Reference no: EM133525436
Provide a concise guide outlining the steps to address the challenge utilizing the expertise of the identified professional(s). Support your recommendations with the research you have conducted. Please note that you are not providing a solution to the challenge but outlining the steps required to resolve it.
1. HIM Challenge - Revenue Cycle Team
There are operational issues in the Revenue Cycle at Sunny Medical. A Revenue Cycle team must be formed to engage all the leaders in the Revenue Cycle. The team will allow for the sharing of recent information, such as:
A problem occurred, and a discussion was necessary to determine if it originated in any one of the three departments composing the Revenue Cycle
A patient issue was uncovered, and resolution either needed one of the three departments or involved one of the three departments
New staff, new process, new software shared with Revenue Cycle.
These weekly meetings will help reinforce the Revenue Cycle's functionality by keeping communication lines open and flowing. Who will organize the Revenue Cycle team, who will join the team? This is an HIM Challenge.
2. HIM Challenge - Diversity Awareness Training
An exciting presenter on diversity just wrapped up her session. The speaker shared that employee surveys indicate that new hires nationwide are dissatisfied with diversity relations.
The speaker indicated that diversity covers a lot of territory, including:
The obvious things like race, religion, gender, and age
Social status - homelessness, education, physical disabilities, etc.
Internal environment - job titles, job relations, full-time/part-time, length of service, etc.
External environment - personal preferences - biking, bus, personal car for transportation; home-based communication modes/sayings, etc.
Because all employers benefit from peaceful relations in a work unit, department, and facility, Sunny Medical wants to improve this area. A peace-filled environment will flow more smoothly and be more productive. The HIM needs an educational session to share this diversity presentation with all department members. This is an HIM Challenge.
3. HIM Challenge - Case Mix and Revenue at Sunny Medical
Case Mix is the combination of DRG weights assigned for inpatient accounts at an individual facility. The CEO at Sunny Medical wants to understand better Case Mix and how it impacts the revenue at Sunny Medical. The CEO has questions about Clinical Documentation Improvement and its connection to Case Mix. The Board of Directors has questions, and the CEO wants to be educated on Case Mix and Sunny Medical Revenue. The CEO wants to be prepared for next month's Board meeting. This is an HIM Challenge.