Course, Program, and Institutional Outcome(s) Assessed:
This assignment measures your ability to meet the following outcome(s):
• Course outcome: Describe the process of ensuring data quality in an electronic health record environment
• Program outcome: Evaluate the accuracy and completeness of the patient record as defined by policy, external regulations, and standards.
Relevant Background Information:
Ensuring quality information is an essential role of every health care employee. Coders understand the relationship of quality information and coding, but every health care employee needs to understand that relationship and what their role is in ensuring information collected is quality.
To demonstrate an understanding of the relationship between clinical documentation improvement and the electronic health record.
Imagine you are the HIM Director at a hospital are creating the work flow for a new HIM analyst position. You are creating a job aid to be used to help train this new employee.
The job aid will explain the documents within the electronic health record in regards to their importance to clinical documentation improvement (CDI). The goal of the job aid is for the new HIM analyst to understand his/her role in ensuring quality data in the electronic health record (EHR).
Follow these steps to complete this assignment:
1. Read the following articles:
a. “Clinical Validation: The Next Level of CDI” by Debra Beisel Denton, RHIA, CCS, CCDS, et. al.
You can find this article as a PDF document in Blackboard.
b. “Medical Record Completion Guidelines” by McLaren Macomb found at this link: http://www.mclaren.org/uploads/public/documents/macomb/documents/medical%20staff%20services/medicalrecordscompletion.pdf
You can access the article by pressing CTRL and clicking the left mouse or by copying and pasting the link into your web browser.
2. Create a job aid that articulates the following three pieces of information:
a. Identify and explain the 10 most important documents in the EHR.
b. Discuss how each of the 10 documents is important to CDI.
c. Explain the role of the HIM Analyst in ensuring data quality in the EHR.
3. Determine a format that works best to share this information in the form of a job aid. Remember, a job aid should be a brief, well-organized document that provides easy access to reference information. Include the above information in your job aid.
4. Refer to the rubric at the end of this document. Check your work against the rubric to make sure you have done everything you’ve been asked to do.
5. Submit your work to your instructor by the designated due date.
Assess the Technological Solutions Available to Ameliorate Global Warming Presentation A worldwide temperature alteration has been turned out to be the immediate aftereffect of anthropogenic causes or man-made mediations with nature. Beginning with the Industrial Revolution of the late eighteenth Century, innovations have been produced that brought about the amassing of ozone depleting substances in the climate which trap the sun's brilliant vitality. This upgraded nursery impact slowly raises the world's surface temperatures and is anticipated to make sporadic natural conditions, specifically: the liquefying of polar ice tops, ascending of ocean level, significant agrarian changes coming about because of environmental change, elimination of species, strange climate conditions, expanded frequency of tropical sicknesses, vanishing of biological specialties and interruption of drinking water supply, ("Global Warming," 2004). Since a dangerous atmospheric devation offers an incredible potential to make disastrous impacts on the earth all in all, it turns into a worldwide issue, requiring the inclusion of the entire universal network in discovering approaches to improve its antagonistic impacts, (Baird, 2006). Worldwide ozone depleting substance outflows that are causing an Earth-wide temperature boost originate from various areas. Figure I underneath demonstrates the worldwide ozone harming substance outflows by segment information: Land utilize change and ranger service contribute the most astounding ozone depleting substance discharge rate (19%); trailed by power (16%); agribusiness (14%); transport (13%); other fuel burning (11%); assembling and development (10%); squander (4%); and modern (3%) and joined warmth and power (3%). The Pew Center on Global Climate Change (Undated, p. 1) affirms that "on the grounds that there are such a significant number of wellsprings of these gases, there are additionally numerous alternatives for lessening discharge." This paper assesses the accessible innovative answers for enhance a dangerous atmospheric devation by displaying the points of interest and detriments of every choice. In addition, such arrangements will be displayed on a sectoral premise, beginning with land utilize, ranger service and farming; trailed by power, lastly by the transportation area. Land Use, Forestry and Agriculture Sector Technology Land utilize and ranger service innovation incorporates carbon bookkeeping, sequestration, and biofuel creation. 1. Carbon Accounting and Sequestration As indicated by the Intergovernmental Panel on Climate Change or IPCC (2000), carbon stock upgrade from land utilize, arrive – utilize change and ranger service exercises are reversible and in this manner require cautious bookkeeping. Carbon bookkeeping innovation, which includes arrive based bookkeeping and action based bookkeeping, gives exact and straightforward information on carbon stocks as well as changes in ozone depleting substance discharges by sources and expulsions by sink. These information are required to survey consistence with the duties under the Kyoto Protocol. Additionally, carbon bookkeeping will help decide important carbon pools that can be utilized in the creation of an elective wellspring of fuel, for example, biofuels. Changes in carbon stocks can be actually decided with the utilization of movement information, remote-detecting methods, models got from factual investigation, transition estimation, soil testing and biological studies. In any case, the expense of carbon bookkeeping increments as exactness and scene heterogeneity expands, (IPCC, 2000). Because of watchful carbon bookkeeping, abundance carbon would then be able to be caught or sequestered so as to be used as fuel source. A case of carbon sequestration innovation is the Integrated Gasification and Combined Cycle Process or IGCC, which takes into consideration simple sequestration of carbon for long haul stockpiling in underground land arrangements. Nonetheless, the Pew Center on Global Climate Change (Undated), alerts that further research is expected to test the suitability of vast scale underground stockpiling of carbon in a long haul scale. 