? How information is managed throughout the organization, for example:
How should the clinical record be set up? What should the content of the record be? How are electronic information systems integrated?
How do you manage documents? How and where are abbreviations used?
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? Over time, organizations should increase their ability to:
Identify information needs Design an information management system
Define and capture data and information Analyze data and transform it into reportable information
Integrate and using information
Focus of MOI
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MOI Four Main Areas 1. Information Management
2. Management and Implementation of Documents (e.g., policies, procedures, plans, etc. [MOI.8 and MOI.8.1])
3. Medical Record
4. Information Technology in Health Care
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The Critical Policy Standards
? MOI.8: The Policy on Policies
Describes how your policies/procedures documents should be developed and managed
? MOI.8.1: Implementing your policies, procedures, and other documents.
When you see a standard with this symbol, the policy/procedure will be scored in one of these two standards.
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Critical Standards: MOI.8 and 8.1
? Describes how organizations should develop and maintain their policies, procedures, and programs.
? Commonly, surveyors will evaluate:
Your policy review and approval process How you ensure only current policies are available
The existence of your written guidance for developing policies
Among other issues
The Policy on Policies
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Critical Standards: MOI.11.1.1 ? The hospital has a process to address the
proper use of the copy-and-paste function when electronic medical records are used.
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Critical Standards: MOI.14
? The hospital develops, maintains, and tests a program for response to planned and unplanned downtime of data systems.
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Major Considerations for All Focus Areas
? Special considerations for the communication of patient information such as confidentiality and security
? Medical records with a consistent format and content
? Understanding the importance of data and the use of data for quality and safety
? Integration with IT (e.g., EMR)
