The problem list has the potential to improve patient care or cause significant issues of its own if not maintained properly. With misuse, the problem list can grow to 30 lines or more, causing clutter in the EHR and severely limiting its usefulness. Some practitioners may also choose to include items on the problem list that could potentially violate state and federal patient privacy requirements. As more patients access their medical records through online portals, will they understand and/or agree with what they find on their problem list?
HIM professionals must be involved in developing policies and procedures for problem list maintenance, especially as more patients realize their problem lists contain inaccuracies. As the medical industry adopts EHRs and attempts to demonstrate meaningful use, it will be critical to find methds to standardize the way that practitioners utilize the patient’s problem list.
Join us as we discuss these issues and offer best practices for problem list management. At the conclusion of this program, participants will understand:
- What is the problem list;
- Why is it important;
- What should be on the problem list;
- What role does HIM play; and
- Why now is the perfect time to fix the problem list.
August 11, 2020
1.0 – Data Structure, Content, and Information Governance
Judy Holloway, MPH, RHIA, CCS, CCS-P
Ms. Holloway, MPH, RHIA, CCS, CCS-P, has over 40 years experience in the health care industry, primarily in the areas of clinical and administrative operations and systems. She has extensive experience in various clinical coding systems including ICD-10-CM/PCS and CPT.
John Folger, RHIA, CCS, CCS-P
John Folger received his certificate in HIM from Regis University in 2013, after a previous bachelor’s in 1998. He has worked as a consultant for Wipfli for the past five years. He primarily audits in both inpatient and outpatient settings and has co-presented at AHIMA and CHIA conventions.