Healthcare Policy HIPAA & Protecting Health Information Essay

Healthcare Policy HIPAA & Protecting Health Information Essay

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Physician Profile Chapter 14 Case – Physician Profile Start Assignment Due Tuesday by 11:59pm Points 10 Available after May 10 at 12am Submitting a file upload Complete the Case Study for Chapter 14 on page 297-298. Using the physician profile form on page 297 and using the physician index summary in your text on pages 286-296 complete the utilization and outcome sections of the physician profile form. Take a photo of this page out of your textbook or recreate the profile using the document below, and upload it as part of your answer to this case study or use the reproduced copy below and upload it. In addition to the physician profile, be sure to answer the case study questions on page 298 regarding Dr. Doe. Blank physician profile form for chapter 14 case study Healthcare Policy HIPAA & Protecting Health Information Essay

(https://weber.instructure.com/courses/530842/files/100295563/download?download_frd=1) Additional instructions are below: Utilization Admissions represent the total number of patients in the physician index summary (Figure 14.5). To arrive at patient days, length of stay (LOS) for all patients must be added (from Figure 14.5). Deliveries include all patients who delivered babies – to deteremine this look for the diagnosis code Z370). The number of procedures is the total of all procedures listed in the physician index summary. V-BACs (vaginal births after a previous Cesarean section delivery) are determined by the presence of the ICD-10-CM diagnosis code O3421 in the final diagnosis column and the comparison of that to the performance of another Cesarean section ICD-10-PCS code 10D00Z1. If a Cesarean section, 10D00Z1, is not performed, then the patient would be included in this number. Whether blood was administered cannot be determined from the information in the physician index summary. The blood usage record would have to be accessed to complete this data element. Outcomes To determine the Cesarean section rate, one must count all ICD-10-PCS procedure codes of 10D00Z1 and divide the result by the total number of deliveries for the period. (The codes showing a delivery has occurred would be 10E0XZZ and 10D00Z1.) https://weber.instructure.com/courses/530842/assignments/4837161?return_to=https%3A%2F%2Fweber.instructure.com%2Fcalendar%23view_name%3Dmonth%26… 1/2 7/12/2021 Chapter 14 Case – Physician Profile The hospital-acquired infection rate can only be determined by consulting the infection committee reports. You can enter N/A on the profile sheet as you do not have this information available to you. Infection committee reports must also be consulted to determine the surgical infection rate. You can enter N/A on the profile sheet as you do not have this information available to you. One computes the mortality rate by examining the discharge status for any patients who expired during hospitalization. Case Study Chapter 14 Criteria Ratings Pts How did Dr. Doe perform compared to the rest of the service? 2 pts Should Dr. Doe be reappointed to the medical staff? Why or why not? 2 pts Physician Profile 6 pts Total Points: 10 https://weber.instructure.com/courses/530842/assignments/4837161?return_to=https%3A%2F%2Fweber.instructure.com%2Fcalendar%23view_name%3Dmonth%26… 2/2 Parlene Age LOS Dischango Final Status Diagnosis 023593 Pinal Procedure Procedur. Text N739 0691XXO 2370 39 Home 06981XO 10EOXZZ Delivery of products of conception, external approach 010013 Dlagnosis Text Infection of other part of genital tract in pregnancy, third trimester Female pelvic inflammatory disease, unspecified Labor and delivery complicated by cord around neck, with compression, not applicable or unspecified Single live birth Labor and delivery complicated by cord around neck, without compression, not applicable or unspecified Pre-existing essential hypertension complicating pregnancy, third trimester Single live birth Essential (primary) hypertension Abnormal glucose complicating pregnancy Single live birth First-degree perineal laceration during delivery Z370 cs Scanned with ; anScanner 110 3+ 2 Home 099810 10EOXZZ Z370 OHQ9XZZ 0700 10907ZC Delivery of products of conception, external approach Repair perineum skin, external approach Drainage of amniotic fluid, therapeutic from products of conception, via natural or artificial opening Delivery of products of conception, external approach Division of female perineum, external approach Resection of uterus, open approach 20) 1 Home 080 10EOXZZ Z370 OW8NXZZ 35 3 Home 00889 OUTSOZZ N9489 OUTCOZZ Resection of cervix, open approach Encounter for full-term uncomplicated delivery Single live birth Other complications following an ectopic and molar pregnancy Other specified conditions associated with female genital organs and menstrual cycle Major depressive disorder, single episode, unspecified Excessive and frequent menstration with regular cycle Subserosal leiomyoma of uterus Intramural leiomyoma of the uterus Nausea with vomiting, unspecified Intramural leiomyoma of the uterus F329 N920 Steps to Success: Healthcare Policy HIPAA & Protecting Health Information Essay

