, This is some additional detailed instruction for the C816 task: C816 is an applications course and as such presents certain key concepts and evaluates the student’s mastery by presenting a problem to which the student must successfully those concepts. In a general sense this course covers health information technology systems development in the context. Please note the bolding of the word . Success in C816 in general, and in its single performance assessment specifically, lies in The student is advised to follow the rubric. The student should present their responses to each prompt (section or bullet point) of the rubric so as to meet the expectations listed in the right-most column of the rubric. After completing the draft, self-score the draft against the rubric as if role-playing the evaluator who will grade it. Your self-score should indicate you have demonstrated competency or high competency per the rubric. Anywhere the draft falls short, the student should revise to meet the competency or high competency standard. The scenario presented is a hospital with a hybrid electronic medical record system deployed in its emergency department. The student should consult the direction and rubric for details. However, the providers in the emergency department (physicians, clinicians, nurses, etc.,) document patient encounters using both paper-based and electronic means, because the universal use of laptops or workstations on wheels was deemed unfeasible. The result is a chart for patients in the ED which is partially electronic and partially on paper. The above situation produces what is known as a , a concept with which all students should be familiar from previous courses. The student may wish to refresh her/his memory as to the limitations of such a record, but the primary problem presented in the scenario is that the . Imagine a patient, Joan A, who presents to the emergency department with vague symptoms that could be anything from a heart attack to anxiety, asthma or a pulmonary embolism. To complicate matters further, the unfortunate Ms. Joan is a diabetic and is on seven medications she
takes daily, including a diuretic, Glucophage and something she cannot identify beyond a pink tablet she refers to as a ‘heart pill.” Doubtless ferreting out what could be at the bottom of the chest pain, anxiety, confusion and recent collapse at work which brought her to Anywhere Memorial Hospital ED would require that the patient be examined and tested by any number of well-meaning clinical treatment staff who would be recording their findings and impressions—some on paper, some electronically and perhaps some by dictation to be transcribed onto paper or into some electronic form. Now presume that Joan spends six hours in the ED, is stabilized, found to have nothing requiring hospitalization and is released with instructions to follow up with her family physician Elise Kumar. Unfortunately two days later, on her way to her appointment with Dr. Kumar Joan has another episode of some kind, blacks out while driving, crashes her car and reappears at the Anywhere Memorial ED in the company of a policewoman and two EMTS alternately attending to the woman and scratching their heads. One of the first tasks is to review Joan’s previous ED visit, Even so, Ms. Joan cuts a wide swath. She has been in and out of the ED and back again in less than 48 hours, totaled her car and in the process damaged public and private property—a light pole and a taco truck unluckily parked where her car jumped the curb. Insurance companies and attorneys have become involved, including Joan’s health insurer and her own attorney. The former questions why they should subsidize another ED visit so soon after the first and the latter is livid she was discharged so quickly the first time. Joan’s attorney has called the hospital threatening a malpractice suit and has subpoenaed her ED records. This is but one example of the challenge of a hybrid medical record. Hello, Attached are the instructions of my task for the C816. I was the one who contacted you yesterday regarding the writing assistance. Please follow those RUBRIC instructions through the attached Organization of Task NPN1 for C816 for more explanations.