Case studies in health information management
Charlotte McCuen, Nanette B Sayles, Patricia Schnering
- 3rd ed.
- Boston : Cengage, c2018.
- xix, 439 p. : ill. ; 28 cm.
Machine generated contents note: Section 1 Data Content Structure, and Standards Case 1.1 Subjective. Objective. Assessment and Plan (SOAP) Statements and the Problem-Oriented Medical Record (POMR) Case 1.2 Problem-Oriented Medical Record Format Case 1.3 Master Patient Index and Duplicate Medical Record Number Assignment Case 1.4 Enterprise MPI (E-MPI) Case 1.5 Chart Checkout Screen Design and Data Quality Case 1.6 Patient Demographic Data Entry Screen Design and Data Quality Case 1.7 Encounter Abstract Screen Design and Data Quality Case 1.8 Coding Abstract Screen Design and Data Quality Case 1.9 Designing a Report for Radiology and Imaging Service Examinations Case 1.10 Documentation Requirements for the History and Physical Report Case 1.11 Focused Review of Patient Record Documentation: Operative Report Case 1.12 Data Collection in Long-Term Care: Minimum Data Set Version 3.0 Contents note continued: Case 1.13 Data Collection for the Healthcare Effectiveness Data and Information Set in Managed Care Case 1.14 Birth Certificate Reporting Project Case 1.15 Clinical Coding Systems and Technology Case 1.16 Cell Phone Texting of ePHI Case 1.17 Joint Commission Mock Survey Case 1.18 Authentication of Patient Documentation Case 1.19 Copy and Paste in the EHR Case 1.20 Case Finding for Tumor Registry Case 1.21 Face Validity of QI Study on Births Case 1.22 Reproductive History Interpretation Case 1.23 Abstract of Pertinent Inpatient Medical Documentation Case 1.24 Choosing a Personal Health Record Case 1.25 Personal Health Record Education Case 1.26 Clinical Vocabularies Section 2 Information Protection: Access, Archival, Privacy, and Security Case 2.1 Monitoring Regulations Affecting Healthcare (Federal Register) Case 2.2 Alteration of Patient Record Case 2.3 Reporting Communicable Diseases Contents note continued: Case 2.4 Release of Information Staff Privacy and Privacy Rule Training Test Case 2.5 Responsibilities as Release of Information Coordinator Case 2.6 Release of Information and the "Legal Health Record" Case 2.7 Authorization for Release of Information Case 2.8 Processing a Request for Release of Information Case 2.9 E-Discovery Case 2.10 Designated Record Set Identification Case 2.11 Processing Requests for Information Case 2.12 Valid Authorization for Requests for Release of Information Case 2.13 Health Information Management Department Process for Subpoenas for Release of Information Case 2.14 Validate Subpoenas for Release of Information Case 2.15 Notice of Privacy Practices Case 2.16 Accounting for Disclosure of Protected Health Information under the Health Insurance Portability and Accountability Act Case 2.17 Legal Issues in Accounting for Disclosure of Protected Health Information to the Health Department Contents note continued: Case 2.18 Patient Right to Amend Record Case 2.19 Institutional Process for Patient Request to Amend Record Case 2.20 Investigating Potential Privacy Violations Case 2.21 Investigation of Breach of Privacy Case 2.22 Privacy Violation by Former Employee Case 2.23 Privacy Plan Gap Analysis Case 2.24 Security Measures for Access to Protected Health Information Case 2.25 Access Controls Case 2.26 Mobile Security Case 2.27 Breach Notification Case 2.28 Breach of Information at Business Associate Case 2.29 Access to Health Information for Treatment Case 2.30 Updating the Retention and Destruction Policy for Healthcare Records Case 2.31 Retention Planning Case 2.32 Evaluating Records for Destruction Case 2.33 Developing a Documentation Destruction Plan Case 2.34 Storage Requirements Case 2.35 Employee System Access Termination Procedure Case 2.36 Contingency Planning Contents note continued: Case 2.37 Business Continuity Planning Case 2.38 Evaluating Systems for Health Privacy Regulations Compliance Case 2.39 Audit Triggers Case 2.40 Audit Trail Analysis Case 2.41 Password Management Case 2.42 Electronic Health Record Security Plan Case 2.43 Patient Verification Case 2.44 Medical Identity Theft Case 2.45 Importance of Audit Trail Section 3 Informatics. Analytics, and Data Use Case 3.1 System Conversion Case 3.2 System Integration Case 3.3 Data Relationships Case 3.4 Database Design Case 3.5 Database Development Case 3.6 Human Resource Database Case 3.7 Database Queries Case 3.8 Master Patient