Patricia Martin Giraldino
Health Care Informatics
Florida National University
10/2/2014
The Initiatives That Are Most Effective
One of the effective interventions was in case study one. In case study one, implementing an obstetrical order set was helpful and acceptable in decreasing the number of clicks for the nurses and maintaining the scope of practice (Chapter 19: The Case Studies, n.d.). This intervention led to quantitative gains, including increased revenue collection from patients and decreased 60-day reimbursement denial. Similarly, redesigning the sepsis screening process in Case Study Two resulted in the early recognition of many patients at risk (Chapter 19: The Case Studies, n.d.). The change in EHR design improved its alert system, and the reduction in system advisories improved satisfaction levels among nurses and physicians. This intervention was complemented by qualitative findings, which revealed that the staff trained in using this intervention found that it integrated well with their workflow and made the decision-making process less complicated.
Moreover, case study four was also practical since the organization successfully incorporated COVID-19 screening tools, compliance with which means following new CDC and state rules. The fact that the tool could be updated quickly as information changed was important practice (Chapter 19: The Case Studies, n.d.). Based on the findings related to this intervention, the outcome showed improvement in the specific measure of quality, which included affirmative returns from the staff concerning the simplicity of the tool and their ability to conduct screening practice (Chapter 19: The Case Studies, n.d.). These interventions proved most beneficial because they targeted both numbers, which showed that MTM helped gain more points for reimbursements and reduce denials, as well as feedback from staff, where there was an improvement in MTM’s operation and clinician satisfaction. Such an approach helped to provide satisfactory improvements to the quality of patient treatment and organizational activity.
How the Team Could Have Improved the Evaluation Strategies
The team could have also enhanced its evaluation approaches by including more pointed long-term quantity measures to examine the cumulative outcomes of the intervention. Some improvements included a near real-time uplift in revenue and a decline in denials, while longer-term monitoring of these factors gives a more solid idea about continued viability (Beninger, 2023). Furthermore, survey and interview studies with staff, which provide more qualitative insights than simple surveys, could have given further insights for the analysis of users’ satisfaction and areas where further improvements could be found (Kidder, 2024). The evaluation would also be improved by including patient outcome measures to confirm that the interventions enhanced workflow and benefitted the quality of patient care and the patient’s safety.
References
Beninger, P. (2023). Drug-Drug Interactions: How to Manage the Risk–A Stakeholder
Approach. Clinical Therapeutics, 45(2), 106-116.
Chapter 19: The Case Studies (n.d.).
Kidder, D. P. (2024). CDC Program Evaluation Framework, 2024. MMWR.
Recommendations and Reports, 73.