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Health information services technologies.

S B McCracken1

  • 1ISYS Group, Des Moines, IA, USA.

The Journal of Ambulatory Care Management
|December 9, 1995
PubMed
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Health plans face a build or buy decision for provider profiling infrastructure. A collaborative system built by Blue Cross and Blue Shield of Iowa and Dartmouth Medical School demonstrates flexibility in adapting to payer needs.

Area of Science:

  • Health Services Research
  • Health Informatics
  • Health Information Systems

Background:

  • Growing demand for provider profiling necessitates robust health information services within payers and health plans.
  • Organizations must decide whether to develop or acquire the necessary information infrastructure.
  • This decision impacts the efficiency and effectiveness of provider profiling initiatives.

Purpose of the Study:

  • To provide an overview of a collaboratively designed and built health information system.
  • To illustrate the adaptability of such a system within the healthcare payer industry.
  • To examine the case of Blue Cross and Blue Shield of Iowa and Dartmouth Medical School's system.

Main Methods:

  • Collaborative design and development of a health information system.

Related Experiment Videos

  • Case study analysis of the implemented system.
  • Review of system's flexibility in adapting ambulatory care groups.

    • Main Results:

    • The developed information system demonstrated significant flexibility.
    • The system successfully adapted ambulatory care groups for the fee-for-service payer industry.
    • The collaborative approach facilitated a tailored and effective solution.

    Conclusions:

    • A collaboratively built information system can be a viable and flexible solution for health plans.
    • Such systems can effectively support provider profiling and adapt to industry changes.
    • Partnerships between healthcare organizations and academic institutions can yield innovative health information solutions.