Running Head: PORTFOILO PROJECT FINIAL SUMMISSION 1

Portfolio Project Finial Submission

Latshia Gardner

Healthcare Information Systems Management

Bryant & Stratton College

Mrs. T’Nishia Dials

Dec. 9, 2018

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As I was looking up the three positions need for this assignment. I was very encouraged that

this is a field that is growing and is available in serval different settings. The first the first and

second position is in an inpatient setting and are both entry level positions. The third position is

very much more involved. It is with the Erie County Sheriffs Dept and requires taking the civil

servants test as well as other testing requirements. The two entry level positions are more geared

toward organization of HIM, such as filing, “prepping” files, and maintenance of data. The third

position is more of a middle management position so the responsible and more involved. Due to

this the responsibility of the positions includes such assignments such as:

Supports the Technical Services Call Center and Information Technology request for service system;

Responds to basic technical support requests of internal and external clients and vendors;

Participates in preparing and maintaining financial, statistical, personnel and other records;

Assists in the development of policies and procedures for the HIS Department;

The entry level positions responsibilities include:

Completes medical forms such as death certificates, birth certificates and statistical reports;

Routes requests for medical information and other correspondence to appropriate person;

Assists in compilation and preparation of statistical reports;

Performs coding of diagnostic procedures, daily discharges ambulatory surgery cases, Emergency Room records and various other clinics;

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HEALTH INFORMATION MANAGEMENT TECHNICIAN

Erie County Medical Center Corporation Buffalo, NY

The work involves performing technical activities involved in the analysis, maintenance and

completion of various medical records and related statistical and informational reports at the Erie

County Medical Center Corporation. The work involves the use and understanding of medical

terminology, standard nomenclature, recordkeeping coding systems and various legal and

procedural rules and regulations. This is the entry-level class of this series. The work is

performed under the direct supervision of a medical records administrator of higher rank.

Supervision may be exercised over lower level technical and/or clerical employees. Does related

work as required.

Typical Work Activities

Completes medical forms such as death certificates, birth certificates and statistical reports;

Routes requests for medical information and other correspondence to appropriate person;

Assists in compilation and preparation of statistical reports;

Performs coding of diagnostic procedures, daily discharges ambulatory surgery cases, Emergency Room records and various other clinics;

Performs billing and charging of Evaluation/Management for Emergency Room records;

Verifies spelling of medical terms and ensures that standards established by the Bureau of Vital Statistics, relating to death certificates, are adhered to;

Assists in training lower ranking clerical personnel;

Files reports, charts and other materials;

Types minor records and reports for which skilled typing is not required;

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Assists in locating and identifying records and reports;

Responds to requests for information by appropriate individuals.

FULL PERFORMANCE KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL

CHARACTERISTICS: Good knowledge of medical record keeping procedures; good

knowledge of office terminology, procedures and equipment; good knowledge of medical

terminology; good knowledge of disease process; working knowledge of regulations governing

the maintenance of medical records; working knowledge of standard classified nomenclature of

diseases; ICD-10-CMS, CPT, E/M and Interventional Radiology Coding; ability to maintain a

variety of medical records neatly and accurately; ability to follow detailed oral and written

instructions; ability to apply coding and indexing systems to medical records; ability to establish

and maintain effective working relationships with others; ability to train others; ability to

recognize inconsistencies and omissions in medical records; dependability; tact; confidentiality;

physically capable of performing the essential functions of the position with or without

reasonable accommodation;

Minimum Qualifications• Completion of a two (2) year college program in Medical Record Science, Health Information Technology or closely related field; or;• Completion of a certificate program in coding and/or billing.Special Requirements

Active status as a Registered Health Information Technician by the American Health Information Management Association (AHIMA) at time of permanent appointment; or:

Possession of a Certified Coding Specialist (CCS) Certificate as Issued by The American Health Information Management Association (AHIMA) At Time of Permanent Appointment; Or

Possession of a Certified Professional Coder (CPC) Certificate or Certified Coding Associate (CCA) Certificate as issued by an authorized accrediting agency at the time of permanent appointment.

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NOTE: Verifiable part-time and/or volunteer experience will be pro-rated toward meeting full-time experience requirements (County, 2018).

