Records will be completed 55 charts for patients 100% 80% within Joint Commission released during the quarter standards, state requirements, were reviewed. ALL of the and Medical Staff bylaws charts were completed timeframes. within the required timeframe. 55 out of 55 discharge Discharge summaries will be 100% 100% summaries were completed completed within 15 days of within 15 days of discharge. discharge. All to be placed in the 6 revised forms, 1 deleted 100% 100% medical record will be approved by form in the first quarter. the Medical Records Committee. 895 dictated reports were Medical transcription will be 100% 90% completed within 24 hours. timely and accurate. Summary: The indicators are based 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 1Q2017 1Q2017 Threshold Findings Compliance Percentile All patient information released 2,686 requests for information 100% 100% from the Health Information (216 requests for patient Department will meet all Joint information and 2,470 police Commission, State, Federal & checks) were released. HIPAA standards.
Records will be completed within Joint Commission standards, state requirements, and Medical Staff bylaws timeframes. 55 charts for patients released during the quarter were reviewed. ALL of the charts were completed within the required timeframe. 100% 80% Discharge summaries will be completed within 15 days of discharge. 55 out of 55 discharge summaries were completed within 15 days of discharge. 100% 100% All to be placed in the medical record will be approved by the Medical Records Committee. 6 revised forms, 1 deleted form in the first quarter. 100% 100% Medical transcription will be timely and accurate. 895 dictated reports were completed within 24 hours. 100% 90% Summary: The indicators are based 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 1Q2017 Findings 1Q2017 Compliance Threshold Percentile All patient information released from the Health Information Department will meet all Joint Commission, State, Federal & HIPAA standards. 2,686 requests for information (216 requests for patient information and 2,470 police checks) were released. 100% 100%
2017Q1.docx