Aft Task 1 Essay

1876 Words May 15th, 2015 8 Pages
Information Management Compliance.
Felicia Ntow
Western Governors University

Information Management Compliance
The hospital’s plan for information management encompasses the full spectrum of data generated and used by the organization in all various departments from housekeeping, laundry services, imaging, and pharmacy through to nursing. In order to provide cost-effective quality services, information must be accurate and communication of the information should be securely transmitted in a timely manner to the appropriate individuals on a need to know basis.
Compliance Status The Nightingale Community Hospital current compliance status is not meeting the standards of the Joint Commission.
RC.01.01.01
The hospital
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The admission orders form is a generic standardize format to document on each admitted patient, but that is not a complete medical record; therefore, the hospital is not in compliance.
Only the verbal orders portion is dated and the actual date and time of admission is unknown therefore the hospital is not in complaince.
There is no justification that the hospital tracks the location of all components of the medical record as there is not enough information on the admission orders record form.
There is no diagnoses or patient’s chief compliant, no status code, no diagnostic test result, and no preferred language or mode of communication and limitations if any listed.
RC.01.04.01
The hospital is not in compliance with conducting ongoing review of medical cords at the point of care.
The hospital is in compliance by measuring the delinquency regularly on a monthly basis as evidenced by NPSG 2 and 3 chart base on adverse drug events related to anticoagulation therapy, medication labeling, reporting critical results, time-out, and inpatient falls.
The medical record delinquency rate average is less than 50% of the average monthly discharge rate therefore the hospital is in compliance.
IM.02.02.01
There is no justification that the hospital effectively manages the collection of health information by using uniform data set to standardize data collection since the

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