HIM 402 - Project and Operations Management

• Discuss the professional code of ethics and what the HIM Code of Ethics means.  
• Analyze how and what type of data are captured and structured at an organizational level and for a health system.
• Construct a health information management system that effectively manages the methods of capturing, maintaining, and evaluating the quality of health information.
• Develop standard practices, policies, and procedures that support effective and efficient capture, maintenance, and quality of data.
• Support patient quality of care through documentation in the health record supports the overall continuum of care for the patient, including secondary data sources such as registries, databases, data sets, surreys, and core measures in the traditional acute care setting, outpatient, and e-delivery.  
• Create clinical documentation programs that improve documentation in the health record supports the diagnosis and reflects the patient’s progress, clinical findings, and discharge status
• Construct a data set for hospital scenarios that incorporate HEDIS, UHDDS, and OASIS are used to support data capture, maintenance, and quality of healthcare data
• Audit records for compliance with and report findings to Corporate Compliance on the content of the health record
• Formulate the structure of a 21^st century state of the art HIM department that addresses workflow, space and equipment, aesthetics, and ergonomics factor into the functionality of a work environment and methods for distributing work assignments and projects.
• Breakdown and organize the differences in all of the working parts of Revenue Cycle Management for commercial, managed care, and federal insurance plans.
• Explain the accreditation standards as they relate to Health Information Management for organizations such as, but not limited to, Joint Commission, NCQA, CARF, CHAP, URAC, and ACHC.  
• Evaluate and interpret the regulatory and licensure requirements for local, state, and federal agencies as they relate to Health Information Management.  
• Interpret the federal initiatives such as ONC, CCHIT, Red Flag Rules, and Meaningful Use  
• Evaluate and interpret the Health Information state and federal laws, regulations, and standards such as HIPAA, and HITECH along with accrediting bodies such as the Joint Commission, CHAP, and ACHC.  
• Evaluate and interpret the accreditation and licensing process for the Joint Commission, Medicare, and State Regulators to select the appropriate items for a comprehensive checklist for the Health Information Department.