Staff Training and Data Compliance

Staff Training and Data Compliance

Description/Paper Instructions

Staff Training and Data Compliance

You are an HIM Supervisor at hospital and you have been asked to create a new staff training on data compliance rules.  Assume that the new staff has a wide variety of background, with some new staff knowing nothing about data compliance at all.  The training should be basic and introductory.

Instructions: For this assignment, you are to create an outline for your training.

Requirements:

Include an introduction and summary of your staff training an along with annotated outline. This means that it should include citations within the outline and a reference page.

Your written presentation should be at least 4 pages in length. (Cover-page and reference pages are not included)

Your training should include the topics of HIPAA and The Joint Commission and at least 3 other data compliance topics that affect hospital staff.

Differences Between a Primary Care Nurse Practitioner & An Acute Care Nurse

Discuss the differences between a Primary Care Nurse Practitioner and an Acute Care Nurse Practitioner and their scope of practice. Why is this important to know as you move from being a nurse into your new role as an NP? Please include sources and references to support your discussion.

The Need for Quality Employee Training and Development

HA255: Human Resources for Healthcare Organizations

Topic 1: The Need for Quality Employee Training and Development

Discuss how training and development are related to a healthcare organization’s mission, vision, and values. Why is it important?

HI135: Legal Aspects of Health Information

Topic 2: The Healthcare Delivery System

For this Discussion, select an issue or topic related to healthcare system issues (for example, Medicare prescription drug coverage or access

Health & Medical Question

61. Recently the patient began to suffer pain and swelling in both knees with loss of mobility. Blood analysis reveals an excess of uric acid in the blood. What is the diagnosis __________________________________________________________________________
62. Where would this condition of hypertension be mentioned in the record? Make sure to go over the Chapter #2 medical charts to determine the diagnosis ____________________________
63. A 63-year-old male was diagnosed as having carcinoma of the esophagus with metastatic lesions in the lung. The condition had progressed to a point where an x-ray examination showed a chronic dilatation of the bronchi of the lung. In addition, the medical history reported that the patient had suffered a coronary thrombosis within the past month. What are the proper diagnosis ___________________________________________________________________

64.Terms like hematuria, hemoptysis, and hemorrhage begin with the word root hem- which means blood. This root also is used as a suffix and when so used, the syllable -ia is added to it to produce -hemia. Thus, the term polycythemia means abnormal increase of red blood cells and hemoglobin in the blood. Sometimes the his omitted, such as in the word hyperglyc(h)emia which means abnormally high blood sugar. Can you think of a condition with the suffix -emia which is characterized by an abnormal reduction in red blood cells ________________________________________________________________________

65. You have seen the term bronchiectasis (bronch = bronchial tubes of the lung) + (-estasis = expansion, dilatation). This is a condition characterized by the chronic dilatation of the bronchi. The suffix -ectasis means dilatation; the suffix -stenosis means constriction or narrowing. Therefore, a condition opposite to bronchiectasis would be bronchostenosis — the stricture or abnormal diminution of the caliber (diameter) of the bronchi.

Select the word which is described in each of the following statements.

Emphysema, abnormal swelling or inflation of the lungs, is known as: _________________
A tumor located near an artery could expand causing the artery to be constricted. Such a condition would be known as:___________________________________________
66. You know that two different medical terms can have the same meaning. Two different suffixes can also have the same or similar meanings. An example is the suffix -(i)asis (condition of, formation of, presence of) and the suffix -poiesis(formation of, production of). Some words using these two terms are as follows, now give their definitions

lithiasis _________________________________
nephrolithiasis __________________________________
hemopoiesis _____________________________________________
67. A medical record noted the presence of a severe asthmatic attack one week prior to admission. Would this most likely be due to _______________________________________

