Information Management |Latest Update with
Complete Solution
......................................................................................................................................................
...................................................................................................A1:..Areas..Needing..Assessment
The..Health..Information..Management..department..needs..to..be..assessed...Currently,..the..pape
r..charts..are..delivered..by..courier..to..the..three..hospital..locations,..and..the..financial..offices..downtown...
His..process..causes..delays..in..the..continuation..of..care,..the..ROI..staff..can’t..keep..up..with..the..requests
..for..records..due..to..the..charts..being..at..a..different..facility..or..the..downtown..offices...The..current..pro
cess..causes..delays..in..records..processing,..chart..analysis,..ROI,..billing,..and..coding.
A2:..Staff..Concern
The..HIM..leadership..team..is..concerned..about..workflows..in..the..department...The..ROI..staff..can
’t..keep..up..with..the..requests..from..patients,..families,..attorneys,..and..auditors..due..to..the..records..not..b
eing..available...Chart..analysis..for..deficiencies..can’t..be..completed..due..to..the..records..being..sent..to..t
he..downtown..financial..office..before..the..analysts..were..able..to..review..them.. . The..records..processin
g..department..is..also..complaining..about..records..being..sent..to..coding..before..the..internal..audits..are..
completed
A3:..Functional..Needs..Of..Staff..Members
Staff..in..the..health..information..management..departments..need..to..be..able..to..respond..to..re
quests..for..information..promptly...With..the..current..paper..records,..they..experience..delays..in..providing..
the..requested..records...They..need..to..be..able..to..collect..the..records..from..all..three..hospital..sites..at..
, one..time..and..not..have..to..experience..costly..delays..due..to..the..records..not..being..available...The..abili
ty..to..be..able..to..transfer..the..requested..records..to..a..compact..disk..or..zip..drive..and..provide..that..to..
the..patient..is..less..costly..and..a..faster..process..than..having..to..print..out..all..the..records.
A4:..EHR..Comparison
Privacy..of..a..patient's..health..information..is..an..ongoing..concern..with..the..use..of..electronic..h
ealth..records...Before..the..introduction..of..the..EHR,..a..patient's..information..was..collected..in..a..paper..
chart..that..was..only..accessible..by..one..entity..at..a..time..and..now..the..electronic..record..allows..several.
.people..to..view..the..chart..at..the..same..time...Previously,..a..provider..referred..the..patient..to..see..a..spe
cialist,..the..office..would..fax..over..parts..of..the..chart..that..were..relevant..to..the..request...Today,..many..
providers..share..information..electronically..which..could..allow..the..requested..provider..access..to..infor
mation..that..is..not..relevant..to..the..request...Offices..face..many..challenges..with..protecting..a..patient's..
PHI..and..must..have..safeguards..in..place..to..be..able..to..accomplish..this...Limiting..access..to..areas..in..the..
EHR..needed..to..complete..the..functions..of..one..job,..using..unique..usernames,..automatic..screen..locks,.
.and..locking..the..computer..when..unattended..are..a..few..of..the..ways..organizations..stay..compliant..with
..regulations..(Oachs..&..Watters,..2020).
A..patient's..chart..was..kept..in..a..large..file..room,..on..shelves..that..could..be..locked,..behind..a..lo
cked..door..so..access..to..the..information..was..limited...Today..a..patient's..chart..is..collected..and..input..i
nto..an..electronic..health..record,..on..a..computer..in..a..provider's..office..that..multiple..people..can..acces
s,..and..we..must..make..sure..the..information..is..secure.. . Organizations..must..have..physical..safeguards..su
ch..as..cameras..and..identification..badges..(Oachs..&..Watters,..2020)...They..must..also..have..policies..and..
procedures..to..prevent,..detect,..contain,..and..correct..security..violations..(Oachs..&..Watters,..2020)...Tec
hnical..safeguards..such..as..data..encryption,..firewalls,..and..blocking..downloads..to..the..system..protect..
PHI..from..being..accessed..by..others..outside..the..organization.
A..patient’s..health..record..is..considered..a..legal..document,..and..an..entity..must..ensure..the..inte
grity..of..the..record..stays..intact...Paper..charts..presented..challenges..such..as..illegible..writing,..sparse..info