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HLTH 3501 Foundations In Healthcare Information Management
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HLTH 3501 Foundations In Healthcare Information Management
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Course Code: HLTH3501
University: Western Governors University
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Country: United States
Question:
Select a hospital, a health care clinic, or another health care facility to research throughout the assessments in this course. It may be one where you work or one in your community. You may use the Smith Community Hospital scenario (linked in the Resources under the Capella Multimedia heading) as a basic example; however, if you do so, you will need to invent your own details in order to address the assessment requirements.Examine your chosen facility’s characteristics and its inpatient and outpatient facilities by completing the two parts below:Part 1 – Understanding the Facility and InfrastructureIn the form of an executive summary, provide an overview of your chosen health care facility’s characteristics and structure. For example:1.Identify and describe the location of the health care facility.2.Describe the demographics of facility, including:3.The general details about the facility. For example, is it a public or private hospital? Is it an outpatient or inpatient hospital? Is it a standalone hospital or one connected to a hospital system?Part 2 – Inpatient and Outpatient FacilitiesFor this part of the assessment, write about the two major types of facilities: inpatient and outpatient. These areas are important in understanding the overall policies, structure, and processes of a health care facility.Answer the following questions about types of facilities:1.What are the main differences between inpatient and outpatient facilities?2.What is the purpose and importance of each?3.Why would one type be used instead of the other?4.What types of changes have occurred in the inpatient and outpatient work, facilities, and processes over the last decade?5.What type of health information management (HIM) professionals work at your chosen health care facility?
Answer:
PART 1
My facility is a hospital and it is called the Kory Family .The hospital was set up in 1958.It is a 200 bed capacity inpatient hospitals. Besides, the hospital also has 72 medical staff who are permanently employed. Other than the 72 permanent employees, the Kory family has 28 temporally employed individuals .It is a private hospital and it is located along the major street in Ohio State. The location was settled upon due to its proximity to the major roads and the neighboring highly populated estates. Water and electricity are also stable in the region and since a hospital cannot operate without water and electricity, this serves to our advantage. The Hospital is situated on 32 hectare piece of land and has an ample parking space and tarmacked roads within.
This facility is not a standalone but it is a network of several hospitals that are distributed within the United States of America .Currently, there are over 50 branches and the administration is planning to expand its operations to the neighboring countries like Canada by 2021.The Kory family hospitals serves all the community within Ohio as well as any other individual who is interested in being treated at the facility. The facility provides an array of services to its consumers. There are oncology services particularly breast and cervical cancer. The facility also the Gynecology department, the Emergency department, a well-stocked pharmacy and laboratory .Generally, all the services that one would need at a hospital are available at the Kory family hospital. Additionally, there is a satellite blood transfusion unit where patients or willing donors can donate their blood.
Initially, the facility was an outpatient unit for the first 5 years before it eventually graduated to an inpatient facility. The facility operates with a mission and vision .Its mission is to provide universal healthcare to all the US citizens while the vision is for the facility to be the leading healthcare provider in the United States of America and beyond. Within the facility, there are different departments each with a special function .There is the emergency department which deals with urgent medical conditions like accidents. There is the healthcare records department and this is the department that keeps all the medical records within the facility. There is the nursing department that takes care of the patients, there is the laboratory department and the finance department which is responsible for financial management in the facility .The clinical services that are provided include surgery and diagnostics .It is the cardiac surgery tertiary services that the facility stands out and that is the reason it was voted the best in cardiac surgery in 2016 and 2018.
Within the facility, there are some areas that need improvement. One of the areas is the Information technology systems .The Kory family is fully computerized. Computerization is associated with both advantages and disadvantages. One of the disadvantage is hacking and this has happened once in the facility and it led to a lot of losses. The system is also slow and therefore derails the doctor’s efforts in providing care. This area therefore needs a lot of improvement in terms of speed and security or privacy. Another important area that needs improvement is the clinical aspects. There have been cases of long ques at the hospital and this has been due to flaws in diagnostic equipment like the MRI. There has also been cases of negligence once in a while. There is therefore the need of urgent improvements in this area so that the Kory hospital can achieve its mission as well as vision.
PART 2
Differences between outpatient and inpatient facilities.
The notable difference between an outpatient and inpatient facility is that an inpatient facility will always have to stay with the patient for long durations before the intended interventions is completed. Outpatient facilities on the other hand spend a very short time with the patient (McGirt, Godil, Asher, Parker, & Devin, 2015). It is just within hours for most of the cases.
Purpose and importance of outpatient and inpatient facilities.
Both the outpatient and inpatient facilities have different purposes and importance. Outpatient facilities are very important in that they allow the patient that freedom or chance to enjoy a familiar home environment and studies have shown that this generally improves the rate of recovery of the patient. Besides, the costs of an outpatient facility are quite friendly (Aynardi, Post, Ong, Orozco, & Sukin, 2014). The patient therefore saves a considerable amount since he does not have to pay for the overnight stays at the facility.
