Chapter 17.1 & 17.2
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Chapter 17
Management
Leslie L. Gordon, MS, RHIA, FAHIMA
Real-World Case 17.1
Central Community Hospital hired Susan Davis as the new manager to work in the health
information management (HIM) department. One of the first items Susan reviewed was the
workflow process for how documents were handled between the intake department and HIM.
The intake department is responsible for assuring all documentation needed for a new admission
to the hospital is received from the clinic that is admitting the patient. She noticed that the two
departments were managing a lot of the same work, which created duplicate documents in the
health record. Intake would scan documents and then send them to HIM. HIM would receive the
documents and scan them as well. HIM would also copy the documents to send them to the
utilization review nurse who is responsible for ensuring that reimbursement authorizations are in
place and managed. When Susan asked Intake why they sent the documents to HIM, the answer
was “because that’s how it has always been done.” When thinking about other ways the situation
could be handled, Susan came up with the following ideas:
Have Intake scan the documents into the electronic health record (EHR), and then hand
the copy to the utilization review nurse, leaving HIM out of the process; or
Once Intake is done with the document, instead of scanning it into the EHR, hand it
directly to HIM, and continue with the rest of the process.
Real-World Case Discussion Questions
1.
What is the process Susan is examining?
Susan is looking at the process of operational planning, which involves the precise
day-to-day duties that are essential in running a healthcare business or a HIM
department. It's utilized to suggest how to begin and finish work duties. Susan is
investigating how documents are handled between intake and the HIM department's
workflow. Following her review, she came up with two suggestions for improving the
Workflow process' effectiveness and efficiency.
2.
What is the step called when Susan introduces the formal process of implementing a
new change?
Implementing a new change is done formally through the change management
process. This is a formal process of introducing and implementing a change in the
way the department or organization handles tasks.
3.
What type of analysis would Susan conduct before implementing the change?
The type of analysis that Susan conducted before implementing the changes she made
would be work analysis.
Real-World Case 17.2
The HIM department of a small critical access hospital in Alaska purchased telehealth technology
to allow the hospital to communicate with providers from across the state and the nation.
The
HIM director indicates that she has the skills needed to manage the new telehealth project from
start to finish.
She worked used the skills of project management to complete the project
successfully.
1.
What skills does the HIM director need for project management?
HIM directors need to understand the four functions of management. Those functions are
planning, controlling, leading and organizing. The skills that a HIM director has would
need to compliment those four functions. They’d need the ability to communicate well
and understand how to delegate so they can effectively lead their team.
2.
What would upper management be looking for from the HIM directors past experiences?
A complete understanding of project management and skill improvement.
3.
What type of analysis would the HIM director need to preform before the implementation
of the new telehealth services for the hospital?
I think the HIM director would need to conduct impact analysis before implementing the
new telehealth services. Through impact analysis, they would be able to see how these
changes may affect the organization. They would be looking into things like the cost-
benefit of the new system, the overall benefits of a telehealth system, and any possible
downfalls.
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