Saturday, December 7, 2019

Performance and Quality Improvement in Health Information Management i

Question: 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. Answers: Introduction The information is important in running operation of business for the management for making important decision. Information is also useful in delivering the subjective results to make ensure the operational failure does not happen due to providing correct information at right time and place. The assignment will cover a solid plan for recovering the backlog position of documentation of records for memorizing the past work. In the meantime, the assignment will also encompass on the operational scheduling of the hospital provided in the case study where the mismanagement of operation will be observed mainly. The report to the director of the hospital will be presented to reschedule the operations of the hospitals to reduce the operational gap in activities (Bytheway Venter, 2014). The assignment will end up with the recommended planning for the operational schedule of the hospital to reduce the wasted time and backlog of all operating activities mainly. Scenario From the case scenario, the problem has found in the function of department as the department has failed to recover from its operational backlog of last 2 months of documentation. Hospital also holds a high level of receivables in its stock, which is also a burden for the administration. The administration has to fix the problem related to coding backlog as well as the information on releasing documents. Transcription backlog is also a concerned matter in this case. The hospital administration needs a full proof plan for recovering from this stage. Planning for solving the problems The step one is to identify the departments and personnel will be associated with this project. The main issue is the information management in the hospital that is concerned with the personnel from department (Da Xu, 2014). Therefore, at least seven people from this department will be engaged to implement the new plan to recover from massive backlog of operations. Further, people from accounts, coding, releasing, medical staff and outsourcing company will be associated with this process. For auditing purpose, the audit department will be associated with implementing the plan. The next stage is to identify the reporting mechanism for the hospital that will allow it to record straight through with minimum man-hour requirement. In the due course of the scheduling of the job, it is found that 25% of records are generated through paper-backed method that has engaged more people during the process due to converting the documents into electronic data. As stated by McCuen, Sayles Schnering, (2008), 100% electronic process of documentation may reduce the time of operation by half of the necessary by now. Therefore, electronic mechanism for documenting the records of 100% data is target for the management. The report must be present to the new director of the hospital to implement the changes required in the existing operational process. The accuracy of the new process of work might be more than 95% due to more technology application in the process (Tribble Kastango, 2012). The process of documentation as well as releasing information will be delivered using the new electronic process while the transcription will be outsourced from the eligible company. The plan for solving the problems is as follows Data backlogged from operation will be logged into the system within the next fifteen days with the team made from the personnel engaged for implementing the plan. They will not be used for any current working schedule. Further, they will be trained to use the electronic documentation process for future so that management can remove the process of manual documentation. However, a slight portion of documentation will be in form of paper based that can be digitized by filling the form in electronic record (Li Frmlohner, 2005). A separate team will be developed for working on this matter. To reduce the receivable journals on hold, reconciliation with the accounts department is necessary for department as it must be reduced by 75% within the next 20 days. For implementing this plan, only two people from , two from accounts and one from audit will be engaged. For meeting the requirement of coding fresh recruitment of experienced person is necessary; however, only one people can be emplo yed and new person must be trained under an experienced person for supervising his job. For getting more accuracy in this section, tactics will be monthly audit of this department. To reduce the error in Release document, electronic reporting and checking will be useful (Lai, Ulhas Lin, 2012). It will increase the speed of the process as well as increase the accuracy due to three-fold checking. For transcription accuracy, the vendor must be warned first for the next one month if the service remains at unsatisfactory level then new service provider must be found. In this plan, new policy is going for 100% electronic and discarding the scanning of documents. The outsourcing will remain for transcribing jobs while employees will be trained to understand the new style and approach of the operation of department. The new system needs to be monitored due to find out the loopholes within the system that may reduce the accuracy as well as the efficiency level of the administration. In addition to this, management will also monitor the speed of the activities during the new process. Monitoring will be done on every seven days for the update if the backlog while accounts will be reconciled on every month with accounts department. On every month, there will be a report will be generated to information the updates and improvement due to using the new system. The investigation will be mainly associated with the backlog of operation on daily and weekly basis so that the performance of the new system can be understood and the required level of efficiency will be measured too. Quality building is possible by increasing the accuracy level of the jobs of information gathering as well as passing the same from department. The problems will be prioritized considering the profitability and cost of the same. Therefore, holding of bills and documentation will be given more priority to act. References Bytheway, A., Venter, I. (2014). Strategies for information management in education: Some international experience.S Afr J Inf Manag,16(1). doi:10.4102/sajim.v16i1.596 Da Xu, L. (2014). Advances in e-business engineering management.Information Technology And Management. doi:10.1007/s10799-014-0184-2 Lai, J., Ulhas, K., Lin, J. (2012). Assessing and managing e-commerce service convenience.Information Systems Frontiers,16(2), 273-289. doi:10.1007/s10796-012-9344-2 Li, Z., Frmlohner, K. (2005). Database for supporting engineers and innovators on the basis of a CD-ROM infor-mation system for aging processes.Gerontechnology,3(4). doi:10.4017/gt.2005.03.04.110.00 McCuen, C., Sayles, N., Schnering, P. (2008). Case Studies in Health Information Management.NY: Thomson Delmar Learning, 356-357. Tribble, D., Kastango, E. (2012). Key Considerations in Pharmacy Outsourcing: Understanding Risks and Managing Liability.Hospital Pharmacy,47(2), 112-117. doi:10.1310/hpj4702-112

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