Scripps Carmel ValleyHEIT 260 Directed Clinical Practice (DCP) Professor RendaRoberta SteeleDecember 11, 2015

Carmel Valley Clinic, San Diego, CaliforniaScripps

My DCP GOALS

TEAMWORK

• Learn from and Be part of a Health Information Team•Go the “extra mile” with staff •Give Scripps Patients “extra care”•Be a Team Member by helping where ever the need•Work hard and efficiently•Contribute•Be grateful

My DCP GOALS

CLINIC FORM COMPLETION

• Designated Patient Representative• Assisted 9 Patients with DPR form

completion• Forwarded to add to Patient’s chart

• Release of Information ROI experience• Answered 62 ROI phone calls• Assisted 49 Walk-In Patients with ROI

form completion• Completed in office (or)• Submitted to “Central” Westlake

Office

My DCP GOALS

QUALITY IMPROVEMENT

• MDI Data Analysis•Managing for Daily Improvement Suggestions matrix spreadsheet• RESPECT Waste spreadsheet

My DCP GOALS

Spreadsheets Creation

QUALITY IMPROVEMENT

• Excel Data Spreadsheet and Chart Development•QA Productivity Workflow Zone 2 Clinics•ROI Calls and Walk-In Traffic

My DCP GOALS

Spreadsheets and Charts Creation

QUALITY IMPROVEMENT

• Quality Control•ASC Audit: 1,064 patient chart contents vs cover sheet•Audited 4,660 employee prep, scan, index registration and insurance patient charts in Allscripts program

My DCP GOALS

Week 11Week of November 3, 2015

Torrey Pines Green Hospital, La Jolla, California

Scripps

HOSPITAL HEALTH INFORMATION• Unsigned Chart Procedure•Lead meets with Physicians Board to determine penalty

• Issuance of MRN and De-duplication• Transcription Error

Notification and Correction

My DCP GOALS

HOSPITAL HEALTH INFORMATION• Patient report correction

with physician approval• Interaction with PSR for

patient communication•Thank You notes•Letters of Recommendation for Physician offices

My DCP GOALS

Week 14Week of November 30, 2015

Westlake ROI Central Office, Encinitas, California

Scripps

RELEASE OF INFORMATION• Release of Information ROI•ROI Clerks Receive Per Hospital or Clinic• FAX• EMAIL• MAIL• WALK-IN SUPEONA

• Analyze to accept or deny• Prep, Scan, Index, & Quality Audit•Release to ROI Coordinators

My DCP GOALS

RELEASE OF INFORMATION•ROI ClerkBatch Cover Sheet

My DCP GOALS

RELEASE OF INFORMATION• ROI Coordinators

Receive Specific Hospital or Clinic from Clerks• FAX• EMAIL• MAIL

•Complete URGENT/STAT ROIs

My DCP GOALS

RELEASE OF INFORMATION• ROI Coordinators• Complete ROI

1. Authorization ROI (patient waiting, behavioral health patient, legal subpeonas) or

2. Request of ROI (continuity of care)

• Specific Hospital stated• Submit only what is requested• Burn CD Radiology Images

• Documentation of completion

My DCP GOALS

RELEASE OF INFORMATION• ROI Clerks

Receive Specific Hospital or Clinic from Clerks•Analyze to accept or deny

My DCP GOALS

My Final GOAL

TEAMWORK

• Learn From & • Be part of a Health

Information Team

My Final GOAL

A very special Thank You! To All the Staff at Scripps, especially Faye Winemiller, Zone 2 Director; Marilyn Chavez, and Evelyn Alferos Supervisors HI Carmel Valley; Joi Taylor and Gail Tristan Supervisors ROI Central Office Encinitas; Nathanael Sinclair Supervisor HI Green Hospital La Jolla; and to Connie Renda Professor and Program Director at San Diego Mesa College for her customized placement and oversight.

Thank You!