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You are the Director of HIM for an Integrated Healthcare Delivery System. Your chief medical informatics officer, Mary Watson, is creating a strategic plan for the new home care and skilled care services available in the system, including the skilled care unit affiliated with the Flagship hospital, swing bed services offered by the three rural hospitals, and the five nursing homes with skilled care beds that are part of your system. The system expects that there will be frequent transfers of patients and residents from one level of care to another within the system.

Discuss the following points: 1. What health information standards will you want to become familiar with in order to understand information management needs for the future for these facilities? 2. What knowledge, skills, and competencies might the HIM professionals in your organizations require to assist the clinical staff in these facilities with health record management and completion of the dataset? Explain. Standards development is an ongoing, fluid process that relies on consensus-building negotiation among many public and private organizations. Standards are frequently modified, and new standards are developed. What are some techniques that the HIM professional uses to stay current about changes in the standards that apply to the services offered by the IDS organization? Explain.

Paper For Above instruction

The evolving landscape of healthcare delivery, particularly within integrated systems that encompass various levels of care, necessitates a comprehensive understanding of health information standards. As the Director of Health Information Management (HIM), staying abreast of these standards is critical for effective information management, ensuring data accuracy, interoperability, and compliance with regulations. Additionally, HIM professionals play a vital role in supporting clinical staff with health record management and maintaining up-to-date clinical datasets, especially amidst the continuous development of standards. This paper discusses the relevant health information standards, the competencies required by HIM professionals, and strategies to stay current with standards modifications within an integrated healthcare delivery system.

Health Information Standards for Future Facility Management

In preparing to manage health information across diverse and interconnected facilities, familiarity with several key standards is essential. The Health Level Seven (HL7) standards, particularly HL7 version 2 and FHIR (Fast Healthcare Interoperability Resources), are central to exchanging clinical and administrative data efficiently and securely (HL7 International, 2020). These standards facilitate interoperability among disparate systems, enabling seamless transfer of patient information during care transitions. For facilities such as swing beds and nursing homes, adherence to the Continuity of Care Document (CCD), a standard for summarizing patient health information, promotes continuity and coordination of care (Mandel et al., 2016).

Moreover, the Digital Imaging and Communications in Medicine (DICOM) standards are crucial for managing diagnostic imaging data, which may be relevant across various care settings (DICOM Standards Committee, 2021). In addition, compliance with the U.S. Department of Health and Human Services (HHS) Healthcare Common Procedure Coding System (HCPCS) and CPT codes is vital for billing and documentation accuracy.

These standards underpin data sharing, ensure legal and regulatory compliance, and support quality improvement initiatives (HIMSS, 2019). Consequently, HIM professionals should be well-versed in these standards to anticipate future information management needs effectively.

Knowledge, Skills, and Competencies for HIM Professionals

HIM professionals in the integrated system must possess a broad skill set to support clinical staff effectively. Core competencies include a thorough understanding of electronic health record (EHR) systems, data governance, and clinical documentation improvement (CDI). They should be adept at utilizing terminology standards such as SNOMED CT and LOINC to accurately code clinical data, which enhances interoperability and data quality (Schulz et al., 2018).

Furthermore, knowledge of privacy and security standards, such as the Health Insurance Portability and Accountability Act (HIPAA), is essential for safeguarding patient information and ensuring compliance (U.S. Department of Health & Human Services, 2020). HIM professionals must also demonstrate analytical skills to interpret and analyze health data, supporting quality metrics and performance improvement efforts.

Communication skills are vital, enabling collaboration with clinical staff to facilitate proper documentation and dataset completion. Continuous education through certifications such as Certified Health Data Analyst (CHDA) or Certified in Healthcare Privacy and Security (CHPS) prepares HIM professionals to adapt to ongoing changes in standards and technology (AHIMA, 2022).

Techniques to Stay Current with Standards Changes

The dynamic nature of healthcare standards requires HIM professionals to adopt proactive strategies. Participation in professional organizations such as AHIMA or HL7 International provides access to the latest updates and resources regarding standards development (AHIMA, 2022). Attending industry conferences, webinars, and workshops further enhances knowledge and allows networking with peers and standards development organizations.

Subscribing to official publications and updates from agencies like the Office of the National Coordinator for Health Information Technology (ONC) helps HIM professionals track regulatory changes and standards modifications. Engaging in continuing education credits focused on health informatics, coding updates, and security policies ensures ongoing competency (HIMSS, 2019). Additionally, establishing internal processes such as periodic reviews of policies, participation in standards committees, and collaboration with clinical and IT teams fosters an environment of continual learning and adaptation.

In conclusion, effective management of health information within an integrated healthcare system necessitates familiarity with evolving standards, a robust skill set for HIM professionals, and proactive strategies for staying current. These measures ensure seamless data exchange, regulatory compliance, and ultimately, the delivery of high-quality patient care across all levels of service.

References

• AHIMA. (2022). Health Information Management (HIM) competencies. https://www.ahima.org
• DICOM Standards Committee. (2021). DICOM standards overview. https://www.dicomstandard.org
• HIMSS. (2019). Healthcare information standards. https://www.himss.org
• HL7 International. (2020). Standards and implementation. https://www.hl7.org
• Mandel, D., et al. (2016). Improving interoperability with the CCD. Journal of Healthcare Information Management, 30(4), 12-17.
• Schulz, K. F., et al. (2018). Terminology standards to support clinical data exchange. International Journal of Medical Informatics, 116, 50-58.
• U.S. Department of Health & Human Services. (2020). HIPAA privacy rule. https://www.hhs.gov
• Healthcare Common Procedure Coding System (HCPCS). (2022). Centers for Medicare & Medicaid Services. https://www.cms.gov/medicare/coding/hcpcs
• Office of the National Coordinator for Health Information Technology. (2021). Standards and certification. https://www.healthit.gov
• Schulz, K. F., et al. (2018). Clinical data coding for interoperability. Health Data Management, 28(2), 24-29.