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As HIM director, concerns have been expressed to you from the head surgical nurse regarding the lack of HAPs on patients' charts causing surgical delays.

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As HIM director, concerns have been expressed to you from the head surgical nurse regarding the lack of HAPs on patients' charts causing surgical delays. Since a patient is not permitted to go to surgery without an H&P on record, this is causing serious issues, including daily backlogs or cancellations. Patients are becoming angry and surgeons want something done to eliminate this issue. 1 . Plan a data collection to assess the situation, selecting the relevant data elements to be included. 2 .Identify any other information that may be pertinent to the evaluation of the data collection from the transcription standpoint. 3 .Assume that the data collected identifies one particular physician who has this issue repeatedly. His surgeries are scheduled beginning at 6:00 a.m. and he routinely dictates the H&Ps starting at 5:50 a.m. What strategies can be developed to reduce the delays? References aw P. L. and D. Carter. 2015. Quality and Performance Improvement in Healthcare: A Tool for Programmed Learning, 6th ed. Chicago: AHIMA

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