Health sciences and medicine PPE Report

Project description

2. NARRATIVE REPORT: Compare/contrast these areas to others you have seen. Comment on the unique features of the site or manager.
POSSIBLE AREAS TO COMPARE AND CONTRAST:
A. TYPE OF PATIENTS TREATED
C. MANAGEMENT STRUCTURE (type of management practiced)
D. COMMITTEE PARTICIPATION
E. WORK LOAD/JOB DIVISIONS
F. PHYSICAL STRUCTURE OF HOSPITAL/RECORD DEPT.
G. DEPARTMENTAL PROCEDURES
H. DEPARTMENT HEAD’S ACTIVITIES AND ROLE
J. UNIQUE FEATURES OF THE FACILITY OR DEPARTMENT
K. DEPARTMENTAL FUNCTIONS – OUTSOURCED/ MARKETED TO OTHERS

L. ORGANIZATION OF THE MEDICAL RECORD (Paper)

STAFF TRAINING AND DEVELOPMENT
PERFORMANCE IMPROVEMENT/CASE MANAGEMENT/UTILIZATION REVIEW/Clinical Documentation Improvement

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SAMPLE of ACTIVITY LIST:
CHART COMPLETION 3.0 HOURS
HEALTH STATISTICS 13.0 HOURS
CHARGEMASTER 2.0 HOURS
RELEASE OF INFORMATION 5.0 HOURS
BIRTH CERTIFICATES 1.0 HOUR
COMMITTEE REPORTING 8.0 HOURS
DIRECTOR BUDGETING FUNCTIONS 3.0 HOURS
REGISTRY UPDATES 5.0 HOURS
(ORIENTATION & OBSERVATION) ___***_________
TOTAL 40.0 HOURS
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See the next pages for the course outline of project topics that you are responsible for being able to complete during your professional practice. HIIA Professional Practice Students shall be assigned one project from each domain at each scheduled site.

HIM 478
Course Outline and Clinical Objectives
HIM Baccalaureate Degree Entry-Level Competencies
Domains, Subdomains, and Tasks

The HIM 478 class serves as a Professional Practice Experience course which requires students to perform tasks in HIM departments and facilities. Assignments and tasks will vary according to where the student is placed. Students are evaluated by the PPE site supervisor according to their mastery of the applicable and relevant areas. See attached evaluation form.

I. Domain: Health Data Management
A. Subdomain: Health Data Structure, Content and Standards
1. Manage health data (such as data elements, data sets, and databases).
2. Ensure that documentation in the health record supports the diagnosis and reflects the
patient’s progress, clinical findings, and discharge status.
B. Subdomain: Healthcare Information Requirements and Standards
1. Develop organization-wide health record documentation guidelines.
2. Maintain organizational compliance with regulations and standards.
3. Ensure organizational survey readiness for accreditation, licensing and/or certification
processes.
4. Design and implement clinical documentation initiatives
C. Subdomain: Clinical Classification Systems
1. Select electronic applications for clinical classification and coding.
2. Implement and manage applications and processes for clinical classification and coding.
3. Maintain processes, policies, and procedures to ensure the accuracy of coded data.
D. Subdomain: Reimbursement Methodologies
1. Manage the use of clinical data required in prospective payment systems (PPS) in
healthcare delivery.
2. Manage the use of clinical data required in other reimbursement systems in healthcare
delivery.
3. Participate in selection and development of applications and processes for
Chargemaster and claims management.
4. Implement and manage processes for compliance and reporting.
5. Participate in revenue cycle management.

II. Domain: Health Statistics, Biomedical Research and Quality Management
A. Subdomain: Healthcare Statistics and Research
1. Analyze and present data for quality management, utilization management, risk
management, and other patient care related studies.
2. Utilize statistical software.
3. Ensure adherence to Institutional Review Board (IRB) processes and policies.
B. Subdomain: Quality Management and Performance Improvement
1. Provide support for facility-wide quality management and performance improvement programs.
2. Analyze clinical data to identify trends that demonstrate quality, safety, and effectiveness of healthcare.
3. Apply Quality Management tools.

III. Domain: Health Services Organization and Delivery
A. Subdomain: Healthcare Delivery Systems
1. Evaluate and implement national health information initiatives in the healthcare delivery system for application to information systems policies and procedures.
2. Interpret, communicate, and apply current laws, accreditation, licensure and
certification standards related to health information initiatives at the national, state,
local, and facility levels.
3. Analyze and respond to the information needs of internal and external customers
throughout the continuum of healthcare services.
4. Revise policies and procedures to comply with changing health information regulations.
5. Translate and interpret health information for consumers and their caregivers.
B. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues
1. Coordinate the implementation of legal and regulatory requirements related to the
health information infrastructure.
2. Manage access and disclosure of personal health information.
3. Develop and implement organization-wide confidentiality policies and procedures.
4. Develop and implement privacy training programs.
5. Assist in the development of security training
6. Resolve privacy issues/problems.
7. Apply and promote ethical standards of practice.
8. Define and maintain elements of the legal health record.
9. Establish and maintain e-Discovery guidelines.

IV. Domain: Information Technology & Systems
A. Subdomain: Information and Communication Technologies
1. Implement and manage use of technology, including hardware and software, to ensure
data collection, storage, analysis and reporting of information.
2. Contribute to the development of networks, including intranet and Internet
applications to facilitate the electronic health record (EHR), personal health record
(PHR), public health, and other administrative applications.
3. Interpret the use of standards to achieve interoperability of healthcare
information systems.
B. Subdomain: Information Systems
1. Apply knowledge of data base architecture and design (such as data dictionary, data
modeling, data warehousing) to meet organizational needs.
2. Monitor use of clinical vocabularies and terminologies used in the organization’s health information systems.
3. Manage clinical indices/databases/registries
4. Apply appropriate electronic or imaging technology for data/record storage.
5. Apply knowledge of database querying and data mining techniques to facilitate
information retrieval.
6. Implement and manage knowledge-based applications to meet end-user information
requirements.
7. Design and generate administrative reports using appropriate software.
8. Participate in system selection processes (RFI and RFP)
9. Evaluate and recommend clinical, administrative, and specialty service applications (RFP vendor selection, electronic record, clinical coding)
10. Apply appropriate systems to life cycle concepts, including systems analysis, design, implementation, evaluation, and maintenance to the selection of healthcare information systems.
C. Subdomain: Data security
1. Protect electronic health information through confidentiality and security measures. 2. Protect data integrity and validity using software or hardware technology.
3. Implement and monitor department and organizational data and information system
security pol
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