Unit Two
Benchmarking and Best Practices
Many hospitals today are part of a health care system and in order for the corporate staff to keep track of how the hospitals are performing, establishing key indicators which give the hospital directors a guideline to implement in their department. This correlates to reimbursement, as if the processes in HIM are not current, it could affect the coding area. As a new HIM Director you may wonder how staff productivity is by benchmarking against other hospitals. All of this data is important to know and understand as it is considered “best practices.” Information can be found on the Internet, and through the AHIMA website that addresses benchmarking and best practices for the HIM department.
1)
Complete the answers to the questions in red on the Benchmarking and Best Practices table.
***see below, page 3 & 4 for add’l info/answers***
Benchmarking and Best Practices
Health Information Management Department
Prepping, scanning and indexing medical records 1. Prepping
340 -500 images per hour worked
- Scanning
1,200 – 2,400 images per hour worked 3. Indexing
720 – 800 images per hour worked
Coding the medical records Coder I
4 minutes per record or
- Coder II
3 minutes per record or 5. Coding Specialist 1 & 2
2 minutes per record or
Transcription 1. Beginner
(Measurement based on 65 character line)
3,300 characters
50.8 lines per report
900 lines per 8 hour day 6. Intermediate
(Measurement based on 65 character line)
3,300 characters
50.8 lines per report
1100 lines per 8 hour day 7. Experienced
(Measurement based on 65 character line)
3,300 characters
50.8 lines per report
1300 lines per 8 hour day
Staffing Needs per 225 Emergency Records
Prepping, scanning and indexing medical records
- Prepping
340 -500 images per hour worked
10 x 225 = 2,250
500 x 8 hours = 4,000
2250 / 4000 = .56
How do you arrive at the above calculation? 8. Scanning
1,200 – 2,400 images per hour worked
Show calculations 9. Indexing
(Add quality control)
720 – 800 images per hour worked
Show calculations
How many FTEs do you need?
Coding the medical records
Coder I
4 minutes per record or
120 per day
How many FTEs do you need? 10. Coder II
3 minutes per record or 160 per day
How many FTEs do you need? 11. Coding Specialist 1 & 2
2 minutes per record or 250 per day
How many FTEs do you need?
Transcription
- Beginner
(Measurement based on 65 character line)
3,300 characters
50.8 lines per report
900 lines per 8 hour day
How many FTEs do you need?
- Intermediate
(Measurement based on 65 character line)
3,300 characters
50.8 lines per report
1100 lines per 8 hour day
How many FTEs do you need? 13. Experienced
(Measurement based on 65 character line)
3,300 characters
50.8 lines per report
1300 lines per 8 hour day
How many FTEs do you need?
2)
Research articles through the Internet and summarize how measuring productivity standards will change or have changed with automated coding and EHR’s. The paper should be 1-2 pages in length.
3)
You recognized a potential problem in your department. Many of the employees come to work in the morning and within the first hour of work, take a break so they can go the hospital cafeteria for breakfast. They often will take another break later in the morning to go for a cup of coffee. The productivity standards that you established are not being met and you are worried that it is because of these two breaks that the staff are taking each day. How would you determine if this is the problem or if it does not affect the productivity of the staff? And if it is affecting the standards, how will you resolve it?
A number of students have had issues with this assignment, so I am giving you the answers for the transcription area, since that seems to be the most difficult.
Beginner
(Measurement based on 65 character line)
3,300 characters
50.8 lines per report
900 lines per 8 hour day
How many FTEs do you need?
50.8 x 225 = 11430 lines per report
900 x 5 = 4500 hours
11430/4500 = 2.54
2.54 FTEs
225×50.8=11,430
11430/900 (lines per 8 hour day)=12.7
13 FTE’s
Intermediate
(Measurement based on 65 character line)
3,300 characters
50.8 lines per report
1100 lines per 8 hour day
How many FTEs do you need?
50.08 x 225 = 11430
1100 x 5 = 5500
11430/5500 = 2.08
2.08 FTEs
225×50.8=11430
11430/1100=10.4
So, either 10 or 10.5 FTE’s
Experienced
(Measurement based on 65 character line)
3,300 characters
50.8 lines per report
1300 lines per 8 hour day
How many FTEs do you need?
50.8 x 225 = 11430
1300 x 5 = 6500
11430/6500 = 1.76
1.76 FTEs
225×50.8=11430
11430/1300=8.8, so it would be 9 FTE’s
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