A Report on Performance and Quality Evaluation and Improvement

This report provides a comprehensive analysis of performance and quality evaluation and improvement within Health Information Management (HIM). It identifies key personnel involved in HIM, emphasizing roles such as trainers, analysts, and managers. The report outlines necessary reporting mechanisms, including international classifications like ICHA and ICD, and stresses the importance of engaging stakeholders, particularly patients and chief privacy officers, to ensure data security and promote trust. It highlights the expected accuracy rates needed to address medical errors and improve healthcare quality. The report proposes measures to solve problems, such as training, outsourcing, and implementing new policies, while also detailing areas that require monitoring, including patient information and medical errors. It specifies the frequency of monitoring and reporting, along with the types of investigations needed. Furthermore, the report discusses building quality into the process by changing payment structures, promoting care coordination, and prioritizing issues like confidentiality, privacy, and security. It includes a medical information form and a graph illustrating the U.S. Healthcare IT market trends. The conclusion emphasizes the importance of readily available patient information and the role of electronic data storage in improving healthcare delivery.

Running head: PERFORMANCE AND QUALITY EVALUATION AND IMPROVEMENT
Performance and quality evaluation and improvement
Name of the student:
Name of the university:
Author Note

1PERFORMANCE AND QUALITY EVALUATION AND IMPROVEMENT
Executive summary
The following report analyzes various concerns regarding Health Information Management. It has
made discussion on what kind of people must be involved and reported in mitigating issues
regarding health management. It also includes reporting mechanisms and expected accuracy rates.
Further, the study discusses methods to solve problems that comprises of areas of monitoring,
frequencies of reporting and various other concerns.

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Table of Contents
Introduction:..........................................................................................................................................3
1. People to be involved:.......................................................................................................................3
2. Reporting mechanism needed:...........................................................................................................3
3. People to be reported:........................................................................................................................4
4. Accuracy rates expected:...................................................................................................................4
5. Measures to solve problems:.............................................................................................................4
6. Things to be monitored:.....................................................................................................................5
7. A frequency of monitoring:...............................................................................................................5
8. A frequency of reporting:..................................................................................................................5
9. Investigations to be done:..................................................................................................................6
10. Building quality to the process:.......................................................................................................6
11. Prioritizing problems to be addressed:............................................................................................7
12. Form:................................................................................................................................................7
13. Graph:..............................................................................................................................................9
Conclusion:..........................................................................................................................................11
References:..........................................................................................................................................12

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4PERFORMANCE AND QUALITY EVALUATION AND IMPROVEMENT
Introduction:
HIM or Health Information Management refers to information management which is
applicable to health and health care. The following report develops a plan to resolve challenges
regarding HIM department and other areas that might occur in future.
The study demonstrates which person is needed to be involved along with reporting
mechanisms. There are various people who are needed to be reported are discussed in the report
along with accuracy rates expected. This also includes measures to solve problems, areas of
monitoring, frequencies of reporting and tracking and many more.
1. People to be involved:
Here, professionals from HIM are to be involved. They must work together to undertake a
broad range of roles within an electronic healthcare environment. Their functions include joint
trainer or educator, workflow analysts for different clinical systems, project manager, security and
privacy officer. The list also includes data analytics and management professional and HER program
manager (Fortenberry Jr & McGoldrick, 2016).
2. Reporting mechanism needed:
The reporting mechanism should comprise of an agreed dataset of international
classifications. For example, ICHA or International Classification of Health Accounts, ICF or
International Classification of Functions and ICD or International Classification of Diseases can be
considered here. The report must contain operational systems to collect data on the state of health of
people like information regarding hospitals health surveys, organizations comprising of data on
patients and disease-specific registers.

5PERFORMANCE AND QUALITY EVALUATION AND IMPROVEMENT
3. People to be reported:
Established infrastructure requires a huge amount of trust from users of support like patients
and doctors. Every stakeholder must be engaged, especially consumers in a coordinated effort to
safeguard personal health information for promoting public trust (Roberts et al., 2016). Further, chief
privacy officer must be involved considering data, security and privacy stewardship of health
information.
4. Accuracy rates expected:
Medical mistakes, drug safety, information system constraints, healthcare-acquired
conditions and different fragmented delivery systems affect quality and safety of healthcare. To
address the problems HIM needs to measure valid and reliable data to be transformed into useable
information. This must be aiding the development of change strategies. In eliminating the issues
healthcare should measure higher diligence to capture information supporting accuracy in healthcare
quality. This includes finding of adverse events like injuries by medical management and
underpinning disease happening in the hospital.
5. Measures to solve problems:
Measures Discussion
Training Proper training must be given to technicians who must efficiently manage
and organize health information data. They must ensure that the data
maintains accuracy, quality, accessibility and security within electronic
systems and paper files.
Outsourcing This is needed to assist the facility to face goals instead of any expense or

