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 D
Explanation
A. Human-resources information systems. – This system focuses on employee management and does not specifically evaluate data validity or performance across other systems.
B. Clinical decision support system. – This system aids in clinical decision-making by providing evidence-based recommendations but does not evaluate the overall performance of data and systems.
C. Registration and scheduling system. – This system is primarily for managing patient appointments and does not assess the validity or performance of other systems.
D. Quality assurance system. – This system is dedicated to evaluating and ensuring the quality and performance of healthcare services and data, making it the appropriate choice.
Correct Answer is A
Explanation
A. Patient portals are designed to contain the same information available to the primary care provider. – Patient portals do contain much of the same information available to the primary care provider, such as test results, medication lists, and visit summaries. This can help the patient better understand their treatment plan and clarify any instructions given by the physician.
B. Patient portals are designed to display metrics and qualifications similar to an electronic health record (EHR). This patient can refer to their portal to make sense of the plan. – While portals do provide access to health information, they are not primarily for understanding treatment plans without context or explanation.
C. Patient portals typically do not contain sensitive information that the patient can access. – This is incorrect; patient portals often contain sensitive health information, including treatment instructions and medical history.
D. Patient portals are the same as an electronic health record (EHR), and the patient can alter the course of their treatment plan if they choose. – This is incorrect; while portals provide access to EHR information, patients cannot typically alter their treatment plans directly through the portal.