IHP 310 Final Project Guidelines and Rubric
Overview
Your final project for this course will be a p atient record analysis. You will apply the knowledge of anatomy, physiology, and pharmacology that you have
developed during this course in a thorough review of existing patient information. Specifically, you will review a patient’s history and a discharge chart from a
recent physician visit, explaining the reasons behind diagnosis or (diagnoses) based on documented symptoms. You will also cite any inconsistencies or concerns
and discuss potential and current treatments, all in preparation for you future coding practices. It may seem unnecessary to learn so much about r
pathophysiology and pharmacology for a career in anagement, but such knowledge is essential in ensuring the accuracy of patient records, health information m
coding, and billing.
The project is divided into , which will be submitted at various points throughout the course to scaffold learning and ensure quality final two milestones
submissions. These milestones will be submitted in The final product will be submitted inModules Three and Five. Module Seven.
In this assignment, you will demonstrate your mastery of the following course outcomes:
• Analyze the pathophysiology of commonly diagnosed health conditions for anticipating the pharmacological needs of patients
• Differentiate between common health conditions that present similar symptoms using evidence-based resources for ensuring accurate patient health
records
• Analyze standard pharmacological groupings and their specific drugs their uses in treating patient symptoms and diseases for
• Integrate foundational concepts of anatomy, physiology, and medical terminology into the analysis of symptoms, diagnosis, and treatment options for
informing accurate coding practices
Prompt
Your atient p analysis should answer the following prompt: Using the provided Final Project , critically analyze the patient’s medical and family Patient File
history and dissect the discharge chart from the patient’s recent visit. There are several inaccuracies and inconsistencies in this p ile; the pages of the file atient f
that contain issues are marked in the upper right hand corner with red bookmarks. You must identify a total o- f three true issues with the patient file, explain
what makes each identified issue a true issue, and discuss how you would approach addressing each issue in a real professional setting.
Specifically, the following critical elements must be addressed:
I. Patient History Analysis
a) Summarize the patient history, explaining key patient demographics and family history that could be risk factors for common diseases.
b) Identify the (or diagnoses if more than one existpast diagnosis , s in the file) and explain how the diagnosis was made. Specifically, what tests
were done?
c) Discuss the symptoms the patient showed according to the file. Why and how did these symptoms lead the doctors to order certain tests?
d) What alternate diagnosis (or diagnoses) could these symptoms have indicated? Explain using evidence based resources to support your -
conclusions.
e) - Using supportive details from peer reviewed resources, explain the pathophysiology of the diagnosis. In other words, how does the diagnosed
disease develop and progress in the body?
f) Identify the past prescribed medications the patient is taking and explain the purposes of their larger pharmacological groupings.
g) Explain what symptoms the specific medications are meant to treat, using resources to support your claims about the impact of the medication
on the symptoms.
h) Illustrate how these medications the body and its functions. Use examples to support your explanations.impact
II. Recent Visit Analysis
a) Explain why the patient has returned to the doctor’s office. What is the patient experiencing?symptoms and signs
b) Analyze the new symptoms and signs to determine whether the past diagnosis is still a reasonable conclusion or could have been a misdiagnosis.
Use specific information from both the recent visit and the patient history to inform your analysis.
c) Based on the new signs, symptoms, and potential diagnosis (if the doctor has made a new diagnosis), discuss what new or potential treatments
would be appropriate. Why?
III. Identification of Record Inaccuracies
a) The patient file contains several inaccuracies and inconsistencies. Using your knowledge of medical terminology, anatomy, and physiology,
articulate three issues you’ve identified.
b) Explain in detail what makes the a problem in terms of patient health and recordkeeping. Be sure to use appropriate medical identified issues
terminology, references to anatomy, and concepts of normal physiology, where appropriate.
c) Discuss the impact of the issues on the patient, the coding system, and the billing system if had not been caught, using the appropriate they
terminology.
d) Illustrate how you would work to address each issue, with specific detail regarding who you would pull into the discussion and who would be
responsible for the particular details of each issue in a real medical setting.
Milestones
Milestone One: Patient History Review
In Module Three, you will review the patient history in the Final Project Patient File document and discuss what it tells you. Discriminating between signs and
symptoms, primary diagnoses, secondary diagnoses, and differential diagnoses, discuss what the findings are. This milestone will be graded with the Milestone
One Guidelines and Rubric.
Milestone Two: Patient Chart Review
In document. Module Five, you will submit your review of a recent patient chart located in the Final Project Patient File This milestone will be graded with the
Milestone Two Guidelines and Rubric.
Final Submission: Patient Record Analysis
In Module Seven, you will complete your record inaccuracies identification and submit your completed nalysis. It should be a complete, polished patient record a
artifact containing all of the critical elements of the final product. It should reflect the incorporation of feedback gained throughout the course. This submission
will Rubric. be graded with the Final Project Guidelines and
Final Project Rubric
Guidelines for Submission: The length of your you find in the file, but patient record a s nalysis will depend on the issue it will likely be 8–10 pages with an
additional page for references. All citations should be made according to the latest version of APA guidelines.
Critical Elements
Exemplary
( )100%
Proficient ( )85%
Needs Improvement
( )55%
Not Evident
( )0%
Value
Patient History
Analysis: Patient
History
Meets “Proficient” criteria,
and detail of risk factor
explanations shows in-depth
knowledge of demographic
and genetic risk factors for
disease development
Summarizes the patient
history, accurately explaining
key patient demographics and
