HIM 510 Final Project Part I Prompt A Guidelines and Rubric Overview Leaders in the health information management field are responsible for important hospital operations. Data analysis, patient care, and maintaining compliance are all processes and policies that leadership must maintain and even sometimes create. These procedures must apply to a variety of different professions within the hospital, not just health information management, as every role within the hospital works with health information in different ways. In addition, developing methods for training employees, and enacting those methods, is of paramount importance in order to accommodate the variety of roles that must be trained. For your final project, imagine you are the administrator of the health information department in a hospital with some challenging problems that you need to find solutions for. You will demonstrate your leadership by developing procedures and policies created to address problems you identified. In this assignment, you will demonstrate your mastery of the following course outcomes:  Develop procedures for conducting and reporting data analyses regarding revenue management, patient safety, and regulatory compliance of healthcare institutions  Develop policies for health information management professionals based on appropriate health laws regarding the standards and procedures for maintaining institutional compliance with standard-setting agencies  Design training materials for ensuring the privacy and security of patient information and compliance with appropriate health regulations  Recommend leadership strategies that could be utilized by health information management leaders in fostering improved collaboration and culturally competent, ethical practices between health departments Prompt A Imagine you are the new administrator of the health information management department at Mercy Vale Medical Center. This particular institution has struggled as of late. It has patient safety issues, regulatory violations, and, to make matters worse, financial struggles as well. These problems include the following:  Patient safety issues abound. More patient falls have been reported in the past six months than at any other point in Mercy Vale’s history. There has also been increased incidence of infection, causing the hospital a great deal of scrutiny.  Record-keeping issues have caused various regulatory violations to be levied against the hospital. Specifically, discharge paperwork is not being completed correctly, with some not being properly signed. The hospital is also under fire from The Joint Commission (TJC) for privacy violations. TJC believes that the busy clinical areas in Mercy Vale are not properly monitored, making patient information potentially visible.  Revenue management problems have also arisen as a result of poor coding procedures. This has affected key financial aspects of the hospital, such as reimbursement. Many claims are being denied across the institution because of these issues. 2 Your first task as the new administrator is to develop new procedures for your employees that seek to address these issues. These procedures must detail how employees should approach the analysis of issues presently affecting Mercy Vale, as well as procedures that outline more effective daily operations and better align with regulations. Then, in Prompt B, you will design training materials for effectively teaching these new procedures to employees, recommending leadership strategies that would ease the implementation of new procedures. Before you design training materials for improving your employees’ performance, you must first develop a new set of standards and procedures to address problems at Mercy Vale. This will include new data analysis procedures, a new policy for improving compliance, and leadership strategies for improving ethical practices and cultural competence of employees at Mercy Vale. Specifically, the following critical elements must be addressed: I. Develop new procedures for the health information management team for both conducting and reporting data analyses. In your procedures, be sure to consider what employees should be looking for in their analyses and how those analyses should be reported out. Your procedures must include processes for how the health information management team should approach analyzing the following: A. The revenue management problems of the organization B. The patient safety issues that have been affecting the organization C. The problems associated with regulatory violations the organization has incurred and their causes II. Develop a new policy that will improve the organization’s compliance with standard-setting agencies and health laws and regulations. Your policy must accomplish the following: A. Outline measures for employees that will guide them in keeping patient health information secure B. Provide procedures for management to track access to patient health information C. Align with appropriate health laws that would further improvement of the organization’s compliance with standard-setting agencies III. Recommend leadership strategies that the health information management team could employ in enacting your new standards and procedures for the organization. These strategies must do the following: A. Foster improved ethical practices of employees when working with health information B. Encourage effective collaboration between members of the health information management team and other staff members in the organization C. Promote the cultural competence of the health information management team both in working with each other and when working with patient health information 3 Milestones Milestone One: Developing and Communicating Policy In Module Five, you will document your research, policies, and training plan. This milestone will be graded with the Milestone One Rubric. Milestone Two: Analyzing Data In Module Seven, you will document your policies and training plan. This milestone will be graded with the Milestone Two Rubric. Final Project Part I Prompt A: Policy and Procedures In Module Nine, you will submit Prompt A of Final Project Part I—an outline of new policies and procedures to address a problem impacting your staff at Mercy Vale. It should be a complete, polished artifact containing all of the critical elements of the final product. It should reflect the incorporation of feedback gained throughout the course. This submission will be graded with the Final Project Part I Prompt A Rubric. Final Project Part I Prompt B: Training Materials In Module Nine, you will submit Prompt B of Final Project Part I—training materials and a presentation to introduce new policies and procedures to your staff at Mercy Vale. It should be a complete, polished artifact containing all of the critical elements of the final product. It should reflect the incorporation of feedback gained throughout the course. This submission will be graded with the Final Project Part I Prompt B Rubric. Final Project Part II: Personal Identity Statement In Module Ten, you will submit Part II of your final project: a personal identity statement. It should be a complete, polished artifact containing all of the critical elements of the final product. This submission will be graded with the Final Project Part II Rubric. Deliverables Milestone Deliverable Module Due Grading One Developing and Communicating Policy Five Graded separately; Milestone One Rubric Two Analyzing Data Seven Graded separately; Milestone Two Rubric Final Project Part I Prompt A: Policy and Procedures Nine Graded separately; Final Project Part I Prompt A Rubric Final Project Part I Prompt B: Training Materials Nine Graded separately; Final Project Part I Prompt B Rubric Final Project Part II: Personal Identity Statement Ten Graded separately; Final Project Part II Rubric 4