Question
1.The Medical Record Committee has established a performance indicator threshold of 98% for monitoring ongoing compliance with meeting the operative report and H&P JC standards
1.The Medical Record Committee has established a performance indicator threshold of 98% for monitoring ongoing compliance with meeting the operative report and H&P JC standards when measured against the average monthly operations and average monthly discharges respectively. Operative reports and H&Ps are delinquent as follows:
Month | Discharges | Operations | Delinq H&P | Delinq Ops | Total Delinquent Records* |
Jan | 1805 | 399 | 37 | 11 | 954 |
Feb | 1511 | 346 | 28 | 12 | 759 |
Mar | 1801 | 344 | 40 | 9 | 902 |
Apr | 1891 | 415 | 39 | 8 | 701 |
May | 2012 | 419 | 36 | 7 | 963 |
June | 1853 | 345 | 34 | 8 | 942 |
July | 1773 | 368 | 36 | 8 | 910 |
Aug | 1748 | 301 | 32 | 7 | 859 |
Sept | 1650 | 383 | 31 | 9 | 880 |
Oct | 1722 | 392 | 35 | 8 | 808 |
Nov | 1801 | 386 | 37 | 11 | 815 |
Dec | 1833 | 408 | 44 | 8 | 965 |
*includes signatures, discharge summaries, etc., in addition to delinq H&Ps and Ops
Assignment:
- Calculate the allowable delinquent record number - obtain the average monthly discharges for the year (add up and divide by 12). Based on the JC standard of 50% of average monthly discharges, compare this figure with each month's delinquency figure given in the table to determine which are out of compliance? Do not calculate month to month - you must calculate the average monthly discharges (X50%) and compare that figure to each month to determine which months are out of compliance. Show all your calculations in table format.
- Calculate the allowable number of delinquent operative reports and H&Ps based on the requirement of 98% completion. As in #2, use average monthly discharges for H&P calculation keeping in mind that your threshold for acceptance is only 2%. For the operative report calculations, use average monthly operations. Compare the H&P acceptable amount with the H&P column and the operative reports to the operative report column to determine which are out of compliance. Show all your calculations in table format.
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