Health Records Management

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Health Records Management

Health Records Management

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Directions:  Answer in complete sentences, and be sure to use correct English, spelling and grammar. Sources must be cited in APA format. Your response should be four (4) double-spaced pages; refer to the “Assignment Format” page located on the Course Home page for specific format requirements.

A 30-year-old male is admitted to the hospital after an evaluation in the emergency room. After undergoing a series of blood tests and a kidney scan he is diagnosed with HIV/AIDS. After three days of receiving intravenous fluids and antibiotics, he is discharged home in fair condition.

The hospital uses electronic processes to retrieve and store patient records. If you were performing an analysis of this medical record, you would expect to find several documents and clinical evaluations. But before you do, you think about the application of The American Health Information Management Association (AHIMA) and its impact on documentation standards and how these types of cases may impact your career going forward. Explore the history of health information management (HIM) and the AHIMA organization and then answer the questions below.

1. Make note of the definition for HIM, and review AHIMA’s history, mission, and future predictions. Then, discuss documentation guidelines developed by AHIMA, and how they would apply to the scenario described above.

2. Describe how the recent and future technological changes in health records management has/will impact your chosen career path as a health care professional. You may use the AHIMA website as a resource (www.ahima.org).

Grading Rubric

Please refer to the rubric below for the grading criteria for this assignment.

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CATEGORYExemplarySatisfactoryUnsatisfactoryUnacceptable

15 points 12 points 8 points 5 points

Student provides a clear,

logical description of the

documentation guidelines

developed by AHIMA.

Student provides a mostly

clear, logical description of

the documentation

guidelines developed by

AHIMA.

Student provides a partially

clear, logical description of

the documentation

guidelines developed by

AHIMA.

Student provides a weak or

unclear description of the

documentation guidelines

developed by AHIMA.

30 points22 points15 points5 points

Student provides a clear,

logical description of how

the AHIMA documentation

guidelines would apply to

the scenario described in the

assignment.

Student provides a mostly

clear, logical description of

how the AHIMA

documentation guidelines

would apply to the scenario

described in the assignment.

Student provides a partially

clear, logical description of

how the AHIMA

documentation guidelines

would apply to the scenario

described in the

assignment.

Student provides a weak or

unclear description of how

the AHIMA documentation

guidelines would apply to

the scenario described in

the assignment.

30 points22 points15 points5 points

Student provides a clear,

logical description of how

recent and future

technological changes in

health records management

has/will impact his/her

chosen career path as a

health care professional.

Student provides a mostly

clear, logical description of

how recent and future

technological changes in

health records management

has/will impact his/her

chosen career path as a

health care professional.

Student provides a partially

clear, logical description of

how recent and future

technological changes in

health records management

has/will impact his/her

chosen career path as a

health care professional.

Student provides a weak or

unclear description of how

recent and future

technological changes in

health records

management has/will

impact his/her chosen

career path as a health care

professional.

10 points 8 points 5 points 2 points

Student makes no errors in

grammar or spelling that

distract the reader from the

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