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Refer to the case study in Appendix b, pages 277-279 The remote health information management d partment . Scenario The HIM department at University Hospital
Refer to the case study in Appendix b, pages 277-279 "The remote health information management d partment . Scenario The HIM department at University Hospital is running out of space for all of its employees. The department i physically located on the same property as the main hospital so many functions within the department are managed remote site. Lindsey, the director of HIM, has been networking with some of her HIM colleagues and found that have their employees work remotely. Lindsey reports to the chief financial officer (CFO) who feels that Lindsey sh perform a thorough analysis of all the job functions prior to assigning all of her workforce to work from home. CFO also feels that further research should be performed by Lindsey in regard to the best practices associated w remote HIM workforce. The current functions performed by the HIM department are outlined below along with ge information about the typical tasks for each function and the number of staff performing the tasks. HIM current function HIM Function Location Typical Tasks Staff Performing Tasks HIM staff management In-house Monuges day to day functions of the tasks HIM director outlined below HIM manager . Communicates with employees via email HIM coding manager and in person meetings. Utilizes electronic systems for memuging and assigning work performed by employees. Coding In-house All coders Code all inpatient and outpatient encounters Inperient and outpatient coders currently work onsite utilizing the her. (10 total) report to the coding The number of coding stuff has grown by about 30%% All coding lists are managed electronically over the last year so desk by coding stuff and the coding manager space is of a premium Transcription Outsourced Reports are electronically interfaced into The transcription coordinator the EHR by the transcription vendor. reviews interface logs to ensure the appropriate transfer of data takes place between the transcription company and the HER Reports to the HIM manager. Release of Information In-house ROI coordinators perform the ROI function ROI Coordinators (5 totell]) report utilizing the HER. There are still some to HIM manager paper records on report to the HIM manager Site and et remote storage, ROI coordinators retrieve information as needed and make paper or electronic cop: ROI staff manage the patient information desk end handle in-person and phone requests Chart completion In-house All chart completion processes are memoged Chart completion amplysts are utilizing electronic worklists. managed ting electronic (2 total) Chart completion analysts contact report to the HIM worklists physicians regarding online chon completion vis a work bucket Date quality In-house Duplicate record clean up. Date quality specialists (6 total) Coding quality analysis. 2 report to the HIM coding 4 report to HIM Menuger. Document imaging & In-house All imaging of documents that cannot be Document imaging coordinators chart management created electronically are performed by the (2 total) and chart management document imaging stuff. clerk (3 totel) report to the HIM Chart management clerks pull paper records manager. and charts for ROI and for caregivers as requested. The portion of paper records om site has decreased over the past few year
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