Metropolitan Hospital is a large and complex facility with 550 beds, 1,500 full-time equivalents (FTEs), and an active medical staff of 400. As part of a comprehensive analysis of the services offered by the HIM Department, the department director, Kay Smith, MBA, RHIA, surveyed the medical staff. The HIM Department currently has 125 FTEs, which include five supervisors, three assistant directors, and the director. During the past year, there has been a significant increase in turnover within the department and several positions have not been filled due to budget constraints within the hospital.
The results of the medical staff survey were generally positive. In reviewing the results, however, the director has identified several areas of concern.
Table 1: Areas of Concern from the HIM Department Services Survey
|
ALWAYS |
OFTEN |
SOMETIMES |
SELDOM |
NEVER |
|
| Records are updated for review for patient carewithin 12 hours |
15% |
35% |
25% |
25% |
0% |
| HIM employees are professional in the completion of their work (e.g., are dependable, maintain confidentiality, are accurate in the completion of their work |
10% |
20% |
50% |
20% |
0% |
| HIM Department communicates well any changes in policies, procedures, or services to the medical staff. |
25% |
10% |
45% |
10% |
10% |
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