CLINICAL DOCUMENTATION IMPROVEMENT
HIM5CDI
2019
Credit points: 15
Subject outline
In this subject, you will analyse and critique models for clinical documentation improvement. The subject will introduce key, specialised enabling technologies that facilitate the evaluation of clinical documentation for improved organisational, financial and patient safety outcomes. You will appraise and justify critical ethical and legal requirements and other compliance standards that underpin clinical documentation practice and programs. Using your knowledge of health classification you will undertake a documentation analysis via audit to demonstrate competence in translating clinical data into effective managerial, financial and clinical information for decision-making; you will effectively communicate audit findings to clinical stakeholders.
School: School of Psychology & Public Health
Credit points: 15
Subject Co-ordinator: Kerin Robinson
Available to Study Abroad Students: No
Subject year level: Year Level 5 - Masters
Exchange Students: No
Subject particulars
Subject rules
Prerequisites: N/A
Co-requisites: N/A
Incompatible subjects: N/A
Equivalent subjects: N/A
Special conditions: Minimum five (5) years of experience undertaking health classification in the health workforce.
Graduate capabilities & intended learning outcomes
01. Analyse and critique contemporary clinical documentation improvement models.
- Activities:
- Identify and review appropriate models from the international literature and practice.
02. Select, appraise and apply specialised enabling technologies for clinical documentation to facilitate critical organisational outcomes.
- Activities:
- Undertake documentation improvement practices.
03. Investigate clinical documentation practices of organisations.
- Activities:
- Undertake clinical documentation improvement audits and investigations.
04. Interpret and effectively communicate outcomes, and develop programs for facility-wide implementation.
- Activities:
- Analyse, report on and disseminate documentation improvement outcomes.
05. Appraise and justify critical ethical and legal requirements and other compliance standards needed in clinical documentation.
- Activities:
- Review and apply standards and requirements through audit practice.
Online, 2019, Semester 2, Online
Overview
Online enrolment: Yes
Maximum enrolment size: N/A
Enrolment information:
Subject Instance Co-ordinator: Barbara Gleeson
Class requirements
LectureWeek: 31 - 43
One 1.0 hours lecture per week on saturday during the day from week 31 to week 43 and delivered via online.
WorkShopWeek: 31 - 43
Twelve 2.0 hours workshop per study period on saturday during the day from week 31 to week 43 and delivered via online.
Assessments
| Assessment element | Comments | % | ILO* |
|---|---|---|---|
| Team presentation (30 minutes) and written report (2,000-words equivalent, per student) | 30 | 01, 02, 03, 04 | |
| Individual written report (2,000-words equivalent, per student) | 30 | 01, 02, 03, 04, 05 | |
| Individual 2-hour written examination (2,000-words equivalent) | 40 | 01, 02, 03, 04, 05 |