Health Information Management Clerk

The work involves performing various clerical functions necessary for the filing, retrieval,

storage and retention of medical records at the Erie County Medical Center Corporation. The

incumbent maintains complete and accurate medical records, evaluates medical records to

established standards, and provides clerical support for other health information employees of

the department. Work is performed under direct supervision of an administrative technical or

clerical employee. Supervision is not a function of this position. Does related work as required.

TYPICAL WORK ACTIVITIES: Pulls and files medical records; Facilitates accurate tracking

system of pulled records; Reviews and analyzes medical records for completeness, proper

signatures and documentation for JCAHO, New York State Department of Health and Medical

Bylaw requirements; notifies physician/practitioner of deficiency; Corrects, prints and files

transcribed reports; Ensures that transcribed reports are attached to the correct patient/visit in the

Electronic Medical Record; corrects any reports that fail or have misinformation; Audits the

auto-fax feature of electronic signature to ensure that signed reports are faxed to the appropriate

and necessary physicians; Trains new physicians on the dictation system including setting up

dictation ID's; trains attending physicians on electronically signing reports; Audits the signing

queues; Completes weekly delinquent lists for physicians, operative reports, cardiac caths, and

angiograms; Prepares weekly letters for medical staff; Scans, indexes, and performs checks on

scanned documents; Answers and directs inquiries regarding medical records; Receives, verifies

and processes subpoenas; Enters and prepares records for New York State Disability claims.

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FULL PERFORMANCE KNOWLEDGE, SKILLS, ABILITIES, AND PERSONAL

CHARACTERISTICS: Good knowledge of modern filing and medical record keeping

procedures including paper, microfilm, scanned and electronic records; good knowledge of

medical record maintenance; working knowledge of laws and regulations governing the

completion of medical records; working knowledge of laws and regulations regarding the release

of protected health information; ability to recognize inconsistencies and omissions in medical

records; ability to work effectively with a wide range of people; ability to communicate

effectively, both orally and in writing; ability to maintain a variety of medical records; ability to

understand and follow detailed oral and written instructions; ability to train others; high degree

of accuracy; industry; dependability and confidentiality; physically capable of performing the

essential functions of the position with or without reasonable accommodation. MINIMUM

QUALIFICATIONS: Graduation from high school or possession of a high school equivalency

diploma and one (1) year of office experience, at least six (6) months of which included working

with medical records in a health care setting. NOTE: Verifiable part-time and/or volunteer

experience will be pro-rated toward meeting full time experience requirements (Center, 2018).

Health Information Technology Support Assistant

Erie County Sheriff-New York

Salary: $63,000- $77,000 AnnuallyOpening Date: September 26, 2018Closing Date: October 24, 2018Application fee: $20.00Residence Requirements:

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THERE ARE NO RESIDENCY REQUIREMENTS FOR PARTICIPATION IN THIS

EXAMINATION. There is one anticipated vacancy at the Erie County Medical Center

Corporation.

Examples of Duties:

A Health Information Technology Support Assistant performs administrative and technical

support duties for the Health Information Systems (HIS) Department at the Erie County Medical

Center Corporation;

Provides administrative and technical support to the Chief Information Officer and

Information Technology senior leadership team as requested;

Performs confidential and special projects as assigned;

Participates in investigative activities, documentation requirements, and compilation of

patient privacy and security audits;

Assists with the daily operations of the user credentialing including setup and monitoring

modifications and deletions;

Supports the Technical Services Call Center and Information Technology request for

service system;

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Responds to basic technical support requests of internal and external clients and vendors;

Participates in preparing and maintaining financial, statistical, personnel and other

records;

Assists in the development of policies and procedures for the HIS Department;

Performs various duties in the purchasing process, including assignment of accounting

codes, submission of purchase requisitions, vendor communication and coordination of

asset tracking.

Qualifications:

MINIMUM QUALIFICATIONS: Candidates must meet one of the following

requirements on or before the date of the written test:

A) Graduation from a regionally accredited or New York State registered college or university

with a Bachelor’s Degree and two (2) years of experience in providing administrative or

technical support in an information technology setting; or:

B) Graduation from a regionally accredited or New York State registered college or university

with an Associate’s Degree and four (4) years of experience in providing administrative or

technical support in an information technology setting; or:

C) An equivalent combination of training and experience as defined by the limits of (A) and (B).

