HIT226 Course Project Memo-CASADAY

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School

DeVry University, Chicago *

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Course

226

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Information Systems

Date

Oct 30, 2023

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docx

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GENERAL HOSPITAL INTEROFFICE MEMORANDUM TO: HWANGJI LU, PROFESSOR FROM: ANGELA CASADAY, COMPLIANCE CONSULT SUBJECT: COMPLIANCE VS NONCOMPLIANCE DATE: 08/21/2023 CC: STEPH GARNER, SUPERVISOR GENERAL HOSPITAL The purpose of this memorandum is to make everyone aware and accountable for compliance or noncompliance. There are many areas that could use help or make it better in the long run. Below are my findings in the report.  Release of Information (ROI)  Record Completion: o PO o H & P o DC Summary o OP report o Incident Report o Core Measures In analyzing this report, there I’ve noticed that there several compliant with the Release of Information (ROI), Record completion: DC Summary, Record completion H&P, Record completion: (OP)on : In the first tab, Release of information, there are a few items that were non-compliant, but the rest was in compliance, which is good. Transcriptions only had one that was non-compliant. So, the compliance Rate is 90% for, Dictation and for transcription is 100% for transcribing H&P report, Record Completion. Looking at the numbers for the DC Summary, dictation was on track and getting signatures were lacking, and looking at the compliance (dictation) rate is 100%, which is outstanding, but looking at the Discharge Summary (Signature) compliance rate is 55%. So, let’s see if we change the reds into all black. Looking at the operative report, the signature part was right on track, with dictation, having a r little straggler. The compliance rate for the Dictations is 80%, with the signature rate is 100%.

‘ The core measure report seems good except “Outpatients with chest pains or possible heart attack who got drugs to break blood clots apart, within 3o minutes of arrival” is at 57 % and needs to be fixed. The Release of Information had a few non-compliant, but overall everything is great and yall are doing a great job. I have also seen the incident report, that a few areas needed to be addressed. 12 hospital acquired infection ad 9 medication errors. What I recommend is ROI’s being signed in the correct time period, 30 minutes should be enough time to get a signature. One way of doing this is using a checklist to make sure all signatures are collected within the time period. Using spreadsheets for the ROI’s. Ensure all patients that has had ECG, which could save lives. When the errors come in, we need to see where the error is and why. V 2

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