For this assignment, you will write an informed essay. In your essay, complete the tasks outlined below.

1. Outline the creation and expansion of modern health insurance in the United States.
2. Discuss how major developments in private health insurance, group health insurance, and government-sponsored health insurance have impacted the medical reimbursement process.
3. Explain how you foresee payers reacting in regard to how care is paid for as the healthcare industry undergoes changes to costs and coverage models.

Your response should be at least two pages in length, not counting the title and reference pages. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations.

 

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ASSIGNMENT: Prepare for Joint Commission  CAHIIM Competency: Interpret health information standards

You are the Health Information Director of a hospital, and your hospital has hired a consultant to help determine major issues with the hospital’s information technology. The consultant submitted the following report:

City Hospital has a variety of hardware and software that is used in its departments. Computer workstations are widely used across the organization, but in many departments the computer workstations are too old to provide an adequate platform for the later versions of software that would most effectively support departmental reporting responsibilities.

There is no organization-wide network in place. Software applications and versions are not standardized across the organization, and so members of different departments cannot share data and information in electronic formats. This forces members of the organization to duplicate report generation efforts when reports contain the same or similar data.

An office suite application available to users on a local­ area network could help solve this problem. The absence of a local­ area network and an administrative database accessible to department managers means that reports must be prepared in the generating department, output on paper, and then input again in administrative departments to be utilized in administrative applications. An administrative database served by a network to all departments would require data to be gathered only once and then would be made available for subsequent users and purposes without reprocessing.

All of the logs that the organization currently generates, many of which are on an hourly or daily basis, could be more effectively administered and accessed if they were in electronic formats. In addition, interviews with data users state that even with the existing software, they had not been trained well enough to use it.

You are now preparing for a Joint Commission visit that will be in about 6 months. Here are the Joint Commission standards that you are concerned about:

• IM. 01.01.01 The [healthcare organization] plans for managing information.
• IM. 01.01.03 The [healthcare organization] plans for continuity of its information management processes.
• IM. 02.01.01 The [healthcare organization] protects the privacy of health information.
• IM. 02.02.01 The [healthcare organization] effectively manages the collection of health information and retrieves, disseminates, and transmits health information in usable formats.
• IM. 04.01.01 The organization maintains accurate health information.

INSTRUCTIONS: You need to prepare a memo for the CEO to tell him what you recommend be done before the visit. Tell the CEO why you are concerned about the findings. At the end of your memorandum to the CEO (as an annex, or table), create a table to map each concern to the related standard to show your interpretation of each of the standards that are not being met. Match the appropriate Joint Commission standard listed above to the each of the consultant’s findings. 

Prepare you memo as if you were working at the hospital.  The format should look like you are the HIM Director, addressing the Hospital CEO.  It does not have to be in APA format, but you must list your references in APA format at the very end, as it is an academic assignment.

PLEASE NOTE:  You will have to do research to determine the intricacies of each standard listed above, in order to complete the third column.  Here is one sample site to get you started https://foh.psc.gov/tjc/im/standards.pdf

Here is a sample of a table to get you started:

ISSUE

JOINT COMMISSION STANDARD

IMPORTANCE/ JOINT COMMISSION CRITERIA

Computer workstations are too old to provide an adequate platform for the later versions of software

IM.01.01.01  The organization plans for managing information

 

 

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a..Pain that continues even after healing has occurred.

b..Pain associated with the musculoskeletal system may impair this function.

c..Pain of a short duration.

d..The fat layer beneath the dermis that provides support and insulation.

e..Largest organ of the body that performs many vital roles as both a barrier and as a regulator.

f..A collagen-based matrix with minerals laid upon it.

g..Controlled by blood vessels within the dermis.

h..Secretions of the eccrine glands in response to heat.

i..Controls bone formation.

j..Pain that is severe and associated with a sudden onset.

k..Outer layer of skin, prime function is to provide a physical and biological barrier to the environment.

l..Responsible for bone destruction.

m..Superficial pain is easy to locate because the skin has a higher concentration of these.

n..Have 300 bones primarily made up of cartilage.

o..Have 206 bones of various shapes and sizes.

