You are the Health Information Director at the General Hospital, which has been accredited by The Joint Commission (TJC). You have been notified that surveyors are currently onsite and, as part of their survey process, are utilizing the tracer methodology. They will be evaluating the direct care of patients currently admitted to the hospital and will also need access to the hospital’s EHR.
One of the patients whose care and medical record the surveyors will be examining is Ella Myrick. This patient is currently an inpatient admission at your hospital and is being prepared for discharge.
General Hospital’s Vice President tasked you with auditing Ella Myrick’s chart utilizing TJC’s tracer methodology.
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Introduction:
As a medical professor in charge of creating college assignments and answers for medical college students, I understand the importance of accreditation by The Joint Commission (TJC) in healthcare facilities. It is crucial to adhere to TJC’s guidelines and standards to ensure quality care for patients. In this scenario, the Health Information Director at General Hospital has been notified of tracer methodology being utilized by surveyors onsite. The patient whose care and medical record the surveyors will assess is Ella Myrick, who is currently an inpatient.
Answer:
To comply with the Vice President’s request to audit Ella Myrick’s chart utilizing TJC’s tracer methodology, the following steps can be taken:
Firstly, the auditor must select a relevant patient for the tracer. In this case, the patient selected is Ella Myrick, who is currently admitted and being prepared for discharge. The tracer methodology requires the auditor to follow the patient’s care path from admission to discharge and evaluate their medical records accordingly.
The auditor must identify and review the various departments involved in Ella’s care, including her physician, nursing staff, and other medical professionals involved in her treatment. The audit aims to assess the quality of patient care and patient outcomes, ensuring that General Hospital adheres to TJC standards.
The auditor must review Ella’s medical records, including lab results, imaging reports, and prescriptions, to evaluate the quality of care provided to the patient. If any discrepancies are detected, the auditor is responsible for providing feedback and ensuring that corrective measures are taken.
In conclusion, auditing Ella Myrick’s chart utilizing TJC’s tracer methodology requires a thorough evaluation of the patient’s care path and medical records. The auditor’s responsibility is to ensure that General Hospital provides quality care that meets TJC standards.
