practicum portfolio_hit272_spring_2015_cookdaryle.docx

The one thing I will remember and most of all is the generosity from the people when I started my Practicum Internship.

Student Evaluation of Practicum ExperienceDeVry University

Health Information Technology Practicum HIT272

Student Name: Daryle Cook Dates of Affiliation: 07/13/15

Facility: CASA PROMESA REHABILITATION AND NURSING CENTER Senior Administrator: Adriene Rosell Instructions:

This form is to be completed at the end of the practicum. This is an opportunity to evaluate the practicum experience and give valuable feedback to the practicum director as well as the university. You are to discuss the evaluation with the practicum director and it is to be signed by both you and the director.

Please make any constructive comments you feel necessary. The original should be placed in your class portfolio; a copy should be given to your instructor.

Please comment on your orientation to the facility and the department (note strengths and weaknesses).

Coming to Casa Promesa was the best thing could happen for me, there is no weaknesses because the strength comes from unity and hard work.______________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Were you given assignments that you felt were appropriate to this learning experience? (Offer an example, note any concerns)

Yes I were given knowledgeable information on Medical Records and complete many of tasks in the areas required._______________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Were the assignments given with clear, understandable and easy to follow instructions? (Note any concerns)

All assignments were clear and easy to understand in adjust to.________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Were you provided with assistance when necessary? (Note any concerns)

Yes anything that I did not understand, my Supervisors took the time out to let me know.________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Were you treated as part of the team and allowed to ask questions and express opinions? (Explain)

Yes I felt just like a staff member all alone, and do think them for their generosity._______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Were you allowed to get involved in situations that were outside of your usual assignments? (Comment, note any concerns)

No I maintain my duties as an intern focusing on all the areas in the medical department._______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Given the opportunity, would you take a job in this facility, if one for which you were qualified were open? (Explain why or why not)

Yes if by chance I have the opportunity, I would work with Casa Promesa_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Would you recommend this site for other students? (Explain)

Yes I would tell any student to come to Promesa for his/her Practicum Internship.______________________________________________________________________________

______________________________________________________________________________

DeVry University HIT272Health Information Technology Practicum Journal

Name: Daryle Cook

Week 1 Dates: July 05 to July 11, 2015 Week 1 Hours = __38_____

Date Function or Work

Area

Activities Performed or Observed Time Spent

What was gained from the experience?

07/05/15TCO 1 Opening with the Introduction, reading from

Sayles & the Professional Review Guide textbooks

4 Knowing my professor and peers are ways to benefit in group discussions.

07/06/15TCO 1 Collection, Storage, & Processing,

John Text Ch. 1, 2, 3,Professional Review Guide Ch. III,Completing Summary Report and Activity Log TCO Review section

7



6



8



4



9 Summary at the bottom

Week 2 Dates: July 12 to July 18, 2015 Week 2 Hours = 59/45 mins.


Area



07/12/15TCO 2 Quantitative & Qualitative

Review,Johns Text Ch. 10,

7 I have learned how having analyst to do reviewing can help the organization stay

Professional Review Guide XIV,Milestone test, Journal , and Graded Discussion Topics

out of reach for deficiencies.

07/13/15TCO 2 Observed the Coding Supervisor

process record, and Purged them. I was taught to setup the medical record chart, and I continued throughout the day learning what goes on in the Record Department.Quantitative & Qualitative Review,Johns Text Ch. 10,Professional Review Guide XIV,Milestone test, Journal, and Graded Discussion Topics.

5 ½+ 6

07/14/15TCO 2 Observed and learned how to do

the storage and retrieval with medical record. Continued to prepare medical records for the nurse’s unit, and worked the fax/ copy machine.Quantitative & Qualitative Review,Johns Text Ch. 10,Professional Review Guide XIV,Milestone test, Journal, and Graded Discussion Topics.

5 ½ + 4

07/15/15TCO 2 Observed and learned about the

Outguide, and no matter what department they must sign before allowing them to receive the patient health record, I also learned where the inbox for those that came back to the record department. I observed the ROI Supervisor who worked on the phone with people of profession and patients who needed a copy of their medical records and the professional side involving legal matters. I was sent with the floor supervisor who took me around the nurses’ station, and showed me how to and where to put information concerning the patient records. I also when to the onsite strorage for medical records and learned about the offsite records and how

4 ¾ + 4

they are retrieved by the offsite representatives.Quantitative & Qualitative Review,Johns Text Ch. 10,Professional Review Guide XIV,Milestone test, Journal, and Graded Discussion Topics.

