Activity

Impact

Institutional Compliance Committee

Served with members of executive management, physician leadership and compliance officials to develop institutional direction for compliance activities and subsequent monitoring.

Charge Automation Task Force

Served on task force assigned to automate the creation and collection of out patient charges. Audit Services increased the task force’s ability to automate and streamline the process.

Data Warehouse Task Force

Served on task force assigned to develop a Data Warehouse for financial information. Audit Services increase the task force’s ability to ensure appropriate, accurate and reliable information is made available to users.

e-Commerce Task Force

Served on task force assigned to explore the use of e-Commerce in the purchasing process and select a product to implement.  Audit Services brought information system and internal control knowledge to the task force.

Inventory of information systems at UTMB was performed.

Information was used in the annual risk assessment for Audit Services annual work plan.  Information collected is being turned over to the Information Systems department to be used in several of their process.

Information Services Risk Assessment was reviewed.

Audit Services reviewed the risk assessment performed by Information Services.  Information Services has implemented plans to address the risk identified in their risk assessment. 

Institutional Risk Assessment Project was completed.

The development of a risk based work plan that was aligned with the institution’s goals and objectives and institutional and audit management’s concerns and risk areas.

Compliance Progress Reviews performed in the areas of health information management and hospital billing

The Institutional Compliance Program was provided an assessment of the soundness of the methodologies used and the accuracy of monitoring reports received from compliance risk areas.

Follow-up procedures performed for 52 previously identified audit issues. 

Institutional management was provided an update on the current status of outstanding audit issues.  It was determined that 91% of these issues were either fully (81%) or partially (10%) resolved.

JCAHO Task Force

Participated with departmental managers and directors to ensure ongoing compliance with JCAHO standards and to prepare for the accreditation survey completed in October 2000.

Order Entry Issue Resolution Committee

Participated with members of the Information Services, Pharmacy, and Nursing departments along with physician leaders to monitor and provide direction for the implementation of and enhancements to the Physician Order Entry System.

Health Information Committee

Participated with members of the Health Information Management, Nursing, and Information Services departments along with physician leaders to discuss and provide direction for various health information issues.

Nursing Documentation Team

Participated with members of nursing management to improve the quality of nursing documentation for inpatients and observation patients by streamlining and standardizing documentation tools and processes.

ClinWeb Electronic Medical Record (EMR) Security Committee

Participated with members of the Information Services and Health Information Management departments to identify and discuss security requirements for the ClinWeb EMR.

Operating Room (OR) Charge Automation Task Force

Participated with members of the Surgery, Healthcare Financial Management, and Patient Financial Services departments to improve the charge capture and management processes for the Surgery Department through automation.

Institutional Cash Team

Participated with members from Financial Services, Patient Billing Services, Auxiliary Services and Clinical Practices staff to review policies, procedures, training, performance management, process and system flows in order to identify areas of improvement and recommend changes.