Competency Identification Report

Healthcare has evolved over past decades and continues to remain an issue of concern for individuals everywhere. Effectively managing data is important to improving the performance in the health care system. Accumulating, evaluating, deciphering and acting on data for particular performance measures allow health professionals to identify shortcomings and make the necessary adjustment, and track the outcome.

Apply accurate, complete, and consistent coding practices for the production of high-quality of healthcare data.

NHS quality improvement programs main purpose is to collect and review data entered in order to recognize the opportunities to improve business operations in healthcare. To bring changes in quality, it is necessary to respond to patient’s ideas and implement them for the better results. The key issues that are to be considered for quality-improvement NHS program, as it moves forward are the needs for the patients, necessity of the funds for quality improvements, needs of the service providers and expectations of the community. Outcomes for people and also change expertise. And to improve business operations in healthcare and also recognize opportunities.

After reviewing the list of NASPA and ACPA professional competencies, I am most competent in the areas of Leadership, and Student Learning and Development. Nevertheless, I feel as though I can improve on Values, Philosophy, and History, and Assessment, Evaluation, and Research.

Many assessment tools and interviewing skills are available to the clinical social worker within a mental health setting. This paper will examine one such assessment tool, the competency based assessment, and its applicability in a mental health setting. A comparison will be made between this advanced assessment method and a generalist social work assessment. Interviewing people who have mental health concerns can offer challenges for clinical social workers. Several interviewing techniques that can help with some of these challenges will be outlined.

Goal#1 AONE 2i Knowledge of Healthcare Environment: Work on assessing areas for Quality Improvement in the organization by attending various meetings related to quality

To provide a developmentally appropriate learning environment that is safe, healthy, respectful and supportive of children and families. For the learning environment to be safe, I ensure that I always check identification, and have parents notify me whenever someone new to the list will be picking up. I always bring my roster with me to ensure I have all my children with me. I do a roll call every time we get to a new area after traveling anywhere away from our room, and before leaving the room. Another way that I make the learning environment safe is by covering all the outlets in the room, and making sure sharp or dangerous objects are put away, and out of the children’s reach. I put cleaning supplies and other chemicals in high locked cabinets.

AHIMA recognizes that superior quality health care and clinical data are critical resources needed for effective healthcare, and works to assure that the health information used in care, research, and health management is valid, accurate, complete, trustworthy, and timely. This group is concerned about the effective management of health information from all sources and its application in all forms of healthcare and wellness preservation. Health issues, disease, and care quality also transcend across national borders. AHIMA’s professional interest is in the application of best health information management practices when and wherever they are needed. (The American Health Information Management Association, 2010).

Being a Cancer Biology Research Assistant was by far my most meaningful achievement. This meant so much to me because I was finally able to do life changing research. Through my research I was able to know I am bring a smile of hope to cancer patients across the world. Research is the basis of our society today. Everything achieved in history is achieved through research based off of a question.

In today’s health care organizations, Continuous Quality Improvement is a structured organizational process created to improve the quality of health care. The CQI system uses data collected to make positive changes and to recognize trends even before a problem exist. I had the opportunity to administer a “one on one” interview with one of University Medical Center‘s Epic Application Coordinators. Debra Lewis is Senior Analyst whose job entails building systems or designs in the Electronic Medical Record (EMR) department for end users. The Health Information and Compliance Departments are her clients within the hospital. Debra usually deals with the Health Information Modular (HIM) to create applications request which consist of release of information and identity, deficiency tracking, and hospital coding. If the client recognized that the current application needs improvement to be more efficient, they can send a request to see if a system can be built to a specific model for a particular provision. Her educational training has enabled her to perform at an advanced level throughout her professional career. Debra received her A.A.S degree in Health Information Technology, a Bachelors and M.B.A. in Business Administration, and also received credentialing as a Registered Health Information Administrator (RHIA). With over 25 years of healthcare experience, she is no stranger to Continuous Quality

In any continuous quality improvement effort, measurement is the key element (Sollecito, & Johnson, 2013). “Measurement and statistical analysis are used to assess the impact of an improvement effort” (Sollecito & Johnson, 2013). To Measure the impact of the program, the hospital utilized a departmental quality improvement assessment with a scoring matrix for self-assessment (McLaughlin, et. al., 2012). The scoring matrix consisted of five category ratings which each department head had to complete. Univer4sal Charting and Resource Utilization were also used for measurement (McLaughlin, et. al., 2012).

In order to make change that engaging employees, “influence is the name of the game in today's era in which patients, staff, physicians and diverse stakeholders must all be engaged to achieve results.” The ADKAR process helps to address the 4 “P’s” (Picture, Plan, Purpose, and Part) which are critical success factors tackling the motivational needs people have during change. The picture creates an exciting and compelling vision of how the future will be once the change is implemented so employees can imagine what the change will personally mean to them. The plan provides the detailed steps, task, and milestone required in order to achieve the future state; it provides a road map for what is going to happen during the change so employees have a clear idea of what they need to take. The purpose provides the need for why the change required and what problem is being solved so that employees can understand the logic of a driving the change. The part focused on the need to proactive engage stakeholder in the process so that employees understand how they can actively participate in problem solving and contribute to the success of the project.

The second factor is the lack of information and tools to improve healthcare system. This problem also stems from the issues of interoperability. Currently, there is a lack healthcare data and information system that is accessible to Medicare to assess the current healthcare delivery and the quality of healthcare (Hackbarth, 2009). With that in mind, Centers for Medicare and Medicaid Services rolled out a plan to ensure that healthcare providers adhere to a single set of objectives and measures. This plan was the third stage of the Medicaid EHR Incentive Program, also known as Meaningful Use Program. One of the critical statement made on the Stage 3 implementation plan stated, “starting in 2018, all providers are required to use an EHR reporting period of a full calendar year, with the exception of providers attesting to meaningful use for the first time.” (Center for Medicare and Medicare Services, 2016). In the stage 3, they want to promote the Health Information Exchange, Public Health Reporting, and Coordination of Care through Patient Engagement. With these initiatives, the CMS plans to bridge the problems that stems from the poor data collection and quality reporting of healthcare institutions across the United States.

Examining planning for and effectively measuring the health care quality indicators make healthcare quality more transparent and provide information for quality improvement programs and initiatives in the healthcare system.

Once data is collected it can be used by numerous health care providers and decision makers to monitor the health and needs of individuals and populations, as well as contribute to the analysis of the health system. Users including hospitals, health care practitioners, government, professional associations, researchers, media, students, and the general public. Having the correct and up-to-date coded data is critical, not only for the delivery of high-quality clinical care, but also for continuing health care, maintaining health care at an optimum level, for clinical and health service research, and planning and management of