HIM professional analysis question

Question Description

After studying some important functions of quality management, compare and contrast clinical quality assessment, utilization

management, and risk management. In your analysis, make sure to address(The material to answer the question is attached)

  • the purpose of each function;
  • some of the activities involved in each function; and
  • how an HIM professional can be involved in each function. Below is the set up of the question. I am providing the outline for the 1st question as below (The information that you need is attached).
  • Clinical Quality Assessment
  1. Purpose or definition
  2. Activities
  • Utilization Management
  1. Purpose or definition
  2. Activities
  • Risk Management
  1. Purpose or definition
  2. Activities
  • How an HIM professional can be involved in each function (Please address at least one function either clinical quality assessment, utilization management or risk management.)
  1. After studying the patient census, occupancy rate, and length of stay, discuss which of these measures can best be used to support the function of utilization management. Why do you think so?

Final Answer



Course title
Student name
Institution affiliation


Clinical Quality Assessment
Clinical Quality Assessment entails evaluation of the degree, in which the clinical service
provider competently and carefully delivers clinical services that are effective for the patient in
an optimal timeline (Joyner, 2009).
There are activities involved in Clinical Quality Assessment: They include quality improvement
strategies, Plan-Do-Study-Act and Six Sigma that have been utilized to advance the value and
security of healthcare.

Quality Improvement Strategies

The major factor to consider is the Structure, the convenience, availability, and the value of
resources like health insurance, the aptitude of bed of a hospital, and the number of extremely
trained nurses. The process measures determine the healthcare services delivered by the doctors,
and nurses; for instance, the use of guidelines in treating diabetic patients (Joyne...


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