2. Biofuel Technology Biofuel generation or biomass gasification guarantees bring down ozone depleting substance emanation levels by changing over waste wood and biomass into biofuels that could supplant petroleum derivatives. The report of the Pew Center on Global Climate Change (Undated, p. 4), keeps up that horticultural terrains can be planted with carbon-dioxide settling trees that can be utilized for fuel creation. This will result to arrive utilize changes that may have different aberrant advantages, for example, enhancement of soil, air and water quality; and increment in natural life living space. In any case, think about discoveries recommend that the development of corn and soybeans for biofuel creation produces antagonistic natural effects, for example, the filtering of pesticides and nitrogen and phosphorus from composts into water assets, (Manuel, 2007). In addition, biofuels are from two to multiple times more costly than non-renewable energy sources and are not accepted to contend well in the commercial center. For instance, "a fuel – cost correlation demonstrates that while gas could be refined for 15 to 16 pennies for each liter (in the late 1980s), the expense of biofuels went from a normal of around 30 pennies for every liter (for methanol got from biomass) to 63 pennies for every liter (for ethanol got from beets in the United Kingdom)", (Barbier et al. 1991, p. 142; refered to in Johansen, 2002, p. 266). Power Sector Technology As indicated by the Pew Center on Global Climate Change Report (Undated), control plants and coal ignition that supply electric power represent the ozone depleting substance discharges on the power area. Innovative arrangements accessible for this part to address a dangerous atmospheric devation include: 1. Coordinated Gasification and Combined Cycle Process The Integrated Gasification and Combined Cycle Process or IGCC, is a power age innovation that enhances the productivity of electric power and warmth age with the utilization of a mix of petroleum derivatives and sustainable power source. It empowers clean gas generation and the decrease in carbon dioxide emanations with the utilization of superior gas turbines, (Abela, et al., 2007). Also, air poisons, for example, particulate issue, sulfur, nitrogen and mercury are expelled from the gasified coal before burning, (Abela, et al., 2007). Nonetheless, the significant burden of utilizing this innovation is its mind-boggling expense of activity, which is about 20% more than the working expense of a conventional coal plant, (Wikipedia, undated). 2. Sustainable power Sources Sustainable power sources, for example, the breeze, sun oriented and water can deliver power without discharging ozone harming substances and are in this manner vital in the improvement of an Earth-wide temperature boost. a. Wind Power Wind control innovation saddles the intensity of the breeze which is a roundabout type of sun based power, to supply vitality. Some have propeller type gadgets, while others have vertical pivot plans, which have the capacity to acknowledge twist from any heading. As per Elliott (2003), wind control is as of now a basic wellspring of vitality; and that in 2002, the aggregate producing limit has achieved 24,000 megawatts, with costs diminishing essentially with innovation improvement. Be that as it may, this innovation regularly has substantial space prerequisites, because of the need of the breeze turbines to be gathered together in twist ranches, so as to encourage sharing of associations with the power framework. Additionally, there ought to be a detachment of around 5 to 15 cutting edge breadths between individual breeze turbines, so as to "counteract tempestuous communications in wind cultivate exhibits" , (Elliott, 2003, p. 135). b. Sunlight based Power Brilliant vitality can be caught and used to produce power which might be utilized to work sunlight based batteries or might be transmitted along ordinary transmission lines. Brilliant vitality is gathered in a photovoltaic cell, which is a bimetallic unit that enables guide change of daylight to power. The main downside of using photovoltaic cells is its surprising expense. Be that as it may, later "improvements in the semiconductor business have altogether cut down costs", (Elliott, 2003, p.132). Electric power age has likewise been cultivated with the utilization of enormous sun based warmth concentrating mirrors and explanatory troughs and dishes that track the sun over the sky and center its beams in order to raise steam, (Elliott, 2003, p130), and subsequently deliver power. One noteworthy hindrance of utilizing sun powered power innovation is that it works just amid the day and requires electrical capacity instruments during the evening. Furthermore, brilliant warmth is inadequate in chilly districts and in regions with broad shady periods, bringing about low measure of vitality accumulation. c. Water Power Hydropower is the world's greatest sustainable wellspring of vitality. It is esteemed as a standout amongst the most worthy and cleanest advancements whereby a unit of water produces hydropower aggregately by going through the turbines of numerous dams along the plummet of a waterway", (Gibbons, 1986, p. 86). As per Elliott (2003, p. 151), "there is around 650 GW of introduced limit set up, for the most part in 300 expansive activities. Notwithstanding, as of late, there have been social and ecological worries about vast hydros, and some new undertakings have met with resistance". Its unfriendly ecological effects incorporate the demolition of expansive zones of regular vegetation and rural land for water stockpiling; biodiversity misfortune, flooding and uprooting of populace, (Elliott, 2003). 3. Geothermal Power Geothermal power isn't viewed as a sustainable asset when utilized at rates of extraction more prominent than their normal renewal. With economical utilize, in any case, geothermal power can be adequately tackled to give power. Geothermal vitality originates from the warmth of the earth and can be arranged into geopressured, magma, aqueous and hot dry shake, (Wright, 2002, p. 362). As indicated by Hobbs (1995, refered to in Wright, 2002, p. 362), business activities are generally as aqueous frameworks "where wells are around 2000 meters deep with supply temperatures of 180 to 270°C." Although geothermal frameworks deliver less t>GET ANSWER