Improving Workflow Process for Performance Improvement for Discharge Processing.

The current workflow process has worked well for the past $10$ years. The new CFO wants to the DNFB $($Diagnosis not final billed$)$ to drop from $$2\mathrm{.}4$ million to $$750,000\mathrm{.}00,$ coding is the only thing preventing the bill from being dropped within $3$ days. In addition, there complaints from some of the new physicians on staff they have to wait too long to get charts to dictate. They want to be able to dictate the discharge summary within $48$ hours after patient discharge. To satisfy the CFO and the physicians you will need to make changes. You need to speed up the process to get the codes entered into the system faster, as well as to get charts to the incomplete chart room quickly. To accomplish this, you need to reengineer the current workflow. The current process is:

$$ The charts are picked up from the unit at midnight of the day of discharge.

$$ The charts are checked off the discharge list.

$$ The charts are placed on the $$wall$$ to await loose material that is need for analysis, coding and quality indicator monitoring.

$$ Loose material is filed in the charts for $3$ days.

$$ On the $4$th day, each chart is coded

$$ On the $5$th day, each chart is assembled.

$$ On the $6$th day, each chart is analyzed.

$$ On the $7$th day, the quality indicator abstracting is conducted and the charts are sent to the incomplete chart room or the permanent file.

Research and answer the following questions. Justify your answers with your research for $1-3.$ Add a list of your resources used at the end of the assignment.

$1.$ What changes can you recommend to accomplish your goals?

$2.$ What impact $($positive and negative do you expect?

$3.$ What could you do to diminish the impact of the negative outcomes?

$4.$ Create a flowchart that depicts the new workflow process.