The purpose of an inpatient facility is to provide care to the patient after certain medical procedures have been carried out. In most cases, the patient is supposed to spend at least a night at the facility (Omer, Priebe, & Giacco, 2015). The inpatient facility is therefore very important since the patient is under the supervision of different healthcare professionals and this ensures that they adhere to the recommended medication. This generally improves the rate of recovery of the patient.
Why one would be used instead of another.
There are different reasons why one would prefer one facility to the other .In most cases, the reason why one would opt for a particular facility depends on the complexity of the medical problem that the patient would be suffering from (Depp & Edelman, 2017).Incase a patient is need of an extensive surgery for example, he or she would prefer an inpatient facility. If he is need of a minor surgery, he would then prefer an outpatient facility (Baumeister, Haschke, Munzinger, Hutter, & Tully, 2015). Another reason is costs. Another patient would opt to use an outpatient facility if he does not have the money to pay for the extra services like beds that are provided by the inpatient facilities.
Changes that have occurred in outpatient and inpatient facilities in the last decade.
In the past decades, there have been considerable changes in both the outpatient and the inpatient services. At the outpatient facilities, there has been advancement in both the medical as well as the technology (Humensky, Fattal, Feit, Mills, & Lewis-Fernández, 2017). Currently, there are many treatment options available at the outpatient facility unlike in the past. Physical rehabilitation as well as minor surgeries can now be performed at different outpatient facilities.
Type of Health Information Management Professionals that work at my facility, their roles and responsibilities and their challenges.
At my facility, the type of health information management professional that work is the Health Information Manager. This professional has different roles and there are also different challenges that they usually encounter (Adeleke, Lawal, Adio, & Adebisi, 2015). Some of the important roles however include medical coding .He ensures that there are medical codes for proper reimbursement by insurance companies like the Medicare and the Medicaid .He also ensures medical transcription .He ensures that accurate and timely transcription is carried out so that patient information can reach the relevant people. He is also responsible of maintaining confidentiality of the patient information by ensuring proper disclosure, storage as well as disposal (Abdekhoda, Ahmadi, Dehnad, & Hosseini, 2013). He also releases patient information whenever it is requested. The HIM also ensures privacy and security of information at the facility and filing information in files so that they easily be accessed and organized .He also maintains the medical records of different patients .Finally ,he assembles all the important information within the facility.
One of the greatest challenge to the HIM is maintenance of privacy and security. With the growing use of electronics in ensuring privacy and security of information within the facility, information is very susceptible to unauthorized access and this happens either from within or outside the organization (Glaser, 2016). This therefore calls for frequent update in the privacy soft wares.
References
Abdekhoda, M., Ahmadi, M., Dehnad, A., & Hosseini, A. F. (2013). Information Technology Acceptance in Health Information Management. Methods of Information in Medicine, 53(1), 14-20. doi:10.3414/me13-01-0079
Adeleke, I. T., Lawal, A. H., Adio, R. A., & Adebisi, A. A. (2015). Information Technology Skills and Training Needs of Health Information Management Professionals in Nigeria: A Nationwide Study. Health Information Management Journal, 44(1), 30-38. doi:10.1177/183335831504400104
Aynardi, M., Post, Z., Ong, A., Orozco, F., & Sukin, D. C. (2014). Outpatient Surgery as a Means of Cost Reduction in Total Hip Arthroplasty: A Case-Control Study. HSS Journal ®, 10(3), 252-255. doi:10.1007/s11420-014-9401-0
Baumeister, H., Haschke, A., Munzinger, M., Hutter, N., & Tully, P. J. (2015). Inpatient and outpatient costs in patients with coronary artery disease and mental disorders: a systematic review. BioPsychoSocial Medicine, 9(1). doi:10.1186/s13030-015-0039-z
Depp, C., & Edelman, R. C. (2017). Treatment Settings for Older Age Bipolar Disorder: Inpatient, Partial Hospitalization, Outpatient, Models of Integrated Care. Bipolar Disorder in Older Age Patients, 213-229. doi:10.1007/978-3-319-48912-4_11
Glaser, J. P. (2016). Glaser on Health Care IT. doi:10.1201/b20150
Humensky, J. L., Fattal, O., Feit, R., Mills, S. D., & Lewis-Fernández, R. (2017). Factors Associated With Outpatient Visit Attendance After Discharge From Inpatient Psychiatric Units in a New York City Hospital. Psychiatric Services, 68(6), 624-627. doi:10.1176/appi.ps.201600150
McGirt, M. J., Godil, S. S., Asher, A. L., Parker, S. L., & Devin, C. J. (2015). Quality analysis of anterior cervical discectomy and fusion in the outpatient versus inpatient setting: analysis of 7288 patients from the NSQIP database. Neurosurgical Focus, 39(6), E9. doi:10.3171/2015.9.focus15335
Omer, S., Priebe, S., & Giacco, D. (2015). Continuity across inpatient and outpatient mental health care or specialisation of teams? A systematic review. European Psychiatry, 30(2), 258-270. doi:10.1016/j.eurpsy.2014.08.002
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