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Milestone ID Health Problem

IHP 430 Milestone One Guidelines and Rubric Overview: First, you will identify a problem in a healthcare organization. You may use a problem from your organization or a problem from a fictional organization. Prompt: As you develop this first part of the assignment, include the following details:

I. What Is the Organizational Problem? A. Provide details about the organizational problem. How does this problem fail to meet quality or other regulatory requirements? B. State organizational challenges posed by the problem (e.g., interdepartmental conflicts, communication failure, budgeting issues).

II. Evidence-Based Support

A. Provide data that supports the existence of the problem. You may use public sources to find data related to your problem. Be sure to de-identify any patient data if you are using your organization’s problem.

B. How has this problem been addressed in the past? What information management systems or patient care technologies have been used when addressing this problem? Be sure to use peer-reviewed literature to support your answer.

C. Discuss relevant accreditation standards, safety standards, compliance standards, and quality initiatives. How do these standards promote a culture of safety within the department? Be sure to cite the appropriate standards within your answer.

Quality and Performance Improvement Ideas for Final Project

• Clinical documentation

• Coding compliance

• Coding productivity

• Coding quality • Data collection or capture

• Health Insurance Portability and Accountability Act (HIPAA) compliance procedures (examples: physical safeguards, release of information)

• Hospital-acquired infection rates

• Medical errors

• Order entry and charting

• Patient identity management

• Patient safety (example: fall prevention)

• Patient satisfaction

• Physician query process • Readmission rates

• Reducing accounts receivable (A/R) days

• Return to surgery rates • Telehealth services and privacy considerations

• Wait times (examples: emergency department, clinic, urgent care)

• Workflow improvement for any health information management (HIM) function

Rubric

Guidelines for Submission: This paper should be 1 to 2 pages in length, not including the cover page or reference page. Use APA format for the reference list and all internal citations.

Critical Elements Exemplary (100%) Proficient (80%) Needs Improvement (70%) Not Evident (0%) Value

Problem: Provide Meets “Proficient” criteria and includes insightful detail about how the problem fails to meet quality or regulatory requirements

Comprehensively provides details about how the problem fails to meet quality or regulatory requirements

Provides details about how the problem fails to meet quality or regulatory requirements but with gaps in detail or logic

Does not provide details about how the problem fails to meet quality or regulatory requirements

18

Problem: State Meets “Proficient” criteria and offers greater depth of information regarding the organizational challenges posed by the problem

Clearly states organizational challenges posed by the problem

States organizational challenges posed by the problem, but articulation is not clear

Does not state organizational challenges posed by the problem

18

Support: Provide Meets “Proficient” criteria and data provided demonstrates nuanced understanding of the problem

Provides data that supports the existence of the problem

Provides data but data does not fully support existence of the problem

Does not provide data or data provided does not support existence of the problem

18

Support: Addressed Meets “Proficient” criteria and description includes insightful detail regarding how this problem has been addressed in the past

Thoroughly describes how this problem has been addressed in the past, including the information management systems or patient care technologies utilized, and supports answer with peer- reviewed literature

Describes how this problem has been addressed in the past, but with gaps in detail, and supports answer but support does not include peer-reviewed literature or is irrelevant

Does not describe how the problem has been addressed in the past or does not support answer

18

Support: Discuss Meets “Proficient” criteria and offers professional insights concerning how accreditation, safety, compliance, and quality standards promote a culture of safety

Clearly discusses relevant accreditation, safety, and compliance standards, as well as quality initiatives, including how these standards promote a culture of safety within the department, and cites appropriate standards

Discusses accreditation, safety, and compliance standards, as well as quality initiatives, but with gaps in detail or clarity, and cites standards but citations are irrelevant or inappropriate

Does not discuss accreditation, safety, compliance, and quality standards and does not cite standards

18

Critical Elements Exemplary (100%) Proficient (80%) Needs Improvement (70%) Not Evident (0%) Value

Articulation of Response

Submission is free of errors related to citations, grammar, spelling, and syntax and is presented in a professional and easy-to-read format

Submission has no major errors related to citations, grammar, spelling, or syntax

Submission has major errors related to citations, grammar, spelling, or syntax that negatively impact readability and articulation of main ideas

Submission has critical errors related to citations, grammar, spelling, or syntax that prevent understanding of ideas

10

Total 100%