Comparative Summary Project Prior to beginning this assignment, review the chapters assigned from the textbook each week of the class. Throughout the course, you have delved into the differences among

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Introduction:

As a medical professor, one of my responsibilities is to design and conduct lectures, evaluate student performance, and provide feedback through examinations and assignments. The Comparative Summary Project is an assignment that I use to help students delve into the differences among healthcare settings, regulations, accrediting organizations, documentation requirements, reimbursement, coding, and classification systems, and health information management employment opportunities. This assignment requires students to provide a summary of information for various healthcare settings, including hospital-based care, freestanding ambulatory care, managed care, dialysis, correctional facilities, behavioral health, long-term care, rehabilitation, home health care, and hospice. In this article, I will provide an answer to each question separately.

Answer:

1. Hospital-Based Care:
a. Types of care provided – Hospital-based care provides acute care, emergency care, surgical care, primary care, and secondary level of care.
b. National organizations and healthcare standards – The Joint Commission (TJC) and Centers for Medicare and Medicaid Services (CMS) are the national organizations that maintain healthcare standards for hospital-based care.
c. State-specific health record documentation guidelines – In Arizona, the state-specific health record documentation guidelines for hospital-based care are governed by rules and regulations set forth by the Arizona Administrative Code (A.R.S. § 36-405) and the Arizona Department of Health Services (ADHS).
d. State-specific health record retention guidelines – The state-specific health record retention guidelines for hospital-based care in Arizona are governed by the Arizona Administrative Code (A.R.S. § 36-401), which mandates that health care providers retain patient medical records for at least seven years.
e. Documentation requirements from TJC – The Joint Commission requires hospital-based care providers to maintain a medical record that is complete, accurate, and legible, and contains demographic information, history, physical examination findings, diagnostic and therapeutic orders, laboratory and other test results, and reports of consultations and treatments.

2. Freestanding Ambulatory Care:
a. Types of care provided – Freestanding ambulatory care provides outpatient care, primary care, specialty care, emergency care, and behavioral health care services.
b. National organizations and healthcare standards – The Accreditation Association for Ambulatory Health Care (AAAHC) and CMS are the national organizations that maintain healthcare standards for freestanding ambulatory care.
c. State-specific health record documentation guidelines – In California, state-specific health record documentation guidelines for freestanding ambulatory care are governed by the California Code of Regulations (CCR), Title 22, and Health and Safety Code (HSC).
d. State-specific health record retention guidelines – In California, state-specific health record retention guidelines for freestanding ambulatory care are governed by CCR, Title 22, which mandates that healthcare providers retain patient medical records for at least seven years.
e. Documentation requirements from TJC – TJC does not accredit freestanding ambulatory care facilities.

3. Managed Care:
a. Types of care provided – Managed care provides incentives for quality and cost-effective care by coordinating services between patients and providers.
b. National organizations and healthcare standards – CMS is the national organization that maintains healthcare standards for managed care.
c. State-specific health record documentation guidelines – In Florida, state-specific health record documentation guidelines for managed care are governed by Florida Administrative Code (FAC) and Florida Statutes (F.S.).
d. State-specific health record retention guidelines – In Florida, state-specific health record retention guidelines for managed care are governed by FAC, which mandates that healthcare providers retain patient medical records for at least five years.
e. Documentation requirements from TJC – TJC does not accredit managed care organizations.

4. Dialysis:
a. Types of care provided – Dialysis provides renal replacement therapy for patients suffering from chronic kidney failure or end-stage renal disease.
b. National organizations and healthcare standards – CMS and National Kidney Foundation (NKF) are the national organizations that maintain healthcare standards for dialysis.
c. State-specific health record documentation guidelines – In New York, state-specific health record documentation guidelines for dialysis are governed by New York State Department of Health (NYSDOH).
d. State-specific health record retention guidelines – In New York, state-specific health record retention guidelines for dialysis are governed by NYSDOH, which mandates that healthcare providers retain patient medical records for at least six years.
e. Documentation requirements from TJC – TJC does not accredit dialysis centers.

5. Correctional Facilities:
a. Types of care provided – Correctional facilities provide medical, mental health, dental, and substance abuse services to incarcerated individuals.
b. National organizations and healthcare standards – American Correctional Association (ACA) and National Commission on Correctional Health Care (NCCHC) are the national organizations that maintain healthcare standards for correctional facilities.
c. State-specific health record documentation guidelines – In Texas, state-specific health record documentation guidelines for correctional facilities are governed by Texas Board of Criminal Justice (TBCJ) and Texas Administrative Code (TAC).
d. State-specific health record retention guidelines – In Texas, state-specific health record retention guidelines for correctional facilities are governed by TAC, which mandates that healthcare providers retain patient medical records for at least five years.
e. Documentation requirements from TJC – TJC does not accredit correctional facilities.

