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A computer-assisted health care cost management system.
W N Burton1, D A Hoy, M Stephens
1First National Bank of Chicago, IL 60670-0006.
Journal of Occupational Medicine. : Official Publication of the Industrial Medical Association
|March 1, 1991
Summary
First Chicago developed OMNIS, an integrated health data system combining occupational medicine, claims, and risk appraisal data. This system aids in predicting healthcare costs and improving care quality management.
Area of Science:
- Health Informatics
- Occupational Medicine
- Healthcare Management
Background:
- Managing healthcare costs and quality presents complex challenges for organizations.
- Traditional data systems often lack integration, hindering comprehensive analysis.
- The need for a unified approach to health data management is critical.
Purpose of the Study:
- To introduce OMNIS, the first operational integrated health data computer system.
- To demonstrate the system's capability in combining diverse health-related data.
- To highlight the system's utility in cost prediction and intervention strategy design.
Main Methods:
- Development and implementation of the OMNIS system.
- Integration of occupational medicine, medical claims, and health risk appraisal data.
- Inclusion of personnel, disability, EAP, wellness, administrative, laboratory, and health evaluation data.
Main Results:
- OMNIS provides a single, comprehensive database for health information.
- The system enables more accurate prediction of healthcare and disability costs.
- Data from OMNIS supports the design of targeted intervention strategies.
Conclusions:
- Integrated health data systems like OMNIS are valuable for managing healthcare quality and cost.
- OMNIS offers an objective tool for assessing the quality of care provided by various healthcare plans.
- Such systems can assist in selecting high-quality, cost-effective healthcare plans.