• April 15th, 2016

Survey Result Action Plan

Paper, Order, or Assignment Requirements

You are the new Health Information Management Director at Wildcat Hospital. During the last accreditation survey, the hospital had findings related to quality and timing of documentation. The facility is due for another survey very soon. You have assigned one of your staff do a quality audit on documentation timeliness for the month of December. She has provided you with the attached spreadsheet. For this assignment, you need to:
1.Review the collected data TimelinessExercise.xlsxPreview the documentView in a new window
2.Assign the appropriate quality code
3.Analyze the data
a.Which code is most common?
b. Is there one service that seems to be a problem?
c.What can you conclude from the data?
4.Establish a plan. How are you going to fix the problem?
5.You have scheduled an in-service with the physicians to address this topic. Create a PowerPoint to present to the physicians. The presentation should include:
a.Regulations governing the issues found (Regulations can be found here: Joint Commission 2015 Standards.pdfPreview the documentView in a new window )
b.Hospital policies that address the regulations (You will need to write these)
c.Presentation of the data that has been collected and coded
d.Plan for continued monitoring
6.For this assignment, you upload your PowerPoint along with the spreadsheet showing how you classified each finding.

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