Question

For Correctional Medical Facilities :

Describe the types of care provided.

Identify the national organization(s) and the healthcare standards for the setting.

Identify your home state of NJ for state specific information

Summarize NJ specific health record (i.e., medical record) documentation guidelines for the healthcare setting, including the statute, regulation and administrative code reference number.

Summarize NJ specific health record (i.e., medical record) retention guidelines for the health care setting, including the statute, regulation and administrative code reference number.

Summarize the documentation requirements from The Joint Commission, including the standard and section (only for hospital-based care).

Describe the reimbursement method for the healthcare setting.

Describe a minimum of two coding or classifications systems utilized.

Summarize at least one commonly reported database associated with the health care setting.

Identify a minimum of two job opportunities at that setting for registered health information management administrators (RHIA). For each job opportunity selected, include the following (Do not copy and paste):

Position title

Salary or salary range

Educational requirements

Experience requirements

Answer 1

Answer: The types of care provided are:

Types of Care:

• In home care: in-home care takes place at home. It may be care provided by loved ones, family, friends, neighbors or professional caregivers. In-home care typically includes assistance with day-to-day tasks such as bathing, walking or cooking.
• Adult care: Adult day care offers supervised care within a safe and secure environment. It may be community- or facility-based. Services typically include meals, social or recreational activities, and health-related assistance.
• Respite care: Respite care is a short term relief program that gives caregivers a break. In respite care, a skilled care professional assumes caregiver responsibilities for a predetermined amount of time.
• Assisted living : Assisted living facilities vary greatly in how many residents can live there and can range from a private room or an apartment to a multi-unit facility. In general, they promote self-sufficiency and are designed to offer residents a high level of independence.
• Skilled nursing caring: Nursing homes, professionally called Skilled Nursing Care centers, offer 24-hour staffing to provide comprehensive services to those requiring a greater level of care than that offered by assisted living facilities.
• Medical care: Medical care in a Skilled Nursing Care center may be one-to-one (attending physician) or one-to-many.

Answer: The Commission developed the National Safety and Quality Health Service (NSQHS) Standards to drive the implementation of safety and quality systems and improve the quality of health care. Health Level provides standards for exchanging clinical data. DICOM. Digital Imaging and Communications in Medicine ( provides for handling, storing, printing, and transmitting information in medical imaging.)

Federal Health Care Records Laws: Congress passed a law called the Health Insurance Portability and Accountability act (also known as HIPPA), which generally requires that hospitals and their staff keep a patient's medical records confidential unless the patient allows the hospital to disclose the records.

In certain lawsuits, especially criminal lawsuits, doctors may be forced to disclose medical information. However, there are some situations in which a doctor is allowed to assert a privilege, and cannot be forced to testify about a patient's medical history. In New Jersey, a medical health care provider cannot be forced to testify about a patients medical history or mental health.

In certain cases, doctors must disclose medical information. Those situations include child abuse, pertussisus vaccination, venereal disease, and AIDS. However, all records relating to HIV/AIDS that contain identifying information are confidential.