Portfolio Practicum Objectives Sample
Week 8: Portfolio Practicum Objectives
For complete details on the Portfolio, please refer to the ‘Preliminary Report, Portfolio, Practicum Objectives and Presentation’ module under Introductions and Resources.
Please upload a copy of your Portfolio to both the ‘Portfolio Practicum Objectives’ and ‘Portfolio’ Assignments.
This grade will be based upon your Practicum Objectives. See rubric for details.
Portfolio Practicum Objectives Example
Practicum Objective 1
Identify facility standards regarding healthcare documentation.
Northeast Alabama Regional Medical Centre has created guidelines for recording patient encounters in primary care settings. Maintaining up-to-date, comprehensive, and well-organized records is essential for ensuring smooth communication, coordination, and continuity of care(American Psychiatric Association 2017). The medical record’s privacy, accessibility, and needed information are all addressed in the guidelines. Northeast Alabama Regional medical center mandates secure medical record keeping to protect the privacy of its members. Access to records should be restricted to those who need it while yet being simple for users. Furthermore, employees are anticipated to undergo education on member privacy. As part of our Quality Improvement Program, we will ensure that the new guidelines are followed.
The outpatient department is typically linked with the inpatient services and is staffed by consultant doctors and surgeons. This makes the outpatient department an essential component of the hospital. It is situated on the bottom level of the medical center, close to the parking garage, and it provides wheelchairs and stretchers for patients who are unable to walk independently. Patients and their families can access various amenities, including restrooms, public telephones, coffee or snack bar, water dispensers, gift shops, florists, and quiet rooms. This multitasking in the department has done the work in the department more, and insufficient workers may cause overworking of the nurses. In my practicum, the department has more workers, which do help the inpatient department to perform its duties.
Practicum Objective 2:
Perform ten chart audits and identify all deficiencies.
Chart Audit Tool (Sample)
Instructions: You may use this as a chart audit tool for P.O. #2. Update based on your facility’s documentation requirements.
Practicum Objective 3
Perform an analysis of one predetermined data element.
The number of errors found:
Email not transferred 1
3
8
Marital status not selected 3
1
Missing/ incorrect address information 4
4
Sex not selected
1
5
Insurance information not entered
Patient release of information contacts did not enter 49
During the process of revising the patient’s medical records, the information was discovered. As a result, throughout the auditing process, my practicum was required to conduct follow-up interviews with the patients whose medical records were incomplete to collect the necessary information to ensure patient safety.
When I was performing my data analysis at my workplace, I had to make sure that I adhered to The medical record’s privacy, accessibility, and that needed information, are adequately handled as mentioned in the standards. The data analysis for my data transfer project was documented over five practicum days(American Psychiatric Association 2017). I was looking at the patient data on the very first day, and according to the patient records that I acquired, it was found that the number of patients kept on growing from one day to the next; this gave rise to the possibility that there was an epidemic of a particular disease in the community.
My internship required that we provide specific recommendations that should be carried out. It was clear from the activity log for the previous five days at the office that thirteen patients who had been to the hospital had not reported their visits, and their emails had not been forwarded to the appropriate division so that insurance bill revisions could be made.83 of the patients who had been seen at the practicum did not provide information on their marital status.
Because of this, they could not receive payment for their outstanding medical expenses.
Practicum Objective 4
Practicum Objective 5:
Perform a summary of data entry
Data entry is a subset of clerical work that entails entering information into computers by any means necessary, including but not limited to typing and voice recording. Our organization is well equipped with modern electronic computers and experts who are also nurses record all the patient’s details. As I stated earlier, our documentation is kept intact to ensure they are provided whenever asked. Data governance (D.G.) ensures that data in enterprise systems is available, usable, correct, and safe. Effective data governance ensures that data is always the same, can be trusted, and is not used in destructive ways.
A well-made data governance program usually has a governance team, a steering committee, and a group of data stewards. Good data governance helps ensure that data in different systems is consistent, which can affect how well B.I., enterprise reporting, and analytics applications work. During my work time in the practicum, it took me approximately 10 minutes to go through the data and understand it better, which made me come up with straightforward suggestions to improve the training.
Practicum objective 6.
