| Course | HI150 Automation of Health Information 1 |
|---|---|
| Unit | Unit 5 |
| Paper type | Deficiency analysis |
| Length | About 660 words, 5 pages double-spaced |
| Format | APA 7 student paper |
| School | Purdue University Global |
| Program | BS in Health Information Management |
| Updated | October 2026 |
Free sample paper for HI150 Unit 5
Five Gaps, Four Owners, One Clock Running From Discharge: A Unit 5 Deficiency Analysis Turning a Composite Pneumonia Chart's Missing and Unsigned Documents Into Assigned, Tracked Items
[Student Name]
Purdue University Global
HI150: Automation of Health Information 1
Unit 5 Deficiency Analysis
[Instructor Name]
[Date]
The patient, the clinicians and the hospital are composite; the record completion requirements and the sources cited are real.
Header
Encounter: inpatient admission, community-acquired pneumonia, admitted May 3, discharged May 7. Attending: Dr. H. Ward, hospitalist. Analyst: health information technician. Date of analysis: May 8.
Deficiency Table
Each row gives the document, the deficiency type, the responsible person, the date flagged and status.
1. Discharge summary: missing. Dr. H. Ward, attending. Flagged May 8. Open.
2. History and physical, dictated May 3: unauthenticated. Dr. P. Sun, the admitting hospitalist who dictated it. Flagged May 8. Open.
3. Verbal order, May 4, 02:10, potassium replacement: unsigned. Dr. K. Lee, the night hospitalist who gave it. Flagged May 8. Open.
4. Verbal order, May 5, 21:40, change in oxygen target: unsigned. Dr. K. Lee. Flagged May 8. Open.
5. Consent for central venous catheter, May 4: incomplete, time of signature missing and practitioner signature absent. Dr. R. Diaz, who placed the line. Flagged May 8. Open.
The discharge summary goes to the attending of record, not to the resident who wrote most of the progress notes, because responsibility follows the medical staff rules rather than the volume of writing.
Routing, Person by Person
Dr. Ward: one item. The discharge summary is assigned through the electronic deficiency queue with an automatic message. Federal hospital conditions give the whole record, discharge summary included, a 30-day completion limit from the day the patient leaves (42 C.F.R. § 482.24, 2024), and the medical staff rules here set seven days for the summary itself, so the item is due May 14. Dr. Sun: one item, routed to her queue. Authentication of a dictated report is a signature on an existing document, so it is usually cleared within a day of notification. Dr. Lee: two items. Verbal orders must be dated, timed and authenticated promptly by the ordering practitioner or another practitioner responsible for the patient (42 C.F.R. § 482.24, 2024). The hospital's policy sets 48 hours, which has already passed for the May 4 order. Nursing staff who accept verbal orders are expected to record them accurately and promptly as well, so the analyst also confirms that each order was entered with the receiving nurse's name, as the nursing conditions anticipate (42 C.F.R. § 482.23, 2024). Both items go to his queue with a flag to his department chair's coordinator under the policy for overdue verbal orders. Dr. Diaz: one item. The consent cannot be corrected by the analyst; the practitioner adds the missing signature with a late entry note showing the actual date and time of signing, and the original form stays as it was.
Tracking
Items are reviewed daily on the department's deficiency report. On day 15 after discharge, any open item triggers a reminder; at day 21, the medical staff office is notified; once a month has passed, the record joins the delinquent count in the hospital's monthly report, which affects the clinician's privileges under the medical staff rules, which the hospital must adopt and enforce under its medical staff conditions (42 C.F.R. § 482.22, 2024).
What the Analyst Does Not Do
The analyst does not write, alter or sign clinical documents, and does not decide whether an order was clinically appropriate. The analysis identifies what is missing or unsigned and sends it to the person who must complete it.
Patterns Worth Reporting
Two verbal orders unsigned by the same night practitioner in one stay suggests a workflow problem rather than an individual one: night verbal orders may not be routing to the practitioner's queue at all. The analyst flags the pattern to the supervisor so it can be checked across other charts from the same nights.
