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Education

The HIMSS MiddleEast09 education program kicks off with a full day symposium focusing on increasing presence of health insurance programs in the Gulf Region and how information technology links insurance programs with healthcare organisations. The one-day event will provide insight into regional/national insurance trends, integration between payer and provider, coding requirements, and specific national insurance projects lessons learned.

The second and third days of the conference will concentrate on the theme, "Healthcare IT and Management Excellence" with more than 30 education sessions - offered in three tracks:  IT, Healthcare and IT Management and Clinical IT. The sessions are presented in a case study/best practices format through the practical use and application of health IT.  Topics of regional interest include interoperability, health IT standards, project management, electronic medical records, data repositories, clinical information systems, business information systems, patient safety and much more. 

Education Sessions



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T 1: Achieving the Integration Link Between Health Provider and Health Payer click to read more
Time: 09:45
Presented by:
Eng. Ahmed M. AldammasMBA, MScDirector, Information Technology Council of Cooperative Health InsuranceKSA
This paper describes the importance of using electronic health claims in exchanging information between healthcare providers and health insurance companies. It describes also some of the benefits the users will gain from it; enhancing the health information, simplifying the data exchange between relevant parties which will make its positive impact on the health sector as a whole.

Learning Objectives:
Determine what technologies, infrastructures, and resources required for integration
Outline steps involved in planning
Determine information to be exchanged between healthcare providesr and health insurance companies

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T 2: Coding as a Platform for Auto Adjudication click to read more
Time: 10:45
Presented by:
Maen ShakaaManager, Business Analysis ResearchWaseel ASPKSA
With the expected growth in health insured population in the region, insurers have to think of ways to meet the expected flood of Medical approvals and claims. Automation and electronic processing of standard transactions can be the life jacket to survive this flood.

Learning Objectives:
Learn coding standards and the concept of auto-adjudication
Examine process imporvement of approvals an dclaimes
Discuss a true case study involving auto-adjudication of dental approvals and claims

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T 3: Why the Use of DRGs are Important for the Gulf Region click to read more
Time: 11:30
Presented by:
Homer WarnerPhDInternational Business Development OrganizationUSA
Healthcare payment reform using DRGs (Diagnosis Related Groups) is underway in the Gulf and will serve to improve the completeness and accuracy of clinical documentation and coding practices leading to improved healthcare delivery.

Learning Objectives:
Learn what is taking place in the Gulf Region in clinical coding and DRGs
Examine how clinical coding is being improved through the use of DRGs
Discuss how these initiatives will improve healthcare overall

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T 4: Towards Interoperability: Using SNOMED CT in Healthcare click to read more
Time: 12:15
Presented by:
Jennifer ZelmerPhD, MA, BScChief Exectuvie OfficerInternational Health Terminology Standards Development OrganisationDenmark
The safe exchange of clinical information is essential to realize the benefits of e-health. This session discusses how standardized terminology, particularly SNOMED CT, enables interoperability and examples of its use.

Learning Objectives:
Understand the role of standards in achieving interoperability of health information systems, with a particular focus on SNOMED CT
Be familiar with different uses of standardized terminologies, drawing on examples from around the world
Know how to access SNOMED CT, resources that are available to help users to get started, and how to participate in the on-going development of the terminology

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T 6: The Effect of Technology on Medical Insurance Operations and the Benefits of Going "E" click to read more
Time: 14:45
Presented by:
Wassim KhashoggiCEOWaseel ASPKSA
Learning Objectives:
Discuss the most common issues between payers and providers
Learn how Standards and Regulations help resolve these issues
Learn how technology can help resolve these issues

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T 7: Innovative Health Insurance and Reimbursement Model click to read more
Time: 15:30
Presented by:
Dr  Mukhtar S.A. Al-HashimiDean of the School of Information TechnologyPresidential Advisor on Academic Affairs - Univeristy College of Bahrain, Assoviate ProfessorBahrain
Incorporating the concept of healthcare insurance within the patient information system is becoming crucial. In this session the author will elaborate on a comprehensive insurance matrix policy and patient credit within computerized patient record system.

Learning Objectives:
Discuss the importance of incorporating healthcare insurance in a patient information system
Learn about one comprehensive insurance matrix policy within a patient record system
Examine how insurance and patient record systems could ease reimbursement challenges

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