Domain

Subdomain

Competency

Domain I. Data Content, Structure & Standards (Information Governance)

Subdomain I.A. Classification Systems

1. Evaluate, implement and manage electronic applications/systems for clinical classification and coding

Domain I. Data Content, Structure & Standards (Information Governance)

Subdomain I.A. Classification Systems

4. Evaluate the accuracy of diagnostic and procedural coding

Domain I. Data Content, Structure & Standards (Information Governance)

Subdomain I.C. Data Governance

4. Advocate information operability and information exchange

Domain I. Data Content, Structure & Standards (Information Governance)

Subdomain I.D. Data Management

2. Evaluate health information systems and data storage design

Domain I. Data Content, Structure & Standards (Information Governance)

Subdomain I.D. Data Management

3. Manage clinical indices/databases/registries

Domain I. Data Content, Structure & Standards (Information Governance)

Subdomain I.D. Data Management

5. Evaluate data from varying sources to create meaningful presentations

Domain

Subdomain

Competency

Domain I. Data Content, Structure & Standards (Information Governance)

Subdomain I.A. Classification Systems

1. Evaluate, implement and manage electronic applications/systems for clinical classification and coding

Domain I. Data Content, Structure & Standards (Information Governance)

Subdomain I.A. Classification Systems

4. Evaluate the accuracy of diagnostic and procedural coding

Domain I. Data Content, Structure & Standards (Information Governance)

Subdomain I.C. Data Governance

4. Advocate information operability and information exchange

Domain I. Data Content, Structure & Standards (Information Governance)

Subdomain I.D. Data Management

2. Evaluate health information systems and data storage design

Domain I. Data Content, Structure & Standards (Information Governance)

Subdomain I.D. Data Management

3. Manage clinical indices/databases/registries

Domain I. Data Content, Structure & Standards (Information Governance)

Subdomain I.D. Data Management

5. Evaluate data from varying sources to create meaningful presentations

Part

Competency Assessed

Instructions

1

Evaluate, implement and manage electronic applications/systems for clinical classification and coding

Select two applications/systems for clinical classification and coding (e.g., encoders, computer assisted coding (CAC), etc.) and appraise each vendor in terms of (1) capacity to evaluate quality coding practices, (2) possible implementation considerations/issues, and (3) systems management challenges and training needs. Provide support for one system that you find as the "best option" with rationale.

2

Evaluate the accuracy of diagnostic and procedural coding

Consider the principles and applications of classification systems (e.g., ICD-10, HCPCS) and medical record auditing used within a clinical documentation improvement (CDI) program. Appraise the value and challenges of a quality CDI program by defending the need for ongoing CDI program support and critique at least three challenges in the CDI process. Make connections between auditing, accurate diagnostic and procedural coding with classification systems, and CDI programs. Your executive summary should reflect upon the need for CDI and best practices for ensuring compliance.

3

Advocate information operability and information exchange

Critique one interoperability issue that is possible within the health information exchange (HIE) (e.g., patient identity matching). Appraise at least three best practices that address the issue.

4

Evaluate health information systems and data storage design

Evaluate at least three health information systems (HIS) and three data storage designs (e.g., onsite, cloud). Select the best HIS and data storage design for disaster recovery purposes. Indicate your selections with rationale.

5

Manage clinical indices/databases/regist ries

Evaluate three managerial challenges related to clinical indices, databases, and registries from the perspective of a hospital's health information management function. Recommend three best practices or policies related to the management of secondary data sources.

6

Evaluate data from varying sources to create meaningful presentations

With respect to data warehousing, appraise at least two approaches in data warehouse design that supports quality data management from varying sources, processing/storage of data throughout the warehouse model, and meaningful output into the presentation layer. Summarize your recommendations in the executive summary.