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HIM2400C- Clinical Observation Project

HIM2400C- Clinical Observation Project

Students are required to conduct a  clinical observation at a non traditional healthcare facility and  present findings using PowerPoint software.  The requirements are:
PowerPoint slides
Individual presentation Include your name and facility name
(Students may opt to present in groups of two or three) Group Presentation 7-12 slides 

Group leader name will be listed first and other students thereafter
Each student within the group must lecture on at least one slide

First slide should only include the name of the facility and the student(s) name(s)

Second slide should focus on the type of facility, type of patients seen, departmental mission, goals, objectives
Third slide is for Clinical Observation Assignment questions (See questions in separate folder letters a – n).  Discuss and answer at least 4 questions
Remaining slides will discuss 
your experience at the facility and any tasks you performed
Clinical Observation Assignment questions from letters o – w

Your recommendation of the site to other students and why?

Include clinical site pictures to enhance the presentation.  Point deductution if images are not HIPAA compliant.
HIM2400 Questionnaire for Facility
a. Describe the employees’ role in the non-acute care setting.
b. What policies/accreditation regulation are involved and what are their implications?
(Governing agencies, JCAHO, CARF, etc.)
c. What are the accreditation and licensure requirements of health records management.
d. Is the facility/department being compliant with policies/accreditation/regulations and how can
policies be improved?
e. What are the documentation requirements specifics for the non-acute care setting?
f. How does the facility/department comply with national patient safety goals as related to
abbreviation usage?
g. Use the clinical vocabularies and terminologies used in the organizations health information
system.
h. What type of data is abstracted and maintained for clinical indices/databases/registries?
i. What type of data is collected by the HIM department for administrative, financial, performance
improvement programs and quality management and hos data is collected and displayed.
j. List quality assessment and performance improvement measures implemented by the health
information management department.
k. How are the legal and regulatory requirements for released of information/protected health
information different than the acute care?
l. Describe what ta typical day might be like to users (internal/external) who utilize services of the
department? Include the need to use services.
m. Who determines what is best for the department?
n. What are some of the challenges the department is faced with?
o. What could employees do to lighten or resolve some of the above challenges?
HIM2400: Organizational Q&A for Facility
a.
b.
c.
d.
e.
The type of funding received by facility for reimbursement.
List positions & duties of each employee within the HIM department.
How is the master patient index stored?
List the filing system used for incomplete, permanent (TDO, straight-numeric, alphabetical).
What are the consequences of physicians who do not complete records in a timely fashion? Is
there a suspension policy?
f. Determine the type of medical record is available (electronic, computer-generated, paperbased, combination).
g. What is the duration of inactive records and describe the purging process of inactive records.
h. How is medical transcription corrected (if used)?
i. What are the various committees the facility HIM director is involved in.
j. HIM resources and equipment within department and rationale for its use.
k. What is the procedure for faxing confidential health information?
l. Types of consent forms used in non-diversified health records that are not seen in acute care.

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