1. Review Case Study 1: Mergers and Acquisitions in Appendix E of the management textbook (p. 273).Complete #2 under the Deliverables section of the case study. Create the organizational chart below.

Case Study 1:

Sarah, HIM director at university hospital was recently informed by her boss, the chief financial officer (CFO), that the healthcare organization acquired a local hospital, memorial community hospital. This acquired hospital is located 25 miles away from university hospital. Most of the HIM functions from memorial community hospital will be centralized into university hospital by the end of the fiscal year. Functions such as coding, transcription, chart completion, and data quality review will be moved and centralized to the main hospital campus; an HIM satellite station will stay open on the memorial community hospital site to deal with release of information (ROA) requests. Patient care services will remain the same at memorial community hospital to serve the population that currently utilizes this facility for care. More info about the case study The name of the new, combined organization is University Health Systems (UHS). The UHS Executive Management Team shared the mission and vision of the newly merged healthcare organization. UHS Mission Statement: UHS will provide quality, cost-effective, collaborative, and integrative healthcare services to its surrounding community with an emphasis on compassion and education. UHS Vision Statement: UHS will be the healthcare system of choice for both consumers and providers. University Hospital's HIM Organizational Structure: HIM Director= Sarah MS, RHIA UH Administrative Assistant= Mary, Coding Manager= Lori, RHIA, Discharge Processing Manager= Stella, RHIA, Electronic Record Manager= John, RHIT, Data Quality Manager= Rashida, RHIA, Inpatient Coders= Level I, II, and III, Outpatient Coders= Level I, and II, Document Imaging Coordinators= In-House, Physician Chart Management Clerks= In-House, Chart Management Clerks= In-House, Transcription Coordinator= Outsourced, Release of Information Coordinator= In-House, Chart Completion Analysts= In-House, Data Quality Manager= Rashida, RHIA, Data Quality Specialists= Level I and II. Explanation of Organizational Structure: The discharge processing manager has two chart completion analysts and eight ROI coordinators who report to her. The transcription coordinator does not have any direct reports, but she coordinates all of the outsourced transcription and reports to the discharge processing manager. The electronic record manager has eight chart management clerks, three document imaging coordinators and two physician chart management clerks who report to him. The data quality manager has four data quality specialists who report to her. They perform data integrity tasks for the entire HIM department. The coding manager has eight inpatient coders and eight outpatient coders who report to her. University Hospital Coding Productivity and Quality Standards: Inpatient Coders- 4 charts per hour with 95 percent accuracy Outpatient Coders- 6 charts per hour with 95 percent accuracy. Memorial Community Hospital Organizational Structure: HIM Director= pen, Chart Completion and Management Coordinator= Terry, RHIT, Release of Information Coordinator= Janie, RHIT, Coding Coordinator= Betty, RHIT, Transcription Coordinator= Keith, RHIA, Physician Coder= In-House, Coders= In-House, Transcriptionists= In-house, Document Imaging Specialists= In-House, Release of information specialists= In-House, Chart completion clerk= In-House, Chart management clerks= In-House. Explanation of Organizational Structure: The HIM manager position is open. It has not yet been decided if this position will be eliminated. The coding coordinator has five coders who report to her and perform both inpatient and outpatient coding tasks. These coding positions have one job description that only has one level as opposed to multiple levels used at University Hospital. 'There is one physician coder who reports to this coordinator. The ROI coordinator has three ROI specialists and two documenting imaging specialists who report to her. The document imaging specialists also perform copying of records for ROI as time allows. The transcription coordinator has three medical transcriptionists who report to him. All transcription is performed within the hospital. The chart completion and management coordinator has two chart completion clerks and three chart management clerks who report to her. The chart completion clerks perform chart analysis and the chart management clerks retrieve medical records for ROI coordinators and for other areas within the health system. Memorial Community Hospital Coding Productivity and Quality Standards: Coder-Codes both inpatient and outpatient records 5 charts per hour with 98 percent accuracy. Physician Coder-Codes all physician services and 10 charts per hour with 98 percent accuracy.

2. Develop an updated organizational chart that combines all the functions of both departments into a centralized UHS HIM department. Provide a written description (200 to 250 words) of the new organizational chart including your rationale to align the jobs as depicted in the new chart. Identify the HIM management team in the description and indicate whether or not an additional manager is needed with the new organizational structure.