A Performed an evaluation on facility documentation compliance. Creating the patient in T.N. set up an account with additional interface tabs for me to add more knowledge on transferring this data from one entry to another. The transfer of EHR data was a perfect project for me as I could analyze data well. I used EHP to determine who needed help and developed a “video visit technical risk score(American Psychiatric Association 2017). I started a pilot project at three outpatient offices to see how well the rating system worked. Patients whose scores showed they could use help got three text texts before their planned virtual visit. Some of the patients could understand the technology better because of the test, and the health system staff could improve their processes for enrolling patients in a telehealth program because of it. Researchers suggested making things that would help patients when they went on instead of before they did.
Insurance information came next. Specific plans were set up with billing code numbers.
The billing process might need to be clarified, but Northeast Alabama Regional Medical Centre has materials to assist parents and guardians in understanding it. Learn about the insurance policies accepted by the facility, the cost of care, how to apply for and get financial aid, and how patients could settle their accounts in this area. Some health insurance companies need patients to provide their medical records with a reference or permission before providing coverage which I had to attach for my patients. Parents may need to submit paperwork before or bring it with them to their child’s checkup. I assisted Patients, and their families who needed help paying for medical care can get it, and there are also options for interest-free payments. I also worked closely with them to make sure that I made detailed breakdowns for patients who made their payments online and updated their payment records.
UNITED HEALTH ORGANIZATION FRAUD, ABUSE AND WASTE POLICY MANUAL
Reason for Policy
United Health Organization (UHO) is committed to an environment fostering integrity and trust for our patients, partners and the whole community. It was recognized that since 1997, the Health Care Fraud and Abuse Control Program (HCFAC) has been at the forefront of the fight against healthcare fraud, waste, and abuse.
Policy Statement
It was realized that in F.Y. 2016, the government recovered over $3.3 billion from healthcare fraud judgments, settlements, and other administrative impositions. The Medicare Fraud Strike Force has charged over 3,018 people with more than $10.8 billion in fraud, resulting in a nationwide healthcare fraud takedown.
Coding Resources.
These resources help Northeast Alabama Regional Medical Centre academics, staff, and students find internal and external resources and policies and preserve the Northeast Alabama Regional medical center brand. They include branding and name requests, conflict of interest, email signatures, institutional review boards, Digital Signage Messaging System, IROC,
Overview Presentations, Video Services, Full-Time Faculty Gold Book, Part-Time Faculty Blue
Book, Copyright Compliance Policy, Photography and Film Rights, Use of Name & Visual Brand Guidelines, CPN, Solicitation and Distribution Policy, Policy on Industry Interaction, and Writing and Style Guidelines.
Scope
This policy covers all Regional Medical Centre product lines, including Priority Partners
MCO, Employer Health Programs, U.S. Family Health Plan, Regional Medical Centre Elder Plus, and Regional center Health Advantage, Inc.’s Medicare Advantage and other commercial insurance plans. Northeast Alabama Regional medical center plan providers, subscribers, beneficiaries, members, staff, and subcontractors can report fraud and abuse.
Definitions
Fraud and abuse occur when someone intentionally deceives or misrepresents to get an illegal benefit. False claims include billing for operations not performed, violation of another law, fabricating medical record information, medically unnecessary services, non-covered services, and inappropriate quality of service. Employees of the United Health Organization will not engage in any actions which would result in fraud, abuse, or waste. The Health Insurance
Portability and Accountability Act of 1996 mandates that the Attorney General and Secretary of Health and Human Services create a Health Care Fraud and Abuse Control Program to coordinate Federal, State, and local law enforcement programs, carry out audits, evaluations, and inspections, make it easier to enforce civil, criminal, and administrative laws, and offer industry guidance.
Term Definition Abuse It is an action that goes against accepted good financial, business,
or medical practices and leads to an unnecessary cost or payment for services that aren’t medically necessary or don’t meet the
standards for health care set by professionals.
Fraud Wrongdoing or breaking the law to make money or get something
else.
OIG Office of inspector general Unbundling Unbundling means using different CPT codes for other parts of a
process, either because of a mistake or to get paid more.
Upcoding Upcoding” happens when a health care provider sends Medicare,
Medicaid, or private insurer’s codes for more important (and more expensive) diagnoses or treatments than the provider
actually made or did.
