You should review the following Practicum Objectives before you begin your practicum. Meet with your Practicum Director (or designee) as soon as possible, review each one and create a plan so that you have the time to accomplish them. Each practicum objective should be about 1-page in length and included in your portfolio.
If you are unable to accomplish any of these objectives due to your facility limitations, please contact your professor and request permission to complete the alternate assignment. Permission to complete an alternative assignment(s) must be requested prior to week 5 with the maximum completion of 20 onsite hours. You must get prior approval from your Professor for EACH of the alternative assignments you need to complete.
1. Identify facility standards regarding healthcare documentation (Data Structure, Content, and Information Governance)
Meet with your Practicum Director (or designee) and inquire about your facility’s documentation standards. Determine the documentation standards your facility complies with and identify their origin. These would include Conditions of Participation, Conditions for Coverage, medical staff bylaws, policies and procedures, and state statutes. Include any documents you obtain as artifacts in your portfolio.
Alternative: N/A
2. Perform 10 chart audits and identify all deficiencies (Health Law and Compliance)
Request from your Practicum Director (or designee) to audit 10 patient records for deficiencies. You are to use the organization’s chart audit tool. If they do not have one, use the chart audit form located under ‘files’. It is recommended to incorporate your ‘predetermined data element’ (from PO #3) in your audits. Include the chart audits as artifacts in your portfolio and provide a summary of the process. Ensure you do not include any PHI in your audits.
Alternative:
EHR Go: Understanding TJC’s Tracer Methodology
3. Perform an analysis of one predetermines data element (Informatics, Analytics, and Data Use)
Have a discussion with your Practicum Director (or designee) to identify one quality indicator for analysis. For example, the selected quality indicator could be a data element such as the number of days after discharge until the physician signed the discharge summary. Your data element may be an element of the chart audit. It is recommended that you compile information on your data element while you perform your chart audits (PO #2). Analyze the information you have gathered and provide a summary. Your summary should identify what you have learned about the data element. It should also reference the chart/graph you have created for PO #4. For example, does the data show the organization is in compliance (remember back to the HIT226 course project), or have you identified a trend (positive or negative), etc.
Alternative:
EHR Go: Implementing Clinical Decision Support
4. Create a chart/graph. (Informatics, Analytics, and Data Use)
Use the results you have gathered on your data element and create a chart or graph. Your chart or graph should be applicable to the type of data you are displaying and follow the proper guidelines for presenting information. Your graph/chart should tie directly to your summary in PO #3.
Alternative:
EHR Go: Query: Basic and Advanced Orientation
5. Perform a summary of data entry (Data Structure, Content, and Information Governance)
Have a discussion with your Practicum Director (or designee) and request to perform data entry into an information system. It can be any information system with the facility. For example, release of information, revenue cycle management, coding, chart tracking, index, registry, or transcription. You may substitute manual data entry in place of electronic data entry. If you are unable to perform data entry, request to shadow an employee who does.
Identify the system you used and provide a summary of the data entry process. Your summary should include the type of data you entered (clinical, administrative, or both), potential users of the data (internal and external), and any other pertinent information.
Alternative:
EHR Go: Classification and Terminology Systems
6. Perform an evaluation on facility privacy and security standards (Information Protection)
Evaluate how the facility complies with privacy and security standards. This evaluation should include pertinent information about your organizational privacy and security safeguards. This could include policies and procedures, information about the privacy officer, staff education and internal monitoring (see the chapter on Data Privacy and Confidentiality in your Health Information Management Technology: An Applied Approach textbook as a reference).
Alternative:
Create an Authorization for the Use and Disclosure of Protected Health Information for an acute care hospital.
7. Summarize the revenue cycle at your facility (Revenue Cycle Management)
Summarize the revenue cycle at your facility from the moment a patient is registered to the reimbursement of services provided. Make sure to include the departments, employees and information systems involved as well as external stakeholders.
Alternative:
EHR Go: UHDDS and the EHR
8. Analyze a Team Meeting (Organizational Management and Leadership)
Meet with your Practicum Director and request to sit in on at least one team meeting. Summarize the meeting(s) describing who was in attendance, the purpose of the meeting, and the outcome. Then analyze the meeting in terms of leadership (See the chapter on Leadership in your Health Information Management Technology: An Applied Approach textbook as a reference). For example, was there an agenda, were the minutes from the previous meeting provided, and were any techniques used to ensure a productive meeting.
Alternative:
Create an organizational chart for your practicum facility and/or department.
Remember, your practicum objectives are to be a part of your portfolio.
| Graded aspects | Points |
| 1. Identify facility standards regarding healthcare documentation (Data Structure, Content, and Information Governance) | 20 |
| 2. Perform 10 chart audits and identify all deficiencies (Health Law and Compliance) | 20 |
| 3. Perform an analysis of one predetermined data element (Informatics, Analytics, and Data Use) | 20 |
| 4. Create a chart/graph (Informatics, Analytics, and Data Use) | 20 |
| 5. Perform a summary of data entry (Data Structure, Content, and Information Governance) | 20 |
| 6. Perform an evaluation on facility privacy and security standards (Information Protection) | 20 |
| 7. Summarize the revenue cycle at your facility (Revenue Cycle Management) | 20 |
| 8. Analyze a Team Meeting (Organizational Management and Leadership) | 20 |
| Total | 160 |
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