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Health information management roles and responsibilities
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The title of this project is the Scanning Quality Improvement Project (SQIP), with the main purpose of the managerial project being centered upon assessing if the accuracy of pre-scanned documents from collected data over a set period of time is of high enough quality, and then determining if further action be taken. The data collected for this project is mainly from Sparrow Hospital, as well as a few other Sparrow locations like Sparrow Clinton Hospital, and various medical facilities within the state of Michigan. Tawanna, the Health Information Management (HIM) Operation’s Manager of Sparrow Hospital, has agreed to help with the project, and develop an action plan with Kelley Rose, a student from Grand Valley State University who collected
Health Information Management Technology. (3rd Edition). Chicago, IL: AHIMA Press.
Woo, A., Ranji, U., & Salganicoff, A. (2008). Reducing medical errors with technology. Retrieved March, 2012, from http://kaiseredu.org
“With tens of thousands of patients dying every year from preventable medical errors, it is imperative that we embrace available technologies and drastically improve the way medical records are handled and processed.”
In this paper you will find that the transition from paper health records to electronic medical record is a transition that requires a lot of time and precise preparation and planning. Looking through the paper you will see that there are factors that need to be implemented. You first definitely have to have your medical records. Next you have to know the role that HIPPA will play in your transition because of regulation and violations. Then, you have to prepare for potential problems that you could possibly face. Next, you will see there are several things to evaluate from how long it will take to cost. You will see prices for workstation and the number of staff that you need to carry out your plan of action.
I had the opportunity to meet with Dee Laguerra for a few hours and learned so much about the Medical records side of our facility and its impact on healthcare organization. As Director of Health Information Management (HIM) she is responsible for many aspects of managing the medical record; which is a legal document. I did not realize how complex this department is and how vital this department is to the legal and financial position of the organization. Dee’s position as director is the responsibility for the collection, organizing, scanning, and completions of the medical records in a timely matter after the patient is discharged. The reason for the timeliness of scanning the medical records is for the preparation for the coders to review all the charts to code for insurance billing. The time requirement for th...
The limitations of this study is that only the granularity level that was kept was keeping in mind the feasibility of data collection and time constraints. The processes are much more detailed and the more depth we go, the better will be the insights. To further optimize the processes of a Hospital, all other departments must be considered.
In addition, quality is a fulfillment of our professional and spiritual obligations to our patients and ourselves. The bible speaks of this saying, “For the entire law is fulfilled in keeping this one command: “Love your neighbor as yourself”” (Gal 5:14, New International Version). Quality improvement in a healthcare setting fulfills this by ensuring patients are cared for, but also by ensuring we are careful stewards of the healthcare organizations we administer and managing them in a manner that continually improves for the benefits of ourselves and community. Using data driven quality improvement tools can assist administrators in fulfilling this
To establish policies and procedures for quality improvement (QI) activities within the Health Information Management Department (HIM).
As technology continues to evolve so does the need for healthcare facilities to continually maintain a higher level of competence that runs parallel to electronic and scientific advancement. Comparatively, the structure of hi-tech facilities, such as medical centers and clinics prepared with new amenities has enhanced the industry scale of communities by working in the healthcare arena. Likewise, technological innovations which help diagnose a variety of infections and disorders has helped in assisting patients in receiving increased quality care. As a result, patient care as a whole has positively been affected within the last decade. Furthermore, it only make sense that more personalized and precise problem-solving methods and procedures will be devised in the future. Accordingly, the following paragraphs will analyze the significance of the Meaningful Use program for nurses, nursing, national health policy, patient outcomes, and population health associated with the collection and use of the programs core criteria.
Health information systems (HIS) are one major technology breakthrough that supports documentation of patients’ records and ordering processes. This has replaced the manual process and records. Health information systems is an information system that is developed to collect, store, manipulate, and present of all the clinical information that is relevant to delivery of professional and competent patient care. For example, there are bedside medication verifications (BMVs), point-of-care, or other scanning modules. Through electronic health record (EHR), that is linked to drugs’ a bar-code labels help ensure proper medication. It works by prompting a nurse who works at the point of care to scan the drug labels as well as the bar code on the patients’ identification bracelets to. This ensures right dosage is given timely and to the right patient. The system flags a nurse if there is an error (Dubin, 2010). The system allow encoding of knowledge that can ...
Healthcare is constantly changing with the intention of improving patient care. The Institute of Medicine (IOM) issued a report introducing five core competencies for health professionals, in order to improve the Untied States healthcare system: provide patient-centered care, work in interdisciplinary teams, employ evidence-based practice, apply quality improvement, and utilize informatics (Institute of Medicine of the National Academies, 2003). IOM proposes that if all five core competencies are utilized by health professionals, quality patient care can be achieved. The facility in which this nurse work, is in need of improving their charting system. The facility currently utilizes two different software systems for charting, in addition to
3). The RWJF recommends a multidisciplinary and unified approach to data collection. To meet this goal, The Workforce Commission and the Health Care Resources and Services Administrations are expected to develop a standardized minimum set data that will be include nursing, dentistry, medicine, and pharmacy disciplines across states. It is imperative that nursing expertise is sought and incorporated on the Workforce Commission membership (IOM, Report Recommendations, 2010, p. 6). A year ago, my hospital transitioned from Affinity (hospital based) to Orchid (county-wide based). I became familiar with Affinity during medsurg clinical rotation. I remember one of the downsides of the system was that nurses were only able to see all documentation recorded at that specific hospital. Since we started Orchid, we are able to access patient’s information from all county hospital at once. I value the importance of having a standardized data system that enables better communication among all disciplines and more realistic staffing expectations.
Society today is an informed group of individuals who would like to be aware of what is going on in the world around them. Health care is inclusive in their need for knowledge when it comes to their health or their family member’s well-being. Therefore in health care an educated consumer is more than willing to research medications, poll medical procedures and even physician to determine if the health care professional is qualified to perform certain procedures. Because of the savvy consumer, the Centers for Medicare & Medicaid Services devised a reporting system that would inform the public how the hospital has been performing based on patient stays. The performance for certain areas are evaluated by Quality Indicators
(2014). Reducing medication errors by educating nurses on bar code technology. Med-Surg Matters, 23(5), 1-10. http://web.b.ebscohost.com.bakeru.idm.oclc.org/ehost/detail/detail?vid=116&sid=7d1a7ff0-47e6-4393-abaf-dba8f3afa50d%40sessionmgr120&hid=106&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=109799108&db=c8h
As part of my on-going study and trainingin foundation degree in health and social care I was allocated to work in one of the challenging wards in University college hospital. In admitting patients, manual or paper and electronic records are being used. Electronic recording is used to put the patient’s details in the data base of the hospital and a patient hospital number is created during this process. Manual recording is done on paper and it should be written in black ink and a 24 hour clock should be used in doing an entry on either manual or electronic recording. It is also important that every page within the documentation must include the patient’s details particularly, the name, hospital number and date of birth. A sticker label in some cases is done mainly because it’s much conve...