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For the intention of this assignment, usurp that you are the superintendent of the HIM Department of General Hospital. The hospital is due for a Joint Commission accreditation view in six months. The CEO has asked for a ment respecting medical staff acquiescence delay Joint Commission requirements for offender memorials latest year.

Information Respecting General Hospital's Policies, Procedures, Rules, and Regulations

To instrument this plummet, General Hospital's policies and procedures state:

  • The medical proceedings culpability rates are monitored on a monthly basis;
  • Action succeed be enthralled when a gist is indicated; and
  • Data succeed be beneficial to reveal increase.

In restoration, to determine the opportune note of all speaking clinical instruction into the patient's proceedings, the Medical Staff Rules and Regulations inventory the subjoined munimentation requirements:

  • The aggregate enumerate of offender memorials may not yield 50% of the aggregate enumerate of inpatient discharges and ambulatory surgeries manufactured for the month.
  • The aggregate enumerate of offender truth and corporeals may not yield 2% of the aggregate enumerate of inpatient discharges and ambulatory surgeries manufactured for the month.
  • The aggregate enumerate of offender binding ments may not yield 2% of the aggregate enumerate of inpatient operations and ambulatory surgeries.

Assignment Instructions

Download this Delinquent Proceedings Report and use the postulates it contains to accomplished the subjoined:

Part-1: Create Offender Proceedings Ment Table

  1. Using Microsoft Excel, input the postulates from the Offender Proceedings Report. Enclose ment, support and row titles, and the monthly postulates.
  2. Use Excel to weigh and automatically infuse the aggregate enumerate of discharges for the month.
    1. Total discharges = aggregate inpatient discharges + aggregate ambulatory surgeries.
    2. Total operations = aggregate ambulatory surgeries + aggregate inpatient operations.
  3. Use Excel to weigh and infuse the enumerate of offender memorials, truth and corporeal exam ments (H & Ps), and binding ments at-liberty according the Medical Staff Bylaws for each month in 20XX naturalized on the hospital's statistics for that month. To weigh the year's image, the monthly middle should be used. Therefore, possess a developed monthly middle support and use Excel to appraise the middles for all rows.

Part-2: Create Length and Bar Graphs

  1. Using Microsoft Excel, form twain length graphs and bar graphs showing the subjoined:
    1. The hospital's express offender memorials compared to the aggregate enumerate of offender memorials at-liberty by the Medical Staff Rules and Regulations for the 12 months in 20XX (do not enclose the aggregate for the year)
    2. The hospital's express offender H & Ps compared to the aggregate enumerate of offender H & Ps at-liberty by the Medical Staff Rules and Regulations for the 12 months in 20XX (do not enclose the aggregate for the year).
    3. The hospital's express offender ORs compared to the aggregate enumerate of offender ORs at-liberty by the Medical Staff Rules and Regulations for the 12 months in 20XX (do not enclose the aggregate for the year).

Part-3: Write Fact Analysis

  1. In a Word muniment, arrange a fact segregation of the findings for the CEO.
    1. Reference the table and use the graphs you fancy to explain acquiescence in the ment.
    2. Include in the segregation whether the hospital was in acquiescence delay the Medical Staff Rules and Regulations in each of the three areas during each month of the year.
    3. Was the hospital in acquiescence for the unimpaired year?
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