Job Aid For Health Information Management Analyst
Assessment Directions:
Imagine you are the HIM(health information management) Director at a hospital are creating the work flow for a new HIM (health information management) analyst position. You are creating a job aid to be used to help train this new employee.
The job aid will explain the documents within the electronic health record in regards to their importance to clinical documentation improvement (CDI). The goal of the job aid is for the new HIM analyst to understand his/her role in ensuring quality data in the electronic health record (EHR).
Follow these steps to complete this assignment:
1. Read the following articles:
a. “Clinical Validation: The Next Level of CDI” by Debra Beisel Denton, RHIA, CCS, CCDS, et. al.
http://docplayer(dot)net/125877541-Clinical-validation-the-next-level-of-cdi-january-2019-update.html
b. “Medical Record Completion Guidelines" by McLaren Macomb found at this link: http://www(dot)mclaren(dot)org/uploads/public/documents/macomb/documents/medical%20staff%20services/medicalrecordscompletion.pdf
2. Create a job aid that articulates the following three pieces of information:
a. Identify and explain the 10 most important documents in the EHR.
b. Discuss how each of the 10 documents is important to CDI.
c. Explain the role of the HIM Analyst in ensuring data quality in the EHR.
3. Determine a format that works best to share this information in the form of a job aid. Remember, a job aid should be a brief, well-organized document that provides easy access to reference information. Include the above information in your job aid.
The Most Important Documents In EHR
Fact Sheet, Coding Summary, Emergency Room Records, History and Physical (H&P), Consultations, Record of Operation and Reports for Invasive Procedures, Progress Notes, Orders, Discharge Summary, And Coding Query.
Importance to CDI
The documents are essential because they ensure a centralized system for sharing patient information with practitioners at all levels. Secure...
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