Out of 1661 dictated reports, Medical transcription will be 100% 90% 1661 were completed within timely and accurate. 24 hours. Summary: The indicators are on the review of all discharged records. There was 100% compliance with 30 day record completion. Weekly needing attention” lists are “charts distributed to medical staff, including the Medical Director, along with the Superintendent, Risk Manager and the Quality Improvement Manager. There was 100% compliance with timely & accurate medical transcription services Actions: Continue to monitor. Confidentiality: Indicators 3Q2016 3Q2016 Threshold Findings Compliance Percentile All patient information released 2,752 requests for information 100% 100% from the Health Information (143 requests for patient Department will meet all Joint information and 2,609 police Commission, State, Federal & checks) were released. HIPAA standards. All new employees/contract staff All new employees/contract 100% 100% will attend confidentiality/HIPAA staff attended confidentiality/ training. HIPAA training. Patient confidentiality/privacy 0 privacy-related incident issues tracked through incident reports. reports. Summary: The indicators are based on the review of all requests for information, orientation for all new employees/contract staff, and confidentiality/privacy-related incident reports. No problems were in 4Q2016 related to release of information from the Health Information Department and training of new employees/contract staff; however, compliance
Medical transcription will be timely and accurate. Out of 1661 dictated reports, 1661 were completed within 24 hours. 100% 90% Summary: The indicators are on the review of all discharged records. There was 100% compliance with 30 day record completion. Weekly “charts needing attention” lists are distributed to medical staff, including the Medical Director, along with the Superintendent, Risk Manager and the Quality Improvement Manager. There was 100% compliance with timely & accurate medical transcription services Actions: Continue to monitor. Confidentiality: Indicators 3Q2016 Findings 3Q2016 Compliance Threshold Percentile All patient information released from the Health Information Department will meet all Joint Commission, State, Federal & HIPAA standards. 2,752 requests for information (143 requests for patient information and 2,609 police checks) were released. 100% 100% All new employees/contract staff will attend confidentiality/HIPAA training. All new employees/contract staff attended confidentiality/ HIPAA training. 100% 100% Patient confidentiality/privacy issues tracked through incident reports. 0 privacy-related incident reports. Summary: The indicators are based on the review of all requests for information, orientation for all new employees/contract staff, and confidentiality/privacy-related incident reports. No problems were in 4Q2016 related to release of information from the Health Information Department and training of new employees/contract staff; however, compliance