Information Governance review the description of the organization that is the subject of your semester project. The description of that organization, CITY GENERAL HOSPITAL, is described in the instructions for

Information Governance review the description of the organization that is the subject of your semester project. The description of that organization, CITY GENERAL HOSPITAL, is described in the instructions for Phase I that you have already completed. 1. This phase will involve performing a records inventory. The organization is far too large to undertake a records inventory for the entire hospital. PATIENT INSURANCE (a) State the topic selected(patient Insurance) and functional areas of the City General Hospital that you intend to focus on for your records inventory. (b) Identify which of department(s)/areas/units that you will need to survey and subsequently interview, depending on which one of the three functional areas you have decided to focus your attention on. (c) For the functional area that you have selected, you want to be able to speak intelligently to the knowledge personnel within that department and ask appropriate and relevant questions. Therefore, you need to do some preparation and brainstorming before making contact with the departments/units that you have identified as essential. To that end, identify (using diagram, table, hierarchy chart, taxonomy, or other form that is most descriptive) the “record types” that you expect are created and maintained in each of the departments/areas/units that you have decided to focus on. (d) Develop a Records Inventory Survey Form that you are going to use in surveying the departmental unit(s) you have identified above. The purpose for your survey is to be able to identify the kinds of records each department “owns” the records, and which other department(s) access the records, what application(s) create the record, where the record is stored physically and logically, date created, last changed, whether it is a vital record, and whether there are other forms of the record. You want to be able to use this information to make decisions related to retention and disposal of the records. (e) Explain who will receive the survey you have developed and why the person or persons hold this/these job duties or titles have been identified to complete the survey. The survey will be sent about one month prior to the follow up interviews. This will allow for two (2) weeks to complete and return the survey and two weeks to tabulate and review it, and to tweak your interview questions, depending on the results of the survey. (f) Explain the rationale for the questions or question types that you included in your survey. That is, why is that question important, or what are you trying to achieve or learn from the question. (g) Develop an initial set of interview questions that you plan to use as a follow up to the initial survey that you drafted in (d) above. (h) Based upon the records you have identified above, develop a record retention schedule for the record types. For each, record type explain how long you expect to retain record type, and then once marked for destruction explain the method of destruction used. When you plan to use event-based retention for any of your record types identify the triggering event. For this question, you need to discuss the legal requirements and compliance considerations. —————————————————————————————————————————————————————————————– At its initial meeting, your newly formed Information Governance Committee, after some brainstorming and collaboration produced the following list, which is by no means complete, but which was identified by your team members as “high” on their list of problems facing the organization which the team members believed could be resolved and/or minimized through effective information governance: Choose any 3 problems and provide the solutions: 1. A number of serious errors that adversely affect patient safely resulted from inadequate user training on how to use the system, as well as laziness of staff in documenting and charting; 2. Inability to capture information necessary for required reporting from the electronic health records (HER); 3. Inaccurate and incomplete release of information for litigation and business purposes that had resulted from poor systems integration and improper data retention policies; 4. Issues associated with a high rate of patient matching errors in master patient database; 5. Need for updating access controls that ensured appropriate security levels for those caring for patients and those having access to patient records for purposes of billing, diagnostics and reporting, and; 6. Need for better security of protected health information in order to comply with stricter regulatory requirements. Possible solutions: The goal of the information governance program should include but not be limited to the following: 1. Developing processes to ensure better coordination of care throughout the entire organization; 2. Maintain a competitive advantage in the geographical regions served; 3. Ensuring that the organization is analytics-driven; 4. Improved performance and outcomes; 5. Becoming nimble enough to respond quickly and accurately to information requests related to patient care and diagnosis, legal holds, e-discovery and litigation, and for accountability and auditing; 6. Develop a viable retention and destruction schedule for active and inactive patient information; 7. Improve security and protect sensitive data while at the same time allowing necessary access to eliminate impediments for staff that make it difficult to accomplish their job duties; and, 8. Increase the accuracy of information related to outcomes, and financial leadership to ensure the organization will meet or exceed its financial goals.

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