WGU C803 UHM1 Task 3 |Latest Update
with Complete Solution
C803
ID: 011324449
BRITTANY SHORTER
A:..CHARACTERISTICS
Data..is..everywhere...Anyone..who..uses..data..has..three..major..things..to..worry..about:..how.
.is..the..data..stored,..how..can..it..be..accessed,..and..how..can..it..be..amended...In..healthcare,..there..ar
e..three..major..ways..that..personal..health..information..is..stored...A..record..can..be..stored..on..paper
,..on..both..paper..and..electronically..or..hybrid,..or..all..electronic...For..any..type..of..record,..each..patie
nt..receives..a..medical..record..number..(MRN)...This..is..a..unique..number..that..can..be..used..to..loca
te..and..retrieve..a..specific..patient’s..health..information.
For..paper..records,..each..patient..was..given..a..manilla..folder...Each..folder..was..typically..store
d..on..shelves..in..a..record..room..within..the..facility...This..also..means..that..as..the..records..grow,..th
ey..require..more..space..which..could..be..expensive..and..difficult.. . Each..folder..contained..patient..sp
ecific..documentation..related..to..care..received..from..the..physician..or..physicians...The..good..thing
..about..paper..records..is..they..are..easily..accessible..by..the..staff...Paper..records..are..also..easy..to..c
arry..if..the..patient..wanted..to..transfer..to..a..new..doctor..or..needed..to..see..a..specialist...However,..p
aper..records..were..generally..not..backed..up...It..is..also..impossible..for..more..than..one..physician..t
o..edit..a..single..piece..of..paper..for..a..medical..record..at..the..same..time...A..patient..chart..could..onl
y..be..used..one..physician..at..a..time...Because..everyone..has..a..different..writing..style,..paper..records..c
, ould..also..be..seen..as..difficult..to..read..if..someone..else..needed..to..read..a..report...Amending..paper..rec
ords..can..sometimes..be..difficult...For..these..records,..the..requirement..is..to..strikeout..or..draw..a..sin
gle..line..through..what..needs..to..be..corrected...The..person..correcting..the..record..is..required..to..initial
..or..sign..and..put..the..date..of..the..correction...If..someone..in..the..organization..or..department..have..t
he..same..initials,..It..can..be..difficult..to..track..down..the..person..that..made..the..changes..if..there..are
..questions.
Hybrids..records..exist..on..both..paper..and..electronically...This..type..of..record..is..usually..se
en..when.. a.. company.. has.. made.. the.. decision.. to.. transfer.. to.. an.. electronic.. health.. record.. versus.
. a.. paper
record.. . Because..paper..is..still..involved,..the..same..challenges..still..apply..as..far..as..storage..and..acces
s...Accessibility..is..slightly..easier..due..to..records..being..electronic...Updating..and..amending..recor
ds..is..also..easier..with..an..EHR..since..they..are..electronically...Paper..records..would..also..have..to..be..a
mended..every..time..the..EHR..is..amended...The..storage..for..an..electronic..record..can..get..a..little..t
ricky..depending..on..if..it..is..stored..in..office..or..off..site...Because..hybrid..records..contain..both..pap
er..and..electronic..parts,..they..must..be..amended..based..upon..the..format...For..the..paper..records,..t
he..requirement..is..to..strikeout..or..draw..a..single..line..through..what..needs..to..be..corrected...The..p
erson..correcting..the..record..is..required..to..initial..or..sign..and..put..the..date..of..the..correction...For..
the..electronic..portion,..a..digital..trail..is..made..every..time..someone..logs..into..the..EHR...Any..prog
ress..or..billing..notes..automatically..save..with..a..date..and..time..stamp..as..well..as..the..person..who..
entered..the..note...Most..systems..only..allow..the..person..that..created..the..note..to..change..or..“delet
e”..the..note.
An..electronic..health..record..is..one..that..has..all..files..completely..online...All..records..can..
be..amended..electronically..which..makes..it..easy..for..more..than..one..person..to..look..at..one..patient’s..
chart..at..the..same..time...An..electronic..health..record..is..extremely..beneficial..for..someone..who..may..
receive..care..from..multiple..doctors..and..need..information..to..be..relayed..to..all..parties..involved..with..t
with Complete Solution
C803
ID: 011324449
BRITTANY SHORTER
A:..CHARACTERISTICS
Data..is..everywhere...Anyone..who..uses..data..has..three..major..things..to..worry..about:..how.
