Performance Improvement Initiative: Increasing Credentialed HIM Staff at Willow View Medical Center

Performance Improvement Initiative

Increasing Credentialed Staff Numbers

Willow View Medical Center

Health Information Management Department

Problem Statement

Willow View Medical Center has a low percentage of credentialed HIM coding staff. Despite meeting productivity standards, many experienced coders lack formal credentials, creating compliance, reimbursement, and workforce sustainability risks (AHIMA, n.d.).

Who, When, and Where

Who: HIM coders, department leadership, and organizational stakeholders

When: During performance reviews, audits, and hiring processes

Where: HIM Department at Willow View Medical Center

Why This Is an Issue

Credentialing supports coding accuracy, regulatory compliance, and data integrity. Lack of credentials increases organizational risk and limits workforce advancement (AHIMA, 2023; CDC, 2023).

PI Methodology: PDSA

Plan: Assess credentialing gaps and barriers

Do: Provide education, exam prep, and financial support

Study: Monitor credentialing progress

Act: Adjust strategies to improve outcomes

PI Visual Tools

• Gantt Chart: 12-month credentialing timeline

• Fishbone Diagram: Root cause analysis

• Bar Chart: Credentialed vs. non-credentialed staff baseline

Expected Outcomes

• Increased number of credentialed HIM staff

• Improved compliance and coding accuracy

• Stronger workforce readiness and retention

References

American Health Information Management Association (AHIMA)

Centers for Disease Control and Prevention (CDC)

See accompanying PI document for full APA references

Struggling with where to start this assignment? Follow this guide to tackle your assignment easily!

Writing a performance improvement (PI) initiative paper can feel complicated, but breaking it into clear steps helps you organize and write effectively. Follow this step-by-step guide to structure your paper based on the Willow View Medical Center HIM department initiative.


Step 1: Understand the Assignment Content

  1. Identify key elements – Focus on the problem statement, stakeholders, timeline, PI methodology, visual tools, and expected outcomes.

  2. Note supporting references – AHIMA and CDC are essential for evidence-based rationale and credibility.


Step 2: Conduct Additional Research

  1. Search for recent, credible sources related to:

    • Credentialing and workforce development in health information management

    • Regulatory compliance in coding

    • PDSA methodology in healthcare settings

  2. Recommended resources:


Step 3: Outline Your Paper

  1. Introduction

    • Briefly describe Willow View Medical Center and the HIM department.

    • State the purpose of the PI initiative and its relevance to coding accuracy, compliance, and workforce readiness.

  2. Problem Statement

    • Explain the lack of credentialed HIM staff and associated risks (compliance, reimbursement, sustainability).

  3. Methodology (PDSA)

    • Plan: Assess gaps and barriers to credentialing.

    • Do: Describe education, exam preparation, and financial support interventions.

    • Study: Explain how progress will be monitored and measured.

    • Act: Describe adjustments based on results.

  4. Who, When, and Where

    • Identify stakeholders (coders, leadership), timing (reviews, audits), and location (HIM Department).

  5. PI Visual Tools

    • Include Gantt chart, fishbone diagram, and bar chart. Explain what each tool demonstrates.

  6. Expected Outcomes

    • Increased credentialed staff

    • Improved compliance and coding accuracy

    • Stronger workforce readiness and retention

  7. Conclusion

    • Summarize the importance of credentialing and how the PI initiative supports organizational goals.


Step 4: Draft Your Paper

  1. Write clearly, using professional language.

  2. Integrate evidence from AHIMA, CDC, and scholarly articles to support your statements.

  3. Include visual tools where appropriate to illustrate findings.


Step 5: Revise and Proofread

  1. Ensure alignment with the rubric and assignment requirements.

  2. Check grammar, spelling, and APA formatting.

  3. Verify that all sections of the PDSA cycle are addressed and evidence is cited.


Suggested Scholarly Resource Links

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