SmartPA: An electronic solution for secure prior authorization processing

Ramandeep Kaur, Patricia Morreale, Marvin Andujar

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

Electronic Prior Authorization (Electronic PA) is a fast and efficient way of ensuring that prior authorization, needed for medical drug and treatment dispensing, is accurately and promptly completed, supporting quick delivery of medications to patients. Electronic PA (ePA) solutions are the next big revolution in healthcare industry after the introduction of electronic health records. ePA is a time saver for prescribers as well as a cost-saving solution to insurance companies and Medicare services. ePA is new to the industry and due to a knowledge gap among medical professionals and their IT solution providers, ePA applications lack sophisticated components to ease the workflow. Instead of being time-saving, broken ePA processes become time consuming. A research study identified common gaps around the PA process by interviewing and gathering feedback from key stakeholders in the process. The results of the study have demonstrated how a new electronic solution that was developed working with the stakeholders has helped close some of the identified gaps. The resulting solution, SmartPA, provides a secure, reliable interface in support of medical standards, as well as enhancing the PA workflow process.

Original languageEnglish
Title of host publicationDesign, User Experience, and Usability
Subtitle of host publicationUnderstanding Users and Contexts - 6th International Conference, DUXU 2017 Held as Part of HCI International 2017, Proceedings
EditorsWentao Wang, Aaron Marcus
PublisherSpringer Verlag
Pages664-676
Number of pages13
ISBN (Print)9783319586397
DOIs
StatePublished - 2017
Event6th International Conference on Design, User Experience, and Usability, DUXU 2017, held as part of the 19th International Conference on Human-Computer Interaction, HCI 2017 - Vancouver, Canada
Duration: 9 Jul 201714 Jul 2017

Publication series

NameLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Volume10290 LNCS
ISSN (Print)0302-9743
ISSN (Electronic)1611-3349

Conference

Conference6th International Conference on Design, User Experience, and Usability, DUXU 2017, held as part of the 19th International Conference on Human-Computer Interaction, HCI 2017
Country/TerritoryCanada
CityVancouver
Period9/07/1714/07/17

Keywords

  • Digital healthcare systems
  • Electronic prior authorization (ePA)
  • User centered design (UCD)

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