Describe health information functions performed at this organization such as patient registration, master patient index, quality checks.Describe users of the health information and health information management functions at this organization.
Internal users, such as physicians, nurses, administrators, coders, support services, therapists, pharmacists, etc.)
External users depending on the type of the facility, such as accrediting agencies, payors, state department of health, CMS, and others as applicable.
Patients – do they access health information through a patient portal.
Explain whether this facility has paper medical records only, electronic only, or both/hybrid.
Describe how users access these records (in whatever format).
Describe health information functions performed at this organization such as patient registration, master patient index, quality checks, record filing, scanning, retrieval coding, billing, record storage, release of information, dictation, claims processing, health information transmission, registries, data abstraction, auditing, data transfer, patient education on using the patient portal, etc. (Note that not all of these functions may apply depending on the type of organization. You need to figure out as much as you can which ones apply and clarify that in your writing.)
Identify any health information functions that may be outsourced and performed by another company or vendor. If possible, obtain the name of that company.
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