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. The attending physician training the residents should assume the responsibility for this situation. – While training is important, responsibility should not solely fall on the attending physician; it's a shared duty among all staff.
B. The EHR maintained by the IT department, and their expertise is recommended. – IT support is valuable, but the clinical staff should also be involved in reviewing the EHR data for clinical relevance.
C. The residents involved should be responsible for reporting how they entered data. – While residents should be accountable for their entries, the issue of systemic inconsistencies goes beyond individual responsibility.
D. The EHR records all entries' key logs, and these entries can be traced to the initial mistake. – This option highlights the importance of auditing the EHR to track errors back to their source, enabling corrective actions to be taken.
Correct Answer is A
Explanation
A. Suggest an in-person meeting with the patient to show them how to best use the platform. – This option is proactive and personal, allowing the patient to learn about the portal hands-on and encouraging future use.
B. Inform the patient that they should use their patient portal instead. – While this suggests using the portal, it does not provide any support or guidance, which may frustrate the patient.
C. Request that their primary care physician show them how to use the platform for their next visit. – This could delay the learning process and does not offer immediate assistance.
D. Use the portal on their behalf to transfer the documents. – This does not encourage the patient to use the portal themselves and may create dependency on staff assistance.