07/16/15 TCO 2 I was sent upstairs to the nurse’s floor with another floor supervisor who showed me the many different thing they do while at the nurses’ station. I was at the supplies room, to deliver stationary to the nurses’ unit, I also where back and forth on different floors and learning a great deal of work!Quantitative & Qualitative Review,Johns Text Ch. 10,Professional Review Guide XIV,Milestone test, Journal, and Graded Discussion Topics.

4 + 6

07/17/15 TCO 2 Quantitative & Qualitative Review,Johns Text Ch. 10,Professional Review Guide XIV,Milestone test, Journal, and Graded Discussion Topics

6

07/18/15 TCO 2 Quantitative & Qualitative Review,Johns Text Ch. 10,Professional Review Guide XIV,Milestone test, Journal, and Graded Discussion Topics.

7

Week 3 Dates: July 19 to July 25, 2015 Week 3 Hours = ___39____


Area



07/19/15 TCO 3 Coding & Reimbursement,John Text Ch. 5,6,Professional Review Guide Ch. VI; VII; IX, Activity Log TCO, Remediation Presentation Milestone Test 4, and Journal. Graded Discussion Topics.

5 Coding & Reimbursement is very important for the healthcare organization to be properly paid so having the right diagnoses and procedures are vital for the organization.


4


8


6

07/23/15 TCO 3 Coding & Reimbursement,John Text Ch. 5,6,Professional Review Guide Ch. VI; VII; IX, Activity Log TCO, Remediation Presentation Milestone Test 4, and Journal.

7

Graded Discussion Topics.07/24/15 TCO 3 Coding & Reimbursement,

John Text Ch. 5,6,Professional Review Guide Ch. VI; VII; IX, Activity Log TCO, Remediation Presentation Milestone Test 4, and Journal. Graded Discussion Topics.

4


5

Week 4 Dates: July 26 to August 01, 2015 Week 4 Hours = __48_____


Area



07/26/15 TCO 4 RegistriesJohns Text Ch. 8, 16Professional Review Guide Ch. IV; V; XII, Graded Discussion Topics

5 Learning about the registries are very important for government statistical purposes, and for analyst.


6

07/28/15 TCO 4 RegistriesJohns Text Ch. 8, 16Professional Review Guide Ch. IV;

8

V; XII, Graded Discussion Topics07/29/15 TCO 4 Registries

Johns Text Ch. 8, 16Professional Review Guide Ch. IV; V; XII, Graded Discussion Topics

8


7


9


5

Week 5 Dates: August 02 to August 08, 2015 Week 5 Hours = ___51____


Area



08/02/15 TCO 5 Compliance Johns Text Ch. 1, 2, 3,Professional Review Guide Ch. III, Graded Discussion Topics.

6 Compliance is needed in every healthcare organization setting.


6

08/04/15 TCO 5 Compliance 5

Johns Text Ch. 1, 2, 3,Professional Review Guide Ch. III, Graded Discussion Topics.


8


9


10


7



Area



08/09/15 TCO 6 Hospital StructureJohns Text Ch. 7, 9, 12,Graded Discussion Topics

7 Knowledge of how the Hospital Structure Starts from the top.


7

08/11/15 TCO 6 Hospital Structure 8

Johns Text Ch. 7, 9, 12,Graded Discussion Topics


6


6


7


5

Summary at the bottom



Area



08/16/15 TCO 7 Ethics & ConfidentialityJohns Text Ch. 13, 14, 18,Professional Review Guide Ch. XI, XIIGraded Discussion Topics.

10 Knowledge on ethics confidentiality is critical.


8

08/18/15 TCO 7 Ethics & ConfidentialityJohns Text Ch. 13, 14, 18,

5

Professional Review Guide Ch. XI, XIIGraded Discussion Topics.


10


7


4


8

Summary at the bottom



Area



08/23/15 TCO 8 TechnologyJohns Text Ch. 15, 16, 17, 18,

10 Knowledge in Technology is the vision for HIM to eHIM.

Professional Review Guide Ch. XGraded Discussion Topics.

08/24/15 TCO 8 TechnologyJohns Text Ch. 15, 16, 17, 18,Professional Review Guide Ch. XGraded Discussion Topics.