Index System Selection Case 3.9 System Life Cycle Case 3.10 Data Collection Questionnaire and Interview Questions for Systems Analysis Case 3.11 Developing a Data Collection Plan for Systems Analysis Case 3.12 Information System Project Steering Committee Contents note continued: Case 3.13 Developing a System Selection Plan Case 3.14 Decision on System Replacement Case 3.15 System Testing Plan Case 3.16 Workflow Technology Case 3.17 Computerized Provider Order Entry Implementation Case 3.18 Normalization of Data Fields Case 3.19 Conversion of Admission Discharge Transfer System Case 3.20 Admission Report Design Case 3.21 Choosing Software Packages Case 3.22 Selecting an Internet-Based Personal Health Record Case 3.23 Data Warehouse Development Case 3.24 Data Tables Case 3.25 Failure of an Electronic Health Record System Case 3.26 Intranet Functionality Case 3.27 Cloud Computing Case 3.28 Voice Recognition Editing Case 3.29 Single Vendor or Best of Breed Case 3.30 Functional Requirements of a Transcription System Case 3.31 Electronic Signatures Case 3.32 Health Information Exchange Case 3.33 Public Health Case 3.34 HL7 EHR System Functional Model Contents note continued: Case 3.35 Data Mining Case 3.36 Electronic Health Record Certification Case 3.37 Encoder Functional Requirements Case 3.38 Encoder Selection Case 3.39 Request for Information for Encoder Systems Section 4 Revenue Management Case 4.1 Qualification for Insurance Case 4.2 Medicare Coverage Case 4.3 Medicare Part D Case 4.4 Calculating Commercial Insurance Reimbursement Case 4.5 Explanation of Benefits Case 4.6 Official Coding Resource Case 4.7 Capitation Profit Case 4.8 Selecting Coding Classification Systems Case 4.9 Estimated Medicare-Severity Diagnosis-Related Group Payments Case 4.10 Case Mix Index Trends Case 4.11 Top 10 Medicare-Severity Diagnosis-Related Groups Case 4.12 Case Mix Index Investigation Case 4.13 Case Mix Index Analysis Case 4.14 Medicare Provider Analysis and Review Data Analysis Case 4.15 Ambulatory Payment Classification Case 4.16 Discharged Not Final Billed Reduction Contents note continued: Case 4.17 Chargemaster Audit Case 4.18 Chargemaster Maintenance Case 4.19 Monitoring Revenue Cycle Case 4.20 Utilization Review Case 4.21 Hierarchical Condition Categories Section 5 Compliance Case 5.1 Hospital-Acquired Conditions Case 5.2 Coding Quality in ICD-10-CM Case 5.3 Developing a Coding Quality Plan Case 5.4 High-Risk Medicare-Severity Diagnosis-Related Groups Case 5.5 Medicare-Severity Diagnosis-Related Group Changes Case 5.6 Documentation Support for Principal Diagnosis Case 5.7 Improving Coding Quality Case 5.8 Physician Query Policy Case 5.9 Physician Query Evaluation Case 5.10 Physician Orders for Outpatient Testing Case 5.11 Monitoring Compliance Activities Case 5.12 Potential Compliance Issue Case 5.13 Documentation Improvement Case 5.14 Office of Inspector General Findings Case 5.15 National Coverage Determination Case 5.16 Local Care Determination Contents note continued: Case 5.17 Medical Necessity Case 5.18 Corrective Action Plan Case 5.19 Comprehensive Error Rate Testing Benchmarking Case 5.20 Recovery Audit Contractor Additional Documentation Limits Case 5.21 Clinical Documentation Improvement (CDI) Plan Evaluation Section 6 Leadership Case 6.1 Developing an Organizational Chart for Health Information Management Case 6.2 Writing a Policy and Procedure Case 6.3 Work Measurement Study Case 6.4 Evaluating Employees' Skills Case 6.5 Recruiting Resources Case 6.6 Recruitment Advertisement Case 6.7 Interviewing Job Applicants Case 6.8 Job Applicant and the Americans with Disabilities Act Case 6.9 Developing a Training Plan Case 6.10 Department Coverage Case 6.11 Decision Making Case 6.12 Progressive Disciplinary Approach Case 6.13 Falsification of Information on Employment Application Case 6.14 Time Management Case 6.15 Interdepartmental Communications Contents note continued: Case 6.16 Merit Raise Case 6.17 Incentive-Based Compensation Programs Case 6.18 Payroll Budget Decisions Case 6.19 Budgeting for Reducing Payroll Case 6.20 Calculating Salary Increases Case 6.21 Planning for Electronic Record Retention Case 6.22 Calculating Department Operations Budget Case 6.23 Net Present Value (NPV) Method of Evaluating a Capital Expense Case 6.24 Accounting Rate of Return Method of Evaluating a Capital Expense Case 6.25 Payback Method of Evaluating a Capital Expense Case 6.26 Developing the Health