MEDITECH
Registration
functionality brief

The Registration functionality in MEDITECH's Health Information Management product collects admission and registration data on inpatients, outpatients, emergency room patients, surgical day care patients, observation patients, recurring patients, referred patients, and home health care patients throughout a health care network. The application ensures patient information is formatted uniformly, makes pre-certification and verification checks easier, communicates accurate data throughout the hospital and health care organization, eliminates duplication of effort among multiple departments and home care admissions, and provides an audit trail for managers to maintain quality assurance.

Highlights:
The Registration and Medical Records functionality allow users to:
    • Quickly retrieve patients' demographic data from most recent visit
    • Automatically assign visit-specific account numbers and unique medical record numbers
    • Instantly admit patients directly into departments
    • Tailor registration processes according to the needs of each health care organization
    • Notify registration officers of bad debt risks through shared information with the Revenue Cycle product.

Contract Management routines generate information on insurances, assist users with making the right insurance choices, and provide instructions to follow when an insurance choice is made – all helping to maximize the amount of reimbursement received.

Standard Features

Inpatient Registration
The Registration functionality includes a wide variety of routines to:
• Collect and update demographic data and insurance information
• Schedule and pre-admit inpatients
• Schedule and pre-register patients to observation account status, and generate separate statistical data from inpatient information
• Pre-register clients' patients
• Cancel reservations
• Generate inpatient admit questionnaires, both long and short forms
• Generate newborn admit questionnaires using the mother's information
• Enter defaults for newborns
• Cancel patient activities and adjust statistics and room changes
• Transfer an observation patient to an inpatient
• Enter a patient's condition at the information desk
• Transfer patients and swap beds
• Capture daily care charges
• Discharge patients
• Send admission notifications
• Print a visit history for a patient at the end of a registration
• Undo any changes made to a patient's account
• Enter room and bed board for appropriate bed assignment
• Capture diagnosis codes to support medical necessity.

Multi-Level Soundex Search
During patient registration, the Registration functionality searches the Master Patient Index to correctly identify a patient. With up to nine levels of search criteria, a patient can be identified even if errors and misinformation are presented during patient contact.

The functionality provides multiple search criteria for locating existing patients within a single facility or within a health care network. Patient identification methods include patient's name, partial name, Social Security number, date of birth, sex, and Soundex search method. Once a patient is selected, patient photographs may be stored on-line and used as another means of identification. All demographic information can be shared among facilities within an enterprise.

Once the patient is selected, updates or edits can be made to the demographic recall file from any facility within the enterprise. The enterprise-wide identifier (EPI) automatically updates all medical record numbers representing each facility associated with the enterprise. The EPI is unique and ensures that there is a common means to identify patients at each facility. The EPI is a shared database of demographic, insurance, and clinical visit history information for every patient across the continuum of care.

Access Current Information
Registration officers and information receptionists can access up-to-the-minute information for each inpatient throughout the health care network, such as:
• Name, account number, unit number, admission status, location, and physician
• Enterprise-wide numeric identifier
• Admission questionnaire information
• Current condition
• Admission activity, such as transfers and previous discharge
• Charges and credits
• Pre-certification data.

Management Reports
The functionality organizes the health care organization's patient and census information into a variety of management reports, such as:
• Registration, Discharge, and Transfer Registers Report by name, account number, or time
• Alpha, Doctor, and Nursing Unit Census
• Billing, Billing Office, and No Show List
• Scheduled Registration List by name, service, or priority
• Discharge and Transfer Registers
• Occupancy Summary Report by service or location.

Outpatient Registration
The functionality allows either centralized or decentralized data entry for recurring, referred, and clinical outpatients. Features include:
• Outpatient scheduling, pre-registration, and registration
• Cancel reservation
• Client Billing/Short Form generation
• Enter and edit of revisit dates for recurring outpatients
• Automatic discharge for recurring outpatients
• Edit and view outpatient data
• Ability to process multiple referral requests for a single patient visit
• Warning displayed to the user when he attempts to pre-admit/register a patient who has at least one existing pre-admitted/registered account.

Outpatient Reports
The functionality allows users to create outpatient reports on demand. Reports include:
• Daily List by name, hospital location, account number, or service time
• Discharge List for Recurring Outpatients Report
• Census List for Recurring Outpatients Report.

Emergency Room Registration
Emergency room (ER) patients are handled through a separate set of features, including:
• ER patient pre-registration and registration (both long and short forms)
• Cancel reservation
• Cancel patient activities and adjust statistics
• Edit and view ER patient data
• ER reports
• Automatic transfer of a patient's demographic and insurance data to inpatient or observation status.

Surgical Day Care Registration
The functionality also handles the special requirements of surgical day care (SDC) patients. Features include:
• SDC schedule, pre-registration, and registration
• Cancel reservation
• Cancel patient activities and adjust statistics
• Edit and view SDC patient data
• SDC reports
• Automatic transfer of a patient's demographic and insurance data to inpatient or observation status.

On-Line Insurance Eligibility Verification and Authorization
The functionality accommodates on-line eligibility and authorization verification at the point of registration. This feature can easily accommodate different verification methods. MEDITECH's Managed Care enrollment database allows immediate access to a complete list of both new and existing members. Enrollees' insurance information may be loaded electronically via downloads from insurance providers, while eligibility and verifications can be checked on-line at the point of registration. Electronic access via ANSI 270 and 271 interfaces that link directly to third party eligibility databases allow for on-line verification and eligibility checks.

Observation Patients
The functionality accommodates the registration of observation patients, allowing the organization to assign rooms and beds to non-inpatients. If appropriate, the system can easily change inpatients to observation patients and vice versa. Features include:
• Observation patient admission and discharge
• Cancel patient activities and adjust statistics
• Change observation patient to inpatient
• Change inpatient to observation patient
• View and print patient information
• Observation Patient Census Report.

V.I.P. and Confidential Patients
Patients who may need special attention (handicapped or elderly patients, for example) can be assigned a V.I.P. status. When identified, V.I.P. patients are flagged by the system for immediate recognition by the hospital staff.

Patients can also be assigned a confidential status. Only authorized users within Registration are permitted to access information and files of confidential patients. Unauthorized users see only a hospital-defined "confidential" message on inquiries and reports. In addition, the system can be set up to designate entire hospital locations as confidential, such as the psychiatric and chemical dependency units, so that all patients at those locations are automatically assigned a confidential status.

For more information about us, contact a MEDITECH Marketing Representative.

MEDITECH
Medical Information Technology, Inc.
MEDITECH Circle
Westwood, MA 02090
781-821-3000
www.meditech.com