Analysis of Health Record: To begin, you will perform an audit on selected medical health records to review and analyze, ensuring that the data required for patient health management is complete. You will first review the records from the provided list. Based on your review of the medical health records, analyze the contents for defining required patient health data elements: i. ii. iii. Past health issues Current health issues B. Analyze the contents for completeness and accuracy in documenting individual events and encounters. Based on your analysis, define which data elements are required for the following: i. ii. iii. II. Recording health events Recording medication administration JCAHO: In this section, you will review the Joint Commission Standards as they relate to the health record. A. Identify the data JCAHO routinely reviews for compliance with information management systems. B. Evaluate which records are complete and which have missing data. C. Based on the missing data, outline the JCAHO standards where the hospital is deficient. Rubric Guidelines for Submission: This milestone should be at least 1-2 pages in length and submitted as a Microsoft Word document. All sources should be in APA format. In addition, you must submit the completed Patient Health Record Quality Review document.
3-2 Milestone One: Analysis Of Health Record And Joint Commission Name South New Hampshire University Date The joint committee (JCAHO) reviews the information to ensure that it is timely, consistent, readable, complete, accurate and of high quality. JCAHO then reviews the patient- specific data, aggregate data the relevant expert knowledge and performance data. Information is vital to improving the quality of care, and information systems that are properly managed are crucial in health care service provision (Farley, et al