Proper documentation is an important issue and area of concern to the health information management (HIM) professional. Quality of care, patient safety, and regulatory compliance are major focal points for all healthcare organizations. HIM professionals serve as subject matter experts to ensure that clinical practices meet the requirements of external regulatory agencies as well as internal stakeholders. HIM professionals can share their expertise by collecting and analyzing financial and clinical data that relate to the pharmacy department. The goal is for HIM professionals to be familiar with how pharmaceuticals affect reimbursement and with related standards surrounding pharmacy best practices.
SCENARIO You are the HIM director of Felder Community Hospital and have been asked by the hospital CEO and CIO to create a presentation for a meeting with the board of directors. A new electronic health record (EHR) is being implemented in a staged manner at the hospital, and you will be explaining the advantages and disadvantages of implementing a medication reconciliation component into the EHR.
A. Create a multimedia presentation (e.g., Microsoft PowerPoint, Apple Keynote), that includes presenter notes, about the medication reconciliation application of an EHR for the board of directors. Include the following in your presentation:
1. Explain the features of a medication reconciliation application as a selling point for the EHR.
2. Describe how the medication reconciliation function could be used to improve healthcare delivery as a selling point for the EHR.
3. Describe how the medication reconciliation function could improve patient safety as a selling point for the EHR.
4. Describe how the medication reconciliation function could improve regulatory compliance with CMS quality measures or Joint Commission standards as a selling point for the EHR.
5. Explain how the medication reconciliation application could be implemented.
B. Within the multimedia presentation, explain the ethical and legal issues for the use of medication reconciliation applications by doing the following:
1. Discuss ethical or legal issues as they pertain to clinical end users of a medication reconciliation application.
2. Propose two ethical guidelines for clinical end users of the medication reconciliation application at Felder Community Hospital, including the purpose of each ethical guideline.
3. Describe consequences that should be enforced at Felder Community Hospital for violating ethical or legal guidelines regarding the use of a medication reconciliation application, including why the consequences should be enforced.
C. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.
D. Demonstrate professional communication in the content and presentation of your submission.
RUBRIC
A:MULTIMEDIA PRESENTATION
NOT EVIDENT
A multimedia presentation about the medication reconciliation application of an EHR is not provided.
APPROACHING COMPETENCE
A multimedia presentation about the medication reconciliation application of an EHR is provided, but it is missing presenter notes.
COMPETENT
The multimedia presentation about the medication reconciliation application of an EHR includes presenter notes.
A1:FEATURES
NOT EVIDENT
An explanation of the features of a medication reconciliation application is not provided.
APPROACHING COMPETENCE
The explanation of the features of a medication reconciliation application as a selling point for the EHR is not accurate.
COMPETENT
The explanation of the features of a medication reconciliation application as a selling point for the EHR is accurate.
A2:MEDICATION RECONCILIATION
NOT EVIDENT
A description of how a medication reconciliation function could improve healthcare delivery is not provided.
APPROACHING COMPETENCE
The description of how a medication reconciliation function could be used to improve healthcare delivery as a selling point for the EHR is not logical.
COMPETENT
The description of how a medication reconciliation function could be used to improve healthcare delivery as a selling point for the EHR is logical.
A3:PATIENT SAFETY
NOT EVIDENT
A description of how a medication reconciliation function could improve patient safety is not provided.
APPROACHING COMPETENCE
The description of how a medication reconciliation function could be used to improve patient safety as a selling point for the EHR is not logical.
COMPETENT
The description of how a medication reconciliation function could be used to improve patient safety as a selling point for the EHR is logical.
A4:COMPLIANCE
NOT EVIDENT
A description of how a medication reconciliation function could be used to improve compliance with CMS quality measures or Joint Commission standards is not provided.
APPROACHING COMPETENCE
The description of how a medication reconciliation function could be used to improve compliance with CMS quality measures or Joint Commission standards as a selling point for the EHR is not logical.
COMPETENT
The description of how a medication reconciliation function could be used to improve compliance with CMS quality measures or Joint Commission standards as a selling point for the EHR is logical.
A5:IMPLEMENTATION
NOT EVIDENT
An explanation of how the medication reconciliation application could be implemented is not provided.
APPROACHING COMPETENCE
The explanation of how the medication reconciliation application could be implemented into the EHR is not logical.
COMPETENT
The explanation of how the medication reconciliation function application could be implemented into the EHR is logical.
B1:ETHICAL AND LEGAL ISSUES
NOT EVIDENT
A discussion of issues pertaining to a medication reconciliation application is not provided.
APPROACHING COMPETENCE
The discussion does not accurately address ethical or legal issues as they pertain to clinical end users of a medication reconciliation application.
COMPETENT
The discussion accurately addresses ethical or legal issues as they pertain to clinical end users of a medication reconciliation application.
B2:ETHICAL GUIDELINES
NOT EVIDENT
A proposal of 2 ethical guidelines is not provided.
APPROACHING COMPETENCE
The proposal of 2 ethical guidelines that must be followed by clinical end users of the medication reconciliation application at Felder Community Hospital is not logical, or the proposal does not include the purpose of each guideline.
COMPETENT
The proposal addresses 2 logical ethical guidelines that must be followed by clinical end users of the medication reconciliation application at Felder Community Hospital and includes the purpose of each ethical guideline.
B3:CONSEQUENCES
NOT EVIDENT
A description of consequences is not provided.
APPROACHING COMPETENCE
The submission does not describe plausible consequences that should be enforced for violating any of the ethical or legal guidelines of the medication reconciliation application at Felder Community Hospital, or the description does not address why the consequences should be enforced.
COMPETENT
The submission describes plausible consequences that should be enforced for violating any of the ethical or legal guidelines of the medication reconciliation application at Felder Community Hospital. The description addresses why the consequences should be enforced.
C:APA SOURCES
NOT EVIDENT
The submission does not include in-text citations and references according to APA style for content that is quoted, paraphrased, or summarized.
APPROACHING COMPETENCE
The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized but does not demonstrate a consistent application of APA style.
COMPETENT
The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized and demonstrates a consistent application of APA style.
D:PROFESSIONAL COMMUNICATION
NOT EVIDENT
Content is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic.
APPROACHING COMPETENCE
Content is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective.
COMPETENT
Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the learner. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding.
Describe how the medication reconciliation function could be used to improve healthcare delivery as a selling point for the ehr.
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