PERFORMANCE AND QUALITY EVALUATION AND IMPROVEMENT OF THE

HIM DEPARTMENT

SCENARIO: You have just been hired as the HIM Quality Coordinator. This is a new position in the HIM Department. Your job tasks read as follows:

• Develop and implement the HIM Department Quality Plan

• Develop data collection, date analysis, and data presentation tools for use in the quality plan.

• Report findings to the HIM Director, Administration, Medical Staff Director, and Medical Staff Committees as appropriate.

• Other duties as assigned.

The facility is a 338-bed hospital with active ER and outpatient services. There are 45 employees in the HIM Department. About 75% of the medical record is electronic. Those documents are not printed out. The remaining 25% of the record is paper and is scanned into the system by the HIM Department. These documents are scheduled for destruction in the 60 days from scanning.

The former Director of HIM was successful in working with administration to get the EHR and imaging in place and to get approval to destroy the paper records. She failed at managing the day-to-day of the department. Now, the department has quality issues in the HIM functions. The former director also did a great job preparing the medical staff for the EHR, and the transition went smoothly; however, many physicians and other users are frustrated by the quality issues. Administration is also becoming concerned with the high billing hold report. The director’s position was vacant for 5 months before the new director started work. She has only been here a month.

Today is your first day. The HIM Director has her instructions from administration and the medical staff. She has passed these instructions on to you. Your instructions boil down to two words—FIX IT. While the director will be actively involved in the clean-up, she cannot do it by herself with the other demands on her time. This is why she requested your position. It is almost unheard of for a new position to be approved in the middle of the fiscal year. Adding the extra position shows how serious administration is about getting the problems solved. The problems are as follows:

• Scanning:

o There is a 2-month backlog in scanning the paper records

o The quality of the scanning has problems

▪ Sometimes pages are fed two at a time, and the backs of pages are not always scanned.

▪ This requires 100% audit, which 3 months behind.

▪ The staff members conducting the quality audits do not catch all of the errors.

• Billing:

o The billing hold report is over $2,000,000.00.

o Administration wants the billing hold report held at $500.000.00.

• Coding:

o Coding is 2 weeks behind.

o There are three vacancies in the coding area.

o One of your coders is a new graduate of the local HIT program and is slower than the experienced coders.

o The last coding audit conducted by corporate showed an 80% coding accuracy report.

• Release of information:

o The release of information area is 2 days behind.

o The release of information area has received repeated complaints that the wrong information is being sent. The errors include:

▪ Not everything requested was released.

▪ Wrong admissions are being released.

▪ Information on wrong patients is being released.

▪ Wrong documents are being released.

• Transcription:

o An outsourcing company in used, since the hospital had trouble recruiting and retaining qualified transcriptionists.

o Although the transcription is current, the quality of work is inconsistent. Most of the reports are perfect, but a significant number of reports are totally inaccurate because of:

▪ Multiple typos

▪ Abbreviations that are not spelled out

▪ Poor grammar

▪ In some cases, wrong medications with names similar to right medications

Your assignment for this project is to develop a plan to solve the problems identified above and to prevent them and other problems from occurring in the future. Your plan should include AT LEAST:

1. Who should be involved

2. What reporting mechanism you should have

3. Who you should report to

4. What accuracy rates you expect

5. What you will do to solve problems (training, outsourcing, new policies, etc)

6. What will be monitored

7. Frequency of monitoring

8. Frequency of reporting

9. What investigations you will do

10. How you will build quality into your process

11. How you prioritize problems to be addressed

12. Forms

13. Graphs

Be creative, but use sound HIM principles as the foundation for your project. If you make assumptions, identify the assumptions in your narrative. Please take into consideration

Many companies use their brand as a competitive advantage. Given your knowledge about the global economy, identify three brands you believe have the strongest likelihood of remaining a source of advantage in the 21st century and explain why. Explain the effects you believe the internet’s capabilities will have on the brands you identified in the previous discussion and what the owner of the brand should do in light of them. Analyze the internal environment of the company you chose to determine that company’s strengths and weaknesses. Based on the strengths and weaknesses you discovered, determine what steps the company could take to positively impact the company’s competitiveness. Explain your rationale.?

