Competency 730.2.4: Health Information Standards and Regulations for Documentation – The graduate ensures compliance with health information standards and regulations as outlined in professional practice guidelines, government regulations, and accreditation standards; and analyzes health record documentation practices in healthcare organizations.


Health informatics professionals may be responsible for managing policies and processes in order to ensure organizational readiness for accreditation, licensing, and certification processes. Knowledge of accreditation processes, and where to locate information when it is needed, is a necessary skill.


A. Discuss how Diane’s findings in the attached “Survey Readiness Scenario” illustrate deficiencies in Willow Bend Hospital’s compliance with each standard in the attached ”Joint Commission Information Standards.”

B. Recommend the steps Diane could take to aIDress each deficiency.

1. Discuss what information Diane should gather to correct each deficiency.

2. Discuss where the needed information for each correction could be found.

C. When you use sources, include all in-text citations and references in APA format.

Note: When bulleted points are present in the task prompt, the level of detail or support called for in the rubric refers to those bulleted points.

Note: For definitions of terms commonly used in the rubric, see the Rubric Terms web link included in the Evaluation Procedures section.

Note: When using sources to support ideas and elements in a paper or project, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the paper or project.

Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from sources, even if cited correctly. For tips on using APA style, please refer to the APA Handout web link included in the General Instructions section.