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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:
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:
Quality Improvement Plan Step
Responsible Party
You, the Director and Alyza
You, the Director
You, the Director
Alyza
Alyza
You, the Director
You, the Director and Alyza
You, the Director and Alyza
The CFO thanks you for your input and for the pro-active Quality Improvement Plan. He asks you to leave your QI plan as well as the Decision Matrix with him and the meeting wraps up.
ONE WEEK LATER: You are summoned to the CFO’s office. You arrive at his office and see that the CEO, Laramie Trudoux, and Suzanne, the HR Director, are both in attendance, along with the CFO. Ms. Trudoux welcomes you and asks you to take a seat. She then indicates that MHP has been contracted for all coding at LiveWell – Physician Coding, Inpatient Coding, Outpatient Coding and ER Coding. MHP will also manage the coding services under your direction. All 25 coders and Alyza, the coding manager, will be notified that their jobs have been discontinued and will cease employment in 60 days (2 months from today).
The HIM staff will decrease from its current level of 52 to 26 persons in two months but the CFO explains the MHP guarantees a 94% quality coding standard and will complete the entire coding volume for $237,000 less annually. (This expense savings considers salary and full benefits for all 26 staff members.)
As the Director of HIM, you are faced with an ethical dilemma. Your position of Director places you in an upper level management position of a small, local hospital and you are a representative of the hospital. The upper level management team is responsible for the long term goals of the facility and for meeting the goals of the facility. LiveWell hospital and partner physician offices employ over 1000 people in the community, and all employees depend on the future of the healthcare business.
You will complete the three parts of this assignment in a 2-3 page paper, labeling each of the three parts and using at least two resources. One of your resources must be a published professional code of ethics, such as the AHIMA Code of Ethics. Please use citations in your submission to support your original content.
Following is some suggested reading to help prepare you for this assignment:
Part 1: Appraise the Ethical Dilemma
Part 2: Describe Both Sides of the Controversy
Business Option
Defend the Option
Full Coding Outsource
1.
Roll out the Director’s QI Plan
Part 3: Choose an Action
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