STANDARD COMPETENCIES

 

 1. Apply policies and procedures for health information services and functions.

 2. Analyze and monitor the quality, accuracy and timeliness of health record content.

 3. Construct a workflow diagram of health information throughout the facility and department.

 4. Implement policies and procedures for release of protected health information to valid requesters.

 5. Describe manual/automated systems for collecting and processing health information in coding and reimbursement.

 6. Demonstrate knowledge of the master patient index.

 7. Describe the procedures to assure accuracy, consistency and completeness of abstracted data.

 8. Analyze records for department indices/databases, retrieve data from databases, and prepare data for presentation and present data.

 9. Develop quality procedures (i.e. audits) for documentation of patient records to assure accuracy, consistency and completeness of abstracted data.

 10. Identify primary (patient record) and secondary data sources (UHDDS, HEDIS, OASIS, Registries).

 11. Validate the reliability and accuracy of secondary data sources.

 12. Apply retention and destruction policies for health information.

 13. Explain mobile technologies, patient portals, and Personal Health Records (PHR).

 14. Evaluate the accuracy of appropriate conventions and guidelines for diagnostic and procedural coding.

 

 TOPICAL OUTLINE

 

 I. Health Record Content

 II. Data Integrity

 III. Health Information Services and Systems

 IV. Workflow of Health Information

 V. Release of Patient Information

 VI. Statistical Health Reports

 VII. Manual/automated HIM systems

 VIII. Audits and other Quality Procedures

 IX. Primary and Secondary Data Sources

 X. Retention and Destruction

 XI. Consumer Informatics

 XII. Meaningful Use