Memorial Hospital has been undergoing significant growth over the past few years.

Memorial Hospital has been undergoing significant growth over the past few years. After the hospital implemented their new electronic health record (EHR) system, the HIM department scanned the paper health records that were being stored in the filing room and the filing room was no longer needed to store health records. Because of the growth within the healthcare facility, the filing room was recently transformed into a space for the clinical documentation integrity (CDI) team. This space is directly adjacent to the coding area. The proximity of the CDI team to the coding team has facilitated significantly increased interaction between the two groups. The CDI team often approaches members of the coding team regarding cases they are working on. Gina is the coding manager at Memorial Hospital, and she has been reviewing the last two quarterly coding audits of her team. She finds that the coding quality has dropped over the past six months. Performance indicators on productivity have also dropped during this period. Using benchmarking, Gina compares her coding team’s productivity and quality metrics with similar-sized hospitals within her organization. As she anticipated, her facility’s coding quality and productivity are below that of other healthcare facilities in her organization. Gina conducts a root-cause analysis to help identify the cause of the decline in both the productivity and quality of the coding being performed by her team.

Instructions: After reading the case study, in essay format, address the following questions and submit assignment as a PDF or Word document. (Cite reference(s) used.

1.         Conduct a root-cause analysis (just as Gina would have done in this case) to determine the reason for the decline in performance metrics for both quality and productivity.

2.         What are the contributing factors that were identified by the root-cause analysis conducted for question 1.

3.         How could high reliability and mindfulness methodology be applied to this case?