Health Care Systems and Processes and RHIT Exam Preparation

Health Care Systems and Processesand RHIT Exam PreparationHealth Care Systems and Processes and RHITExam Preparation• There are all kinds of processes at work at HIM sites, fromcompleting and processing patient charts, to internal jobtraining.• In this unit, you are going to take a closer look athealthcare systems and the processes that make themwork (or not work) each day.• In addition, this is the first unit in which you will actuallybegin a review of the Commission on the Accreditation ofHealth Informatics and Information ManagementEducation (CAHIIM) identified competencies for the RHITexamination.Master Patient Index• Contains pertinent demographic data on patient.• Permanent record of every patient treated athealthcare facility.• Basic information:o Patient name (last, first, middle)o Health record numbero Date of birtho Gendero Dates of encounterQuality Issues in MPI Systems• Manualo Misfiled cardso Requires monitoring to correct misfileso Access is limited to one person at a timeo Time consuming• Electronico Duplicate recordo Misspellingso Typographical errorso Transposition of numberso Poor search strategieso Inaccurate information from patientTypes of Data• Measurement:– Ratio, median, modeRatio• Quantities being compared may be completelyindependent or show part of whole.o Independent• 255 patients discharged alive, 15 diedo Part of whole• 15 patients died out of 270 dischargesProportions• Type of ratio• Quantity is part of whole:o Numerator is always included in denominator• 2 patients have cancer / 2 patients with cancer + 8without cancer = 0.2Rates• Used to measure event over time.• Number of cases occurring during a given timeperiod / total cases or population at riskduring the same time period.Frequency Distribution• Values a variable can take and number ofobservations for each value.Mean• Arithmetic average of frequency distribution.• The "mean" is the "average" you’re used to,where you add up all the numbers and thendivide by the number of numbers.Find the mean for the following list of values:13, 18, 13, 14, 13, 16, 14, 21, 13The mean is the usual average, so:(13 + 18 + 13 + 14 + 13 + 16 + 14 + 21 + 13) ÷ 9 = 15Median• Midpoint of a frequency distribution.• The "median" is the "middle" value in the list of numbers. Tofind the median, your numbers have to be listed in numericalorder, so you may have to rewrite your list first.Find the median for the following list of values:13, 18, 13, 14, 13, 16, 14, 21, 13The median is the middle value, so I’ll have to rewrite the list inorder: 13, 13, 13, 13, 14, 14, 16, 18, 21There are nine numbers in the list, so the middle one will be the(9 + 1) ÷ 2 = 10 ÷ 2 = 5th number: 13, 13, 13, 13, 14, 14, 16, 18, 21So the median is 14.Mode• Most frequent observation.• The "mode" is the value that occurs mostoften. If no number is repeated, then there isno mode for the list.Find the mode for the following list of values:13, 18, 13, 14, 13, 16, 14, 21, 13The mode is the number that is repeated moreoften than any other, so 13 is the mode.Range• Difference between smallest and largest value.Find the range for the following list of values:13, 18, 13, 14, 13, 16, 14, 21, 13The largest value in the list is 21, and thesmallest is 13, so the range is 21 – 13 = 8.Inpatient Census Data• Census reports patient activity for a 24 hourreporting period:o Inpatients admittedo Inpatients dischargedo Intra-hospital transfers• Take count at same time of data.• Account for patients admitted and discharged onsame day.Inpatient Service Day• Unit of measure for services received by onepatient during a 24 hour period.• Daily inpatient census is equal to number ofinpatient service days for a single day.• Compiled daily, weekly, monthly, and annually.Quick Quiz!• Given the following inpatient service days for a 65bed hospital, what is the total number of inpatientservice days provided in June?DateInpatientDateInpatientDateInpatientJuneService DaysJuneService DaysJuneService Days162115821632621257225936313552352461145224565591551255465816492658760175427538611856285496419582959105920593063Answer:• 1,729• The correct answer is 1,729, which is the resultof adding all the inpatient service days in June.• If you answered 58, you may be thinkingahead because 58 is the average of all theinpatient service days.• If you answered 63, you gave the inpatientservice days for only June 30.Inpatient Bed Occupancy Rate• Also called percentage of occupancy.• Percentage of official beds occupied byhospital inpatients for given period of time.• Bed count.• Bed count days.• May be greater than 100%.Length of Stay Data• Calculated for each patient after discharge.• Calendar days from day of admission to discharge.• Adjust calculations for hospitalizations that crosscalendar months.• Length of stay for patients admitted anddischarged on same day is 1.• Total length of stay.Quick Quiz!• What is the total length of stay for this groupof patients?Admitted1/127/412/31/200711/246/19/2007Discharged1/317/302/1/200911/241/4/2009LOS19263971565Answer:• 1,008• Length of stay for a group is the sum of theindividual LOS for each member of the group.• 19 + 26 + 397 + 1 + 565 = 1,008This Week• HI295 Capstone Project: Health Care Systems and Processes• For this part of your project, you will take a closer look at processes andprocedures at your externship site.• Write a 300-word in APA format that identifies at least two processes carriedout within your assigned externship site. Describe each of the identifiedprocesses as it relates to the overall function and operation of the department.In addition, research and select two HIM related software programs thatperform each of your identified tasks. Include a description of each selectedsoftware program and discuss whether or not the software provides greaterbenefits and advantages compared to the manual completion the processes.• Please Note: There are two Assignments listed below. You will only completethe alternative assignment if you are NOT assigned to an externship site and/oryour assigned site does not complete the given tasks/responsibilities.