Readings and Resources
Readings and Resources
Attached Files:
Medictech Inpatient Listing for chart Audit.docx Medictech Inpatient Listing for chart Audit.docx – Alternative Formats (13.08 KB)
Audit Log for module 7 with graphs with accounts removed(1).xlsx (64.756 KB)
Audit Information Assignment Purpose with sample criteria final 4.19.23.docx Audit Information Assignment Purpose with sample criteria final 4.19.23.docx – Alternative Formats (202.462 KB)
Flow chart power point(1).pptx Flow chart power point(1).pptx – Alternative Formats (305.613 KB)
Please take you time and read the entire instructions above….I have also put them in a word document which is attached. Feel free to print the document and review it as you complete the audit. In this assignment, you will be creating a chart audit tool to utilize in reviewing medical records for state license standard compliance. For those who have never done this before I have a document attached which describes the rationale as well as some sample audit tools.
You have been asked by the HIM director to conduct a review of 10 charts for compliance with the New York State Department of Health (DOH) standards for health care facilities. After you complete your review, this will be presented to the Board as a Compliance Study.
Here are the steps to accomplish:
1. Review the New York State licensure standards. Copy and Paste this URL into your browser. : https://govt.westlaw.com/nycrr/Document/I4ffd11dccd1711dda432a117e6e0f345?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=(sc.Default)
2. Create an audit tool of your own or use the attached to determine compliance with the above regulations. As sample is in the word document I attached. Be sure to attach your audit tool with your report.
3. Use MEDITECH and the accounts are attached in item 8. If this was a true audit, 10 records would not be acceptable because it is to small of a sample to be statistically significant but this is just an exercise. Normally you would use 5 % of your monthly volume.
4. Create a written report that will be presented to the Board to summarize your findings and make recommendations for how to improve compliance. This report should be a minimum of 2 pages identifying compliance and non-compliance. It usually has a brief overview for the Board which explains why the audit was done and what it is supposed to accomplish. = 40 points
5. Submit your audit ie the raw data showing the accounts you audited including the account numbers as well as the written report. if you used excel you can submit it in excel along with the summary. If you did you audit in word, submit that with your summary. If you used a system to hide the account numbers i.e. Patient 1, Patient 2 etc be sure to include a key to determine who these patients are. If you are copying and pasting data from one Microsoft product to another, be sure no information is cut off. Turning in cut off data does not look professional. Remember this is being turned into the Board and represents your department. = 15 points
6. This is a sample of the tool for the report I removed the account numbers and I was using 20 charts from Dr Chrono. But it can give you an idea of what to do. see attached Audit Log for module 7 with graphs with accounts removed.xlsx
7. To enhance your written report, it is usually helpful for the audience to see graphs. This usually keeps the readers attention. Be sure to use meaningful graphs. = 12 points
8. Files to audit are attached.
Meditech Inpatient Listing for chart Audit.docx Meditech Inpatient Listing for chart Audit.docx – Alternative Formats
9. Create a flow chart on how you performed the audit. Use proper flow chart tools found in Important documents folder and also attached here to create the flow chart. = 15 points
Flow chart power point(1).pptx Flow chart power point(1).pptx – Alternative Formats
