Posted: May 21st, 2023

Project 1: Reduce the time it takes to process patient charts.

You have just been hired as Director of HIM at Quality Hospital. Your first task as Director is to develop three quality improvement projects for the department. Each project must address the following:
• Issue/Problem
• Which stakeholders will you include in the project and why?
• Current Process
• Data Collection Tool(s) – actual tool(s) must be created
• Data Collection
o How much data will you collect? Provide rationale
o How long will it take to collect the data? Provide rationale
o What obstacles might you encounter during data collection? How might you avoid these issues?
• After the data has been collected, which display methods will you utilize to display your data to report to the Quality Improvement Committee’s dashboard? (you must choose a minimum of two). Why are these display methods the most effective mode of display for your data?
• You now have implemented an improvement based on the information collected. What will you do in order to monitor the implementation and what will determine if the implementation was successful?

________________

Project 1: Reduce the time it takes to process patient charts.

Issue/Problem: The current process for processing patient charts is inefficient and time-consuming. This can lead to delays in patient care and increased costs for the hospital.

Stakeholders: The following stakeholders should be included in this project:

HIM staff
Physicians
Nurses
Patient representatives
Current Process: The current process for processing patient charts is as follows:

The patient chart is received from the admitting department.
The chart is scanned into the electronic health record (EHR).
The chart is reviewed by the HIM staff to ensure that all required documentation is present.
The chart is then sent to the physician or nurse for review.
Data Collection Tool: The following data collection tool will be used to track the time it takes to process patient charts:

Patient chart number
Date the chart was received
Date the chart was scanned into the EHR
Date the chart was reviewed by the HIM staff
Date the chart was sent to the physician or nurse
Data Collection: The data will be collected for a period of one month. The data will be collected from all patient charts that are processed during this time period.

How much data will you collect? Provide rationale: A total of 1,000 patient charts will be processed during the one-month data collection period. This is a sufficient number of charts to ensure that the data is representative of the overall population of patients.

How long will it take to collect the data? Provide rationale: The data will be collected over a period of one month. This is the amount of time that is needed to collect data from all patient charts that are processed during this time period.

What obstacles might you encounter during data collection? How might you avoid these issues?: The following obstacles might be encountered during data collection:

Charts may not be scanned into the EHR in a timely manner.
Charts may not be reviewed by the HIM staff in a timely manner.
Charts may not be sent to the physician or nurse in a timely manner.
These obstacles can be avoided by:

Communicating with the admitting department and the physician offices to ensure that charts are scanned into the EHR and sent to the HIM staff in a timely manner.
Providing training to the HIM staff on how to review charts in a timely manner.
Providing training to the physician offices on how to send charts to the HIM staff in a timely manner.
After the data has been collected, which display methods will you utilize to display your data to report to the Quality Improvement Committee’s dashboard? (you must choose a minimum of two). Why are these display methods the most effective mode of display for your data?

The following display methods will be used to display the data to the Quality Improvement Committee’s dashboard:

Bar graph
Pie chart
These display methods are the most effective mode of display for the data because they are easy to understand and interpret. The bar graph will be used to display the time it takes to process patient charts in a variety of categories, such as the admitting department, the physician office, and the HIM department. The pie chart will be used to display the percentage of time that is spent on each step in the process of processing patient charts.

You now have implemented an improvement based on the information collected. What will you do in order to monitor the implementation and what will determine if the implementation was successful?

The following steps will be taken to monitor the implementation of the improvement and determine if it was successful:

The time it takes to process patient charts will be tracked for a period of one month after the improvement has been implemented.
The data will be compared to the data that was collected before the improvement was implemented.
If the time it takes to process patient charts has decreased, then the implementation of the improvement was successful.

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