Question

1. You have just been hired as the HIM director at a 395 bed hospital. In preparation for participation in the regional HIE, your predecessor had just completed a data collection duplicate entries in the MPI. He found a 1% duplication rate on 21,000 registrations last month. He found that rate to be acceptable. You interpret the findings differently. Explain your interpretation and assess what the next steps should be.

2. The hospital listed above services a large ppopulation of immigrants. As a result,you discover that the registration staff often searches for patient in the ADT system by date of birth rather than name, as a language barrier is evident. You observed this process and realized most of the duplicates are arising from this process as the dates of birth are not always entered correctly. Decide what other criteria the staff should search on if they do not search by name. Create a priority list of the criteria.

Answer 1

1. ANS: According to the given situation for permanently resolving this issue, at first conduct formal employees meet of all 5 department members. In this meeting they ought to be clarified in clear terms by the chief that the prior hard working attitude would not have the capacity to proceed in the present circumstances in light of the fact that however it isn't important to have everything in composing yet those work rehearses which are in opposition to standard work hones should be explicitly stated. This is necessary to maintain a documentary trail of such decisions so as to allow them to be continued if there is a change in the top management.

Hence, to have a uniform work ethic & equality among all employees every employee of department 5 will now have to undergo a 40 hour work week. It is also necessary to stress in this meeting that there is no change in work environment, culture other benefits to the employees from today or in future. This 1 change is only being made to align with other departments of the organization & be in synchronization with the standard work policy. The previous director (who hired people currently working 37.5 hours in a week) may also be involved to solve this problem because since he was the director for many years & the employees know him & probably trust him more than the current director (he also implemented this unusual policy) a word from him to change it to 40 hours would be very helpful in easing employee concerns.

2. ANS: Below is a priority list of search criteria that should be used for the search process of patients upon admission. There can be multiple filter criteria which can be used at a time as well -

1. Patient's unique Medical Record Number

2. Patient's age

3. Gender

4. Patient's occupation

5. Patient's marital status

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