25 Aug This is the third assignment in the Virtual
This is the third assignment in the Virtual Capstone Project. The project began by using one virtual community, the AHIMA Engage community, to explore and stimulate ideas and solutions by accessing community members and resources. The assignment challenged you to identify and use proper communication tone and content. Next, you completed the decision matrix tool and understand that the systematic evaluation of the selected criteria results in a physician office coding outsource as the best business decision. As you prepare to meet with the CFO, you reflect on how that business decision will dramatically and irreversibly impact the lives of your physician coders.
This assignment contains three parts in one written paper:
- Part 1: Appraise the Ethical Dilemma
- Part 2: Describe Both Sides of the Controversy
- Part 3: Choose an Action
To begin this assignment, first read the scenario below and then perform the steps in the three parts that follow.
Scenario:
You report to the CFO office and bring the Decision Matrix with you. The CFO is impressed with the decision matrix business tool and reviews it in detail. The following details are discussed during your meeting:
- LiveWell is small, local hospital that is the single largest employer in the county.
- You feel that the marketing director has not given proper consideration to an outsource of staff and believe the public relations impact will be very negative for LiveWell.
- The physician office coders are very much dependent on their coding positions at LiveWell. You share that one physician office coder is 4 months pregnant and that 2 coders provide healthcare insurance for their entire family. One coder has a disabled child at home.
- You confess to the CFO that you have drafted a plan for quality improvement (QI) for the physician coders as an alternate solution. Both you and Alyza are committed to rectifying the poor quality performance and correcting the physician income problem identified by Dr. Crowe. Your QI plan impacts any coder who is performing below the 92% required quality standard. The QI plan steps are detailed in the table below.
Quality Improvement Plan Step
Responsible Party
- Set up meeting with impacted coders and review the Quality Standard findings.
You, the Director and Alyza
- Notify Coders that they must enter a mandatory retraining program to meet the quality standard of 92%.
You, the Director
- Notify Coders that retraining will only occur in the office; no remote work is allowed.
You, the Director
- Retraining will be completed over a 90 day period.
Alyza
- Coding accuracy will be re-measured at the end of the retraining period
Alyza
- Disciplinary action to follow for coders who have not met 92% quality standard.
- LiveWell Disciplinary Action Policy will be followed.
- Re-measurement of quality standard will occur in 30 day increments.
- Additional disciplinary action will occur for coders not meeting the 92% standard up to and including dismissal from employment at LiveWell.
- Coders who meet 92% quality standard will move on to step #7.
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