BHIS480
Policy and Procedure Assignment
This activity will reinforce the process of developing a policy and procedure. I.
Data Governance, Content and Structure
Competency: Analyze strategies for management of information. _______________________________________________
Date Due: Close of Unit 2 Activities, see calendar to verify date. Submitted in Blackboard – Unit 2
RESEARCH AND PREPARATION:
Review the posted Joint Commission Standard: Record of Care, Treatment, and Services Research and review CMS Conditions of Participation
and Illinois state hospital licensing regulations for completion time frames for:
Hospital Inpatient Record Discharges
Hospital telephone and verbal orders
Operative records (interim note and final)
ASSIGNMENT: Two documents are required:
Use the accrediting standards, CMS and state regulations to develop the following:
1.
POLICY
: Based on the research above write three separate hospital
policies
on completion of patient records including:
Time frame for completion of all record entries for inpatient discharged records.
Time frames for entry and authentication of telephone and verbal orders.
Time frames for completion of operative report (interim and final).
2.
PROCEDURE
: Develop a hospital procedure with steps and responsible person(s) to follow for receiving, recording and authenticating verbal orders. Include:
Time frames for recording and authorizing verbal orders
Staff authorized to receive and record verbal orders
Additional steps for a clear procedure
This assignment will be graded on: creativity of ideas, application of concepts and theories presented in readings and in class, spelling, correct format and presentation.
Use a procedure format. Include a cover sheet. All references in APA format.
Post WORD documents at submission link in Blackboard.