Waste Microorganisms that can cause illness can be found in healthcare
waste. These microorganisms can infect medical patients, health workers, and the general public.
Practicum Objective 7
Perform and Recommend one health information system.
An implication made to me was that the old EHR system did not have cloud back, so a means to replace it was to be implemented. Patients’ Records were to be recorded manually due to the electronic system’s failure, and some patients’ records needed to be more literate; hence, it was a disadvantage for them to use the electronic system.
Upon reviewing different system options available for behavioral health providers, I finally came up with a decision that Northeast Alabama Regional Medical Centre needed to come up with a Prescription monitoring program was which required in I.L. Prescription drug monitoring programs (PDMPs) are promising state-level treatments for opioid prescribing, clinical practice, and patient safety. This system has an electronic database that tracks prohibited substance prescriptions in a state and can give timely information regarding prescribing and patient actions that contribute to the pandemic(American Psychiatric Association ,2001). They are universal and require clinicians to consult a form of PDMP before prescribing prohibited medications in certain instances. State health authorities employ PDMPs to analyze the pandemic, inform and assess initiatives, and provide “proactive” reports to authorized users to safeguard high-risk patients and identify inappropriate prescribing trends. States have made PDMPs easier to use and access, and state-level evaluation can help identify and apply good practices.
Lab integration with ICANotes is primarily set up with their specific organizations, but the ICANotes software program is for mental health clinics that allow for simple, one-click narrative charting(American Psychiatric Association ,2017). It is hosted in the cloud and works well for primary mental health facilities. Fast, narrative, and patient-specific are the hallmarks of ICANotes clinical notes. Each generated message can be automatically coded to its highest possible E/M service code that can be reimbursed.
In my practicum, we decided to use lab integration to improve the patient information about laboratory testing and procedures. Laboratory information systems are used in hematology, chemistry, immunology, microbiology, toxicology, public health, and other laboratory areas to organize the workflow and quality control of inpatient and outpatient medical tests. During a provider visit, the laboratory information system will record, store, and update clinical details about a patient at Northeast Alabama Regional Medical Centre.
Practicum Objective 8:
Identify a problem and provide a technology solution
The office contains prescription pads and susceptible-natured papered patient records,
which were recorded and kept openly, something which turned me off. From the exposure, it was noticed that whenever a patient visited the office, it could take some time to trace their record, and this issue was to be addressed with immediate effects. There were also long queues resulting from a delay in the search for patient documents, and I came up with an electronic recording of patients through a database.
My recommendation for a security system is to start with improved locks throughout. Keep an eye on system access.
Healthcare providers should track who has access to their systems and use two-factor authentication for all patient web accounts to reduce the risk of security breaches. This can be done by putting policies in place in their area, such as policies to ensure that everyone who uses the system is allowed to be there. Additionally, healthcare providers should use customer portals to give patients access to their health information from anywhere, which can be a security risk for those who want to get in from the outside. Two-factor authentication is a great way to reduce this risk and make the back end more secure.
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Signed Activity LogStudents are required to spend a minimum of 80 hours at their practicum site during the current term/semester. The CO Activity Log must be completed in its entirety and
demonstrate specific practicum activities related to the course COs.
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This verifies that the above activities are accurate and reflect actual time spent at the practicum conducting HIM activities. The onsite practicum director has discussed this evaluation with the student. Actual signatures are required to validate above.
Student
Signature
Practicum
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Director Signature
References
American Psychiatric Association. (2017, May). Resource Document on Psychotherapy Notes
Provision of the Health Insurance Portability and Accountability Act (HIPAA) Privacy
Rule. Retrieved from https://www.psychiatry.org/File%20Library/Psychiatrists/Directories/Library-andArchive/resource_documents/rd2002_PsychotherapyNotesHIPAA.pdf
Department of Health and Human Services Office for Civil Rights. (N.D.). HIPAA Privacy Rule and Sharing Information Related to Mental Health. Retrieved from HHS.gov: https://www.hhs.gov/sites/default/files/hipaa-privacy-rule-and-sharing-info-relatedtomental-health.pdf
National Council for Behavioral Health. (N.D.). Behavioral Health I.T.: the Foundation for Coordinated Care. Retrieved from https://www.thenationalcouncil.org/topics/behavioralhealth-information-technology/