explain the palliative in healthcare?

 

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ASSIGNMENT: Create Health Information Documentation Guidelines

CAHIIM Competency: Subdomain I.B. Health Record Content and Documentation

• <l1>Compile organization-wide health record documentation guidelines

Please review the assignment instructions below, and each of the deliverables:

Scenario: You are the new HIM Director for Community Healthcare which includes an 1) acute care hospital, an 2) attached clinic and an 3) attached long term health facility. After several weeks on the job you realize that the documentation guidelines are outdated and it appears they have not been updated for nearly 10 years. After asking questions of the staff, it sounds like they are following current documentation standards, it is just that the written guidelines have not been brought up to date. You set out to update the written guidelines.

You first need to compile the guidelines set forth by the CMS since those are the regulatory bodies that monitor your organization.

Instructions:

1. Locate the documentation standards for the CMS Conditions of Participation.  
2. Create a table listing medical record documentation standards for CMS Conditions of Participation for each segment of Community Healthcare (Acute Care Hospital, Clinic (RURAL HEALTH), and Longterm Care). You will have 3 tables, one for each type of facility.   See the websites for each type of facility for your table.

Hospital Standards:  https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_a_hospitals.pdf  page   SEE CONDITION OF PARTICIPATION 482.24 MEDICAL RECORD STANDARDS

https://www.law.cornell.edu/cfr/text/42/482.24

CoP Changes:  https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Downloads/Survey-and-Cert-Letter-13-20.pdf

Clinic/Rural Health:    https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/som107ap_g_rhc.pdf 

Section 491.10

Long Term Care Facilities:  https://www.cms.gov/Regulations-and-Guidance/Legislation/CFCsAndCoPs/LTC.html 

https://www.cms.gov/Regulations-and-Guidance/Legislation/CFCsAndCoPs/Downloads/som107ap_pp_guidelines_ltcf.pdf   (Pages 15, 57, 120, 193, 365-7, 371, and 453 within the document)

3.  Title the document as a policy and write a short explanation of the purpose of the document and how it should be used.   Please place in a memorandum format (non-APA, but more as if this were an actually requirement for your job), addressed to the Chief Information Officer of the facility.  Please place the references at the end.

 

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HOMEWORK ASSIGNMENT:

For the second SLP, using the data that you collected for the Module 1 SLP, please do the following:

1. Calculate the mean, median, mode, variance, and standard deviation of the measurements taken in Module 1 SLP. Show your work and be sure to express each value in units.

2. Discuss which measure of central tendency you think most accurately describes the variable that you measured. Provide a thorough explanation.

3. Describe the spread/distribution of your data. Be sure to describe the variance of distribution and the concept of standard deviation as a measure of dispersion in your response.

4. Conduct a scholarly search on the internet to find reported health statistics on the variable that you are measuring. For example, if you are measuring your total daily caloric intake, American Dietetic Association. Identify the source.

Submit your (2-3 pages) paper by the end of this module.

 

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Perform research on a real-life healthcare organization. Analyze the various facets and provide a detailed picture of the organization. Will consists of 3 sections. 

This is section 2 needs to be about Mayo Clinic

Financial

•Analysis of the service reimbursement for the organization(state, federal,insurance,and private pay)

•Methods of funding

Quality and Ethics

•Accreditation

•Awards

•Regulation

•Ethical issues regarding who receives care at the organization 

Marketing

•Strategies

•Branding

•Community and employee involvement 

1,600 to 2,000 words 4 references 

Attached is Section 1 on Mayo Clinic

 

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 Develop a three to five-page paper excluding references using one of the following topics or issues.  Use five to ten peer reviewed or reputable references to support your paper.  Wikipedia references will not be accepted.   Here are the paper options   According to Robert Wood Foundation, Medicaid paid 62.3 percent of the total U.S. cost of long-term care in 2011, or $131.4 billion. From this statistics, it is clear Medicaid paid disproportionate share of long-term care.  What alternate sources of funding for LTC care?  You can propose new sources.  Given the sensitivity of living wills and advanced directives, should health care facilities continue to be forced to discuss them with patients? Or should patients be required (subject to exceptions) to have it prepared before ever getting hospitalized or resident in health care facilities? Baby boomers and the generations after them are more educated and technologically more savvy, and economically well off than the generations before them. Is the current LTC model sufficient to take care of them or should LTC redefine itself to accommodate the needs of them?  There is no right or wrong answer, just take a position and convincingly support your views. Is Long-term Care Insurance worth it? Given the cost of premium and sometimes limited benefits over limited time, is the assurance work it or should there be LTC care payroll deduction just like Medicare over an adult working life? Is the quality of care in LTC associated with low resources and low staffs pay? 

 

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