MCCG210 CLINICAL DOCUMENTATION: INTEGRITY AND QUALITY
HIM Analyst Job Aid
Course, Program, and Institutional Outcome(s) Assessed:
This assignment measures your ability to meet the following outcome(s):
• Course outcome: Describe the process of ensuring data quality in an electronic health record environment
• Program outcome: Evaluate the accuracy and completeness of the patient record as defined by policy, external regulations, and standards.
Relevant Background Information:
Ensuring quality information is an essential role of every health care employee. Coders understand the relationship of quality information and coding, but every health care employee needs to understand that relationship and what their role is in ensuring information collected is quality.
Assessment Purpose:
To demonstrate an understanding of the relationship between clinical documentation improvement and the electronic health record.
Assessment Directions:
Imagine you are the HIM Director at a hospital are creating the work flow for a new HIM 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.
You can find this article as a PDF document in Blackboard.
b. “Medical Record Completion Guidelines” by McLaren Macomb found at this link: http://www.mclaren.org/uploads/public/documents/macomb/documents/medical%20staff%20services/medicalrecordscompletion.pdf
You can access the article by pressing CTRL and clicking the left mouse or by copying and pasting the link into your web browser.
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. Homework help – Discuss how each of the 10 documents is important to CDI.
c. Write my Essay Online Writing Service with Professional Essay Writers – 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.
4. Refer to the rubric at the end of this document. Check your work against the rubric to make sure you have done everything you’ve been asked to do.
5. Submit your work to your instructor by the designated due date.
MCCG210 CLINICAL DOCUMENTATION: INTEGRITY AND QUALITY
HIM Analyst Job Aid
Paper Writing Service – Topic Examples – Rubric
Level 3 Level 2 Level 1 Level 0
30-25.5 25.4-21 20.9-19.5 19.4-0
EHR Documents 9-10 documents are accurately identified. The documents are thoroughly explained with numerous, specific details. 7-8 documents are accurately identified. The documents are adequately explained with several details. 6 documents are accurately identified. The documents are partially explained with few details. 5 or fewer documents are accurately identified. The documents are minimally explained with no details, or the explanations are missing.
30-25.5 25.4-21 20.9-19.5 19.4-0
Importance of documents to CDI The importance of 9-10 documents is thoroughly explained with numerous, specific details. The importance of 7-8 documents is adequately explained with several details. The importance of 6 documents is partially explained with few details. The importance of 5 or fewer documents is minimally explained with no details, or this section is missing.
30-25.5 25.4-21 20.9-19.5 19.4-0
Role of the HIM Analyst Student fully describes the HIM Analysts role in data quality within an EHR with numerous, specific details. Student adequately describes the HIM Analysts role in data quality within an EHR with several details. Student partially describes the HIM Analysts role in data quality within an EHR with few details. Student minimally describes the HIM Analysts role in data quality within an EHR with no details, or this section is missing.
30-25.5 25.4-21 20.9-19.5 19.4-0
Organization All portions of the job aid are well-organized and allow the reader to quickly and easily reference the information. Most portions of the job aid are well-organized and allow the reader to quickly and easily reference the information. Half of the job aid is well-organized and allows the reader to quickly and easily reference the information. The job aid is not well-organized and does not allow the reader to quickly and easily reference the information.
Final Score: Comments:
