For this final project, you are analyzing a policy and making a presentation to

Question

For this final project, you are analyzing a policy and making a presentation to the Board of Directors on how it should be changed. You are presenting the policy to the hospital board, explaining its purpose, the content, how it will be deployed, and any existing problems it might be used to fix. Keep in mind that in most hospitals, the Board is made up of community members, and not medical personnel. Thus, make sure to fully explain electronic information laws and regulations, and why your new policy exists. To start, find online, one existing hospital policy involving electronic information, EHRs, cut and paste, retention, or any related policy you can find. There are many, but here are some examples: • University of Toledo EHR Policy • HealthPoint Medical Record Completion These are just examples. There are hundreds available on any electronic information topic you choose. It is preferable that you find your own. For this final project, you are analyzing a policy and making a presentation to the Board of Directors on how it should be changed. You are presenting the policy to the hospital board, explaining its purpose, the content, how it will be deployed, and any existing problems it might be used to fix. Keep in mind that in most hospitals, the Board is made up of community members, and not medical personnel. Thus, make sure to fully explain electronic information laws and regulations, and why your new policy exists. To start, find online, one existing hospital policy involving electronic information, EHRs, cut and paste, retention, or any related policy you can find. There are many, but here are some examples: • University of Toledo EHR Policy • HealthPoint Medical Record Completion These are just examples. There are hundreds available on any electronic information topic you choose. It is preferable that you find your own. For this final project, you are analyzing a policy and making a presentation to the Board of Directors on how it should be changed. You are presenting the policy to the hospital board, explaining its purpose, the content, how it will be deployed, and any existing problems it might be used to fix. Keep in mind that in most hospitals, the Board is made up of community members, and not medical personnel. Thus, make sure to fully explain electronic information laws and regulations, and why your new policy exists. To start, find online, one existing hospital policy involving electronic information, EHRs, cut and paste, retention, or any related policy you can find. There are many, but here are some examples: • University of Toledo EHR Policy • HealthPoint Medical Record Completion These are just examples. There are hundreds available on any electronic information topic you choose. It is preferable that you find your own.

Explanation / Answer

Medical Record Completion Policy

Purpose: To ensure timely completion of documentation for a patient in order to protect integrity of the electronic health record.

Policy Description

•Within 72 hours of patient visit, Medical records must be locked.

•If not locked within defined timeframes, Disciplinary action will be taken as per the definition of Medical record Delinquency policy and procedure.

Procedure

•For each patient visit,

•Hospital visit summary is printed for each visit

•Patient is enrolled and Patient information is made available through Patient Portal

•If the patient comes only for nurse only visit, it is documented in the progress note

•Immunization, Regular visit are also documented and updated in the portal

•Critical laboratory visits also needs to be updated by laboratory to the providers.

•Telephone encounters should also be recorded and reviewed within the same day

Monitoring

•It should be monitored at regular intervals by appropriate person

•Reports will be presented to Compliance Committee and the Board

•Anny unlocked records should be immediately communicated to appropriate persons

Existing problems

•Lack of standardized procedures/terminology

•Privacy/Security issues: this is a high concern for patients . So proper legislation/regulation should be in place

•Financial issues like huge implementation costs, maintenance costs, etc.,: This is a huge chunk of cost and revenue loss for hospital

•Disruption of work-flows: Medical staff needs to allocate sufficient time to update records accurately.

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