An automated clinic management system for a family planning network.
The medical information, financial, and logistic aspects of a comprehensive computer-based Appointment, Registration, Information System, and Evaluation (ARISE) are analyzed for the management of a family planning program serving 30,000 patients annually. An overview of the existing computer system network is presented with descriptions of the interactive master patient index, the batch appointment process, the management statistics package, and Department of Health, Education, and Welfare (HEW) reporting. Emphasis is placed on the financial management control system which includes 1) procedures for third-party submission of claims for payment, in particular Titles IVA, XX, and XIX (Social Security Act), together with discussion of related administrative requirements; 2) technics of auditing data integrity including systematic sampling of collected data; and 3) the process of billing and receipts collection. Methodology and implementation aspects of ARISE may have wide applicability to other family planning and similarly structured clinical programs.
D003201:Computers; D003365:Costs and Cost Analysis; D005193:Family Planning Services; D005260:Female; D005380:Financing, Government; D006801:Humans; D007256:Information Systems; D007344:Insurance Claim Reporting; D007883:Legislation, Medical; D009934:Organization and Administration; D011247:Pregnancy; D011786:Quality Control; D014481:United States