6PERFORMANCE AND QUALITY EVALUATION AND IMPROVEMENT
hassle to recruit, maintain and house any HIM employee.
New policies The problems can be mitigated by a multi-facility health system having
affiliated networks.
Further, their Information Policy Framework must have the capability to
clear gap, hindering efficient management and governance planning
(Huppertz et al., 2014).
6. Things to be monitored:
The patient information must be tracked. This should also include medical errors, health
disparities and development of patient-centered medical care. Proper information must be provided
guiding medical decisions. Meaningful public input must be ensured involved in the development of
infrastructure. Coordination of information and care must be improved among laboratories,
physician offices and additional entities to secure and authorize an exchange of healthcare
information.
7. A frequency of monitoring:
Minimum of one health account must be done in every five years. The national database and
private and public sector facilities must be updated in every three years. Further, there must be a
report on annual data on the availability of tracer commodities and medicines at private and public
health facilities.
8. A frequency of reporting:
The survey data is helpful to adjust and analyze reports with results published within one
year of the preceding year. The burden of disease study is to be conducted in last five years by

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different national stakeholders (Rosato et al., 2014). Review of performance of health system is
needed to be done under every five years by national stakeholders. Further, official annual health
statistics is to be published in every one year of the preceding fiscal year.
9. Investigations to be done:
The surveys are as follows.
Investigation Discussion
Case study This is a study done on single phenomenon within any organization over any
logical time frame.
Survey The research must use structures and predefined questionnaires capturing
data from people.
Field study This deals with a survey of related phenomenon or processes within any
organization.
Field
experiment
This is the research in organizational setting controlling and manipulating
different experimental subjects and variables.
Laboratory
experiment
It is a research on a simulated environment of laboratory controlling and
manipulating numerous variables and subjects (Ferlie, 2014).
10. Building quality to the process:
Firstly, HIM must need to change the way they pay. Hence they can reward value of care and
patient outcomes instead of quantity of services. They must collaborate with private states and

8PERFORMANCE AND QUALITY EVALUATION AND IMPROVEMENT
payers for testing latest payment models. This can widely change structures of practitioner’s
incentive. Further, they need to develop care delivery through promoting coordination, prioritization
and prevention. The quality can be achieved any providing healthcare leaders with flexibility in
innovating benefits to their patients (Kash et al., 2014). Thus, through latest partnerships and
lifestyle interventions, the health care system has also been taking more active responsibilities to
keep people healthy.
11. Prioritizing problems to be addressed:
i. Confidentiality:
This indicates obligation of professions who have access towards patent records. This also
includes communication for holding the information with confidence.
ii. Privacy:
This, distinct from confidentiality has been seen as the right of individual patient or client.
Various privacy rights, as per as personal healthcare decisions and information about health, must be
outlined under the decision of court.
iii. Security:
It refers to protection and particularly to the methods used to protect the privacy of health
information. Here professionals are also supported to hold data with confidence (Delmatoff &
Lazarus, 2014).

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12. Form:
Medical Information
Note: One can also fill out the form online.
Name:
Address:
Phone No.:
Date of Birth:
Last Updated:
Known Medical Problems:
a.
b.
c.
d. Others
Any known allergies:
a.
b.
c.
d. Others.
Current medications: Health care
providers:
Insurance providers: Medical directives:

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Family member
history:
Doctor visits: Hospitalizations: Surgeries:
13. Graph:
The U.S. Healthcare IT market, by application, 2012 - 2020 (USD Billion) is shown in the
following table.
Healthcare Information
Year Electronic
Health
Record
Computerized
provider Order
Entry System
Electronic
Prescribin
g Systems
PACS Lab
Informatio
n
Systems
Telemedicin
e and
Tele-health
2012 $2.00 $3.00 $2.00 $4.00 $5.00 $3.00
2013 $3.00 $4.00 $5.00 $7.00 $8.00 $4.00