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Notes:

1. Verifiable part-time and/or volunteer experience will be pro-rated toward meeting the

experience requirements.

2. Your degree and/or college credit must have been awarded by a regionally accredited college

or university or one recognized by the New York State Education Department as following

acceptable educational practices. A grade of "D" or better is necessary for a course to be credited

as successfully completed. If your degree and/or college credit was awarded by an educational

institution outside of the United States and its territories, you must provide independent

verification of equivalency. You can write to this Department for a list of acceptable companies

providing this service; you must pay the required evaluation fee.

Notice to Candidates:

Transcripts will now be accepted by the Department of Personnel ONLY at time of

application.

All subsequent transcripts must be submitted at time of interview.

SUPPLEMENTAL INFORMATION:

A medical examination may be required before appointment.

VETERANS: PROOF OF SERVICE MUST BE SUBMITTED BEFORE LIST IS

ESTABLISHED TO RECEIVE ADDITIONAL POINTS. (See application for more

information.)

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NOTICES TO APPEAR FOR THE EXAMINATION ARE MAILED APPROXIMATELY

ONE WEEK PRIOR TO THE EXAMINATION DATE

NO CELL PHONES ARE PERMITTED AT THE EXAM SITE.

Examination date: December 1, 2018

Applications Must Be Postmarked By: October 24, 2018

The New York State Department of Civil Service has not prepared a test guide for this

examination. However, candidates may find information in the publication "How to take

a written test" helpful in preparing for this test. This publication is available on line at:

https://www.cs.ny.gov/testing/testguides.cfm

Subjects of Examination:

A written test designed to evaluate knowledge, skills and /or abilities in the following areas:

1. Administrative techniques and practices

These questions test for a knowledge of management techniques and practices used in directing

or assisting in directing a program component or an organizational segment. Questions cover

such areas as interpreting policies, making decisions based on the context of the position in the

organization, coordinating programs or projects, communicating with employees or the public,

planning employee training, and researching and evaluating areas of concern.

2. Preparing written material

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These questions test for the ability to present information clearly and accurately, and to organize

paragraphs logically and comprehensibly. For some questions, you will be given information in

two or three sentences followed by four restatements of the information. You must then choose

the best version. For other questions, you will be given paragraphs with their sentences out of

order. You must then choose, from four suggestions, the best order for the sentences.

3. Project management

These questions are designed to test for techniques and concepts of project management. They

may cover, but not necessarily be confined to, management of systems development,

management by objectives, project scheduling and control techniques (e.g., PERT),

characteristics of organizations and of the systems life cycle, and the development of data

processing standards.

4. Principles of providing user support

These questions test for knowledge and skill in working in a user support situation. They cover

such subjects as how to communicate effectively with users requesting help; how to deal with

different types of situations; troubleshooting techniques; and how to gather, organize and make

available technical information needed to provide support.

NOTICE TO CANDIDATES:

Unless otherwise noted, candidates are permitted to use quiet, hand held, solar or battery

powered calculators. Devices with typewriter keyboards, "Spell Checkers", “Personal

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Digital Assistants", "Address Books", "Language Translators", "Dictionaries", or any

similar devices are prohibited. You may not bring books or other reference materials.

NOTICE TO CANDIDATES WHO ARE ALSO TAKING ANOTHER CIVIL

SERVICE EXAM(S) ON THIS DATE (See Below)(IF YOU ARE TAKING 2 OR

MORE ERIE COUNTY EXAMS ON THIS DATE IT IS NOT NECESSARY TO

CALL) INFORMATION FOR CANDIDATES

APPLICATION FORMS:

You may obtain these forms in person at the Erie County Personnel Department, Rath

County Office Building, 95 Franklin St., Buffalo. Forms are also available in the libraries

and at Town, Village and School District administrative offices.

Mail your application form when completed to the Erie County Department of Personnel,

95 Franklin St., Buffalo, NY 14202.

Candidates who submit incomplete applications and documentation may be disqualified. The

Erie County Department of Personnel reserves the right to reject for lateness or to accept

applications filed after the advertised filing period.

