AUDIOCONFERENCE ON CD OR AUDIO ON-DEMAND
Sponsored by Medical Records Briefing
presented on May 13, 2008
Many hospitals struggle to obtain timely H&Ps because physicians either don’t understand the requirement or need constant reminders. Don’t struggle, solve the problem. Here’s a solution.
What constitutes “timely” when it comes to recording a patient’s history and physical (H&P) into the medical chart? CMS and The Joint Commission both stand by a 24-hour deadline for an H&P. But just what has to happen before that 24-hour window closes? That’s the matter of debate among HIM professionals and physicians.
The rule is clear: the 24-hour window represents the full time allotted to get the H&P on the chart. This means the physician must dictate the H&P, send it to the transcriptionist, who must transcribe the file and insert it in the chart—all of this must happen within 24 hours after the patient is admitted.
Attend this 90-minute audioconference and our speakers will arm you with the information you need to get buy-in from medial staff and administrative leadership, and their commitment to push physicians to meet the 24-hour requirement.
This audioconference features a case study from Brownwood Regional Medical Center in Brownwood, TX. The HIM team developed a strategy that significantly reduced delinquent H&Ps. Their monitoring and tracking system keeps the rate of compliance consistently above 99%.
Learn their system—and what you need to do to put it in place at your hospital.
TAKE A LOOK AT THE AGENDA
- Documentation and timeline requirements for the history and physical (H&P)
- Joint Commission requirements
- CMS Conditions of Participation, including a discussion of the newly revised interpretative guidelines
- Documentation and timeline requirements for updating the H&P
- Case study: Strategies to reduce the delinquent H&P rate Brownwood Regional Medical Center, Brownwood, TX
- Obtain administrative buy-in
- Track delinquent H&Ps
- Follow up with physicians
- Monitor H&Ps on a concurrent basis
- Overcome hurdles
- Educate physicians about the importance of timely H&Ps
- Establish ramifications for untimely H&Ps
- Additional strategies to ensure timely H&Ps
- Templates
- Proactive planning: Change bylaws (e.g., linking timely H&Ps to the reappointment process) to enforce regulations
A question and answer sessions follows the presentation
LEARNING OBJECTIVES
At the conclusion of this audioconference, you will be able to:
- Explain CMS’ and the Joint Commission’s documentation and timeline requirements for H&Ps
- Formulate ideas on how to decrease your delinquent H&Ps
- Discuss suggestions for reviewing your bylaws to identify ideas on which you can capitalize to enforce regulations
- Describe how to use these strategies to apply the process to various types of delinquency and compliance issues for the entire medical record (e.g., operative reports)
MEET THE SPEAKERS
Jean S. Clark, RHIA, is the service line director for health information management at Roper St. Francis Healthcare in Charleston, SC. She is the contributing editor to
Medical Record Briefings and author of
Information Management: The Compliance Guide to JCAHO Standards, Fifth Edition and
Ongoing Records Review: A Guide to JCAHO Compliance and Best Practice,Fourth Edition, all from HCPro. She is a past president of the American Health Information Management Association (AHIMA) and AHIMA's 2000 Distinguished Member, and past president of the International Federation of Health Records Organizations (IFHRO).
Wanda Davis, is the director of HIM and privacy officer at Brownwood Regional Medical Center, Brownwood, TX, and has more than 14 years exprience in the HIM industry.
Judy Martin, CPMSM, works in physician services at Brownwood RegionalMedical Center and has more than 30 years of experience in the HIM industry, including as a medical transcriptionst, coder, utilization manager, quality manager, and Joint Commission coordinator.
CONTINUING EDUCATION CREDITS
This program has been approved for 2 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA)
BONUS MATERIAL INCLUDED IN YOUR MATERIAL PACKET!
- In addition to the expertise and advice presented during this audioconference, you'll also receive An article from Medical Records Briefing that outlines Brownwood Regional Memorial Center’s process to reduce delinquent H&Ps
- A copy or link to the revised interpretative guidelines from CMS
These materials are provided with PDF links.
WHO SHOULD LISTEN?
HIM directors, managers, and staff; directors of quality improvement, physician liaisons, medical directors and medical staff coordinators, clinical documentation specialists, case managers and nursing managers, and Joint Commission survey coordinators.
AUDIO ON-DEMAND
In addition to the regular purchase option for HCPro audioconferences, we are pleased to offer another option, an audio on-demand. Audio on-demand allows you to download the program and play it back at your convenience through your computer or MP3 player. Purchase a CD or audio on-demand of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.
Save money when you purchase multiple copies! Ask your customer service representative about money-saving
discounts and bulk orders. Call toll free 800-650-6787 or e-mail
customerservice@hcpro.com.
