C803 Task3 Data Analytics and
Information Governance
Data Analytics and Information
Governance (Western Governors
University)
, DATA ANALYTICS AND INFORMATION GOVERNANCE — C803 TASK 3: HEALTH RECORDS
January 9, 2024
A.
The paper health record was created by the American College of Surgeons (ACS) in
1919 to establish hospital standards. In the paper health record, the required information must be
written down. At the time paper health records were created, data quality was not managed. The
only requirement was that the necessary information was entered. HIM personnel staff are
needed to locate, transport, file, and re-file paper-based health records. Storage space and
equipment are also needed. Filing cabinets or open shelves of different sizes, office space, and
even warehouses are necessary to store paper records. Because they can only be in one location
at a time and viewed by one person at a time, paper-based records are difficult to assess. As a
result, their use and efficacy in contributing to patient care are limited. Additionally, data points
are usually documented in multiple areas of the record, and not every physician participating in
the patient's treatment will be aware of their locations, making it challenging to abstract
information from the record. The process of extracting data from a record and comparing it to
data from related records might take days or weeks. When correcting or amending errors on a
paper record, the original entry must be visible. To begin, a single line must be drawn through
the error and labeled as an error. The correction is then entered, along with the time and date it
was made, and the signature and credentials of the person making the correction. No whiteouts
or erasures are allowed. (Oachs and Watters, 2020)
Information Governance
Data Analytics and Information
Governance (Western Governors
University)
, DATA ANALYTICS AND INFORMATION GOVERNANCE — C803 TASK 3: HEALTH RECORDS
January 9, 2024
A.
The paper health record was created by the American College of Surgeons (ACS) in
1919 to establish hospital standards. In the paper health record, the required information must be
written down. At the time paper health records were created, data quality was not managed. The
only requirement was that the necessary information was entered. HIM personnel staff are
needed to locate, transport, file, and re-file paper-based health records. Storage space and
equipment are also needed. Filing cabinets or open shelves of different sizes, office space, and
even warehouses are necessary to store paper records. Because they can only be in one location
at a time and viewed by one person at a time, paper-based records are difficult to assess. As a
result, their use and efficacy in contributing to patient care are limited. Additionally, data points
are usually documented in multiple areas of the record, and not every physician participating in
the patient's treatment will be aware of their locations, making it challenging to abstract
information from the record. The process of extracting data from a record and comparing it to
data from related records might take days or weeks. When correcting or amending errors on a
paper record, the original entry must be visible. To begin, a single line must be drawn through
the error and labeled as an error. The correction is then entered, along with the time and date it
was made, and the signature and credentials of the person making the correction. No whiteouts
or erasures are allowed. (Oachs and Watters, 2020)
