Reference no: EM133953794

Problem

You are responsible for writing the portion of the medical staff bylaws relating to patient health record documentation at the hospital where you are employed as the HIM Director. Using the documents attached as well as what you learned in chapter 4, develop a list of rules for proper documentation in the patient health record. Get the instant assignment help. There are four sets (review at least 2) of medical staff bylaws from major healthcare systems along with the state of Michigan standards and the federal Conditions of Participation for Hospital standards.

Consider the following areas:

1) Timeliness
2) Accuracy
3) Completeness
4) Legibility
5) Confidentiality & Security
6) Consistency & Standardization
7) Authorship & Authentication
8) Informed Consent
9) Legal & Regulatory Compliance
10) Interdisciplinary Documentation
11) Problem List & Allergies
12) Amendments & Late Entries
13) Clinical Decision Support Use
14) Training & Competency
15) Retention & Destruction