if i was the director of the health information department what should be included in a policy manuel? I was wondering if i could get some ideas, i am writing a paper and need some help. i don't know where to begin
Check these governmental health care information sites.
http://www.google.com/search?hl=en&ie=ISO-8859-1&q=+health+information+department+&btnG=Google+Search
As the director of the health information department, creating a comprehensive policy manual is essential for establishing clear guidelines and procedures. Here are some key elements you should consider including in your policy manual:
1. Introduction and purpose: Begin by providing an overview of the department's role and the purpose of the policy manual. Explain the importance of the manual and how it relates to the overall goals and objectives of the organization.
2. Organizational structure: Describe the hierarchy and reporting structure within the health information department. This section should outline the roles and responsibilities of various positions, including the director, managers, and staff members.
3. Policies and procedures: This is the core section of the manual, where you document all the policies and procedures specific to the department. Include policies related to information privacy, data security, release of information, medical records management, coding and billing practices, electronic health records (EHR) usage, and any relevant local or national regulations or standards.
4. Documentation standards: Cover the guidelines for maintaining accurate and complete medical records, including proper documentation practices, record retention policies, format standards, and documentation quality assurance processes.
5. Training and education: Outline the department's expectations regarding staff training and ongoing professional development. Include information about any mandatory certifications, continuing education requirements, and opportunities for staff to enhance their skills.
6. Quality assurance and compliance: Describe the department's strategies for ensuring quality and compliance with relevant laws, regulations, and industry standards. Include details about audits, internal controls, risk management, and your approach to monitoring and addressing non-compliance issues.
7. Technology and information systems: Detail the policies and procedures related to the use of technology and various information systems utilized in the department, including EHR platforms, health information exchange (HIE), data analytics, and any other relevant software or tools.
8. Communication protocols: Establish guidelines for effective communication both within the department and with other departments or external stakeholders. This should cover collaboration, meetings, reporting mechanisms, and communication channels.
9. Incident and problem resolution: Define how incidents or problems related to health information management should be reported, documented, and resolved. Include the process for addressing privacy breaches, data integrity issues, complaints, and any other relevant situations.
10. Appendices: Include any necessary forms, templates, or additional resources that support the policies and procedures outlined in the manual.
Remember that this is only a general guide, and the specific content of your policy manual may vary based on organizational requirements, local regulations, and the scope of your department. It's important to consult relevant stakeholders, such as legal and compliance teams, and ensure your policies align with industry best practices.