Appendix A: HIM Practice Checklist Business Requirements HIM Practice Checklist Use Case Information Availability (A) 1. Maintain information in a A1. All documents can be accounted A1.1. All documents can be manner that ensures for and the record closed as complete accounted for within a timely, retrieval. within a specific time period post specific time period post accurate, and efficient patient discharge in accordance with completion episode of and Federal regulations, care/encounter accreditation organizations (e.g. Joint Commission, Det Norske Veritas A1.2. Record is closed as Healthcare - ISO 9000), or complete within a specific organizational policy time period post completion of the episode of care/encounter 2. Enable trust of requestor in All documents can be accounted and (above) A1. A1.1 A1.2 information by ability to ensure for and the record closed as complete the timeliness, accuracy within a specific time period post (completeness and correctness), patient discharge in accordance with and efficiency of information and Federal regulations, availability. accreditation organizations (e.g. Joint Commission, Det Norske Veritas Healthcare - ISO 9000), or organizational policy 3. Ability to identify, locate, and A2.Single or multiple groups of A2.1. Single and multiple retrieve the information required documents within the electronic (submission sets) to support organization’s ongoing medical record can be viewed by or documents within the activities via queries and access to released to the requestor as allowed electronic medical record data across various systems. by Health Insurance Portability and can be viewed by or Accountability Act (HIPAA) released to the requestor for treatment, payment, and healthcare operations use and disclosure. A2.2. Single and multiple (submission sets) groups of documents within the electronic medical record can be viewed by or released to the requestor for use and disclosure requiring a signed authorization. 4. Ability to address multiple A2.Single or multiple groups of A2.1 and A2.2 demands having the right documents within the electronic information available at the right medical record can be viewed by or time for the right requestor released to the requestor as allowed HIPAA 5. Ability to search for or multiple groups of and (above) A2.Single A2.1 A2.2 information in continually documents within the electronic expanding volumes of medical record can be viewed by or information and multiple systems
Appendix A: HIM Practice Checklist Business Requirements HIM Practice Checklist Use Case Information Availability (A) 1. Maintain information in a manner that ensures timely, accurate, and efficient retrieval. A1. All documents can be accounted for and the record closed as complete within a specific time period post patient discharge in accordance with and Federal regulations, accreditation organizations (e.g. Joint Commission, Det Norske Veritas Healthcare - ISO 9000), or organizational policy A1.1. All documents can be accounted for within a specific time period post completion episode of care/encounter A1.2. Record is closed as complete within a specific time period post completion of the episode of care/encounter 2. Enable trust of requestor in information by ability to ensure the timeliness, accuracy (completeness and correctness), and efficiency of information availability. A1. All documents can be accounted for and the record closed as complete within a specific time period post patient discharge in accordance with and Federal regulations, accreditation organizations (e.g. Joint Commission, Det Norske Veritas Healthcare - ISO 9000), or organizational policy A1.1 and A1.2 (above) 3. Ability to identify, locate, and retrieve the information required to support organization’s ongoing activities via queries and access to data across various systems. A2.Single or multiple groups of documents within the electronic medical record can be viewed by or released to the requestor as allowed by Health Insurance Portability and Accountability Act (HIPAA) A2.1. Single and multiple (submission sets) documents within the electronic medical record can be viewed by or released to the requestor for treatment, payment, and healthcare operations use and disclosure. A2.2. Single and multiple (submission sets) groups of documents within the electronic medical record can be viewed by or released to the requestor for use and disclosure requiring a signed authorization. 4. Ability to address multiple demands having the right information available at the right time for the right requestor A2.Single or multiple groups of documents within the electronic medical record can be viewed by or released to the requestor as allowed HIPAA A2.1 and A2.2 5. Ability to search for information in continually expanding volumes of information and multiple systems A2.Single or multiple groups of documents within the electronic medical record can be viewed by or A2.1 and A2.2 (above)
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