Health Record Documentation Policy

Assignment:  As the recently hired Corporate Director of Health Information Management, you have tasked the assignment of creating a much needed policy to govern the practice of health record documentation. You have appointed your HIM Manager to devise such a policy that address the following:

• Subject
• Purpose
• Staff
• Effective Date
• A thorough description of the policy
• Definition of Terms (associated with policy)
• Procedure

Create a total of two (2) policies to address electronic health record documentation and traditional paper-based health record documentation.