For this activity, you will create a training presentation on a coder’s role in performing a qualitative analysis of a patient health record in order to identify missing or incomplete documentation.
To complete this assignment, review the Module Three Presentation Guidelines and Rubric document.
Overview: A health information manager must lead process improvement not only on the organizational-management level, but also through the training and guidance of coding professionals. Throughout the course, you will prepare brief PowerPoint training presentations—in Modules Three, Four, Six, and Seven. These presentations will help you prepare for Final Project II, the coding compliance training presentation that you will present to health information managers at the case study organization, Healthy Health Center.
For this activity, you will create a brief training presentation on how to perform a qualitative analysis of a partial patient health record in order to identify missing or incomplete documentation.
Prompt: First, review the following articles (linked in the 3-1 Journal task in your course): “5 Areas of a Chart to Review in Every Medical Record Analysis” and “AHIMA’s Practice Guidelines for LTC Health Information and Record Systems—Audits and Quality Monitoring.” They provide insight as to what should be in each report of the record (e.g., abnormal labs should have a corresponding treatment and diagnosis identified in the doctor’s notes and orders). Then, in a brief PowerPoint presentation (aimed at coders), address and expand on the following three points:
Discuss the coder’s role in checking the data. For example, why is it important to review lab values and corresponding documentation? Are these values addressed by the physician?
Discuss the coder’s role in checking the diagnosis. For example, are clinical indicators identified in assigning the diagnosis? Do all procedures and treatments have a corresponding diagnosis?
Explain what the coder should look for in the audit. Also, discuss when a physician query is needed.
Note: Though this PowerPoint presentation is aimed at coders, it should be fit to present to the leadership team of the healthcare organization as well. Be sure to anticipate questions that leaders such as the chief financial officer (CFO) or the chief information officer (CIO) might have, and include answers to these questions in the notes sections of the slides.
Guidelines for Presentation
• Use Microsoft’s PowerPoint or a similar presentation software to create your presentation.
• There are various template designs that you can find on the web for your PowerPoint presentation. Consider your presentation from the perspective of your audience prior to selecting a specific style. Avoid distractions. Be consistent with the style of text, bullets, and subpoints to support a powerful presentation that allows your content to be the focus.
• Each slide should include your key point(s). Do not place large blocks of text on the visual. Add more extensive information in the speaker notes section.
• Speaker notes should be listed in the Notes section under the slide.
• References should be listed at the bottom of the slide in slightly smaller text.
• Use clip art, AutoShapes, pictures, charts, tables, and diagrams to enhance but not overwhelm your content.
• Be mindful of the intended audience and seek to assess the presentation’s effectiveness by gauging audience comprehension (when possible).
Below are links that offer helpful tips and examples for developing your presentations:
• Making PowerPoint Slides
• Beyond Bullet Points: Unlocking the True Value of Your Story
• Really Bad PowerPoint (and How to Avoid It)
Guidelines for Submission: Your PowerPoint presentation should be 3 to 5 slides in length, excluding title and reference slides. Adhere to the latest edition of APA formatting.
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