11PERFORMANCE AND QUALITY EVALUATION AND IMPROVEMENT
2014 $5.00 $7.00 $6.00 $8.00 $9.00 $7.00
2015 $6.00 $8.00 $9.00 $11.0
0
$10.60 $9.00
2016 $8.00 $9.00 $10.00 $11.4
0
$11.40 $10.00
2017 $10.00 $11.00 $10.70 $11.8
0
$11.60 $10.40
2018 $10.50 $11.90 $10.90 $12.2
0
$11.90 $10.70
2019 $10.70 $12.00 $11.20 $12.6
0
$12.10 $10.80
2020 $11.10 $13.00 $12.00 $12.7
0
$12.50 $11.40
The above table is represented by the following graph.

12PERFORMANCE AND QUALITY EVALUATION AND IMPROVEMENT
1 2 3 4 5 6 7 8 9
$2.00 $3.00 $5.00 $6.00 $8.00 $10.00 $10.50 $10.70 $11.10$3.00 $4.00 $7.00 $8.00 $9.00 $11.00 $11.90 $12.00 $13.00
$2.00 $5.00
$6.00 $9.00 $10.00 $10.70 $10.90 $11.20 $12.00
$4.00
$7.00
$8.00
$11.00 $11.40
$11.80 $12.20 $12.60 $12.70
$5.00
$8.00
$9.00
$10.60
$11.40
$11.60 $11.90 $12.10 $12.50
$3.00
$4.00
$7.00
$9.00
$10.00
$10.40 $10.70 $10.80 $11.40
Healthcare IT market, by application, 2012 - 2020 (USD
Billion)
Year
Figure 1: “Healthcare IT Market Analysis by Application”
(Source: "Healthcare IT Market Size & Share Growth | Industry Report, 2020", 2018)

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Conclusion:
Urgent availability of information about patient has been profoundly influential for medical
profession. Healthcare organizations need to deliver patients with their best possible treatment. This
it is always vital that all the information from past and present is available to them. Storing of
healthcare data electronically is a smart method of streamline storage. Moreover, it also enables
smooth access of data as needed. The above study has discussed different practices and principles to
acquire, analyze and safeguard conventional and digital medical information. All of these are crucial
to provide quality patient care.

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References:
Delmatoff, J., & Lazarus, I. R. (2014). The most effective leadership style for the new landscape of
healthcare. Journal of Healthcare Management, 59(4), 245-249.
Ferlie, E. (2014). Resource based view: a promising new theory for healthcare organizations:
Comment on" Resource based view of the firm as a theoretical lens on the organisational
consequences of quality improvement". International journal of health policy and
management, 3(6), 347.
Fortenberry Jr, J. L., & McGoldrick, P. J. (2016). Internal marketing: A pathway for healthcare
facilities to improve the patient experience. International Journal of Healthcare
Management, 9(1), 28-33.
Healthcare IT Market Size & Share Growth | Industry Report, 2020.
(2018). Grandviewresearch.com. Retrieved 23 January 2018, from
https://www.grandviewresearch.com/industry-analysis/healthcare-it-market
Huppertz, J. W., Strosberg, M., Burns, S., & Chaudhri, I. (2014). The uniqueness of US healthcare
management: A linguistic analysis of competency models and application to health
administration education. Journal of Health Administration Education, 31(3), 197-214.
Kash, B. A., Spaulding, A., Johnson, C. E., & Gamm, L. (2014). Success factors for strategic change
initiatives: A qualitative study of healthcare administrators' perspectives. Journal of
Healthcare Management, 59(1), 65-82.

15PERFORMANCE AND QUALITY EVALUATION AND IMPROVEMENT
Roberts, J. P., Fisher, T. R., Trowbridge, M. J., & Bent, C. (2016, March). A design thinking
framework for healthcare management and innovation. In Healthcare (Vol. 4, No. 1, pp. 11-
14). Elsevier.
Rosato, L. O. D. O. V. I. C. O., Raffaelli, M. A. R. C. O., Bellantone, R., Pontecorvi, A., Avenia, N.,
Boniardi, M., ... & De Palma, M. A. U. R. I. Z. I. O. (2014). Diagnostic, therapeutic and
healthcare management protocols in parathyroid surgery: II Consensus Conference of the
Italian Association of Endocrine Surgery Units (UEC CLUB). Journal of endocrinological
investigation, 37(2), 149-165.