MILITARY STATUS:

Active duty military personnel may file an application for this exam. A special military

make-up examination will be conducted for any member of the armed forces of the

United States who has duly filed a timely application but who was deprived of the

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opportunity to compete in the scheduled exam due to active military duty. Special

conditions apply to these requests and may be reviewed at the Erie County Department of

Personnel.

VETERANS:

Disabled and non-disabled veterans as defined in Section 85, New York State Civil

Service Law, will have 10 and 5 points, respectively added to their earned scores if

successful in the examination. You must claim these credits when you file application,

but you have an option to waive them any time prior to appointment. If you have already

used these credits for a permanent position in NYS, you may not claim them again.

In conformance with section 85-a of the Civil Service Law, CHILDREN OF

FIREFIGHTERS AND POLICE OFFICERS KILLED IN THE LINE OF DUTY shall be

entitled to receive an additional ten points in a competitive examination for original

appointment in the same municipality in which his or her parent has served. If you are

qualified to participate in this examination and are a child of a firefighter or police officer

killed in the line of duty in this municipality, please inform this office of this matter when

you submit your application for examination. A candidate claiming such credit has a

minimum of two months from the application deadline to provide the necessary

documentation to verify additional credit eligibility. However, no credit may be added

after the eligible list has been established.

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SPECIAL ARRANGEMENTS:

Applicants whose religious beliefs prevent their taking examinations before sundown on

Saturday and physically handicapped candidates who require special examination

facilities should so inform the Erie County Department of Personnel, by a separately

mailed letter as soon as possible before the test.

MORE THAN ONE EXAM ON THE SAME DAY:

If you have applied for more than one exam on the same day you MUST plan to take

ALL of the examinations at ONE examination test site. If you have applied for both

STATE and LOCAL government examinations taking place on the same day, you must

take all of your examinations at the STATE examination center. If you have applied for

both COUNTY and CITY government examinations taking place on the same day, you

must take all of your examinations at the COUNTY examination center. You are

responsible to notify EACH Civil Service Agency no later than TWO WEEKS before the

examination date on which you are taking multiple examinations by submitting a Cross-

Filer form; EACH Civil Service Agency has their own Cross-Filer form. The Erie County

Cross-Filer form can be found

http://www2.erie.gov/employment/sites/www2.erie.gov.employment/files/uploads/EC

%20Personnel%20Form_Exams%20Cross-Filer%202015.pdf. If you are taking multiple

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exams on the same date with Erie County only, you do not have to file a Cross-Filer

form.

Candidates taking more than one exam in DIFFERENT exam series will be allowed the specified

length of time for each exam, up to a maximum of eight hours. Example: If you are taking one

exam which allows six hours and another exam in a different series which allows four hours, you

must complete both tests in eight hours, but no more time can be spent on each exam than the

time allotted for that exam. Candidates taking more than one exam in the SAME exam series will

be allowed up to the specified length of time for each exam. Example: If you are taking two

exams in the same series with a maximum time of five hours for each exam, you can spend no

more than five hours to complete both exams.

ADMISSION TO EXAMINATION:

Notice to appear for the test will be conditional as review of application for minimum

requirements may not be made until after the written test. Call or write this Department if you

have not received your notice 3 days before the date of the test. You may not be admitted to the

examination room without official notice.

RATINGS REQUIRED:

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Tests are rated on a scale of 100 with a passing mark at 70. Unless the announcement states

otherwise, you must pass the written test and the oral test, if any. Test instructions may further

divide the tests into parts and set minimum standards for each part.

TRAINING AND EXPERIENCE:

If a subject of the examination, training and experience may not be rated if all passing candidates

are expected to be immediately reachable for appointment. If rated, training and experience will

be based on the statements in your application subject to verification. If this examination

includes a qualifying written test, candidates admitted to the test will have conditional approval

only. Final decision regarding the qualifications of candidates rests with the New York State

Department of Civil Service.

