The case study starts by saing: The team at Western States Hospital continued to

Question

The case study starts by saing: The team at Western States Hospital continued to work on the issue. During the ensuing months, the team elected a leader, found a facilitator and constructed its vision statement; "patient type is correctly identified in the electronic health record at all times," It tentatively identified process customers as nursing staff, patient accounting staff, admiting staff and patients. The tems decided early in the process that it did not have sufficientt data to make recommendation for process changes and decisions about system capabilities. The team developed data collection activities to get a handle on the realities of patient type within the electronic health record and then spent first four months collecting data. It collected data on the number of patients admitted to the emergency department with chest pain and transfered to the cath lab; examined the user procedure for entering and changing the admissions and transfers in the system; and finally summarizing the amountof admitting and transfering that each user performed. It did observational studies of the patient type transfer procedure, identifying how long the typical patient type transfer took from one patient type to another, the exact times of initiation and completion and the time of transfer input into the information system. It identified the number and type errors that occured concerning patient admission and transfer, and the effects those errors had on patient care and data integrity. At the end of the first four months of activity the quality council of Wester States Hospital began its annual review of the important aspects of the performance improvement program. The leader of the patient type transfer team was asked to summit a one page synopsis of the team's activities that include a brief description of team activities and a complete set of the data collected by the team.

Question: what are the problems with this current process? what are the problems for patient care? what the problems related to accuracy in reporting both internally (data capture and quality measures) and externally (quality measures)?

Explanation / Answer

1) Problems with the current process?

Ans: The teams did not had enough data so that it can make recomendation for change in processes and to make decisions on system capabilities.

2) What are the problems for patient care?

Ans: The team were involved in data collection activities to know about the patient types in electronic health record and later spent 4 months in collecting the data itself.

3) What are the problems related to accuracy in reporting both internally and externally?

Ans: Internal Problems : - No sufficient data to make recomendation for change in processes, observational studies related to patient types were done.

External Problems : Data collection activites took a lot of time. The collected data also further needs to be validated too.

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