68. As cancer progresses, it is not unusual for the lymph nodes around the primary site to become affected. Also, certain types of cancer — Hodgkin disease, lymphocytic leukemia, and lymphosarcoma — are closely associated with the lymphatic system, especially enlargement of the lymph nodes in the neck and groin and enlargement of the lymphoid tissue of the spleen. Fill the blank in the statement with an appropriate term._____________________________
69. Recently a male patient began to spit up blood. Also, he has experienced shortness of breath and, in general, has been having difficulty breathing. A physical examination of the lungs revealed obstruction in the passage of air. The patient’s breath was fetid (bad smelling, stinking), and he admitted to severe coughing spells in recent days. Identify the diagnosis ________________________________________________________________________

70.This is the first admission for this 55-year-old white male. He appears in general good health. For the past two weeks he has experienced dysphagia, an occasional hemoptysis. Four days ago, he had a severe asthmatic attack relieved only after receiving Adrenalin. X-rays show a carcinoma of the bronchus. Name the diagnosis.____________________________________________________________________

71. A 52-year-old male has experienced a marked loss of weight during the past month. He denies loss of appetite but on occasion has coughed up blood. He denies a history of ulcers or any previous history of internal hemorrhaging. What are the symptoms contained in the above description? Give appropriate medical terminology. ____________________________________________________________________________
72. A 35-year-old male has experienced hoarseness for more than four months. He has found it increasingly difficult and painful to swallow. In the past week, he began having breathing difficulties (dyspnea). About three months ago, he experienced some dizziness, and he fainted during once of these episodes. However, these spells have not occurred for the past two months. Identify the symptoms that might be recorded in the medical record _________________________________________________________________________
73. A 58-year-old man noticed the development of dry, scaly patches on the back of his hand. On two or three occasions within the past month, he rubbed off portions of this scaly layer and bleeding occurred. Eventually, this condition was diagnosed as basal cell carcinoma. What is the significant symptom? ________________________________________________________
74. A variety of diseases, including bladder or prostatic cancer, may produce urinary symptoms. Such difficulties include: Give the proper medical terminology for these definitions

a weak or interrupted flow of urine ___________________________________
the need to urinate often ___________________________________________
inability to or difficulty in urinating ____________________________________
blood in the urine _________________________________________________
painful or burning urination _________________________________________
75. A 20-year-old, obese female has stopped menstruating (amenorrhea) and has gained 30 pounds during the past six months. Her hair distribution has begun to acquire the characteristics of those of a male. How would you describe these symptoms? Identify appropriate symptoms ___________________________________________________________________________

76. A patient was found to have a digestive system disorder resulting in the body’s not being able to obtain nutritional value from ordinary food. If this condition existed for too long a time, it could lead to a condition known as ___________________________________________________________________________
77. As part of a physical examination, the examining physician notes the ability of the patient to move his or her limbs, the ability to feel, and the ability to speak, remember, see, and hear in a normal fashion. The absence or malfunction of these abilities can be associated with nervous or neurological disorders. Loss of the ability to move parts of the body or to receive sensations will be noted. In many of these instances, the record will state that there seems to be some type of paralysis associated with the cranial nerves, the spinal nerves, or some condition of the brain tissues. Find proper medical terms to describe the condition. ____________________________________________________________________________
78. List two sources within a medical record where the information about present or recent illnesses is most likely to be found. ___________________________________________________________________________
79. In the SOAP chart, which section and where would you find the test and procedures that were completed in the past? _______________________________________________________________________
80. Identify the small intestine; list the anatomy, and physiology within the small intestine along with each of their functions

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Staff Training and Data Compliance

RUBRIC QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points:  Student failed to submit the final paper. 20 points out of 50:  The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50:  The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately.  Elements of the required response may also be lacking. 40 points out of 50:  The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples.  The answer is complete. 50 points:  The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples.  No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points:  Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points:  Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points:  References to scholarly sources are occasionally given; many statements seem unsubstantiated.  Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points:  Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented.  APA 6th Edition is used with only a few minor errors.  There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points:  Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented.  APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points:  Student failed to submit the final paper. 5 points out of 20:  The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors  10 points out 20:  The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20:  The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points:  The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points:  Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements.  The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper.
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