10530181Intro to the Health Record
Course Information
Description
Prepares learners to illustrate the flow of health information in various health care delivery systems and within the health information department. Prepares learners to retrieve data from health records. Professional ethics, confidentiality and security of information are emphasized.
Total Credits
1
Course Competencies
  1. Protect confidentiality and security of health information
    Assessment Strategies
    by completing an analysis of selected scenarios
    given AHIMA Code of Ethics
    Criteria
    analysis describes reasons for confidentiality and security of health information
    analysis shows application of AHIMA Code of Ethics
    analysis includes the decision selected by the learner
    analysis includes an explanation of why the decision was selected

  2. Illustrate the flow of health information in various healthcare settings
    Assessment Strategies
    by developing a graphic illustration of the health information process
    using references
    Criteria
    illustration reveals the flow of information from patient point of entry to patient discharge
    illustration describes health information management functions (i.e., analysis, coding, abstracting, filing, storage)
    illustration shows the relationship of one function to another
    illustration reveals internal and external uses of information
    illustration includes the roles of the healthcare professionals

  3. Locate data within the medical record
    Assessment Strategies
    by retrieving data from medical documentation
    Criteria
    data sources are identified
    data organization (chart order) is identified
    data is retrieved from administrative (correspondence, demographic, consents) section
    data is retrieved from clinical (physician) sections
    data is retrieved from ancillary sections
    data retrieved from nursing sections