1. CHAPTER 33 INFORMATION AND ADMINISTRATION CAREERS
Benefit
Chart
Confidential
Customary
Deficient
Dictation
Insurance
Reasonable
Transcribe
Journal question: What personal qualities would make a student a good candidate for a career in information or administration?

2. Chapter 33 Learning Objectives
Identify at least 10 terms relating to health care information and administration.
Specify the role of selected information and administrative health care workers, including personal qualities, levels of education, and credentialing requirements.

3. Information and Administration Careers
Critical to the quality of care delivered
Cover a broad spectrum of careers
Health care facility administrators
Health care facility managers
Supervisors
Medical secretaries
Unit coordinators
Medical records personnel

4. Information and Administration Careers

5. Information and Administration Careers Educational Costs and Earnings

6. Health Service Administrators
Responsibilities
Manage the facility budget, programs, and personnel
Responsible for relations with other agencies and organizations
Coordinate services, hiring, and training of personnel
Responsible for establishing the policies and procedures of the facility
Adhere to Health Insurance Portability and Accountability Act (HIPAA) guidelines
Meet legal regulations

7. Joint Commission Accredits 88% of U.S. hospitals ORYX initiative
New program by the Joint Commission
The facility’s performance goals and the standards for staff and equipment are considered.
Data include patient outcomes.
Use expanded for home care, behavioral health, ambulatory, and laboratory facilities.
The Joint Commission was formerly the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). It is recognized nationwide as a symbol of quality that reflects a health care organization’s commitment to meeting certain performance standards.
Discuss accreditation for health care facilities and the role of the Joint Commission.

8. Health Service Administrators
Education
Individuals with a 4-year bachelor’s degree usually find positions in small institutions.
Master’s or doctoral-level preparation is preferred to work in large facilities.
Internship is required by many administrative programs.
Licensure is usually required for an administrator position in large facilities.

9. Medical Staff Services
Responsibilities
Maintaining the credentialing of all physicians and allied health practitioners in a health care facility
Maintaining records of licensing, continuing education, and training
Responsible for reviewing and implementing federal standards
Certification as a certified provider credentialing specialist
National Association of Medical Staff Services (NAMSS) is the certifying agency for the certified provider credentialing specialist.

10. Patient Representative
Helps patients understand the health care policies and procedures of the facilities
Obtains services for the patient
Helps patient make informed decisions about their care
Work may vary depending on the needs of the patient
May help patient draft a living will or resolve a conflict
Patient representatives are also know as patient advocates.

11. Patient Representative
Education
Facility may set its own requirements for education and experience.
Many patient care representatives have a master’s degree in a health-related field.

12. Human Resource and Labor Relations Personnel
Recruit, screen, and hire qualified personnel
Provide training
Interview prospective employees
Explain benefits
Supervise background checks
Education
Varies with responsibilities or duties
Bachelor’s degree for entry-level position
Master’s degree in Human Resources Administration
Certification is available.
The Joint Commission mandated criminal background checks on any person that interacts with patients.
Refer students to Box 33-2 and discuss the pre-employment background check list.

13. Health Care Pre-employment or Student Background Check

14. Fair Credit Reporting Act (FCRA)
Defines guidelines for requesting or requiring background checks

15. Health Care Risk Manger
Supervises programs to reduce the number of accidents and incidents involving patients and staff members
Establishes policies and procedures
Reviews documents
Patient charts
Employee incident reports
Communicates with legal representatives
Certification and licensure are available.
Employees complete incident reports when an error or adverse event (reportable variance) occurs. Discuss the term adverse event as related to the health care environment.

16. The Joint Commission’s Official “Do Not Use” List
The Joint Commission’s Do Not Use list and the National Patient Safety Goals were designed to address specific areas of patient safety.

17. Health Services Clerk or Office Manager
Has the duties of receptionist, accountant, and assistant
Responsible for the smooth operation of the services

18. Hospital Registration Staff
Record and manage the admission of clients
Responsibilities of the admissions clerk
Preregistration interviewing
Verifying insurance
Arranging transportation
Assigning beds for hospital stay
May also assist with death and birth forms
Education
On-the-job training
Managers may require college degree in a health-related field.
Refer students to Skill List 33-1 Assisting the Patient with Insurance Forms.

19. Preadmission Form
FIGURE II-6 The patient may complete the admission form alone or with help from a health care worker.

20. Sample of Insurance Form
The forms must be completed accurately because the code used for reimbursement for services is determined in part by use of the insurance form.
Refer students to Skill List 33-1 Assisting the Patient with Insurance Forms.

21. Medical Secretary Duties of the medical secretary
Taking dictation
Transcribing and charts
Filing records
Keeping budget records and fee schedule
Assisting with medical reports, articles, and conference proceedings
Preparing correspondence
Education or training
Vocational training or associate degree
Knowledge of medical terminology is essential.
Refer students to skill list 33-2, “Preparing a Business Letter”.

22. Business Correspondence Sample
FIGURE 33-2 Business correspondence reflects the relationship of the health care worker with the patient.

23. Sample Record for Charges and Payments
FIGURE 33-3 Records for charges and payments are used to provide accurate billing.
(From Cooper MG, Cooper DE, Burrows NJ: The medical assistant, ed 6, St. Louis, 1993, Mosby.)

24. Summary
The role of the health information and administration health care team is to manage the budget and maintain patient records.
Health information administrators manage personnel by hiring and training workers.

25. Review
The type of payment basis that provides for payment at the time of service is:
a. Private pay
b. Medicaid
c. Fee for service
d. Co-payment
e. None of the above

26. Review
The type of payment basis that provides for payment at the time of service is:
a. Private pay
b. Medicaid
c. Fee for service
d. Co-payment
e. None of the above

27. Review
The medical transcriptionist: a. Listens to and types information to provide a permanent record b. Provides access to information c. Analyzes public health data d. Records the work of the photomicrographer e. Types charting done on a discharged patient

28. Review
The medical transcriptionist: a. Listens to and types information to provide a permanent record b. Provides access to information c. Analyzes public health data d. Records the work of the photomicrographer e. Types charting done on a discharged patient