, or part of the problem? A narrative review of the literature on the time spent on and value of medical documentation. Int J Med Informatics. 2015;84:221–228. - PubMed
1. Van Doornik W. Meaningful use of patient-generated data in EHRs. Journal of AHIMA. 2013;84:30–35. - PubMed

Healthcare Reimbursement and Quality Improvement: Integration Using the Electronic Medical Record Comment on "Fee-for-Service Payment--an Evil Practice That Must Be Stamped Out?"

Comment on

Similar articles

Cited by

References