Applied Sciences Health Stat Health information technology homework

1. If you have questions about this activity, please contact your instructor for assistance.

2. You will review the chart of
William Petrov to complete this activity. Your instructor has provided you with a link to the
Quality Improvement with the EHR (AS) activity. Click on
2: Launch EHR to review the patient chart and begin this activity.

3. Refer to the patient chart and any suggested resources to complete this activity.

4. Document your answers directly on this activity document as you complete the activity. When you are finished, you will save this activity document to your device and upload this activity document with your answers to your Learning Management System (LMS).

Quality Improvement (QI): Systematic and continuous actions that lead to measurable improvement in healthcare services and the health status of targeted patient groups (Rider & Schertzer, 2023).

Continuous Quality Improvement (CQI): is a continual process focused on making gradual and incremental improvements in processes, safety, and patient care. It involves a quality management approach that prompts healthcare team members to consistently question and assess performance, encouraging the pursuit of better practices. To address these inquiries effectively, structured clinical and administrative data are essential components of the practice. (O’Donnell & Gupta, 2023).

Rapid-Cycle Quality Improvement: Is a method for enhancing quality that involves identifying, implementing, and measuring changes to improve a process or system. In this approach, changes are made and tested within short periods, typically three to six months, as opposed to the usual eight to twelve months. It reduces wasted activity and efforts for a quick turnaround on QI projects. (Office of the National Coordinator for Health Information Technology, 2019).

PDSA/PDCA: Plan, Do, Study/Check, Act. A commonly used QI strategy that is a four-step rapid-cycle quality improvement strategy. (Office of the National Coordinator for Health Information Technology, 2019).

Plan: Identify an opportunity to improve and plan a change.

Do: Implement the planned changes on a limited scale, involving a small number of patients.

Study/Check: Evaluate the outcomes of the changes. Did you successfully meet your objectives?

Act: Utilize the obtained results to make informed decisions, integrate the changes into your workflow.

The General Hospital has asked for your help to initiate continuous quality improvement (CQI) regarding re-admission rates.
A re-admission is considered two or more hospital admissions within a 30-day window, for any reason. The CMS Readmissions Reduction Program (HRRP) through the Affordable Care Act enforces financial incentives to hospitals who can lower their re-admission rates. (CMS, 2023). The Hospital’s Quality Improvement committee would like to look at the re-admission rates for four diagnoses with high re-admission rates nationally: renal failure, congestive heart failure, sickle cell anemia, and diabetic gangrene.

Access the
General Hospital Readmission Report with Pivot Table (an Excel spreadsheet included with this activity under
1: Overview and Resources). This pivot table was created from a data report extracted from the EHR. For this pivot table, “Readmitted <30 days” means readmitted within the one-month window of discharge. “Not readmitted <30 days” means not readmitted within the one-month window of discharge. Review the table and answer the following questions.

Examine the pivot table for the readmission report data from the last quarter’s admissions to the General Hospital. Use the data presented in the pivot table to calculate rates of readmissions to answer the questions below.
Important: a readmission is defined as two or more hospital admissions within a 30-day window, for any reason. On the pivot table, “Readmitted <30 days” means readmitted within the one-month window of discharge. “Not readmitted <30 days” means not readmitted within the one-month window of discharge. Answer the following questions.

1. What was the overall rate of readmission for all diagnoses last quarter? Round to the nearest percent.

2. What is the rate of readmission for unnamed diagnoses or all other admissions? Round to the nearest percent.

List the rates of readmission for each diagnosis listed below. Round to the nearest percent:

3. Gangrene:

4. Congestive heart failure:

5. Renal Failure:

6. Sickle Cell Anemia:

7. What diagnosis has the highest rate of readmission?