Imagine that you are the Director of Health Information for a large hospital. As Director, you sit on various institution-wide committees which govern the organization’s policies. You have seen issues arise that cause you to propose changes in policies, procedures and operations across the hospital. Therefore, you have decided
to create a proposal to the CEO and Board of Directors, which you will develop in collaboration with committee teams. Please follow the instructions below in completion of this assignment.

HI 300: Information Technology and Systems for Healthcare
Unit 4 Seminar

Reminders
Discussion Board Recap (HIS examples)
Academic Writing
Late Work Policy Overview

Rules for Writing

5-page report (1000 words)
APA formatting
Title page, Reference page
4 credible, academic sources
Turnitin Similarity Report cannot exceed 20% — Bar should be green
Label each part of the report

Scenario: Imagine that you are the Director of Health Information for a large hospital. As Director, you sit on various institution-wide committees which govern the organization’s policies. You have seen issues arise that cause you to propose changes in policies, procedures and operations across the hospital. Therefore, you have decided to create a proposal to the CEO and Board of Directors, which you will develop in collaboration with committee teams.
Unit 4 Assignment Breakdown

Task #1:
Evaluate, implement and manage electronic
applications/systems for clinical classification and coding.
Select two (2) applications/systems for clinical classification and coding (e.g., encoders, computer assisted coding (CAC), etc.) and

Appraise each vendor in terms of:
capacity to evaluate quality coding practices;
possible implementation considerations/issues; and
systems management challenges and training needs

Provide support for one (1) system that you find as the “best option“
explain why this is the best option.

Brainstorming – Task #1

3M 360 Encompass System 3M
3M CodeRyte CodeAssist Sytem
TrueCode Encoder Essentials
Artificial Medical Intelligence (AMI) Emscribe

Video Tip #1: 3M 360 Encompass System 3M.

Video Tip #2: How to use 3M encoder EXAMPLE

Tip #2: Computer Assisted Coding Trends and Forecast 2016-2024

Tip #3: Interesting article about using encoders.

Tip #4: Different types of medical coding classification systems.

Task #2:
Evaluate the accuracy of diagnostic
and procedural coding.
Consider the principles and applications of classification systems (e.g., ICD-10, HCPCS) and medical record auditing used within a clinical documentation improvement (CDI) program. Appraise the value and challenges of a quality CDI program by:
defending the need for ongoing CDI program support; and
critique at least two (2) challenges in the CDI process.
Make connections between auditing, accurate diagnostic and procedural coding with classification systems, and CDI programs

Your executive summary should reflect upon the need for CDI and best practices for ensuring compliance.

Brainstorming – Task #2
What is the goal of a Clinical Documentation Improvement (CDI) program?
What are the challenges (2)?
How does auditing, accurate diagnostic and procedural coding fit into the scope of CDI?

A Day in the Life of a Clinical Documentation Specialist

Tip #1: What is Clinical Documentation Improvement?

Tip #2: CDI is important in hospitals

Tip #3: How and Why of a CDI Program?

Video: https://www.youtube.com/watch?v=iMUWklPtKLg

Virtual Field Trip (2:34): Example of Clinical Documentation Improvement Software

Task #3:
Advocate information operability and
information exchange.
Critique one (1) interoperability issue that is possible within the health information exchange (HIE) (e.g., patient identity matching).

Appraise at least two (2) best practices that address the issue.

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Brainstorming – Task #3
Health Information Exchange
The need to exchange accurate, complete and timely information.
Patient identify matching
Best practices to ensure interoperability (2)
Need for standards and common vocabularies

Tip #1: What is interoperability in healthcare?

Video Tip #2 Video explanation of interoperability

Video Tip #3 (7:15) Why is EHR Interoperability Important?

Tip #4: Interoperability Examples

Task #4:
Evaluate health information systems and
data storage design.
Evaluate at least two (2) health information systems (HIS)
select the best health information system
why, explain with rationale

Evaluate at least two (2) data storage designs (e.g., onsite, cloud)
select the best data storage design for disaster recovery purposes
why, explain with rationale

Brainstorming – Task #4
Health Information Systems (HIS) Examples:
Specific examples: Phillips Intellispace Console, Archimedes IndiGO, and Diagnosis One

Data Storage Design Examples:
Onsite, Hybrid, Cloud, Tape, Disc
Cost, Disaster Recovery, Oversight

Tip #1: What is a health information system?

Tip #2: Different Types of health information systems

Video Tip #3: Data Design Storage Overview

Task #5:
Manage clinical indices/databases/registries.
Evaluate two (2) managerial challenges (as hospital’s Director of Health Information) related to:
clinical indices, databases, and registries

Recommend two (2) best practices or policies related to:
management of secondary data sources

Brainstorming – Task #5
Understanding the difference b/t primary and secondary data sources.
Maintaining security and confidentiality
Need to ensuring data quality
Need for clinical documentation (CDI) program
Need for interoperability
Need for compliance with laws, regulations, and accreditation standards.
Need for audit processes

Video Tip #1: Video about Patient Registries

Video Tip #2: (7:03) Secondary Use of Clinical Data

Task #6:
Evaluate data from varying sources to
create meaningful presentations.
With respect to data warehousing, appraise at least two (2) approaches in data warehouse design that supports:

quality data management from varying sources;
processing/storage of data throughout the warehouse model;
meaningful output into the presentation layer

Summarize your recommendations in the executive summary.

Chapter 4
15

Brainstorming – Task #6
Top-down, Bottom-Up and Hybrid
Cost, data quality, data marts, data mining
Give a summary of the 2 you choose

Video Tip #1: Approaches Explained!

Tip #1: Data warehouse design approaches

Tip #2: Data warehouse Overview presentation

Task #7:
Analyze compliance requirements throughout
the health information life cycle..
Analyze data and information from:
the point of creation or collection,
through the management, storage, and transformation into information and
duration of its required retention period.

Chapter 4
17

Brainstorming – Task #7
Retention and Destruction of Health Information
Article: https://library.ahima.org/doc?oid=300217#.Xb-15-hKhPY

Historical Data, Archiving, and Retention Article: https://www.healthit.gov/playbook/pddq-framework/platform-and-standards/historical-data-archiving-and-retention/

HIPAA requirements for the destruction of protected health information (PHI)