HIM Practice Checklist: - TO BE DEVELOPED <Name> Business Requirement List of Items by Actor, by Workflow Step List of Documents/Records/Data by Actor, by Workflow Step Conformity Assessment: - TO BE DEVELOPED <Name> References -- TO BE DEVELOPED Patent Registration Use Cases Use Case Name: Patient Registration Inpatient Admission Scheduled via Call or in Person & – Admit Business Actors: Patient, Referring/Ordering Physician, Scheduler, Insurance Verifier Registrar Actors Technical Actors: EHR system & Registration-Admission, Discharge and Transfer System(R-ADT) # of Step Workflow Steps Record, Documents and Data Scheduling 1 Scheduling includes one or more of the follow Pt demographics (name, DoB, address, activities; pre-admission scheduling, physician Insurance ID) referrals, physician ordered, or patient presents at Admission demographics (enterprise hospital scheduling/admissions department to medical record number, attending schedule admission. physician name, date, time, service, 2 Registration Staff - identifies patient and admitting diagnosis, chief complaint, schedules the admission anticipated procedure) 3 Registration staff queries patient about diagnosis ICD-10 CM & PCS codes and treatment, assigns codes for diagnosis and procedures 4 Registration Staff - validates patient information, insurance authorization number verifies medical insurance coverage, requests insurance admission authorization Patient Admission 5 Patient presents at hospital 6 Registration staff asks patient to sign consents, Notice of privacy practices, consent to acknowledgements, and authorizations, patient is treatment, admission agreement, given notices and information in accordance with consent directive, and advanced policy. directive 7 Registration staff enters updated patient Updated medical record or encounter record? information and scans documents into EHR 8 Registration staff initiates either room Updated medical record or encounter record? assignment or bed assignment Entry Condition EHR - registration Exit Condition EHR - triage Quality Real time patient information verification requirements
HIM Practice Checklist: <Name> - TO BE DEVELOPED Business Requirement List of Items by Actor, by Workflow Step List of Documents/Records/Data by Actor, by Workflow Step Conformity Assessment: <Name> - TO BE DEVELOPED References -- TO BE DEVELOPED Patent Registration Use Cases Use Case Name: Patient Registration – Inpatient Admission Scheduled via Call or in Person & Admit Actors Business Actors: Patient, Referring/Ordering Physician, Scheduler, Insurance Verifier Registrar Technical Actors: EHR system & Registration-Admission, Discharge and Transfer System(R-ADT) # of Step Workflow Steps Record, Documents and Data Scheduling 1 Scheduling includes one or more of the follow activities; pre-admission scheduling, physician referrals, physician ordered, or patient presents at hospital scheduling/admissions department to schedule admission. Pt demographics (name, DoB, address, Insurance ID) Admission demographics (enterprise medical record number, attending physician name, date, time, service, admitting diagnosis, chief complaint, anticipated procedure) 2 Registration Staff - identifies patient and schedules the admission 3 Registration staff queries patient about diagnosis and treatment, assigns codes for diagnosis and procedures ICD-10 CM & PCS codes 4 Registration Staff - validates patient information, verifies medical insurance coverage, requests insurance admission authorization insurance authorization number Patient Admission 5 Patient presents at hospital 6 Registration staff asks patient to sign consents, acknowledgements, and authorizations, patient is given notices and information in accordance with policy. Notice of privacy practices, consent to treatment, admission agreement, consent directive, and advanced directive 7 Registration staff enters updated patient information and scans documents into EHR Updated medical record or encounter record? 8 Registration staff initiates either room assignment or bed assignment Updated medical record or encounter record? Entry Condition EHR - registration Exit Condition EHR - triage Quality requirements Real time patient information verification
AHIMAChecklistUse_Cases_06-27-16_%282%29.docx