Johns, HIT Workbook, Chapter 2 1 Chapter 2 Purpose and congest of the Health Record Cheryl V. Homan, MBA, RHIA Real-World Case #1 The following tell apart study is adapted from a journal article by Chris Dimick published in June 2008 in the Journal of AHIMA. The innovation of the EHR has do it easier to reuse previously documented patient entropy. Previous culture stop be easily recalled and glued into present-day(prenominal) hold up with a single click. While these shortcuts make present easier and faster for engross clinicians, such cut and paste practices potty have serious repercussions for patient care and reimbursement, as illustrated in the scenario below. As the patients health worsened, a infirmary pinch of days turned to weeks. But through the non-homogeneous tests and doc visits, the progress notes generated in the hospitals electronic book system looked similar. Past notes were being electronically copied and pasted into current records . Old services rendered were being documented everywhere and everyplace again, with additions to reflect any new services. This pulling out wait of nurture from past visits, was meant to save time on the meddling hospital floor. It resulted in misrepresentation of the patients dumbfound and a fraudulent submission for reimbursement (Dimick 2008a, 40).
Discussion Questions Instructions: finale the following questions. 1. What is the potential impact of the copy/past functionality on the integrity of the selective information and information contained in a EHR? The clinicians novitiatet look over the infor mation clearly , instead of giving informa! tion needed they paste past information that is not accurate. 1. How does copy/past functionality affect reimbursement? Since the information is not accurate no one really knows what services were condition to the patient. 1. What measures can a hospital take to improve data integrity in their EHR while still achieving their goal of streamlining the surety process?...If you want to get a full essay, trope it on our website: OrderCustomPaper.com
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