5 pages due by 24 hours
carlos_1
3-HealthcareSystemApplicationPresentation.pptxHealthcare System Application
C816 – NOM1 Version 3
C816 Healthcare System Applications, NOM1, Version 3
Competencies:
Competency 7035.1.1: Health Information Systems and Business Process The graduate explains how information systems affect business processes within the healthcare industry.
Competency 7035.1.2: Systems Development The graduate analyzes the different methods of system development for the purpose of recommending an appropriate method for a project.
Competency 7035.1.3: Health Information Systems Management and Security The graduate analyzes the role of management in health information systems and the necessity for security and contingency plans.
Competency 7035.1.4: Healthcare IT Support The graduate justifies the need for information technology support and ways to manage the support processes in healthcare organizations.
C816 Healthcare System Applications, NOM1, Version 3
C816 is an applications course and as such presents certain key concepts and evaluates the student’s mastery by presenting a problem to which the student must successfully apply those concepts.
In a general sense this course covers health information technology systems development in the context. Please note the bolding of the word apply.
The most common mistake students make in this task is recapitulating the concepts and not applying them to the scenario.
Success in C816 in general, and in its single performance assessment specifically, lies in using the concepts in the reading to explain in concrete terms how the events in the scenario will come to fruition.
The student is advised to follow the RUBRIC and not the partial outline in the “Requirements” section of the Task Overview.
C816 Healthcare System Applications, NOM1, Version 3
Scenario:
The stakeholders at Anywhere Memorial Hospital have gathered to discuss their system-wide electronic health record needs. They currently have an 8-year-old hybrid EHR and would like to transition into a fully digitized record. Some of the legacy providers expressed their desire to keep some of the records on paper with the initial EHR implementation. Legacy physicians still wanted to use paper at the bedside because dragging around a COW (computer on wheels) was not their idea of good patient care. This required full-time employees (FTEs) in the HIM department that were responsible for gathering and scanning these records into the system.
Scenario - Continued:
The problem of delinquent medical records from these providers still existed because they didn't always get them completed promptly. There was also a delay when the document scanning system was down. Providers and healthcare professionals on the floor who depended on the images for patient care wouldn’t have access to the paper so HIM staff would sometimes have to find the paper documentation and take it back to the floor. This resulted in lost documents and misplaced patient records.
Scenario - Continued:
Now, there is a new CEO and Medical Director who are both major supporters of a fully digitized record. This would require providers to enter patient information directly into the system. This would cut down on the number of paper records being scanned into the system. There would be no need for dedicated staff to retrieve and scan documents into the system. The younger physicians are thrilled at the idea of a record that they can see in real-time to provide patient care. Legacy physicians are not happy about the change but realize that change is inevitable.
Scenario - Continued:
The Medical Staffing Office and Medical Director have identified a Physician Champion to advocate the record transition and collaborate with the implementation team in creating a training plan for all providers. The CEO and Medical Director have assured them that they will have scribes available to assist with clinical documentation entry into the new system.
The main reason for this transition includes reducing the long turnaround times for completed medical records which greatly impacts the revenue cycle, the manual tracking of deficiencies which is subject to human error, and the disorganization of records which could lead to ineffective outcomes if all information isn't presented.
Scenario - Continued:
. The fully digitized record can automate deficiency tracking, can alert staff when records aren’t completed on time and will keep records organized for easy access. The digitized record also means that there is no need for destruction policies for the paper records in the department.
You are the HIM Director. You are responsible for working with IT to streamline the processes to sundown the hybrid record and implement the new digitized record. You will need to consider the needs of the facility, the staff, and what events are included in the System Development Life Cycle (SDLC) for the project. You are also tasked with creating job descriptions for the new roles associated with the new digitized system and working with the systems analyst to create a training plan for new and existing employees.
Scenario - Continued:
No longer will you depend on people with a cart going to each floor for pickups. You won’t need staff manually assigning deficiencies to scanned paper charts to be completed in the hybrid record. Now you will need staff who have a keen eye for detail that can find errors in the system and reroute them to be corrected. This is a big job!
A.1. Issues in the Hybrid Record
Health Information Management: Concepts, Principles, and Practice, 6th Edition by Oachs and Watters
Chapter 12, Health Information Technologies, beginning on page 101 online.
The submission accurately describes the issues with clinical documentation in the hybrid record in the scenario.
A.2. Fully Digital and Hybrid Records
Health Information Management: Concepts, Principles, and Practice, 6th Edition by Oachs and Watters
Chapter 12, Health Information Technologies, beginning on page 429 online.
The submission accurately explains how a fully digital record will both address and solve the issues caused by the hybrid record in the scenario
A.3. Staffing and the Transition to a Fully Digital Record
Health Information Management: Concepts, Principles, and Practice, 6th Edition by Oachs and Watters
Chapter 13, Health Information Systems Strategic Planning, beginning on page 435 online.
The submission appropriately describe how the roles of existing staff members in the HIM department as described in the scenario will change with the transition from a hybrid record to a fully digital record, and the changes are accurate.
A.4. Roles of HIM Professional
Health Information Management: Concepts, Principles, and Practice, 6th Edition by Oachs and Watters
Chapter 13, Health Information Systems Strategic Planning, beginning on page 429 online.
The submission accurately explains the revised roles and responsibilities of 2 HIM professionals in the SDLC for the implementation project described in the scenario, and all of the explained revised roles and responsibilities are appropriate for both professionals.
COURSE INSTRUCTORS FOR C816
Junius Logan, MD
Direct phone – 385-428-7846
Diana L Gardner, MBA-HM, RHIA, FACMPE, CPC-Ret., MCCT, PMEC
Direct phone – 385-428-4694