Developing Staff and Human Resources 287 D252 D251 R112 48 3 Home D251 OUTSOZZ Resection of uterus, open approach OUTCOZZ Resection of cervix, open approach Resection of bilateral ovaries, open approach K8018 OUT2OZZ Calculus of gallbladder with other cholecystitis without obstruction OUT7OZZ Resection of bilateral fallopian tubes, open approach Blank Physician Profile Form for Chapter 14 Case Study COMMUNITY HOSPITAL OF THE WEST PROVIDER PERFORMANCE REVIEW SUMMARY FOR REAPPOINTMENT PROVIDER Profile Time Frame: SERVICE From: CATEGORY To: UTILIZATION: Discharges Procedures Patient Days Pts with prev C-Sections Deliveries VBACs C-Sections Blood Given OUTCOMES: Category # % Comments: C-Section Rate VBAC Rate Hospital-acquired inf Rate Surgical Wound Inf Rate Mortality Rate PERFORMANCE REVIEW: Category # Reviewed # Appropriate/% Comments: Surgical/Inv/Noninvasive Procedures 6 5/83.3% Medication Use 10 8/80% Blood Use 2 2/100% Utilization Management 18 18/100% Other Peer Review N/A DATA QUALITY: Data Quality Monitoring Comments: Delinquency (>21 days) 2 8.0% Suspensions 1 1.00% RISK/SAFETY MANAGEMENT: Incidents reported by other Comments: professionals or Administration 0 N/A Litigation 0 N/A MEETING ATTENDANCE: Medical Staff Meetings 4 100% Comments: Committee Meetings 10 80% For Completion by Service Chair or Credentials Committee Chair YES NO Comments: CATEGORY V V Has the applicant been considered for or subject to disciplinary action since last reappointment? Have the applicant’s privileges or staff appointment been suspended, revoked, or diminished in any way, either voluntary or involuntary, since last reappointment? Are there any currently pending challenges to any lincensure or registration or the voluntary relinquishment of such? Are there any physical or behavioral conditions or limitations? Has the applicant exhibited satisfactory professional performance? V v APPROVED? YES NO SIGNATURE DATE APPROVALS: REVIEWER Service Chair Credentials Chair Figure 14.5.

