Discuss managed care and how it related to managing health


Compliance with Health Information Management Laws and RegulationsUnit outcome addressed in this Assignment:

Explain how peer review is used to ensure quality in health care.

Discuss managed care and how it related to managing health information.

Define value-based purchasing.Explain current reimbursement and financial trends.

Course outcome assessed in this Assignment:

Identify the organization and delivery of healthcare systems in the U.S.

Analyze legal and ethical policies and procedures that ensure privacy and confidentiality.

AHIMA CEE Curriculum Mapping Domain Subdomain Competency Domain II. Information Protection: Access, Disclosure, Archival, Privacy & SecuritySubdomain

II.C. Release of Information 2. Protect electronic health information through confidentiality and security measures, policies and proceduresDomain V. ComplianceSubdomain

V.A. Regulatory

1. Appraise current laws and standards related to health information initiatives

Domain V. ComplianceSubdomain V.A. Regulatory

2. Determine processes for compliance with current laws and standards related to health information initiatives and revenue cycle

Domain VI. LeadershipSubdomain VI.H. Ethics1. Comply with ethical standards of practice

Assignment Requirements

Please complete all parts in a Microsoft Word document.

The body of your document should be at least 1500 words in length.Quoting should be less than 10% of the entire paper.

Paraphrasing is necessary.Students must cite and reference at least 4 credible sources from the KU Library.

Please be sure to download the file Writing Center Resources” from Course Resources> Course Documents to assist you with meeting APA expectations for written Assignments.

Instructions

You are the Director of Health Information for a large multi-campus health system.

In the routine review of institutional policies, you have been asked to evaluate the laws and regulations associated with the management of health information and develop a plan for the CEO and Board of Directors. Please follow the instructions below in completion of this assignment.

Part Competency Assessed Instructions

1. Protect electronic health information through confidentiality and security measures, policies and proceduresYou will demonstrate the principles and techniques of auditing by analyzing laws and regulations regarding the Release of Information (RoI) process of a health information management department. Interpret the relevant compliance considerations for a large health system and critique at least three (3) considerations in the protection of electronic health information through confidentiality and security measures, policies, and procedures.

2. Appraise current laws and standards related to health information initiativesAppraise the current laws and standards related to health information initiatives that ensure security and confidentiality of disclosure practices. Evaluate three (3) compliance strategies-- including licensure requirements, compliance program elements, and patient safety measures.

3. Determine processes for compliance with current laws and standards related to health information initiatives and revenue cycle. Having an understanding of the compliance needs for your health system, you will determine processes for compliance with current laws and standards related to health information initiatives and revenue cycle by evaluating the policies and procedures of auditing and monitoring.

Please make sure to include non-retaliation policies.

4. Comply with ethical standards of practiceUsing the professional ethics within the AHIMA Code of Ethics, patient rights and safety standards, and the ethical decision-making process/matrix, appraise the ethical issues / considerations related to compliance with laws and regulations of HIM practice.

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