Question

Health Information Managers have various functions, skills, and roles in a variety of settings. Due to the versatility of the HIM profession, basic management principles are key skills to possess. Discuss the management functions of planning, organizing, and leading and controlling. Give an example of each using an HIM related function that is performed in a hospital setting. Also, discuss the difference between strategic plans, goals and objectives.

Answer 1

Health Information Management is the process of maintaining, storing and retrieving patient health information in accordance with applicable Federal, State, and accrediting agencies' requirements. There are 10 main responsibilities within the framework of health information management (HIM) that require specialized knowledge, skills, and abilities.

1.medical coding

2,mediacal transcription

3.medical necessity

4.medical staff support

5.assembly of medical records

6.maintainence of medical records

7.filling

8.privacy and security

9.release of information

10,confendentiality.

* Medical coding:Medical coding includes the correct assignment of medical codes for appropriate reimbursement by insurers and payers such as Medicare and Medicaid.

* Medical transcription:Patient medical history
Patient physical reports
Physician consultation reports
Patient discharge summaries
Radiology reports
Operative reports

* Medical necessity:Medical necessity refers to the reasonable and necessary treatment, procedures or services of an illness. Most insurers, including Medicare and Medicaid, will not pay for treatment that is not considered medically necessary based on standards of care.

* medical staff support:They provide information to the physcian about patient documentation.After review any need of consultation of other physcians for improving patient documentation is check by them.

* assembly of medical reports:An accurate, legal record
Transcription of medical reports
Submission of information for reimbursement

* maintainence of medical reports:Maintaining the medical records for the patients includes ensuring the accuracy and accessibility of the records for continuity of care throughout the lifetime of the patient. These include both paper and electronic medical records.

* filling:

Medical records filing include designing and developing the structure of the health information management system that is

easily accessible
organized
protects patient confidentiality
compliant to the laws and guidelines of HIPAA

* privacy and security:find ways to maintain the privacy and security of the protected health information (PHI) of the patients they serve.

Utilize encryption controls to protect transmitted data over a network

*release of information:Patient information may be requested for numerous reasons such as insurance purposes or continuity of care.

Obtaining valid authorization for release of protected health information
Completion of the medical record for copying
Transmitting of the electronic health record
Tracking requests and monitoring the timeliness of the response

* confendentiality:responsibility of Proper disposal,
Proper storage,
Proper access,
Proper disclosure.