Physician index summary for Dr. Doe CS Scanned with Cam Scanner 286 Chapter 14 Developing Staff and Human Resources 27 Patient Discharge Final Final Age LOS Status Diagnosis Diagnosis Text Procedure Procedure Text 52 3 Home N920 Excessive and frequent menstration with regular cycle OUTSOZZ Resection of uterus, open approach 1428 Other cardiomyopathies OUTCOZZ Resection of cervix, open approach 110 Essential (primary) hypertension OUT2OZZ Resection of bilateral ovaries, open approach E119 Type 2 diabetes mellitus without complication OUTZOZZ Resection of bilateral fallopian tubes, open approach D251 Intramural leiomyoma of the uterus 29 4 Home 0334XXO Maternal care for disproportion of mixed maternal and 10DOOZ1 Extraction of products of conception, low cervical, open fetal origin, not applicable or unspecified approach 0621 Secondary uterine Inertia OU7C7ZZ Dilation of cervix, via natural or artificial opening 0411030 Infection of amniotic sac and membranes, unspecified, 10907ZC Drainage of amniotic fluid, therapeutic from products of third trimester, not applicable or unspecified conception, via natural or artificial opening 0481 Prolonged pregnancy 2370 Single live birth 2 Home 03421 Maternal care for scar from previous cesarean delivery OW8NXZZ Division of female perineum, external approach Z370 Single live birth 10EOXZZ Delivery of products of conception, extemal approach 10907ZC Drainage of amniotic fluid, therapeutic from products of conception, via natural or artificial opening OUSGOZZ Reposition vagina, open approach 4 Prolapse of vaginal vault after hysterectomy Home N993 ODNGOZZ Other postprocedural complications and disorders of Release left large intestine, open approach N9989 the genitourinary system N390 Urinary tract infection, site not specified Other postprocedural complications and disorders of J9589 respiratory system, not elsewhere classified J9811 Atelectasis N3941 Urge incontinence Other surgical procedures as the cause of abnormal Y838 reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure Essential (primary) hypertension 110 Postprocedural pelvic peritoneal adhesions N994 Extraction of products of conception, low cervical, open Maternal care for breech presentation, not applicable or 10DOOZ1 approach 0321XXO 4 Healthcare Policy HIPAA & Protecting Health Information Essay

Home unspecified 79 25 Pacienr Age LOS Discharge Status Final Diagnosis D7589 Final Procedure Diagnosis Text Other specified diseases of blood and blood-forming organs Procedure Text R21 Z370 Z302 28 1 Home 06981XO Rash and other nonspecific skin eruption Single live birth Encounter for sterilization Labor and delivery complicated by cord around neck, without compression, not applicable or unspecified Pyrexia during labor, not elsewhere classified OW8NXZZ 0752 Division of female perineum, external approach 3E033VJ Scanned when can Z370 Single live birth 10903ZC 22 2 Home 06981XO 10907ZC Introduction of other hormone into peripheral vein, percutaneous approach Drainage of amniotic fluid, therapeutic from products of conception, percutaneous approach Drainage of amniotic fluid, therapeutic from products of conception, via natural or artificial opening Delivery of products of conception, external approach Repair perineum subcutaneous tissue and fascia, open approach Labor and delivery complicated by cord around neck, without compression, not applicable or unspecified Pyrexia during labor, not elsewhere classified Second-degree perineal laceration during delivery 0752 10EOXZZ 0701 OJQBOZZ 2370 42 2 Home 009523 OU7C7ZZ Z370 Single live birth Supervision of elderly multigravida, third trimester Single live birth Second-degree perineal laceration during delivery 10EOXZZ 0701 OJQBOZZ 67 3

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Home N950 OUTSOZZ M316 Dilation of cervix, via natural or artificial opening Delivery of products of conception, external approach Repair perineum subcutaneous tissue and fascia, open approach Resection of uterus, open approach Resection of cervix, open approach Resection of bilateral ovaries, open approach Resection of bilateral fallopian tubes, open approach Release large intestine, ope approach OUTCOZZ E860 OUT2OZZ D251 Steps to Success: Developing Staff and Human Resources 285 OUTZOZZ N840 ODNEOZZ Postmenopausal bleeding Other giant cell arteritis Dehydration Intramural leiomyoma of the uterus Polyp of corpus uteri Postprocedural pelvic peritoneal adhesions Personal history of venous thrombosis and embolism Unspecified asthma, uncomplicated Excessive bleeding in the premenopausal period Iron deficiency anemia secondary to blood loss (chronic) Intramural lelomyoma of the uterus N994 Z8671 J45909 51 3 Home N924 OUTSOZZ D500 OUTCOZZ Resection of uterus, open approach Resection of cervix, open approach Resection of bilateral ovaries, open approach D251 OUT2OZZ Healthcare Policy HIPAA & Protecting Health Information Essay