Which of the following technologies refers to artificial-intelligence (AI) systems that learn? Such systems learn by applying algorithms to data to identify user trends that inform future suggestions and data searches.

Question options:

adaptive learning

augmented reality

expert systems

machine learning

Study a consumer product that your group might consider buying. Select a flatscreen TV, home theater system, computer, digital camera, espresso machine, car, SUV, hot tub, or some other product. Next, research the product as described in Chapter 10. Use at least five primary and five secondary sources in researching your topic. Your primary research will be in the form of interviews with individuals (owners, users, salespeople, technicians) in a position to comment on attributes of your product. Your secondary research will be in the form of print or electronic sources, such as magazine articles, owner manuals, and Web sites. Be sure to use electronic databases and the Web to find appropriate articles.

Your report should analyze and discuss at least three comparable models or versions of the target product. Decide what criteria you will use to compare the models, such as price, features, warranty, service, and so forth. The report should include these components: letter of transmittal, table of contents, executive summary, introduction (including background, purpose, scope of the study, and research methods), findings (organized by comparison criteria), summary of findings, conclusions, recommendations, and bibliography.

Ways to Lead in an Era of Constant Change- 1 to 2 page, double spaced paper, Times New Roman 12, please share your thoughts to the following:

1. Describe a time when a change initiative at your company (or a previous one, or one you have researched) failed or was not as successful as it should have been?

2. Discuss the resistance to change factors that may have impacted the initiative's lack of success.

3. Describe ways leaders can use to overcome resistance to change.

All else being equal, if a nation decided to intervene in free trade anyways, which of the following policy options would be most beneficial to the country and which would be the least beneficial? Please explain your answer clearly for full credit: Tariffs, Quotas and Voluntary Export Restraints (3 points)

in order for IT to be successful in business, the organization must plan how to use information technology . there are two different methodologies used for that, including the scenario approach and competitive advantage planning, explain each methodology, and discuss the differences between them ?

What are the major types of customer or patient service-level issues that exist in health care?

(Subject is Marketing Management MGT-201)

Personal selling is one of the oldest forms of marketing communication; due to its effectiveness, it allows for targeting a specific message to a specific customer. However personal selling is not appropriate for every company or situation..

(Please discuss and explain more the above sentence using keyboard and sure I will like your answer).

(Subject is Marketing Management MGT-201)

A business plan identifies the responsibilities of general management as they pertain to each functional area and identifies the capital requirements to manage each area. The marketing plan outlines actions that are intended to communicate value, generate interest, and persuade target customers to purchase specific products or services.

(Please discuss and explain more the above mentioned sentence using keyboard and sure I will like your answer).

APA formatting is expected. SafeAssign will be used for this assignment.  750 words. Three external references.

Research methods to allow for secure remote access for employees, customers, and vendors. Based on your research, present a case for a single recommendation to make to the leadership of your organization. A hypothetical organization can be used - assume confidential data (PII, PHI, financial) needs to be protected and remote access needs to allowed for employees, customers, and vendors from their personal devices.  

Please no plagiarism

Some of the mental health issues we see in the workplace include stress, depression, anxiety, alcoholism, and chemical dependence. What risk does one or more of these mental illnesses cause for employees?

One of the major challenges companies face is providing customer service information via email. Think of companies you do business with. Do you email them? How long does it normally take for them to respond? Explain some of the shortcomings of using email for customer service.

(Subject is Marketing Management MGT-201)

A marketing mix is a group of marketing variables that a business controls with the intent of implementing a marketing strategy directed at a specific target market. The most common classification of the marketing mix is referred to as the 4 Ps, consisting of product, price, place, and promotion. There are many contemporary perspectives that challenge the sufficiency of the 4 Ps as the only marketing-mix framework, including the 7 Ps and4 Cs.

(Please discuss and explain more the above sentence using keyboard and sure I will like your answer).