Total Health Care Research Paper

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Running head: TOTAL HEALTH CARE Total Health Care, IkaSystems, and New Beginnings Pamela Street Baker College Abstract The place where I work just went through the business process reengineering (BPR) that completely destroyed the old process and basically invented new ones which have resulted in a dramatic increase in efficiencies within our company. Total Health Care, Inc converted to the IkaSystem, July, 2009 from an old DOS system. This was a huge change for Total Health Care; a company that had an old system for nearly twenty years. Ika is user-friendly and allows Web-based access and integration with other Web-based applications. The system makes it easy to share processes and information internally as well as externally. In…show more content…
Another server, 2008 R2 servers, are clustered and running Hyper-V as virtual server hosts. We have virtual servers running individual applications, implemented July of 2009. THC also has a hosting DFS (Distributed File System). There is one terminal server for remote workers. There is an additional 2008 Server for Crystal Reports. (McFarland, 2010) Software: IkaSystems Because THC has grown to be one of Michigan’s biggest health care providers, it was important for the company to implement an information system that could provide physicians, specialists, employees, vendors and members with an up-to-the date software system. In 2009, IKA presented THC with a new state-of-the art information system that would help Total Health Care achieves its organizational goals to: Provide quick, automated administration of medical Claims through a single source, relational database | | Delivers rapid and automated administration of claims for group and individual commercial business lines as well as Medicare and Medicaid products, all in one system.…show more content…
Each page of our website was customized by ikaSystems to suit the needs of members, providers, and employees. First, the member portal supports administrative self-service as well as medical management self-care tools. For example, members can verify eligibility verification, order ID cards, check claims status, collaborate with the care team and keep personal health records ” (ikaEnterprise Goes Live at Two Total Health Insurers in Record Time., 2010). Second, the provider portal was designed to reduce providers' administrative burden by automating processes such as eligibility verification, claims submission, authorization and referral submission and approval. In addition, the provider portal can give physicians proactive access to quality information so they can improve HEDIS measures and pay-for-performance results (ikaEnterprise Goes Live at Two Total Health Insurers in Record Time., 2010). And lastly, ikaSystems, or ikaDWH, has a single, comprehensive database for claims, laboratory, pharmacy, encounter data, practice management and electronic medical record information that supports standard and ad hoc reports, with drill-down and drill-up access to normalized and analyzed data, based on what the user, at Total Health Care, request for their

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