Health Information Compliance Report

Atul Gawande in his article “When the Doctor Makes Mistakes” exposes the mystery, uncertainty and fallibility of medicine in true stories that involve real patients. In a society where attorneys protect hospitals and physicians from zealous trials from clients following medical errors, doctors make mistakes is a testimony that Gawande a representative of other doctors speak openly about failures within the medical fields. In this article, Gawande exposes those errors with an intention of showing the entire society and specifically those within the medicine field that when errors are hidden, learning is squelched and those within the system are provided with an opportunity to continue committing the same errors. What you find when you critically analyse Gawande, “When Doctors Make Mistakes essay is how messy and uncertain medicine turns out to be. Throughout the entire article you experience the havoc within the medicine field as the inexperienced doctor misapplies a central line in a patient.

Utilize health information professionals and practice to ensure compliance with health data structures, standards and content.

You are absolutely right. Consistency is always key when maintaining any standardized process. In fact, data consistency is one the essential characteristics of quality data listed in the AHIMA data quality model. As you mentioned earlier, having health care originations adhere to their own guidelines, in regard to data standards, could be problematic. Simply because, we cannot guarantee that data codes from one organization are going to be transcribed correctly by another health care facility that uses different codes and standards. But If health organizations conformed to one data standard we could greatly reduce transcribed error rates, thus promoting data consistency.

For health care organizations quality data collection is an essential tool used for data collection. The information produced from the data assists the health care organization in other functions such as effective ways to manage and perform decision making for the organization, this includes the strategic planning process. Quality improvement is the method of assessing processes and provides the information necessary to improve services. All of this together allows the health care organization to become a high producing system of

Establishing standards for vocabularies promote data quality within health information systems. Scholarly works support this principle within the Health Information Management profession. The following articles support data quality, standardization, and interoperability as critical components of health information management and exchange. The goal of true exchange will include data sharing of critical information across the care continuum, often across disparate systems.

Two regulatory requirements, which support health-IT, are the Health Insurance Portability and Accountability Act (HIPPA) and meaningful use. The first of these regulations is HIPAA. HIPAA has two sets of federal regulations that are applied to protect the privacy and security of health information they are the privacy rule and the security rule (Health IT legislation and Regulations, 2015, p. 35). These two regulations provide guidance for providers in how much access they have with patients’ privacy rights. The privacy rule restricts the release of Electronic Protected Health Information (e-PHI) without the patient’s knowledge or consent. The security rule requires covered entities to apply safeguards that protect the confidentiality, integrity,

 Maintenance of complete and accurate medical records for each patient as described in RC.01.01.01. This standard was also identified by JACHO as top compliance issue for the industry.

 Maintenance of complete and accurate medical records for each patient as described in RC.01.01.01. This standard was also identified by JACHO as top compliance issue for the industry.

As a DSC student, I give my word that this work is my own and that I have neither given nor received unauthorized help and that I have not copied and pasted information from my resources.

Joining the American Health Information Management Association (AHIMA) benefits individuals and distinguishes them apart from others. AHIMA labels individual’s as competent, knowledgeable and committed to the association through quality healthcare delivery and quality information.

Angina Pectoris is a disorder described by episodes of pain when the supply of oxygen to the heart is inadequate to meet the needs of the heart (Bruyninckx 2011). Hypoxia can be the result of three types of cardiac stressors:

The American Health Information Management Association (AHIMA) website was very detailed and laid out. It was also very user friendly when it came to learning or finding information on health information technology. The AHIMA is the most leading association of health information management (HIM) specialists globally. The AHIMA has played a major role in leadership and in finding efficient ways for management of health data and medical records that are required to distribute quality healthcare to the patients. Furthermore, AHIMA is supporters for the HIM profession, aids as a “thought leader” in the global world of HIM. Also, AHIMA is “one of the four cooperating parties responsible for the ICD-10 Coding

Medical errors are avoidable mistakes in the health care. These errors can take place in any type of health care institution. Medical errors can happen during medical tests and diagnosis, administration of medications, during surgery, and even lab reports, such as the mixing of two patients’ blood samples. These errors are usually caused by the lack of communication between doctors, nurses and other staff. A medical error could cause a severe consequence to the patient in cases consisting of severe injuries or cause/effect any health conditions, and even death. According to recent studies medical errors are not the third leading cause of death in the United States. (Walerius. 2016)

In the health care system, a multitude of errors occurs on a daily basis. Doctors, nurses, orderly’s, etc., everyone in health care settings has responsibilities that warrant careful attention. This was exhibited in the case study titled ‘An Extended Stay’. In this case study, we are introduced to a middle-aged man in his 60s named Mr. Stanley Londborg. He presented with several health conditions, including a seizure disorder, hypertension (also known as high blood pressure), and Chronic Obstructive Pulmonary Disease (COPD).

In the health care system, a multitude of errors occurs on a daily basis. Doctors, nurses, orderly’s, etc., everyone in health care settings has responsibilities that warrant careful attention. This was exhibited in the case study titled ‘An Extended Stay’. In this case study, we are introduced to a middle-aged man in his 60s named Mr. Stanley Londborg. He presented with several health conditions, including a seizure disorder, hypertension (also known as high blood pressure), and Chronic Obstructive Pulmonary Disease (COPD). Londborg was no stranger to the hospital and was known fairly well by faculty members. Londborg paid a visit to the Emergency Room at the hospital complaining of wheezing and breathing complications. The physician that examined Mr. Londborg yielded his symptoms as an acute worsening of