CHAPTER 33 INFORMATION AND ADMINISTRATION CAREERS Copyright 2003

CHAPTER 33 INFORMATION AND ADMINISTRATION CAREERS Copyright 2003 by Mosby, Inc. All rights reserved.

Standards • Standard 4: Self Esteem and Career Exploration: – Plan and demonstrate skills to improve self esteem and make appropriate career choices. • Foundation Standard 11: Information Technology Applications: Health care workers – will use information technology applications required within all career specialties – Will demonstrate use as appropriate to health care applications Copyright 2003 by Mosby, Inc. All rights reserved.

Objectives: 1. Identify terms related to health care information and administration. 2. Specify the role of selected persons within these careers , including personal qualities, levels of education, and credentialing requirements. 3. Identify 3 personal characteristics needed in an efficient health occupations clerk. 4. Identify at least 5 forms used as part of the medical record. 5. Describe at least 3 methods of payment for health care. Copyright 2003 by Mosby, Inc. All rights reserved.

Information and Administration Careers • Critical to the quality of care delivered • Health care administration covers a broad spectrum of careers and include: – Health care facility managers – Supervisors – Medical secretaries – Unit coordinators – Medical records personnel http: //www. youtube. com/watch? NR=1&v= B 3 GMy. Z 87 g. MY&feature=endscreen Copyright 2003 by Mosby, Inc. All rights reserved.

Box 33 -1 Information and Administration Careers Copyright 2003 by Mosby, Inc. All rights reserved.

Heath Service Managers • 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 Copyright 2003 by Mosby, Inc. All rights reserved.

Health Service Managers (Continued) • Education – Health care manager’s 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 administrator position in large Copyright 2003 by Mosby, Inc. facilities All rights reserved.

Support Personnel • Health services clerk or office manager – Has the duties of receptionist, accountant, and assistant • Clerk or manager – Responsible for the smooth operation of the services • Hospital registration staff – Record and manage the admission of clients Copyright 2003 by Mosby, Inc. All rights reserved.

Support Personnel (continued) • Medical secretary – Takes dictation, transcribes reports and charts, assists the physician with medical reports, articles, and conference proceedings, and prepares correspondence • Health unit coordinator (HUC) – Performs nonclinical activities such as assembling and maintaining client charts, transcribing physician's orders, and acting as receptionist and secretary on the unit Copyright 2003 by Mosby, Inc. All rights reserved.

• Medical Records Personnel • Registered records administrator (RRA) – Responsible for management of the information system • Medical transcriptionist – Listens to and types information to provide a permanent record from a variety of audio equipment Copyright 2003 by Mosby, Inc. All rights reserved.

Medical Records Personnel • Organizes, analyzes, and generates relating to patient records • Most employment is in hospitals • One of the fastest growing occupations http: //www. youtube. com/watch? v=Kq. WCYY 9 Uu. E Copyright 2003 by Mosby, Inc. All rights reserved.

Medical Records Personnel (continued) • Registered records administrator (RRA) or Health Information Manager (HIM) – Responsible for management of the information system – Education/training • 2 -year college certificate or 4 -year college/university degree • Supervised experience may be required in some programs Copyright 2003 by Mosby, Inc. All rights reserved.

Medical Records Personnel (Continued) • Medical transcriptionist (medical stenographer) – Listens to and types information to provide a permanent record from a variety of audio equipment – Training: • Knowledge of medical terminology and computer skills • Some community colleges and vocational schools offer associate degree programs in transcription – Certification is voluntary Copyright 2003 by Mosby, Inc. All rights reserved.

Health Information and Communication Careers • Health science librarian – Locates and provides information to practicing professionals, researchers, and students – Education • Master’s degree – Certification is available Copyright 2003 by Mosby, Inc. All rights reserved.

Health Information and Communication Careers (Continued) • Public health educator – Teach new and experienced health personnel • May specialize in fields of practice – Organize and direct health education programs for groups and community needs – Education • Bachelor’s or master’s degree • Standard teacher certificate may be required Copyright 2003 by Mosby, Inc. All rights reserved.

Health Information and Communication Careers (Continued) • Public relations personnel – Plan and conduct programs such as press releases and advertising strategies for the agency – Education • Bachelor’s degree in public relations is preferred • Biomedical photographer – Document life-related health events • Often specialize in one area – Education • 2 to 4 years of college for training in photography and basic sciences • Certification and registration is available Copyright 2003 by Mosby, Inc. All rights reserved.

Health Information and Communication Careers (Continued) • Medical illustrator – Specialized artist who provides sketches, paintings, drawings, computer images, and three-dimensional models – Education • Completion of program at one of five accredited schools requiring bachelor’s degree for admission Copyright 2003 by Mosby, Inc. All rights reserved.

Office Management • Maintaining confidentiality of patient records • Filing • Appointment procedures • Scheduling laboratory tests and other procedures Copyright 2003 by Mosby, Inc. All rights reserved.

Records Management • The medical record for a patient is a legal record and contains: – Medical history and physical assessment – Test results – Surgery reports – Notes about patient’s condition and course of treatment – Making sure patients understand forms • Confidential information may not be given to anyone other than those authorized by the patient and health care practitioner Copyright 2003 by Mosby, Inc. All rights reserved.

Records Management (Continued) • Records must be accurate, legible, complete, and organized to provide efficient care – Oral record must be transcribed or written in permanent form Copyright 2003 by Mosby, Inc. All rights reserved.

Box 33 -3 Guidelines for Charting Copyright 2003 by Mosby, Inc. All rights reserved.

Methods of Payment • Insurance – Payment in advance for services in the event that they are needed – Types of insurance • • Group Private insurance Federal Medicare and Medicaid programs States provide worker’s compensation and disability programs Copyright 2003 by Mosby, Inc. All rights reserved.

Methods of Payment • Billing ICD-9 -CM - International Classification of Diseases CPT – Current Procedural Terminology http: //www. youtube. com/watch? v=L 6 SDGNL 8 b. OA Copyright 2003 by Mosby, Inc. All rights reserved.

Methods of Payment (Continued) • Billing codes – Used to designate the type of treatment and to determine whether coverage is allowed – DRGs (Diagnostic-Related Groups) • Established by the federal government • Determine a usual, reasonable, and customary (URC) fee for services for Medicare recipients Copyright 2003 by Mosby, Inc. All rights reserved.

Table 33 -2 Types of Health Insurance Copyright 2003 by Mosby, Inc. All rights reserved.

Performance Instruction • All patients should be greeted by name and asked to log in their time of arrival – Patient may need help with completion of forms • Use of the telephone – Clerk or receptionist uses the telephone to obtain and give information to patients and other health care professionals • Good communication skills are necessary at all times Copyright 2003 by Mosby, Inc. All rights reserved.