References
42 C.F.R. § 482.24 (2024). https://www.ecfr.gov/current/title-42/section-482.24
42 C.F.R. § 482.22 (2024). https://www.ecfr.gov/current/title-42/section-482.22
42 C.F.R. § 482.23 (2024). https://www.ecfr.gov/current/title-42/section-482.23
What the HI150 Unit 5 assignment asks for
Unit 5 generally asks you to analyze a discharged record for deficiencies and route each to the right person. Identify each missing, unauthenticated or incomplete component, using a checklist for the encounter type. Assign responsibility according to the medical staff rules and policy, not by who wrote the most. Present the deficiencies in a table sorted the way notifications would go out, usually by responsible person. Explain routing, deadlines and escalation for each person. State what the analyst does and does not do. Note any pattern that suggests a workflow problem rather than an individual one. Many sections ask you to calculate when each item would become delinquent based on the discharge date and a stated threshold.
How the HI 150 Unit 5 example is put together
The worksheet opens with a header naming the encounter, attending, analyst and date. A five-row table lists each deficiency with type, responsible person, date flagged and status, and a highlighted line explains why the attending owns the summary. Routing paragraphs follow for each clinician, citing federal completion and verbal order requirements and the hospital's own deadlines, with a margin note on naming routes and clocks. A tracking section sets reminders at days 15 and 21 and delinquency at 30, linked to medical staff rules. Short sections state the analyst's limits and flag a possible routing problem for night orders. The table is short enough to send as a single notification list.
Reading the HI150 Unit 5 grading rubric
Deficiency analyses are usually graded on accuracy and routing. Points go to identifying every deficiency correctly, by type, and assigning each to the responsible person under the rules. Credit rises for clear deadlines and escalation paths tied to cited requirements. Instructors value tables organized for action and attention to patterns that point to process problems. Stating the analyst's role correctly, without altering clinical documents, earns marks. Precise citations and clean presentation complete the rubric. Analyses that assign items to the wrong clinician, or suggest that analysts fix documents themselves, generally lose points. Graders also look for the date each item will become delinquent, counted from discharge.
HI150 Unit 5 help: mistakes that cost points
A frequent mistake is assigning the discharge summary to whoever wrote most of the notes rather than the attending of record. Follow the rules. Another is listing deficiencies without deadlines or escalation, which leaves them open indefinitely. Students sometimes suggest correcting a consent by filling in the missing time; only the author can complete it, with a late entry. Do not ignore repeated deficiencies by one person on one shift; they may reveal a routing fault. If your section provides a chart summary, send it and we can produce the table, routing and tracking plan. Finally, keep the analyst's role in view: identify, assign and track, but never complete clinical documents.
Get an HI150 Unit 5 example written to your instructions
A chart excerpt is the ideal input for Unit 5, though a written deficiency scenario works as well; include the instructions and rubric with it. Every flag in the custom analysis gets routed to a named role, and the finished file lands within 24-48h. Facility-specific deficiency categories can be listed too. A first sample is complimentary. The paper above is an original model document written by our desk, not a submitted student paper and not an official Purdue University Global document.
More HI150 papers and BS in Health Information Management samples
- HI150 Unit 1: Discussion Board Post
- HI150 Unit 2: Workflow Map
- HI150 Unit 3: Record Content Checklist
- HI150 Unit 4: Master Patient Index Exercise
- HI150 Unit 6: Scanning and Indexing Review
- HI150 Unit 7: Chart Tracking Report
- HI150 Unit 8: Seminar Reflection
- HI150 Unit 9: User Access Review
- HI150 Unit 10: Department Procedure Manual
- HI135 Unit 5: Retention Schedule
HI150 Unit 5 questions, answered
What counts as a deficiency in this kind of analysis?
A required component that is missing, present but not authenticated, or present but incomplete, such as a consent without its witness line. The example keeps to those three types. Questions about whether the documentation is clinically adequate belong to a different review, and folding them in tends to blur the task this unit sets.
How is the responsible person decided?
By the facility's medical staff rules and documentation policy, which assign each report to a role. The example gives the discharge summary to the attending and each telephone order to the physician who gave it. Where your scenario states different rules, the routing follows them, and the analysis says which rule assigned each item to its owner.
Does the analysis need to calculate delinquency?
Where the scenario gives dates and a threshold, yes. The analysis shown counts days from discharge for each open item and states which would become delinquent first. Without a stated threshold, it notes that the facility's rules set the point and leaves the count descriptive, since inventing a number would put a policy in the paper that nobody adopted.
Where can I find a free HI150 Unit 5 sample paper?
The complete Unit 5 deficiency analysis, with the table and person-by-person routing, is available on this page.
Who completes a discharge summary deficiency?
The attending physician of record, under most medical staff rules, even when residents or others wrote most of the progress notes.