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dc.contributor.authorWickramasinghe, Nilmini-
dc.contributor.otherGibbings, Rima Artonian-
dc.contributor.otherSchaffer, Jonathan-
dc.identifier.citationEpworth Research Institute Research Week 2017; Poster 13: pp 36en_US
dc.description.abstractINTRODUCTION/BACKGROUND: To revise the cost and quality imbalance in the current US healthcare system, new models have been recommended that will tie health care reimbursement with efficient outcomes. Bundles Payments for Care Improvement (BPCI) initiatives focus on measuring the degree of success in improving quality care and reducing cost with selected organizations (Centres for Medicare and Medicaid Services, 2016). In reviewing the several models suggested through the BPCI, the focus is to determine a retrospective bundles payment arrangement that will reconcile the actual rendered care services' cost with the targeted price for a given episode of care. METHOD: The mixed-method research method utilises a design science research methodology (DSRM). The study is based on categorizing medical procedures based on predetermined bundles payments. Further, it examines the role of the developed technology solution to assist with promoting accountability. The study focuses on enabling healthcare facilities to determine bundled payment encodings and reflects the codes in the payment process. Facilities will be capable in identifying the procedural charges of clinical processes according to bundle settings. RESULTS: This is a research in progress study. The main idea of this study is to assist healthcare facilities in creating road maps prior to adopting bundled payments. Currently, the conceptual model and first parts of the technology solution have been developed and we are confident at the conclusion of the project a fully operational solution will bring the desired outcomes as well as significantly contribution to theory. CONCLUSIONS: Replacing fee-for-service with pay-for performance (P4P) is aimed at rewarding healthcare facilities who provide higher quality of care with reduced cost. The main goals of P4P include ensuring that patients receive adequate, timely, cost-effective and efficient care through improving quality of care, reducing complication episodes, and emphasizing on timely and preventive services. This environment requires sophisticated technology solutions.en_US
dc.subjectHealth Information Technologyen_US
dc.subjectCare Outcomeen_US
dc.subjectUS Healthcare Systemen_US
dc.subjectBundled Payments for Care Improvementen_US
dc.subjectQuality of Careen_US
dc.subjectCost Reductionsen_US
dc.subjectBundle Payment Arrangementen_US
dc.subjectMixed-Method Research Designen_US
dc.subjectDesign Science Research Methodologyen_US
dc.subjectCategorization of Medical Proceduresen_US
dc.subjectBundle Payment Encodingen_US
dc.subjectHealthcare Facilitiesen_US
dc.subjectTechnology Solutionsen_US
dc.subjectEfficient Careen_US
dc.subjectPreventative Servicesen_US
dc.subjectChair of Health Informatics Management, Epworth HealthCare, Victoria, Australiaen_US
dc.titleUsing health information technology to enhance care outcome accountability through bundled payments.en_US
dc.typeConference Posteren_US
dc.description.affiliatesUniversity of Illinois, Chicago, USA.en_US
dc.description.affiliatesDeakin Universityen_US
dc.description.conferencenameEpworth Research Institute Research Week 2017en_US
dc.description.conferencelocationEpworth Research Institute, Victoria, Australiaen_US
Appears in Collections:Health Informatics
Research Week

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