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Survey Readiness In Hospitals - Case Study Example

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Survey Readiness The health sector is one of the few areas where it is prudent to manage information in the most professional manner. As such, health information policies within a health facility must be in compliance with the Joint Commission Information standards to ensure efficient management…
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Survey Readiness In Hospitals
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Download file to see previous pages According to the Joint Commission Information Standards , it is required that staff chosen by the health center learn how to and actively use information management systems. These members of staff should thus be the ones to ensure that these lists are updated and disseminated. The addition of the position of the clinical documentation specialist had not been formalized, being a fundamental position that addressed the auditing process of health records. This denoted the deficiency that existed in compliance with the standards on the integrity and security of data. The health center needed to monitor its compliance with its policies related to the integrity and security of data in its possession. Diane's inability to locate the policy in her department governing the backup of electronic data depicted that the health center fell short of the Joint Commission's standards that address the continuity of information. Back up of information is necessary to prevent loss of information and should be effectively addressed through an overall organizational policy that should not only be located in the information technology department. The release of information policies within her department were also not updated depicting a deficiency in relation to the security and integrity of information section of the standards. According to the standards, it is required that the hospital maintain a documented policy that defines who within the hospital set-up is allowed to access and remove information and when specifically this should be done. It is also clear that privacy policies are in place within the hospital but fall short of the joint commission's standards of monitoring compliance. This is seen when Diane fails to locate evidence and proof of compliance that could have been evidenced by reports of any breeches and how they were handled. An organization may have clear privacy policies that are only stored on paper necessitating the need for a compliance system that would ensure that privacy concerns are handled in a proper manner. The mere fact that Diane has to investigate the types of online resources that are available to their staff denotes that there are no clear policies that govern these resources. This is in contravention with the Joint Commission's standards that require information to be managed properly. The standard on information management planning requires the health facility to identify how information flows within and leaves the organization. It also stipulates that internal and external sources of information be identified to enable the provision of safe and quality care. It also goes against the commission's requirement of knowledge based sources requiring that the health facility make contractual or cooperative arrangements with other institutions to offer knowledge-based information resources that are not within its reach. Willow bend hospital does not have an efficient system for the management of continuity of information as depicted by the case of the Locum Tenens physicians employed by the hospital from time to time. Diane was unable to locate any procedural documents that would describe how these contract physicians would manage interruptions with their information work flow if there was an unexpected power outage. The commission's standards clearly stipulate that the health care facility must have a documented plan to manage ...Download file to see next pagesRead More
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