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Fielder Medical Center Scenario: You are the manager of West

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Fielder Medical Center Scenario: You are the manager of Western… Fielder Medical Center Scenario:You are the manager of Western View Hospital’s health information management (HIM) department at your local community hospital located in Boulder, Colorado. The director of HIM has asked you to research and report on HIM quality improvement projects at another hospital in preparation for developing HIM quality improvement projects at your hospital. You have chosen Fielder Medical Center located in New York. Listed below are their current quality improvement projects:High-Quality Reliable CareTo assess the quality of our care, we monitor both processes (the way we deliver your care) and outcomes (the results of your care). For instance, one CMS-endorsed process measure focuses on how well we equip heart failure patients to continue their own care once they’ve returned home. In light of this, we’ve paid keen attention to ensuring more thorough in-hospital education about the importance of consistently monitoring symptoms. Fielder Medical Center has access to a robust, real-time database that compares its quality outcomes with those of more than 100 academic medical center peers. Rescuing Patients with Severe Sepsis/Septic ShockWhen a patient has an infection, sepsis may occur. Sepsis is an inflammatory response throughout the body caused by chemicals released into the bloodstream to fight the infection. Fielder Medical Center has joined state agencies in working to prevent mortality from severe sepsis and septic shock. In 2013, best practice “bundles” to identify and treat adults and children with sepsis were developed by our teams of doctors and nurses. These bundles were implemented in 2014 and, since then, we have been collecting data to measure compliance with the best practices for each of our patients. These efforts have shown a reduction in mortality related to severe sepsis and septic shock.Reducing Avoidable Readmissions: Striving for Safe TransitionsReadmissions place undue physical, emotional, and financial burdens on our most vulnerable patients, but national data show that nearly one in five Medicare patients will wind up back in a hospital within just 30 days.Eager to provide our patients with more effective care?nd safer, more seamless transitions back to their home or a skilled nursing facility?Fielder Medical Center continue an ambitious effort to improve the discharge experience.A key component of this effort involves identifying patients who are particularly at risk for readmission (for instance, patients who’ve been readmitted in the past, or who have certain conditions like congestive heart failure or pneumonia), and then taking extra measures to support their discharges. The program empowers patients and families, providing more robust patient education about medicines (their unique purposes, potential side effects to watch for, etc.).Exceptionally Safe CareFielder Medical Center strives to provide exceptionally safe care by promoting a culture that emphasizes the role of all doctors, nurses, staff, patients, and families in being members of the care team who will speak up to address safety concerns. Teams throughout Fielder Medical Center are now working diligently to prevent three specific types of infections through consistently practiced “bundles” of preventive measures.Central Line-Associated Blood Stream Infections (CLABSI)While central line catheters are life-saving lines that deliver medicine, hydration, and nutrition to patients, historically, they have also been a prime target for bacteria. These dangerous bloodstream infections affect hospitals nationwide, putting patients at risk for potentially avoidable pain, distress, and even death.Because of our proven track record in creating best-practice care bundles that dramatically reduced ventilator-associated pneumonia at Fielder Medical Center, another ICU team was tapped to help eliminate catheter-associated bloodstream infections. The team pored over research, working diligently to develop two simple, cost-effective best-practice checklists?ne for catheter insertion, and another for line maintenance. Called “Stop the Line,” this new push to retrain staff in a more careful, consistent approach to catheter insertion and care (the program also empowers every team member, from a unit secretary to physician, to speak up if they think the sterile environment has been compromised) was rolled out to all staff via mandatory education sessions. The results were striking?n just 18 months, infections dropped nearly 50 percent, bringing Fielder’s rates below the national average. Catheter-Associated Urinary Tract Infections (CAUTI)Another type of indwelling catheter is often used to remove urine from the bladder when a patient undergoes surgery or is unable to move easily. These catheters may cause a urinary tract infection in the bladder or kidney if germs travel along the catheter. Preventing catheter-associated urinary tract infection is important to help our patients’ avoid unpleasant symptoms, excessive antibiotic use, more serious complications such as sepsis, and extended time in the hospital.Building on the previous successes with other types of infections related to medical devices used in the hospital, we currently have a team of doctors, nurses, and other caregivers identifying and implementing best practices regarding prevention throughout the hospital. This team has worked in a collaboration with other hospitals to obtain as current information as possible regarding effective strategies to address this complication.The team has focused on encouraging the use of alternatives to urinary catheters and educating doctors and nurses about the importance of removing the catheter as quickly as possible during the patient’s stay in the hospital. Improvements have been made to ensure that sterile technique is consistently adhered to in the placement and maintenance of the catheters. These efforts are beginning to show success as the number of catheter-associated urinary tract infections at Fielder Medical Center has been decreasing.Surgical Site Infections (SSI)Infections that follow surgery, in the part of the body where the surgery took place, can sometimes be superficial, involving the skin only. Other times, these surgical site infections (SSI) are more serious, harming tissues under the skin, organs, or even implanted materials.At Fielder Medical Center, the initial focus was on preventing surgical site infections among our cardiac surgery patients. Cardiac care leaders at Fielder have been successfully reducing rates of SSI after coronary artery bypass graft surgery (CABG) since 2008 through a comprehensive program to root out all potential infection sources.A.?report to the director of health information management (HIM) that analyzes current quality improvement initiatives at Fielder Medical Center by doing the following:1.?ummarize?hree?uality improvement initiatives at Fielder Medical Center and justify why the initiatives are necessary to the center.2.?valuate whether?ach?f the three quality improvement initiatives at Fielder Medical Center complies with its internal organizational processes.3.?valuate whether Fielder Medical Center’s three quality improvement initiatives comply with applicable standards established by federal external agencies.4.?valuate how Fielder Medical Center’s three quality improvement initiatives are in compliance with the necessary federal and state legal requirements.?.?iscuss how HIM professionals play a significant role in the quality and patient safety initiatives at Western View Hospital.?cienceHealth ScienceHIIM C815 TASK

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