MEDICAL EXAMINATION:

You may be required to take a medical examination to determine if you are medically and

physically capable of performing the duties of the position. In accordance with State Law,

Governor’s Executive Order 6, and Section 504 of the Federal Rehabilitation Act of 1973, as

amended the County of Erie does not discriminate against handicapped persons in access to

employment, during employment, or in any of its programs and activities.

VERIFICATION OF QUALIFICATIONS: Candidates may be investigated or called for an

interview to verify information contained on the application. Verifiable part-time and/or

volunteer experience may be pro-rated toward meeting full-time experience requirements.

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ELIGIBLE LIST: The eligible list resulting from an examination may also be used for

appointment to the same title or to any other title deemed to be similar and appropriate. Eligible

lists are active for a minimum of one year and a maximum of four years from the date

established.

BACKGROUND INVESTIGATION (*including psychological evaluation when required by

position): Candidates may be subject to a thorough background investigation or psychological

evaluation when required to determine eligibility for appointment. Applicants may be required to

authorize access to educational, employment, criminal history and other records check as part of

such investigation or participate in related tests or interviews. Criminal convictions or other

offense are subject to evaluation and may result in disqualification pursuant to Section 50 of the

New York State Civil Service Law. Applicant will be required to submit the necessary fees for

the fingerprint processing, where required. (*If a psychological evaluation is required, it shall be

specified in the minimum qualifications or special requirements for the position.)

**IMPORTANT APPLICATION FEE - READ CAREFULLY**

A $20.00 filing fee is required for this exam. The required fee must accompany your application.

Send or bring check or money order made payable to Erie County Personnel Department and

write the examination number(s) on your check or money order. Do not send or bring cash, as

the County cannot be responsible for cash payment. As no refund will be made, you are urged to

compare your qualifications carefully with the requirements for admission and file only for those

examinations for which you are clearly qualified.

APPLICATION FEE WAIVER:

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A waiver of application fee will be allowed if you are unemployed and primarily responsible for

the support of a household. In addition, a waiver of application fee will be allowed if you are

determined eligible for Medicaid, or receiving Supplemental Security Income payments, or

Public Assistance (Temporary Assistance for Needy Families/Family Assistance or Safety Net

Assistance) or are certified Job Training Partnership Act/Workforce Investment Act eligible

through a State or local social service agency.

All claims for application fee waiver are subject to verification. If you can verify eligibility for

application fee waiver, complete a “Request for Application Fee Waiver and Certification: form

and submit it with your application by the close of business on the Application Deadline as listed

on the Examination Announcement. The form is available at the Erie County Personnel

Department, 95 Franklin Street, Buffalo, NY (Room 604) or can be downloaded from the

County’s website at www.erie.gov. Click on “County Departments and Agencies”, then “Erie

County Civil Service.” This examination is prepared and rated by the New York State

Department of Civil Service, and held in compliance with the New York State Civil Service Law

and the rules and regulations of the New York State Department of Civil Service (York, 2018).

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ReferencesCenter, E. C. (2018, November 7). Recruit.net. Retrieved from

https://www.recruit.net/job/clerk_buffalo-ny_jobs/8EBBD4AB708F84A3?

utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=org

anic

County, E. (2018, November 9). Linkdin. Retrieved from

https://www.linkedin.com/jobs/view/health-information-management-technician-at-erie-

county-medical-center-corporation-959036326/?

utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=org

anic

Fleming, N. S., Culler, S. D., McCorkle, R., Becker, E. R., & Ballard, D. J. (2011, March).

Health Affairs. Retrieved from

https://www.healthaffairs.org/doi/10.1377/hlthaff.2010.0768

Landi, H. (2018, Jan. 2018). Retrieved from Health Informatics: https://www.healthcare-

informatics.com/news-item/cybersecurity/2017-breach-report-477-breaches-56m-patient-

records-affected

MEDENT. (2018, DEC. 8). Retrieved from MEDENT: https://www.medent.com/

Meeks, D. W., Smith, M. W., Taylor, L., Sittig, D. F., Scott, J. M., & Singh, H. (2014, June 20).

Oxford Academic. 21(6, 1), 1053-1059. doi:https://doi.org/10.1136/amiajnl-2013-002578

Syst., J. M. (2017, July 21). US National Library of Medicine National Institutes of Health.

Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5522514/

York, E. C.-N. (2018, Sept. 28). glassdoor.com. Retrieved from https://www.glassdoor.com/job-

listing/health-information-technology-support-assistant-erie-county-sheriff-new-york-

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JV_IC1131850_KO0,47_KE48,76.htm?

jl=2962757139&utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&u

tm_medium=organic

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Latshia Gardner4216 Lasalle Ave Hamburg, NY | 716-771-4536 | mssmith_8@hotmail.com

May 14, 2023

To whom it may concern:

I am Latshia Gardner, and I am seeking to be part of your magnificent team. I have many

skills and talents that I believe will be a great addition to you company. I have leadership

experience, as the founder of Prophetic Wind Ministries International, I have lead mission teams

in local projects and international projects in courtiers such as Uganda, Rwanda, the Congo and

the U.S.A. My people skills and team work mindset allow me to also be a great follower as well.

I have great computer and administration skills. And enjoy learning new things and growing in

my skillset.

My office skills include but are not limited to typing 65 wpm, experience with Microsoft

word, excel, PowerPoint. I also have experience in public speaking, medical terminology,

medical billing & coding, anatomy and physiology. I am a very proactive person who is always

looking to see where I can help to make things better. My hobbies include playing the piano,

violin, drums and singing. I also enjoy sewing and cooking.

If you are looking for someone with the leadership skills with experiences. I believe I will

be a great fit and the right candidate for you.

Sincerely,

Latshia Gardner

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Latshia Gardner 4216 Lasalle Avenue, Hamburg, NY 716-771-4536 mssmith_8@hotmail.com

OBJECTIVE: Medical Administrative Assistant seeking an opportunity in the Healthcare

Field that will utilize skills, education and experience. SKILLS & ABILITIES: ● Former CNA with 20+ years of experience in acute care, Alzheimer’s

and dementia, and long-term care Trained in Microsoft Office, Word, Excel and PowerPoint Type 65 WPM Medical Terminology, Anatomy & Physiology, and Psychology Medical Reimbursement, ICD-10-CMS, CPT and HSPCS level II

coding systems

EDUCATION: Bryant & Stratton College, Orchard Park, NY Associates degree: Medical Administrative Assistant Anticipated graduation date: December 2017 National Technical Honor Society Member, Dean’s List Sound Care Inc., Tacoma, WA Nursing Assistant Training CERTIFICATION: Mandated Reporter Training HIPAA Training EXPERIENCE: Prophetic Wind Ministries Intl., Hamburg, NY Co- Pastor 1/2014 – Present

Day-to-day ministry operations Head of international missions Oversee the ministry auxiliaries Worship leader, preacher and children’s ministry supervisor Mercy Skilled Nursing Facility at OLV, Lackawanna, NY Certified Nursing Assistant 12/2009 – 1/2014 Daily vital signs, basic resident care, feeding and bathing of PATIENTS,

charting, daily actives, range of motion, oral care, to assist in dressing

Aging Long-term Care/COPES, Tacoma, WA Certified Nursing Assistant 12/2005 – 6/2009 Daily care and management of each CLIENT’S home, responsibilities

also include the daily actives, transportations, vital signs and weight, HOUSEKEEPING, bathing and other actives of daily living on behalf of the client and COPES.

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MY VIDEO RESPONSE

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Proposal For New Health Information System.

HTHS 310

Latshia Gardner

Latshia Gardner

12/8/2018

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Why this system was chosen

(MEDENT, 2018)

We are proposing the implementation of Medent Electronic Health Records (EHR) within our

organization. As an organization this technology will allow our organization to operate within

one networking. This technology will increase our communication and daily productivity within

the organization. This EHR will give our patients greater access to their medical records.

MACRA impacts all providers with $30,000+ in Part B charges that are treating more than 100 Medicare beneficiaries

Physicians ranked compared to peers, with potential negative adjustments to total Medicare revenue

Two reimbursement programs: MIPS and Advanced APMs MEDENT simplifies Chronic Care Management (CCM) and Hierarchical Condition

Categories (HHC), which can help generate additional revenue (MEDENT, 2018).implementation requirements

This technology requires at least 3 gigabytes of RAM per PC. This technology is cloud based.

