Imagine you are the chief information officer (CIO) for a large health system that includes five hospitals and 12 remote outpatient clinics. You met with the chief operating officer (COO) ye
The Case
Imagine you are the chief information officer (CIO) for a large health system that includes five hospitals and 12 remote outpatient clinics. You met with the chief operating officer (COO) yesterday to discuss concerns regarding the organization’s cardiothoracic surgery specialty, which incurred a recent quality score decrease on several healthcare rating websites. Results from the preliminary investigation and root cause assessment of the decreased ratings indicated that enhanced decision support software could be used by healthcare personnel to improve root cause identification, solution identification, and performance improvement monitoring. Your charge is to develop a project plan, publish a request for proposal, create an implementation plan for a software solution, and establish a performance monitoring process to track cardiothoracic surgery quality metrics.
Assumptions
Research posits that complications after cardiothoracic surgery occur in 66.6% of the operative survivors. Research provides these examples: postoperative blood product use, atrial fibrillation, prolonged ventilation, renal failure, reoperation for bleeding, pacemaker/ICD insertion, renal failure, and pneumonia had the strongest impact on long-term survival.
Post-surgical complications are coded on the billing claim using ICD-10-CM codes.
If the post-operative condition was present on admission, the post-surgical complication code should not be reported on the claim. Present-on-admission codes are required to indicate a condition present prior to admission of the patient.
The case study identified an increase in post-operative complications in the cardiovascular surgical practice in the past year.
The data reflects that post-operative complication codes increased, and present-on-admission codes decreased in the past year.
Clinical documentation of the present on admission status by the provider can ensure accurate ICD-10-CM coding and a decrease in complication rates.
A data visualization dashboard is needed to track the volume and trends of post-surgical complications and their present on admission status.
Improving trends validate the effectiveness of CDS systems, data analytics, and stakeholder training.
Refer to the HealthIT.gov request for proposal (RFP) template found at https://www.healthit.gov/resource/request-proposal-rfp-template-health-information-technology
Use the HealthIT.gov request for proposal (RFP) template to develop a request for a recommended software solution that can be presented to the vendor to garner information about their available products.
Make an executive summary of the RFP process. Include the following in your summary:
An overview of the needs presented in the case.
A research-supported overview of RFP best practices.
A research-supported overview of RFP process steps.
A research-supported overview of RFP process challenges.
A research-supported rationale for the software solution selected through the RFP process.
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