Information Management Operations Budget Case 6.27 Developing the Health Information Management Department Budget Case 6.28 Updating Department Organizational Chart Case 6.29 Job Description Analysis Case 6.30 Productivity Study Case 6.31 Performance and Quality Improvement in a Coding Department Case 6.32 Instituting Productivity and Quality Standards for Imaging or Scanning Records Contents note continued: Case 6.33 Evaluation of Transcription Department Case 6.34 Performance and Quality Evaluation and Improvement of the Health Information Management Department Case 6.35 Physical Layout Design for the Health Information Management Department Case 6.36 Revision of the Information Management Plan Case 6.37 Defining a Project Case 6.38 Job Description for Project Manager Case 6.39 Forming Committees Case 6.40 Committee to Perform System Benefits Analysis Case 6.41 Project Management and Program Evaluation Review Technique Chart Case 6.42 Project Management and Analysis of a Gantt Chart Case 6.43 Creating a Gantt Chart Case 6.44 Evaluation of Project Management Budget Variance Case 6.45 Planning me Health Information Management Department for a New Facility Case 6.46 Planning Release of Information Department Functions for a New Facility Case 6.47 American Health Information Management Association Code of Ethics Contents note continued: Case 6.48 Campaign Posters in the Clinic Case 2.49 Research Studies and Ethics Case 6.50 Health Information Management Staff and Confidentiality Section 7 Healthcare Statistics and Research Methods Case 7.1 Inpatient Service Days Case 7.2 Average Daily Census Case 7.3 Length of Stay Case 7.4 Average Length of Stay Case 7.5 Percentage of Occupancy for Month Case 7.6 Percentage of Occupancy for Year with Change in Bed Count Case 7.7 Percentage of Occupancy by Unit Case 7.8 Consultation Rate Case 7.9 Infection Rates Case 7.10 Prevalence and Incidence Rates Case 7.11 Comparative Health Data: Hospital Mortality Statistics Case 7.12 Joint Commission Hospital Quality Check Case 7.13 Hospital Comparative Data for Clinical Services Case 7.14 Nursing Home Comparative Data Case 7.15 Residential Care Facilities in Long-Term Care Case 7.16 Relative Risk Comparison Contents note continued: Case 7.17 Determining Appropriate Formulas: Ratios Case 7.18 Calculating Obstetrics Statistics Case 7.19 Research Cesarean Section Trend Case 7.20 Hospital Statistics Spreadsheet Case 7.21 Benchmarks for Leading Causes of Death Case 7.22 Top Four Leading Causes of Death by Age Case 7.23 Most Common Diagnoses and Principal Procedures for U.S. Hospitalizations Case 7.24 Medicare-Severity Diagnosis-Related Groups and Revenue Case 7.25 Health Information Management State Association Board Review for Improvement Opportunities Case 7.26 Calculating Physician Service Statistics Case 7.27 Determining the Percentage of Patients with Unacceptable Waiting Time Case 7.28 Systems Analysis of Health Information Management Function from Clinical Experience Case 7.29 Clinical Quality Improvement Research Case 7.30 Research Report Utilizing National Center for Health Statistics Public Database Contents note continued: Case 7.31 Septicemic Hospitalizations as Principal Diagnosis vs. Secondary Diagnosis Case 7.32 Pain Assessment Study Case 7.33 Coronary Artery Bypass Graft Postoperative Length of Stay Case 7.34 Skyview Hospital Monthly Statistical Report.
Created for aspiring Health Information Management (HIM) and Health Information Technology (HIT) professionals in training, CASE STUDIES IN HEALTH INFORMATION MANAGEMENT, 3rd Edition helps readers bridge the gap between classroom theory and on-the-job application. More than a collection of fascinating cases, this versatile worktext challenges readers to work through problems with coordinating spreadsheets and forms while applying lessons from the classroom. Case studies feature the latest AHIMA domains and competencies, clearly mapping content in the readings to requirements for RHIA and RHIT certification exams in a handy correlation grid. New with the third edition, online learning resources avail readers to extra web content and reference materials, simulated professional forms, and spreadsheets for use in case-related exercises. The ideal complement to any HIM or HIT course, CASE STUDIES IN HEALTH INFORMATION MANAGEMENT, 3rd Edition is suitable for lab or practicum work, individual or group assignments, self-study, and as a professional desk reference.