Identify the disease or condition from the following list for which you will review the quality of care: Myocardial infarction.

Identify the disease or condition from the following list for which you will review the quality of care:

Myocardial infarction.

Explain the reasons for your choice.

Information Collection

Complete the following:

Determine the patient population to be reviewed.
Evaluate which information system or systems best provide the needed information.
Determine the specific documentation you are looking for. Explicitly state the reasons for each and all of your choices. Be sure to answer all of the following questions in your narrative:
Do you want to review information only from your office? Or do you also want to review information for hospital admission and/or emergency room visits?
Do you wish to review all patients who have ever been treated for the selected condition? Or only those treated within a specific time frame? Will you only review patients within certain demographic parameters?
What type of documentation do you want to review? This may include:
History and physical (H&P).
Discharge summary.
Progress notes.
Identify where you are going to find the information you need. Which information system or systems would be best to use, and what information can you collect from each system? Possibilities include:
Point of care (POC).
Results management.
Computerized physician order entry (CPOE).
Determine the type of system or systems (financial, administrative, clinical, et cetera) you would use.

Information Life Cycle

Complete the following:

Describe how you plan to manage this information from collection to destruction. Be sure to address all of these questions in your narrative:
How will the information be collected and documented? By whom? In what context?
How will the information be stored?
How will you control access to the information?
How can you ensure the documentation meets interoperability standards?
What are the advantages and disadvantages of integrating your office information with an HIE?
What challenges exist regarding the standardization of health information?
When and how will the information be destroyed?

Legal Considerations

Complete the following:

Differentiate between the legal aspects of health information confidentiality, privacy, and security, as it applies to your proposal.
Apply laws governing health information confidentiality, privacy, and security.
Determine whether the information you are retrieving requires the use of PHI.
If not, why not?
If so, summarize how the PHI will be used.
Plan for how the Health Insurance Portability and Accountability Act (HIPAA) will impact health care personnel, policies, and procedures in your proposal.


Briefly summarize the value of the documentation review you are proposing to be performed.
Additional Requirements

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