Scenario A

Your hospital has a major problem with duplicate medical record numbers.

You are implementing a new HER and need to get this problem solved before implementation. You decide to hire a consultant to act as the project manager and to use temporary staff to do the actual work. The use of temporary staff is at the suggestion of the consultant. You have to train the registration staff on ways to avoid creating duplicate medical record numbers. Some of the temporary staff members have to be trained to pull and file charts. Other temporary staff members are trained to review the charts and determine if there is a duplicate and combine the physical chart where appropriate. A temporary Registered Health Information Administrator $($RHIA$)$ is responsible for conducting data quality checks. You have a significant amount of temporary staff turnover, resulting in constant training and fluctuation of productivity on a daily basis. This results in the RHIA having to do a $100\%$ audit for the entire project, instead of just at the beginning as planned. You really have had to speed up the process over the last $2$ months to complete the project on time. The project is completed $2$ days ahead of time; the quality of work is great. Now you need to review the final budget for the MPI clean$-$up$.$

$$ Table $7\mathrm{.}5$

MPI Clean$-$Up Budget

Actual Monthly Expenses

Line Item April May June July Budgeted Actual Variance $

Temp staff $12,345\mathrm{.}4413,764\mathrm{.}4521,546\mathrm{.}6324,454\mathrm{.}4460,00072,110\mathrm{.}96(12,110\mathrm{.}96)$

Equipment $602\mathrm{.}670001,000602\mathrm{.}67397\mathrm{.}33$

Project Manger $5,0005,0005,0005,00020,00020,0000$

Training $2,0001,2003003008,0003,8004,200$

Total $19,948\mathrm{.}1119,964\mathrm{.}4526,846\mathrm{.}6329,754\mathrm{.}4489,00096,513\mathrm{.}63(7,513\mathrm{.}63)$

$1.$ Based on the project description and the budget shown in table $7\mathrm{.}5$

What problems do you see?

a$.$ A

$2.$ From a project management standpoint, what could have been done to make this project work better?

a$.$ A

$3.$ To what do you contribute the budget variance?

a$.$ A

$4.$ Does the budget reflect the description of the project?

a$.$ A

$5.$ If you had to do this project again, what would you do differently?

a$.$ A