Western View Hospital is launching a new electronic health record system. Until now, the hospital kept hard copies of all health records. Since this transition to an electronic format would impact many areas of the hospital, the facility has decided to assign tasks to each department for evaluating how to most effectively transition to adoption of the new electronic system.Which quality improvement tool should the hospital use to approach launching the new electronic record system?
Responsible, Accountable, Consulted, and informed (RACI) Checklist
Workflow analysis
Gantt chart
Fishbone diagram
The Correct Answer is A
A. Responsible, Accountable, Consulted, and Informed (RACI) Checklist – The RACI Checklist clarifies responsibilities, making it ideal for assigning and tracking tasks among departments during complex projects like EHR implementation.
B. Workflow analysis – Workflow analysis is useful for understanding and improving processes but does not specifically assign responsibilities in the transition process.
C. Gantt chart – A Gantt chart helps schedule project timelines but doesn’t clarify the specific roles and responsibilities of each team or department.
D. Fishbone diagram – Fishbone diagrams identify potential causes of a problem, not the assignment of responsibilities in a transition plan.
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Correct Answer is A
Explanation
A. Referring the patient to the patient portal. – This directs the patient to the correct resource where they can find their information in real time, improving efficiency and reducing the need for phone calls.
B. Referring the patient to their primary care physician. – This would likely not be as efficient as directing the patient to the portal, which they can access independently.
C. Scheduling an appointment. – This would not address the patient's current needs for information and could lead to unnecessary delays.
D. Mailing the associated documentation. – This is a slower method and does not provide real-time access to information.
Correct Answer is D
Explanation
A. The hospital should program the computers to require two-factor authentication when logging in to the protected health information system. – Two-factor authentication strengthens security by requiring an additional form of verification. However, it doesn't directly prevent the issue of leaving accounts logged in or saving passwords.
B. The hospital should install anti-virus software on all the computers. – Anti-virus software protects against malware but does not address issues related to account security or auto-login risks.
C. The hospital should program the computers to automatically log each employee in and out of the protected health information system. – Automatically logging users in and out sounds efficient but could create privacy issues if left unattended.
D. The hospital should remove the option to allow employees to save their login credentials on all the computers. – Disabling the option to save login credentials would prevent the next user from accessing a previous user’s account, directly addressing the issue of unintended access when one user leaves a station.