ScenarioYou just got off the phone with the director of the Case Management Office, who expressed frustration with the readmission rates at LiveWell. Case Management is dependent on accurate dates in the hospital system to track readmissions. You review several patient records and discover that account validation is not being completed accurately. You review two patient examples that Case Management provided.
The written Account Validation Procedure included 1) emergency department account merge with inpatient stay resulting from an emergency visit and 2) verification of both inpatient admission and discharge dates for all inpatients. You decide to prepare a training and review session for the data validation team. You believe that the team will perform better if they fully understand the importance of their work in regard to both LiveWell patients and departments such as Case Management. You think this is also a good chance to demonstrate how department function can increase patient satisfaction.
InstructionsResearch and gather information to create outline pages on the following items for the training and review session. In total, you will create three outline pages.
Part 1: Interpret the use and application of data measurements in HIM department functions, including both quality of work and quantity of work. Prepare the Part 1 outline using complete sentences and label each bulleted item below:
Function: Identify and record ANY specific HIM function.
Goals: Identify performance improvement goals for the HIM function in both quantity and quality.
Quality: Analyze an example related to the chosen HIM function in applying data to quality improvement.
Quantity: Analyze an example related to the chosen HIM function in applying data to quantity improvement.
Part 2: Compare tools for assessing patient satisfaction using the HCAHPS, Medicare Compare Website. Use the following instructions.
HIM4515_Deliverable 3 Instructions.docx
Next, compare the i.) Medicare Compare Data and the ii) patient satisfaction data that a hospital collects in their own surveys – those that are mailed or emailed, for example. Record this on the Part 2 Outline. Be sure to use complete sentences and label i) and ii) in each of the areas below:
The primary purpose of each of the two kinds (i and ii above in #7) of satisfaction data. (The Medicare Compare website has a wealth of information on this. Be sure to use citations.)
Identify who the primary USER is for each of the two kinds of satisfaction data.
Identify who collects and summarizes the data from each of the two kinds of satisfaction data.
Part 3: Evaluate the use of data in customer satisfaction and for Case Management Purposes by listening to the 3-minute video on the Medicare Compare website shown below.
A. Listen to the 3-minute video found on the Medicare Compare website (linked here).
B. Write a short story on the video for the Part 3: Outline. (Your own words that report the story heard). Label it “Patient Example” on the Part 3 Outline.
Include 5 specific pieces of data (from the video)that Case Management would use in their basic job functions.
Underline the 5 pieces of data in your short story to signify their usefulness to Case Management. (Example: The patient, Lois, was an inpatient.)
C. Evaluate the importance of health information data for the case management department.
Identify3 unique purposes for the data.
Assess why it is essential for case management functions.
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