Quality Control

IHP 430 Milestone One Guidelines and Rubric
Overview: First, you will identify a problem in a healthcare organization. You may use a problem from your organization or a problem from a fictional
organization.
Prompt: As you develop this first part of the assignment, include the following details:
I. What Is the Organizational Problem?
A. Provide details about the organizational problem. How does this problem fail to meet quality or other regulatory requirements?
B. State organizational challenges posed by the problem (e.g., interdepartmental conflicts, communication failure, budgeting issues).
II. Evidence-Based Support
A. Provide data that supports the existence of the problem. You may use public sources to find data related to your problem. Be sure to de-identify
any patient data if you are using your organization’s problem.
B. How has this problem been addressed in the past? What information management systems or patient care technologies have been used when
addressing this problem? Be sure to use peer-reviewed literature to support your answer.
C. Discuss relevant accreditation standards, safety standards, compliance standards, and quality initiatives. How do these standards promote a
culture of safety within the department? Be sure to cite the appropriate standards within your answer.
Quality and Performance Improvement Ideas for Final Project
• Clinical documentation
• Coding compliance
• Coding productivity
• Coding quality
• Data collection or capture
• Health Insurance Portability and Accountability Act (HIPAA)
compliance procedures (examples: physical safeguards, release of
information)
• Hospital-acquired infection rates
• Medical errors
• Order entry and charting
• Patient identity management
• Patient safety (example: fall prevention)
• Patient satisfaction
• Physician query process
• Readmission rates
• Reducing accounts receivable (A/R) days
• Return to surgery rates
• Telehealth services and privacy considerations
• Wait times (examples: emergency department, clinic, urgent care)
• Workflow improvement for any health information management
(HIM) function
Rubric
Guidelines for Submission: This paper should be 1 to 2 pages in length, not including the cover page or reference page. Use APA format for the reference list and
all internal citations.
Critical Elements Exemplary (100%) Proficient (80%) Needs Improvement (70%) Not Evident (0%) Value
Problem: Provide Meets “Proficient” criteria and
includes insightful detail about
how the problem fails to meet
quality or regulatory
requirements
Comprehensively provides
details about how the problem
fails to meet quality or
regulatory requirements
Provides details about how the
problem fails to meet quality or
regulatory requirements but
with gaps in detail or logic
Does not provide details about
how the problem fails to meet
quality or regulatory
requirements
18
Problem: State Meets “Proficient” criteria and
offers greater depth of
information regarding the
organizational challenges posed
by the problem
Clearly states organizational
challenges posed by the
problem
States organizational challenges
posed by the problem, but
articulation is not clear
Does not state organizational
challenges posed by the
problem
18
Support: Provide Meets “Proficient” criteria and
data provided demonstrates
nuanced understanding of the
problem
Provides data that supports the
existence of the problem
Provides data but data does not
fully support existence of the
problem
Does not provide data or data
provided does not support
existence of the problem
18
Support: Addressed Meets “Proficient” criteria and
description includes insightful
detail regarding how this
problem has been addressed in
the past
Thoroughly describes how this
problem has been addressed in
the past, including the
information management
systems or patient care
technologies utilized, and
supports answer with peerreviewed literature
Describes how this problem has
been addressed in the past, but
with gaps in detail, and
supports answer but support
does not include peer-reviewed
literature or is irrelevant
Does not describe how the
problem has been addressed in
the past or does not support
answer
18
Support: Discuss Meets “Proficient” criteria and
offers professional insights
concerning how accreditation,
safety, compliance, and quality
standards promote a culture of
safety
Clearly discusses relevant
accreditation, safety, and
compliance standards, as well
as quality initiatives, including
how these standards promote a
culture of safety within the
department, and cites
appropriate standards
Discusses accreditation, safety,
and compliance standards, as
well as quality initiatives, but
with gaps in detail or clarity,
and cites standards but
citations are irrelevant or
inappropriate
Does not discuss accreditation,
safety, compliance, and quality
standards and does not cite
standards
18
Critical Elements Exemplary (100%) Proficient (80%) Needs Improvement (70%) Not Evident (0%) Value
Articulation of
Response
Submission is free of errors
related to citations, grammar,
spelling, and syntax and is
presented in a professional and
easy-to-read format
Submission has no major errors
related to citations, grammar,
spelling, or syntax
Submission has major errors
related to citations, grammar,
spelling, or syntax that
negatively impact readability
and articulation of main ideas
Submission has critical errors
related to citations, grammar,
spelling, or syntax that prevent
understanding of ideas
10
Total 100%