|Professional Practice Activities (PPA) are activities designed to expose you to real, sometimes virtual, professional/healthcare practices. For students enrolled in the Health Information Technology Program, PPAs are a required part of the curriculum mandated by the American Health Information Management Association (AHIMA).
Upon completion of this activity, the student should be able to:
Determine medical staff compliance with hospital policy relating to delinquent records.
For the purpose of this assignment, assume that you are the manager of the HIM Department of General Hospital. General Hospital is due for a Joint Commission accreditation survey in six months. The CEO asks for a report regarding medical staff compliance with Joint Commission requirements for delinquent records last year. The following are the two Joint Commission standards that address timeliness of medical record completion.
General Hospital is due for a Joint Commission accreditation survey in six months. The CEO asks for a report regarding medical staff compliance with Joint Commission requirements for delinquent records last year. The following are the two Joint Commission standards that address timeliness of medical record completion.
Joint Commission Standard Record of Care, Treatment, and Services (RC) RC.01.03.01
Elements of Performance RC.01.03.01
The hospital has a written policy that requires timely entry of information into the medical record.
Elements of Performance RC.01.04.01
To implement this standard, General Hospital’s policies and procedures state:
The medical record delinquency rates are monitored on a monthly basis;
The total number of delinquent records may not exceed 50% of the total number of inpatient discharges and ambulatory surgeries performed for the month.
Download the following Delinquent Record Report.
Using Microsoft Excel, input the data from the Delinquent Record Report. Include report, column and row titles, and the monthly data.
Provide a narrative analysis of the findings for the CEO. Reference the table and use the graphs you prefer to illustrate compliance in the report. Include in the analysis whether the hospital was in compliance with the Medical Staff Rules and Regulations in each of the three areas during each month of the year. Was the hospital in compliance for the whole year?
This activity will be evaluated for:
Accuracy of spreadsheet – Delinquent Record Report
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