1) Read the attached Real World Case 18.1

2) How could high reliability and mindfulness methodology be applied to this case?

Real-World Case 18.1 Memorial Hospital has been under- cases they are working on. Gina is the coding going significant growth over the past few years. manager at Memorial Hospital, and she has After the hospital implemented their new elec- been reviewing the last two quarterly coding tronic health record (EHR) system, the HIM audits of her team. She finds that the coding department scanned the paper health records quality has dropped over the past six months. that were being stored in the filing room and Performance indicators on productivity have the filing room was no longer needed to store also dropped during this period. Using bench- health records. Because of the growth within the marking, Gina compares her coding team's pro- healthcare facility, the filing room was recently ductivity and quality metrics with similar-sized transformed into a space for the clinical docu- hospitals within her organization. As she antici- mentation integrity (CDI) team. This space is pated, her facility's coding quality and produc- directly adjacent to the coding area. The prox- tivity are below that of other healthcare facilities imity of the CDI team to the coding team has in her organization. Gina conducts a root-cause facilitated significantly increased interaction analysis to help identify the cause of the decline in between the two groups. The CDI team often ap- both the productivity and quality of the coding proaches members of the coding team regarding being performed by her team