6. Behavioral Health:
a. Types of care provided – Behavioral health provides mental health, substance abuse, and psychological support to individuals suffering from emotional disturbances, addiction, and psychiatric disorders.
b. National organizations and healthcare standards – The Substance Abuse and Mental Health Services Administration (SAMHSA) and National Institute of Mental Health (NIMH) are the national organizations that maintain healthcare standards for behavioral health.
c. State-specific health record documentation guidelines – In Ohio, state-specific health record documentation guidelines for behavioral health are governed by Ohio Administrative Code (OAC) and Ohio Revised Code (ORC).
d. State-specific health record retention guidelines – In Ohio, state-specific health record retention guidelines for behavioral health are governed by OAC, which mandates that healthcare providers retain patient medical records for at least six years.
e. Documentation requirements from TJC – TJC requires that behavioral health providers maintain a medical record that documents demographic information, assessment, treatment plans, interventions, progress notes, and discharge planning.

7. Long-Term Care:
a. Types of care provided – Long-term care provides rehabilitation, personal care, nursing care, and assistance with activities of daily living to elderly, disabled, and chronically ill patients.
b. National organizations and healthcare standards – The Commission on Accreditation of Rehabilitation Facilities (CARF) and CMS are the national organizations that maintain healthcare standards for long-term care.
c. State-specific health record documentation guidelines – In Illinois, state-specific health record documentation guidelines for long-term care are governed by Illinois Administrative Code (IAC) and Illinois Compiled Statutes (ICS).
d. State-specific health record retention guidelines – In Illinois, state-specific health record retention guidelines for long-term care are governed by IAC, which mandates that healthcare providers retain patient medical records for at least five years.
e. Documentation requirements from TJC – TJC requires that long-term care providers maintain a medical record that documents demographic information, health status, functional status, treatments, and medication orders.

8. Rehabilitation:
a. Types of care provided – Rehabilitation provides physical therapy, occupational therapy, speech therapy, and other supportive services to patients recovering from illness or injury.
b. National organizations and healthcare standards – The Commission on Accreditation of Rehabilitation Facilities (CARF) and CMS are the national organizations that maintain healthcare standards for rehabilitation.
c. State-specific health record documentation guidelines – In Massachusetts, state-specific health record documentation guidelines for rehabilitation are governed by Massachusetts General Laws (M.G.L.) and Code of Massachusetts Regulations (CMR).
d. State-specific health record retention guidelines – In Massachusetts, state-specific health record retention guidelines for rehabilitation are governed by CMR, which mandates that healthcare providers retain patient medical records for at least seven years.
e. Documentation requirements from TJC – TJC requires that rehabilitation providers maintain a medical record that documents demographic information, evaluation, treatment plan, progress notes, and discharge planning.

9. Home Health Care:
a. Types of care provided – Home health care provides medical, nursing, therapeutic, and supportive services to patients in their homes.
b. National organizations and healthcare standards – The Community Health Accreditation Program (CHAP) and CMS are the national organizations that maintain healthcare standards for home health care.
c. State-specific health record documentation guidelines – In Texas, state-specific health record documentation guidelines for home health care are governed by Texas Health and Safety Code (THSC).
d. State-specific health record retention guidelines – In Texas, state-specific health record retention guidelines for home health care are governed by THSC, which mandates that healthcare providers retain patient medical records for at least six years.
e. Documentation requirements from TJC – TJC does not accredit home health care providers.

10. Hospice:
a. Types of care provided – Hospice provides end-of-life care, pain management, support, and counseling to terminally ill patients and their families.
b. National organizations and healthcare standards – The National Hospice and Palliative Care Organization (NHPCO) and CMS are the national organizations that maintain healthcare standards for hospice.
c. State-specific health record documentation guidelines – In Georgia, state-specific health record documentation guidelines for hospice are governed by Georgia Department of Community Health (GDCH).
d. State-specific health record retention guidelines – In Georgia, state-specific health record retention guidelines for hospice are governed by GDCH, which mandates that healthcare providers retain patient medical records for at least six years.
e. Documentation requirements from TJC – TJC requires that hospice providers maintain a medical record that documents demographic information, admission assessments, plan of care, interventions, and outcomes.

Conclusion:

In conclusion, the Comparative Summary Project is an essential assignment that I use to help medical college students understand various healthcare settings, regulations, accrediting organizations, documentation requirements, reimbursement, coding, and classification systems, and health information management employment opportunities. The students must provide a summary of information for ten healthcare settings, including hospital-based care, freestanding ambulatory care, managed care, dialysis, correctional facilities, behavioral health, long-term care, rehabilitation, home health care, and hospice. For each setting, the students must describe the types of care provided, identify the national organizations and healthcare standards, summarize the state-specific health record documentation guidelines and retention guidelines, describe the documentation requirements from TJC (only for hospital-based care), describe the reimbursement method, describe at least two coding or classification systems utilized, summarize at least one commonly reported database associated with the healthcare setting, and identify two job opportunities at that setting for registered health information management administrators (RHIA). The final project must be 8 to 10 double-spaced pages in length (not including title and reference pages) and formatted according to APA style as outlined in the Writing Center. The students must use at least eight sources in addition to the course textbooks and document all sources in APA style as outlined in the Writing Center.