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EVALUATE compliance with documentation requirements of the health record
Assessment Strategies
Oral, written or graphic assessment
Criteria
compare the documentation requirements for given accreditors with those for the Medicare Conditions of Participation
determine which documentation requirements are most stringent
conduct qualitative analysis to ensure that that health data meets the characteristics of quality health data
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PERFORM record completion processes
Assessment Strategies
Oral, written or graphic assessment
Criteria
perform quantitative analysis of health records
perform deficiency/delinquency procedures
differentiate between quantitative and qualitative analysis
perform qualitative analysis of health records
conduct activities to facilitate record completion (i.e., letters to physicians)
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MONITOR compliance with documentation standards (accreditation and licensure)
Assessment Strategies
Oral, written or graphic assessment
Criteria
calculate deficiency and delinquency rates
analyze delinquency data against benchmarks or standards
recommend improvements
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UTILIZE secondary data sources
Assessment Strategies
Oral, written or graphic assessment
Criteria
distinguish between primary and secondary data
identify the internal and external users of secondary data
describe the secondary data sources in healthcare (registries, vital records, state reporting etc.)
retrieve information from electronic health indices (MPI, physician, diagnosis etc.)
maintain electronic health indices
utilize health data elements that correspond to given data sets
collect and report secondary health data
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MANAGE the master patient index
Assessment Strategies
Oral, written or graphic assessment
Criteria
describe the system-wide impact of master patient index errors
identify errors within the master patient index
recommend preventative actions to minimize master patient index errors
recommend corrective actions to resolve master patient index errors
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APPLY retention, destruction, and archival policies for electronic health information/data
Assessment Strategies
Oral, written or graphic assessment
Criteria
recommend destruction and archival methods
identify electronic data/records for destruction or archival