Write a two-page report formatted as a memo detailing areas of noncompliance and at least three recommendations for improvement. The content of the report should be based on your prior calculations, highlights, and compliance notes from the prior analysis and other insight from analyzing the incident report, core measure, and meaningful use data. For full credit, the memo should include the following.
Point Value Memo Components
10 points Short introductory paragraph identifying the purpose and scope of the report
15 points A paragraph highlighting areas that the hospital is in compliance with, including release of information, record documentation and completion, and incident reports. Paragraph should start with a summary sentence and then provide more details (including data) on each area the hospital is performing well.
25 points A paragraph that addresses noncompliance, which should include the items below
A summary of the areas of noncompliance.
Any trends identified regarding a specific type of document (such as H & P or orders, certain physicians, core measures, etc.)
Emphasis on two to three noncompliant items that are most serious or important in your opinion
Clear details on all noncompliant items by using tables, graphs, or bullet points
25 points A paragraph that explains at least three recommendations for improvement, which need to apply knowledge gained about performance improvement activities, tools, techniques, and information systems or other technology, as well as processes and working with people.
