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Managed care in the age of accountability | JoVE Visualize

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Information And Computing Sciences

Managed care in the age of accountability

Journal of AHIMA|June 3, 1999

View abstract on PubMed

Summary

Managed care organizations require specific health information for decision-making. This article details the types of data needed across various care delivery processes to support these choices.

Area of Science:

Health Information Management
Managed Care
Healthcare Administration

Background:

Managed care presents new opportunities for Health Information Management (HIM) professionals.
Understanding the critical role of health information is essential for navigating managed care environments.

Purpose of the Study:

To survey the types of health information required by managed care organizations for effective decision-making.
To identify specific information needs within different care delivery processes.

Main Methods:

Review of literature on managed care information requirements.
Analysis of decision-making processes within managed care organizations.
Categorization of health information based on its application in care delivery.

Main Results:

Managed care organizations need diverse health data, including clinical, financial, and operational information.
Specific information requirements vary significantly across different stages of the care delivery continuum.
Examples provided illustrate the practical application of health data in areas such as utilization management and quality improvement.

Conclusions:

Health information is a critical asset for managed care organizations, underpinning strategic and operational decisions.
HIM professionals must understand these information needs to effectively support managed care operations.
Tailored information systems are necessary to meet the unique data demands of managed care.

Information Systems

Knowledge And Information Management

Managed Care In The Age Of Accountability