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In: Nursing

After reading answer the questions. General Hospital knew they had a problem with duplicate health records...

After reading answer the questions.

General Hospital knew they had a problem with duplicate health records and needed to clean up the MPI before the implementation date for the EHR in order to get the best results. A consulting firm was hired, and a review of the data confirmed this problem finding 3,000 potential duplicate health records issued over the past five years. The hospital started the MPI clean-up process by educating their patient registration staff on proper search strategies, questions to ask the patient, the importance of a unit health record, and other related topics. This education was an important first step so that additional duplicate health records would not be assigned while the clean-up process was occurring. Once the training was complete, the consulting firm began cleaning up the MPI. The consultants reviewed the potential duplicate health records and merged the records where appropriate. They also ensured the health records were merged in other information systems used throughout the healthcare facility. They provided documentation to General Hospital showing which health records were and were not duplicates based on their review.

What would you include in the training and why?

What role can the consultants play in the MPI clean-up? Is there any role they should not play and should delegate off to the hospital? Why or why not?

Why did the facility find itself in this situation? What could they have done to prevent it and what should they do moving forward?

Solutions

Expert Solution

1. What would you include in the training and why?

Ans: I would include major critical factors leading to errors in MPI preperation to be avoided which results in duplication of health record generation. For better understanding I would include some case studies related to these factors and also would conduct short multiple choice type test to know the impact of training session on hospital staff and it's actual output.

2. What role can the consultants play in the MPI clean-up? Is there any role they should not play and should delegate off to the hospital? Why or why not?

Ans: As a consultant in the MPI clean up support, I would analyse the statistics of clean up records and based on the probable algorithms would play the role of strategy making which could result in best possible strategies to minimise duplication errors in MPI index. I would preferably avoid the role of preparation of MPI in person as I would like to train maximum persons involved in this profile to prepare the best quality document of MPI, which would result in productivity and minimize errors as team work would be most prefered instead of single minded work.

3. Why did the facility find itself in this situation?

Ans: One of the major observation during my studies I have observed; rather found that the users associated with MPI management role didn't have clear idea about what data to be included in MPI and what to be excluded from it. People belonging to this profile didn't have any strategies with them to implement in practical, also they didn't have any question bank with them to ask the question to patient so that most accurate and appropriate information could be collected from patients to generate perfect data. This might have resulted in poor quality documentation, such MPI with no quality control have resulted in current situation of facilities in hospitals.

4.What could they have done to prevent it and what should they do moving forward?

Ans: what ever the hospitals facility is doing right now that must have initiated as earlier as possible that is to higher a consultant to examine the situation timely also they could have hired some quality control specialist with better exp in MPI role so that such situation might not be arrived.


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