Strategic Training of Healthcare Workforce on Policies, Procedures, and Regulation

Organizational Policies and Procedures for Monitoring Billing and Coding Activities

Demonstrate college-level communication through the composition of original materials in Standard English. Strategic Training of Healthcare Workforce on Policies, Procedures, and Regulation Instructions You are a healthcare executive of a large hospital, serving as director of health information. You have been advised that there are serious concerns regarding the competence of the facility’s billing and coding staff. To address these concerns, you will develop an action plan. The plan will contribute to the examination of information in part or aggregate to identify motives and causes behind the fraud or incompetence found and provide a system solution to the problem.

Determine at least three (3) organizational policies and procedures that monitor such activities and critique the effectiveness of each policy/procedure. Part 2 Based upon the trends of abuse or fraud that you identified in Part 1, you examine, collaborate and facilitate the creation of both a new employee orientation program and an ongoing training program for medical billing and coding employees. Design an outline of each training program and construct the learning activities involved. You should also indicate a leadership approach that you would use in the implementation of the programs. Part 3 Develop a plan to evaluate the training programs at "time of launch" and again at periodic times over the next two (2) years. Propose the methods used to evaluate the effectiveness of the programs and create performance benchmarks for each training program. Part 4 Background An information asset is a body of information that is defined and managed as a standalone, single unit that can be shared and exploited to the organization’s benefit. It is referred to as an asset because it has financial value to the organization. Enterprise- wide information assets that are common to large health care organizations include billing systems, EHR/EMR, master patient index, clinical automation systems, patient portals, personal health records, telemedicine, health information exchange (HIE), clinical applications (lab, pharmacy), etc. The enterprise data warehouse (EDW) is a repository of high value data from different information assets and corporate systems/applications. The data contained in an EDW can be integrated for many strategic uses across the enterprise. Strategic objectives might include activities and initiatives designed to improve quality, safety, cost, productivity, etc. To complete Part 4, conduct research into the topic of data warehousing in health care organizations and then answer the following: List the benefits of an EDW to a health care organization. Prepare a strategic objective and explain how it could be facilitated through the use of a data warehouse. Select two (2) information assets from the list above. Through a data warehouse, analyze and demonstrate how data from those two assets could be used to accomplish the identified strategic objective. Minimum Submission Requirements This Assessment should be a Microsoft Word (minimum 1000 words) document, in addition to the title and reference pages. Respond to the questions in a thorough manner, providing specific examples of concepts, topics, definitions, and other elements asked for in the questions. Your submission should be highly organized, logical, and focused. Your submission must be written in Standard English and demonstrate exceptional content, organization, style, and grammar and mechanics. Your submission should provide a clearly established and sustained viewpoint and purpose. Your writing should be well ordered, logical and unified, as well as original and insightful. A separate page at the end of your submission should contain a list of references, in APA format. Use your textbook, the Library, and the internet for research. Be sure to cite both in-text and reference list citations where appropriate and reference all sources.