.is..the..data..stored,..how..can..it..be..accessed,..and..how..can..it..be..amended...In..healthcare,..there..ar
e..three..major..ways..that..personal..health..information..is..stored...A..record..can..be..stored..on..paper
,..on..both..paper..and..electronically..or..hybrid,..or..all..electronic...For..any..type..of..record,..each..patie
nt..receives..a..medical..record..number..(MRN)...This..is..a..unique..number..that..can..be..used..to..loca
te..and..retrieve..a..specific..patient’s..health..information.
For..paper..records,..each..patient..was..given..a..manilla..folder...Each..folder..was..typically..store
d..on..shelves..in..a..record..room..within..the..facility...This..also..means..that..as..the..records..grow,..th
ey..require..more..space..which..could..be..expensive..and..difficult.. . Each..folder..contained..patient..sp
ecific..documentation..related..to..care..received..from..the..physician..or..physicians...The..good..thing
..about..paper..records..is..they..are..easily..accessible..by..the..staff...Paper..records..are..also..easy..to..c
arry..if..the..patient..wanted..to..transfer..to..a..new..doctor..or..needed..to..see..a..specialist...However,..p
aper..records..were..generally..not..backed..up...It..is..also..impossible..for..more..than..one..physician..t
o..edit..a..single..piece..of..paper..for..a..medical..record..at..the..same..time...A..patient..chart..could..onl
y..be..used..one..physician..at..a..time...Because..everyone..has..a..different..writing..style,..paper..records..c
, ould..also..be..seen..as..difficult..to..read..if..someone..else..needed..to..read..a..report...Amending..paper..rec
ords..can..sometimes..be..difficult...For..these..records,..the..requirement..is..to..strikeout..or..draw..a..sin
gle..line..through..what..needs..to..be..corrected...The..person..correcting..the..record..is..required..to..initial
..or..sign..and..put..the..date..of..the..correction...If..someone..in..the..organization..or..department..have..t
he..same..initials,..It..can..be..difficult..to..track..down..the..person..that..made..the..changes..if..there..are
..questions.
Hybrids..records..exist..on..both..paper..and..electronically...This..type..of..record..is..usually..se
en..when.. a.. company.. has.. made.. the.. decision.. to.. transfer.. to.. an.. electronic.. health.. record.. versus.
. a.. paper
record.. . Because..paper..is..still..involved,..the..same..challenges..still..apply..as..far..as..storage..and..acces
s...Accessibility..is..slightly..easier..due..to..records..being..electronic...Updating..and..amending..recor
ds..is..also..easier..with..an..EHR..since..they..are..electronically...Paper..records..would..also..have..to..be..a
mended..every..time..the..EHR..is..amended...The..storage..for..an..electronic..record..can..get..a..little..t
ricky..depending..on..if..it..is..stored..in..office..or..off..site...Because..hybrid..records..contain..both..pap
er..and..electronic..parts,..they..must..be..amended..based..upon..the..format...For..the..paper..records,..t
he..requirement..is..to..strikeout..or..draw..a..single..line..through..what..needs..to..be..corrected...The..p
erson..correcting..the..record..is..required..to..initial..or..sign..and..put..the..date..of..the..correction...For..
the..electronic..portion,..a..digital..trail..is..made..every..time..someone..logs..into..the..EHR...Any..prog
ress..or..billing..notes..automatically..save..with..a..date..and..time..stamp..as..well..as..the..person..who..
entered..the..note...Most..systems..only..allow..the..person..that..created..the..note..to..change..or..“delet
e”..the..note.
An..electronic..health..record..is..one..that..has..all..files..completely..online...All..records..can..
be..amended..electronically..which..makes..it..easy..for..more..than..one..person..to..look..at..one..patient’s..
chart..at..the..same..time...An..electronic..health..record..is..extremely..beneficial..for..someone..who..may..
receive..care..from..multiple..doctors..and..need..information..to..be..relayed..to..all..parties..involved..with..t