This will allow the organization access to the EHR from any location contacted to the

organizations. Cost of implementation, considering hardware and software costs, as well as the

time and effort invested in implementation averages for five-physician practice, an

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implementation cost which is estimated to be $162,000, with $85,500 in maintenance expenses

during the first year. These components are need for the upstart of the EHR, as the organizations

there will be upgrade cost associated with the EHR as well (Fleming, Culler, McCorkle, Becker,

& Ballard, 2011).

Security Issue

Safety issue with this technology include data breaches due to hackers and employee misuse. As

health records have gone digital in the past seven years, they've become far more vulnerable to

poaching—and far more valuable to thieves, who can sell a complete medical record for more

than $1,000 on the darknet (Landi, 2018). That's because the records contain not just your

insurance info—which can be used for fraudulent billing and prescriptions—but also Social

Security, driver's license and credit card numbers. As a result, the health care industry is

scrambling to play catch-up to secure patient and hospital data (Meeks, et al., 2014). The privacy

of patients and the security of their information is the most imperative barrier to entry when

considering the adoption of electronic health records in the healthcare industry. In 2009, the

HITECH Act stressed the significance of reporting data breaches. The HITECH Act maintains

specific protocol that is to be followed when reporting data breaches. After many studies this

next step have been found effective in protecting PHI. Physical safeguard, Technical safeguards,

Administrative safeguards. Physical safeguards include safeguards such as locks on laptops.

Technical safeguard is technology to prevent electronic breaches such as encryption and

firewalls. Administrative safeguards include generators to prevent down time, duplication of all

critical hardware, implement comprehensive testing and monitoring strategies (Syst., 2017).

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How we will secure our EHR

We will be implementing all three types of safeguards list above. We will be adding super users

to track all unnecessary and unauthorized access to all PHI and the EHR as a whole (Meeks, et

al., 2014).

Compliances

Because our organization adhere to high ethical and moral standard confidentiality is number one

on our list of priorities. We will comply with HIPAA, ARRA, Hi-tech 2009 and any future laws

and regulations that are presented. Each of these regulations are need and helpful to keep PHI as

safe as possible.

Ethics and Data Breaches

This organization will deal strongly with all unethical behavior. It will not be tolerated.

Administration will continually monitor our employees for such behavior as well as require

mandatory training about ethics, making it a part of our organization culture. Data breaches must

be report to administration immediately and all government regulation will be adhered to.

28

ReferencesCenter, E. C. (2018, November 7). Recruit.net. Retrieved from https://www.recruit.net/job/clerk_buffalo-

ny_jobs/8EBBD4AB708F84A3?

utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

County, E. (2018, November 9). Linkdin. Retrieved from https://www.linkedin.com/jobs/view/health-

information-management-technician-at-erie-county-medical-center-corporation-959036326/?

utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

Fleming, N. S., Culler, S. D., McCorkle, R., Becker, E. R., & Ballard, D. J. (2011, March). Health Affairs.

Retrieved from https://www.healthaffairs.org/doi/10.1377/hlthaff.2010.0768

Landi, H. (2018, Jan. 2018). Retrieved from Health Informatics: https://www.healthcare-

informatics.com/news-item/cybersecurity/2017-breach-report-477-breaches-56m-patient-records-

affected

MEDENT. (2018, DEC. 8). Retrieved from MEDENT: https://www.medent.com/

Meeks, D. W., Smith, M. W., Taylor, L., Sittig, D. F., Scott, J. M., & Singh, H. (2014, June 20). Oxford

Academic. 21(6, 1), 1053-1059. doi:https://doi.org/10.1136/amiajnl-2013-002578

Syst., J. M. (2017, July 21). US National Library of Medicine National Institutes of Health. Retrieved

from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5522514/

York, E. C.-N. (2018, Sept. 28). glassdoor.com. Retrieved from

https://www.glassdoor.com/job-listing/health-information-technology-support-assistant-erie-

county-sheriff-new-york-JV_IC1131850_KO0,47_KE48,76.htm?

jl=2962757139&utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_med

ium=organic