Chart Audit Reflection

After finishing interview with standardized patient, I explained everything to my group members and they updated the patient medication chart with necessary changes with discrepancies we found out including plan we came up to implement those

5-52 Trend analysis, common-size financial statements, and ratios are presented for the Brody Corporation in Figure 5.4. Assume that you are auditing Brody 's financial statements for the year ended 12/31/X8. You have performed tests of controls over the recording of gross sales and believe that the system is operating effectively and that 7 percent represents an accurate estimate of the increase in gross sales for 20X8 over the amount for 20X7. You should also assume that the financial statements for 20X6 and 20X7 are not misstated.

• What your HIPAA software ought to appear like these days • What’s coming down the HIPAA pipeline in 2016 • OIG’s take on the contemporary HIPAA environment • advice on how to prepare for segment 2 HIPAA Audits Why Audits rely Of route, all responsible companies are looking to live on top of HIPAA requirements to avoid hassle while going through an audit, but as threats to patient facts grow, authorities compliance will possibly be the least of your concerns.

As a Graduate Nurse, I have gained over two years of experience within the quality analyst field by auditing, analyzing, interpreting and assessing extensive patient chart records as well as lab results for trends, patterns and/or abnormalities all across hospitals in the province of Ontario such as Sunnybrook, Sick Kids, Center

Two patient verifier completed. Per PA Wu , the patient was informed that she has added an additional bp med to his current regimen. Asked the patient that he has any swelling in legs. The pt says no. Informed the patient that only a 30 day supply was ordered on his Lisinipril. Please record bp readings for the next seven days at the same time then email reading via Micare. If bp in not controlled then a f/u with his provider is needed. The patient agrees and verbalized

According to JNC 8 guidelines, close monitoring is essential when patients start on new hypertensive medication. Therefore, Mr. Hightower will require frequent visits to the clinic to ensure improvement in his health condition. His blood pressure will be monitored at each visit and blood work will be done to monitor his kidney and liver functions and to determine his adherence to treatment. In case of noncompliance, a third category of antihypertensive must be added to improve hypertension outcomes and prevent cardiovascular disease.

A.2.a. A.2.b. The audit would review who has access to the patient’s EHR and set limits per employee’s job title. Health records archive would need to be updated. Any film would need to be digitized if still within the timeline of mandatory record obtainment or destroyed. There is a mandatory backup of the records that must be maintained. The EHR with updated firewalls and password protection would high priority to ensure no hackers can penetrate the system.

Hello Stephanie! Nurses work the closest to the patients and are continuelly developing and refining ways to bridge the gap between quality outcomes and patient safety. A significant portion of our documentation is recorded on the EHR and error reporting system and since we do know our patients so

In spite of the medications he has been prescribed requiring him to monitor his blood pressure, Mark’s nurse has never provided him with a teaching as to the importance of measuring and tracking his blood pressure while taking these medications (American Heart Association, 2016). Without this teaching, or any medication-based teaching for that matter, patients like Mark are left in the dark in regards to their knowledge and understanding of their own medications (Macdonald et al., 2014). In order to avoid being left in the dark, best practice suggests that Mark’s nurse should have provided a health teaching that addressed various aspects, including the reason he has been prescribed each of his medications, why they may look different from those that he takes at home, as well as the physical assessments that he should conduct while taking the medications, if any (Macdonald et al., 2014). In the future, Mark’s nurse should make patient teaching a high priority and spend a few minutes talking to him about each of his medications. She must also address any concerns he may have regarding any of his medications and their side effects (Macdonald et al., 2014). By doing this, she will ensure that Mark understands what medication he is taking and why, thus fostering patient-centred care and allowing Mark to feel that he is an active participant in caring for his health (CNO, 2015; Macdonald et al.,

Susan takes this job very serious, and this reflects in the quality of her chart audits. No events were missed, and calls were made following the algorithm. She voices her concerns if an issue arises within the department. Her main goal is patient safety, and ensures that her patients are monitored to reflect that. In difficult situations with RNs, she is always patient and explains telemetry thoroughly. Her work area is always neat and clean. She goes out of her way to tidy up the department by wiping counters down and removing the rubbish.

Outcome/Goals First goal: Patient will verbalize understanding of the importance of follow her heart medication regime as doctor prescribed it and describe the possible consequence of a non-compliance with her treatment by the end of her today’s appointment.

Progress. Over the last decade, the hospital has made a lot of progress regarding the use of HER’s. After the CPSI system was initiated, the transition from paper charts to computer charts began. Today, all charting is done electronically by all members of the healthcare team. From the dieticians to the physicians, everyone is trained and

Audit Program Design Part II Kendrick Cross, Teresita Gunn, Geri Franco, Heather Swayze ACC/546 July 08, 2013 Joseph Oloyede Sales and Collection Cycle When engaged in auditing a public firm, such as Apollo Shoe Inc., an auditor must determine when to trust in the company’s internal controls and when to ascertain auxiliary testing methods are obligatory to analyze control risks. The sales and collection cycle is rather a substantial fraction of the audit because this unique segment employs a multitude of documentation and records ranging anywhere from customer and sales orders, shipping documents, credit memos, and general journal entries; therefore, a working

Step 1: Relevant Facts of the Case (APESB, 2013) | * David should keep a straightforward and honest relationship with MAL. * David integrity will be compromised if these errors are discovered.

Another intervention is patient education such as teaching what is considered hypertension, how to check the