| Course | HIM 690 Health Information Management Capstone |
|---|---|
| Module | Module 10 |
| Paper type | graduate program-level reflection at the end of an HIM master's capstone |
| Length | About 340 words, 3 pages |
| Format | APA 7 student paper |
| School | Southern New Hampshire University |
| Program | MS Health Information Management |
| Updated | October 2026 |
Free sample paper for HIM 690 Module 10
Module Ten Reflection
I Used to Trust the Chart
When I started this degree I had coded for nine years and trusted the chart. If it was documented, it happened; if it was coded, it was right. My capstone ended with 317 records showing that one of the flags I used to set is wrong in two of five wound cases. The program did not make me cynical about the record. It made me careful with it.
The first change is that I measure how reliable a number is before I believe it. In the methods course I learned to calculate kappa, and in the capstone I watched it decide whether my gold standard was good enough. McHugh (2012) warns that raw agreement overstates reliability, and I now ask that question of every dashboard I see, including my own.
The second is that I see documentation as part of care. Coursework on data quality and governance taught me the vocabulary, but the capstone taught me the stakes: a skin check skipped on a busy night became a wound counted as someone else's harm. Goldman et al. (2011) wrote that flags should be improved before they are used to judge hospitals, and I now understand that improving them starts at the bedside, not in my office.
The third is that leadership means preparing people before showing them data. My first presentation of the results went badly because I briefed the committee before the chief nursing officer. Kotter (1995) wrote that change needs a guiding coalition before a vision is broadcast, and I learned that the hard way, then repaired it with a private meeting and a nurse manager who stood beside me.
My commitment is to run the quarterly re-audit for a full year after graduation and publish its results to coders, nurses and the quality committee every quarter, including if agreement does not improve. The skill I still need most is patience with change that depends on other departments, and the chief nursing officer has agreed to meet with me monthly while the recommendations take hold.
References
Goldman, L. E., Chu, P. W., Osmond, D., & Bindman, A. (2011). The accuracy of present-on-admission reporting in administrative data. Health Services Research, 46(6pt1), 1946-1962. https://doi.org/10.1111/j.1475-6773.2011.01300.x
Kotter, J. P. (1995). Leading change: Why transformation efforts fail. Harvard Business Review, 73(2), 59-67.
McHugh, M. L. (2012). Interrater reliability: The kappa statistic. Biochemia Medica, 22(3), 276-282. https://doi.org/10.11613/BM.2012.031
What the HIM 690 Module 10 instructions ask for
The final module of HIM 690 asks for a reflection on the whole program, viewed through your capstone. A page is usually enough, with an APA 7 citation or two where a reading genuinely changed you. Describe who you were as a professional when you started, briefly and honestly. Then name two or three changes the program produced, each traced to a course and confirmed or tested by something that happened in your capstone. Include at least one mistake you made and what you did about it. Close with a commitment that extends beyond graduation, stated so a supervisor could check it, and the skill you most need to keep developing, with someone or something that will help.
How this HIM 690 Module 10 reflection example is built
Cimarron Heights Medical Center's data integrity lead began the degree as a nine-year coder who trusted the chart. Three changes follow. Reliability before belief comes from learning kappa in the methods course and watching it judge the gold standard, framed by McHugh's warning. Documentation as care comes from seeing a skipped night-time skin check become a misattributed wound, echoing Goldman and colleagues' call to improve flags first. Leadership as preparation comes from a botched first presentation repaired with a private meeting, read through Kotter. The HIM 690 reflection commits to a year of quarterly re-audits published whatever they show and to monthly meetings with the chief nursing officer. Each change rests on something the capstone actually showed.
Where the HIM 690 Module 10 rubric puts the points
Program reflections in HIM 690 are usually graded on an honest starting point, specific changes traced to coursework and tested in the capstone, acknowledgment of mistakes and how they were handled, readings used to explain growth and a commitment that extends beyond the program. Reflections that score highest show integration across courses, connecting methods, governance and leadership into one professional identity. Graders value commitments that carry risk and a named source of continued support. A personal yet professional voice, concise structure and correct APA 7 citations complete the stronger entries. Lists of courses or praise for the program earn little credit on their own. Specificity wins.
HIM 690 Module 10 help: the mistakes that cost points
HIM 690 program reflections lose credit for listing courses, praising the degree, claiming skills without capstone evidence, leaving out every mistake or closing with a hope to keep growing. When the prompt asks instead about particular program outcomes, career plans or certification readiness, share it along with a paragraph on your capstone and where you work, and the entry will be built from what you actually did. A single honest moment from the capstone outweighs a page of general growth. Our HIM 690 reflections begin with who you were, trace each change to evidence and finish with a commitment that outlasts the degree.
Get HIM 690 Module 10 written to your instructions
Send the HIM 690 Module 10 prompt, a short summary of your capstone and your role. The reflection will describe your starting point, trace two or three changes through your courses and capstone, own a mistake and end with a commitment beyond graduation and a skill to keep building, returned within two days and free the first time. The paper above is an original model document written by our desk, not a submitted student paper and not an official Southern New Hampshire University document.
More HIM 690 papers and related MS Health Information Management samples
- HIM 690 Module 1 Discussion: What the Capstone Will Demonstrate
- HIM 690 Module 2 Final Project Milestone One: An Updated Project Charter
- HIM 690 Module 3 Progress Report: Data Collection and Reliability So Far
- HIM 690 Module 4 Final Project Milestone Two: Descriptive Results
- HIM 690 Module 5 Discussion: Making Sense of an Unexpected Finding
- HIM 690 Module 6 Final Project Milestone Three: Analysis, Interviews and Integration
- HIM 690 Module 7 Recommendations Short Paper: Recommendations and an Implementation Plan
- HIM 690 Module 8 Journal: Presenting a Hard Result to Leaders
- HIM 690 Module 9 Final Project: The Capstone Report
- HIM 530 Module 9 Final Project: The Information Protection Program
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- HIM 510 Module 4 Coding Compliance Short Paper: Compliance Programs, Audits and Query Practice
- HIM 685 Module 3 Data Dictionary: Industry Standards and Patient Record Relevance
HIM 690 Module 10 questions, answered
Where can I find a free HIM 690 Module 10 Reflection sample?
This page has the full HIM 690 Module 10 reflection, a program-level look back on an HIM master's degree through a flag accuracy capstone.
What should a program-level capstone reflection include?
Your starting point, two or three changes traced to courses and tested in the capstone, a mistake you learned from and a commitment that extends beyond graduation.
Should the final reflection mention mistakes?
Yes. A mistake and how you handled it shows growth more convincingly than a list of skills.
How long is the HIM 690 final reflection?
Usually around a page, though your program's prompt and rubric decide the expected length.
What makes a strong post-graduation commitment?
One with a clear time frame and something at stake, such as publishing re-audit results for a year whatever they show.