Matching words

Bone

Osteoblasts

Osteoclasts

Adults

Babies

Skin

Subcutis

Sweat

Epidermis

Thermoregulatio

QUESTION 2

Discuss the relationship that pain and other factors can have on a person’s ability to mobilize independently.

Your response should be at least 500 words in length.

 

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QUESTION 6

1. Explain the purpose of the blood-brain barrier and how it functions. Include discussion of the types of substances that can pass through and effect the brain.

   Your response should be at least 500 words in length.

CASE STUDY:

Joe Devlin, a 32-year-old graphic artist, has been admitted to the neurology ward for further investigations. Mr. Devlin has a history of fatigue and numbness to his left lower leg and foot, and has recently experienced falls because of this. He is now also complaining of numbness to his hands. He is very anxious because his maternal grandmother also experienced similar symptoms and was found to be suffering from multiple sclerosis.

On neurological examination, he has absent abdominal reflexes with brisk tendon jerks and bilateral extensor plantar responses. Blood investigations are normal including hemoglobin (spelled “haemoglobin” in your textbook) and white cell count. A lumbar puncture is carried out. The cerebrospinal fluid (CSF) investigation results show oligoclonal lgG bands that are not found in normal CSF, but are found in 90% of patients with multiple sclerosis. In the absence of clinical signs of infection, this test is almost diagnostic of multiple sclerosis.

1. Discuss the signs and symptoms that Mr. Devlin is experiencing.
2. Discuss the role of pharmacological interventions in managing Mr. Devlin’s condition.
3. Outline the immediate care that Mr. Devlin will require.
4. Discuss the health promotion advice Mr. Devlin may require to remain safe.

Save your answers as a word document and submit for grading.

MATCHING:

 
a.

Consists of the brain and spinal cord.

b.

Have a lifespan of around 120 days.

c.

Part of PNS responsible for muscle contractions and conscious activities.

d.

Have a life span of a few days to a few years.

e.

Responsible for the fight or flight response.

f.

The main function of leucocytes.

g.

Makes up 25% of white blood cells.

h.

The hormone that controls the production of red blood cells.

i.

Divided into two major sections, central and peripheral.

j.

Responsible for regulation of the body’s involuntary functions.

k.

The main function of erythrocytes.

l.

Small blood cells that seal holes in the blood vessels.

m.

Controls internal responses associated with a state of relaxation.

n.

Breakdown of old red blood cells carried out by macrophages.

o.

Consists of the nerves that carry impulses to and from the spinal cord.

 

Nervous System

Central Nervous System

Peripheral Nervous System

 

Autonomic Nervous System

Sympathetic division

 

Somatic Nervous System

Parasympathetic division

 

Erythropoietin

 

Lymphocytes

Platelets

 

Haemolysis

 

Red blood cells

 

White blood cells

Transportation

Protection

 

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Match words with definitions 

Connective tissue

Reticular fibers (fibres: UK)

Tendons

White blood cells

Immune system

Thrombosis

Muscle

Blood

Endogenous

Sweat

   

a.

An infection that comes from within the body.

   

b.

Lymphocytes, phagocytes that destroy infectious organisms.

   

c.

Tissue is concerned with movement.

   

d.

An example of a liquid connective tissue.

   

e.

During tissue repair platelets promote this.

   

f.

Connects body parts to one another.

   

g.

Stringy structures within dense connective tissue.

   

h.

A chemical barrier against infection.

   

i.

Forms the internal skeleton of soft organs such as the spleen.

   

j.

Integrated collection of organs and cells that protect the body from disease.

QUESTION 2

More than 70 micro-organisms have been identified as capable of causing serious disease in man. List and describe the four types of micro-organisms that cause disease. Your response should be at least 75 words in length. 

QUESTION 3

Describe the processes of cell reproduction. List and provide brief explanations of the stages and phases that are involved.

Your response should be at least 300 words in length.
 

 

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