Author: admin

Develop a section (3–5 pages) of a proposal to study whether a group
of physicians provided quality of care related to an identified disease
or condition and population. Include a plan to manage the information
from collection to destruction and an analysis of legal considerations.
INTRODUCTION:
For this assessment and others in this course, you will assume the role
of an office manager for a physician group. In most fields—whether it’s
manufacturing, the service industry, or health care—organizations are
looking for ways to improve the quality of service they provide to their
customers. Keeping an eye on quality helps them remain competitive in
the marketplace and stay in business. Otherwise, their customers will go
elsewhere. This is especially true in the health care field, where
people’s health and lives are at stake.
PREPARATION:
Your physician group is no different than other organizations. It
wants to find ways to improve the quality of care it provides to
patients. This, in turn, helps the physician group remain profitable and
stay in business. As a result, the senior leaders of your physician
group have asked you to provide a documentation review of the quality of
care provided by the office. As the office manager, you are the one
responsible for the management of the health information within the
office and the review of information to determine whether providers met
quality of care standards. Determining this will require you to:
Identify a disease or condition served by the physician group.
Determine what patient information is needed and where to retrieve it.
Compare your overall office data to the national benchmarks.
Typically, in the workplace, the physician group’s specialty area
(cancer, diabetes, dermatology, et cetera) would dictate the disease or
condition for which you would be collecting information. For the purpose
of this assessment, however, you may select the disease or condition
that interests you from this list:
Asthma.
Diabetes.
Myocardial infarction.
HIV/AIDS.
Cancer.
Select the disease or condition that is important to you and that you
want to study. Perhaps you have the disease or condition. Perhaps a
family member or friend does. Remember you will be working with this
condition in the remaining course assessments.
Now that you have determined the disease or condition you are going
to study, you will need to begin collecting protected health information
(PHI) for the patients treated by your physician group who have the
condition you are studying. You will need to consider carefully the
privacy, security, and confidentiality of the information within the
patients’ office records. Determining how you, as the office manager,
will maintain data security is a key aspect of your work. You are
responsible for knowing and understanding the types of documentation,
applications, and information systems used within and outside of the
office. All information moves through a life cycle from creation to
destruction. Regulations, policies, and procedures strictly control this
ongoing process. The office manager needs to know this life cycle and
where to locate information when it is needed.
For this assessment, you will write a section of a proposal about how
the documentation on previous patient care will be retrieved, from
where it will be retrieved, and how that data will be kept secure during
retrieval and review. Remember that you are focusing on retrieving and
analyzing existing documentation within the office.
For this section of your proposal:
Identify the disease or condition and the population that will be the focus of your study.
Explain your plan to manage this information from collection to storage to destruction.
Identify legal considerations and a plan for compliance for the PHI you are collecting.
In later assessments in this course, you will continue on with your
proposal and begin to plan for how you will compare the office data you
have collected to the national benchmarks. Remember: You will not be
able to actually do this comparison. You are simply preparing a proposal
for senior leaders about how you would go about performing this work.
Please read the scoring guide for this assessment to better
understand the performance levels relating to each criterion on which
you will be evaluated.
INSTRUCTIONS:
You will not be writing the entire proposal for this assessment; only
parts of it. You will add to your proposal in later assessments and
complete it in Assessment 3. Be sure this part of your proposal includes
all of the following headings, and your narrative addresses each of the
bullet points:
Introduction
Identify the disease or condition from the following list for which you will review the quality of care:
Asthma.
Diabetes.
Myocardial infarction.
HIV/AIDS.
Cancer.
Explain the reasons for your choice.
Information Collection
Complete the following:
Determine the patient population to be reviewed.
Evaluate which information system or systems best provide the needed information.
Determine the specific documentation you are looking for. Explicitly
state the reasons for each and all of your choices. Be sure to answer
all of the following questions in your narrative:
Do you want to review information only from your office? Or do you
also want to review information for hospital admission and/or emergency
room visits?
Do you wish to review all patients who have ever been treated for
the selected condition? Or only those treated within a specific time
frame? Will you only review patients within certain demographic
parameters?
What type of documentation do you want to review? This may include:
History and physical (H&P).
Discharge summary.
Progress notes.
Labs.
Radiology.
Others.
Identify where you are going to find the information you need. Which
information system or systems would be best to use, and what
information can you collect from each system? Possibilities include:
Pharmacy.
Point of care (POC).
Results management.
Computerized physician order entry (CPOE).
Determine the type of system or systems (financial, administrative, clinical, et cetera) you would use.
Information Life Cycle
Complete the following:
Describe how you plan to manage this information from collection to
destruction. Be sure to address all of these questions in your
narrative:
How will the information be collected and documented? By whom? In what context?
How will the information be stored?
How will you control access to the information?
How can you ensure the documentation meets interoperability standards?
What are the advantages and disadvantages of integrating your office information with an HIE?
What challenges exist regarding the standardization of health information?
When and how will the information be destroyed?
Legal Considerations
Complete the following:
Differentiate between the legal aspects of health information
confidentiality, privacy, and security, as it applies to your proposal.
Apply laws governing health information confidentiality, privacy, and security.
Determine whether the information you are retrieving requires the use of PHI.
If not, why not?
If so, summarize how the PHI will be used.
Plan for how the Health Insurance Portability and Accountability Act
(HIPAA) will impact health care personnel, policies, and procedures in
your proposal.
Conclusion
Briefly summarize the value of the documentation review you are proposing to be performed.
ADDITIONAL REQUIREMENTS:
Your assessment should meet the following requirements:
Written communication: Your paper does not need to
be in APA format. It does need to be clear and well organized, with
correct spelling, grammar, and syntax, to support orderly exposition of
content.
Title page: Develop a descriptive title of approximately 5–15 words. It should stir interest yet maintain professional decorum.
References: Include a minimum of two citations of peer-reviewed sources in APA format.
Length: 3–5 typed, double-spaced pages, not including the title page and references page.
Font and font size: Times New Roman, 12 point.
COMPETENCIES MEASURED:
By successfully completing this assessment, you will demonstrate your
proficiency in the following course competencies and scoring guide
criteria:
Competency 1: Determine stages of the information lifecycle embedded within health information management technology functions.
Apply steps of the health care information life cycle.
Competency 2: Apply laws governing health information confidentiality, privacy, and security.
Differentiate between required confidentiality and security measures.
Apply laws governing health information confidentiality, privacy, and security.
Competency 3: Assess system applications used to operationalize health information.
Evaluate which information system or systems best provide needed information.
Competency 6: Communicate in a manner that is scholarly,
professional, respectful of the diversity, dignity, and integrity of
others, and is consistent with the expectations for healthcare
professionals.
Write clearly, with correct spelling, grammar, and syntax, and good organization.
Apply proper APA formatting and style to references and citations.