Create a total of two (2) policies to address electronic health record documentation and traditional paper-based health record documentation.

Assignment:  As the recently hired Corporate Director of Health Information Management, you have tasked the assignment of creating a much needed policy to govern the practice of health record documentation. You have appointed your HIM Manager to devise such a policy that address the following:

  • Subject
  • Purpose
  • Staff
  • Effective Date
  • A thorough description of the policy
  • Definition of Terms (associated with policy)
  • Procedure

Create a total of two (2) policies to address electronic health record documentation and traditional paper-based health record documentation.

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