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.
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
