Granular data is the lowest level that a data can be or how defined and detail-oriented the data is.1 In this scenario, the PI of the research study wants only a tally of the number of sessions each patient participated to confirm that they received the correct “dose” of the intervention. However, according to the study protocol, each patient in the intervention group is supposed to receive a total of 24 sessions over 3 months, occurring twice a week. Based on this protocol, collecting the “granular” data recording the specific date of each session of every patient is necessary to achieve stronger analysis by increasing the validity and reliability of the data collected. Granular data ensures that the patient followed the required protocol of the patients attending the sessions twice a week for 3 …show more content…
The EMR report has the data on all the patients with the specific procedure code. As the code relates to more than one procedure, all the patients record with only this specific code must be reviewed. One intern can review the patients records with the last name A-K with the code and the second intern can review the records with the last name L-Z. Each intern will categorize the data based on patients who received the procedure and who did not. This system lets the interns review the patient records more meticulously without being hurried or overwhelmed with too many records to review. In turn, it helps to collect and record data more efficiently and accurately and saves time. I will be reviewing the final list of patients with the procedure from both interns and check for any data errors or repetitions and with the approval of the IRB, enter a standardized code to the patient database with the specific
Regulate the clinical data by enforcing stringent data management practices and mitigate the deviation in data collection and recording. The study protocol will define the source of data collection with Case Report Forms (CRFs), method of storage paper/ electronic and information retained for data archiving. Each subject will be identified with unique ID and Subject Identification Log will be maintained separately from trail analysis documents. The DMS prevents unblinding of specific documents, which protect the privacy and confidentiality of the subject, unless required by the study protocol. Identifiable documents and records will be maintained in accordance with the data retention period as specified in the protocol and the requirement of the regulations and IRB. Any update or changes implemented will be recorded in the revision history of the respective documents. The clinical trial team will be trained on clinical documentation and
For years now, the healthcare system in the United States have managed patient’s health records through paper charting, this has since changed for the better with the introduction of an electronic medical record (EMR) system. This type of system has helped healthcare providers, hospitals and other ambulatory institutions extract data from a patient’s chart to help expedite clinical diagnosis and providing necessary care. Although this form of technology shows great promise, studies have shown that this system is just a foundation to the next evolution of health technology. The transformation of EMR to electronic heath record system (EHR) is the ultimate goal of the federal government.
Patients were randomly allocated to one of three study groups; 32 patients in each group:
To be considered meaningful users of the EMR, the qualified applicant must use clinical content that is consistent and standardized across systems and healthcare settings, use decision support tools such as alerts and reminders, have the ability to collect and store raw data from documentation that can be used for reporting purposes, collect and report data to the state. Reporting of data will help to improve public health and awareness and provide sharing of information between systems (Tripathi,
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...
With Stage 2 Meaningful Use the amount of data collected on patient’s increases as well as its use for coordinating and communicating care with the patient and other providers.
...rough, and detailed. It provides specific statistical data and measurements more appropriate for the medical and scientific community.
I chose this study because it has a large cohort which eliminates sample bias. High quality data could be obtained from this longitudinal epidemiological ...
Case 1 -- You work in a busy multi-specialty clinic with a high patient volume. The physicians enter the type of code that will yield the greatest reimbursement. You suspect the codes are not accurate.
The PICOT format is composed of five different components. The (P) stands for the population of interest that the question is directed toward. This could be a broad population such as all people diagnosed with type 2 diabetes or smaller in scope such as males over 45 years of age diagnosed with type 2 diabetes. The next component is the (I), which represents the intervention or issue of interest. This could be the use of a particular medication or procedure, such as lab tests, to address and understand the patient’s problem. The (C) component is the comparison of interest. This may include a control group of patients that were given a placebo or the intervention was the usual standard of care. The (O) component is the expected outcome of the intervention implemented. It is important to include the expected outcome of an intervention into the form of the question because it can enable the person doing the research to find existing evidence...
i.e. a re-examination of the re-examination of the re-examination of the re-examination of the re-examination of the re-examination of the re-examination of the re-ex Since 2004, even the major priority of President Obama’s agenda is EHR (Madison & Stagger, 2011). The healthcare administration considers EHR as the introduction of advanced technology which can improve patient satisfaction can increase the financial incentives of the healthcare organization. Studies have pointed out that the federal policy is proposed to transform all medical records into EHRs (Hebda & Calderone, 2010). The EHR system has also improved the patient service and satisfaction. The most interesting fact is that patients who see using EHR while diagnoses view it as innovative and progressive than others.
The process of eliminating coding errors can be very tedious and stressful for medical office managers. Training and more training with appropriate supervision. Managers in coding departments must be proactive in ensuring that employees are properly trained and consistently monitor coding practices for accuracy. In addition, "comparative data is available for all types of facilities to compare their data DRG, APC, or other payment
In the health care industry, gathering information in order to find the best diagnosis route or even determine patient satisfaction is necessary. This is complete by conducting a survey and collecting data. When the information is complete, we then have statistical information used to make administrative decision within the healthcare field. The collection of meaningful statistics is an important function of any hospital or clinic.
Data and information are integrated into each step of the nursing process: assessment, diagnosis, planning, implementation, and evaluation. ("Nursing Excellence." Nursing Informatics 101. Web. 19 Nov. 2014.) Following this process, nursing informatics personnel can organize and set each file and record accordingly based on the care process. Since health care providers communicate primarily through the notes they write in a patient’s chart, nurse informaticists seek to continually improve the speed, timeliness and accuracy of patient charting. Working with the accurate information is key to nurses in all fields of the spectrum. It is beneficial to the health care providers that information is precise and up-to-date so the care will be more than sufficient. When health workers have access to more up-to-date, complete patient notes, they can make better decisions about a patient’s care and use the appropriate resources to better help the quality of the patient’s care doctors can
Data collection is a process by which you receive useful information. It is an important aspect of any type of research, as inaccurate data can alter the results of a study and lead to false hypothesis and interpretations. The approach the researcher utilizes to collect data depends on the nature of the study, the study design, and the availability of time, money and personnel. In addition, it is important for the researcher to determine whether the study is intended to produce qualitative or quantitative information.