11


7


5


8


10


10


11 Summary at the bottom

Summary from Week 1 to Week 8

The knowledge in learning “Health Information Management Technology”, and

becoming first a health information technician has taken me to a total new meaning

in the healthcare organization. All this is to say how medical records are used and

why it’s so important to know the basis steps, plus functions of Health Information

Management. I have learned how medical records accommodates the healthcare

environment. In identifying the purpose and structure of the responsibilities

connected to the AHIMA, I learned the process of accreditation, and the various

specializations of health information management.

I have learned about the important Code of Ethics which consists of components of

health information management. I have learned about the hospital standardization

and registries, and being a registered health information technician. I have learned

to sort out what’s necessary for me become a HIT. HITs must know about the Master

patient index management, Medical record processing, Chart assembly, Medical

record analysis and completion. I have learned medical record coding, abstracting,

about Medical record report dictation and transcription information. I have also

learned about the Medical record data collection and analysis, also forms that are

used in management (format and content), information confidentiality and security.

In my learning the traditions and the vision of the future of HIM’s, I have learned how

integrated healthcare delivery system works within the hospitals setting. I have

learned about other provider setting and nonprovider settings. I have observed and

learned how to fill out consulting forms for clinical appointments, long-term care.

There are many new opportunities in the HIM field, and I myself will work very hard to

become a CCA.

There are five main functional areas that will be tested; with the examples being,

Data capture, validation, and maintenance

Data/information analysis, transformation, and decision support

Information dissemination and liaison

Health information resource management and innovation

Information governance and stewardship

There are so many things I have learned about in the HIM Department, from medical

billing and the reimbursement department. I have learned about organizational

charts, length of stay, the ICD-9-CM, the ICD-10-CM, HIM Higher Education and

Workforce, Volunteer and Recognition. Federal, State and Local laws concerning the

healthcare liabilities. I have studied about the practice of workflow and information

management redesign specialists, Clinician/practitioner consultants, and

implementation support specialists. I have learned about aggregate data, data

accessibility, data accuracy, data definition, precision, quality management,

relevancy and timeliness. I learned about quality improvement organization,

security, third party payers, and transcriptionist. I have learned about the utilization

management organization and regulation for research. I have learned of the policy

making decisions, which are all a part in conjunction with the HIM Department

services and their availability. I have observed and learned about the clinic,

electronic devices, and ethical, legal and fundamentals values of HIM. Nevertheless,

the skills, tools, hands-on experience are vital for the principal needs in the

healthcare organizations.

09/10/15 TCO11 Mock Examination Chapter XVII 8 09/11/15

TCO11 Mock Examination Chapter XVII 8

09/14/15 TCO12 Mock Examination Chapter XVII 8

09/15/15TCO12 Mock Examination Chapter XVII 8



09/18/15 TCO12 Mock Examination Chapter XVII 8 09/21/15 TCO13 Mock Examination Chapter XVII 8 09/22/15 TCO13 Mock Examination Chapter XVII 8 09/23/15 TCO13 Mock Examination Chapter XVII 8 Summary at the bottom

Summary for Week 11 through 13

When I started working with DeWitt Rehabilitation and Nursing Center, I’ve learned

about the ICD-9-CM, and I continued to learn from Casa Promesa. I have broaden my

scope on the necessaries of forms, services, and assessments of patients. I learned

and observed how to close record charts and the way records should be purged of

unnecessary items.

I have realized that maintaining medical records are very important to all the

patients, physicians, nurses, courts, and law offices. I have observed and learned to

be in an environment where lives matters and hope is not far away. I have set up the

medical charts for the physicians and nurses, plus provided the necessary forms that

were required. I have learned about doing the 24 hour report, sick call log, outguide

and the physician review chart. I have been able to work within the nurse’s unit with

ease, and I learned how to make appointments and reschedule them. I have

observed and learn how to use the copy machines/fax, and the transmittal slips for

offsite storage. I have also learned about the admission/discharged, transportation

and transfers used in a paper-based format/hybrid setting. I also learned to do the

labels on the consultant forms, and attachment slips used in a medical setting. I

have observed and learned about barcodes, and how the healthcare delivery system

circulates. I am ready to advance, and become a part in the healthcare organization.

practicum portfolio_hit272_spring_2015_cookdaryle.docx

Documents