Introduction

As CEO of the Maximum Care hospital, one of the mandates given to me is that of overseeing and managing the overall services given to the patients in the hospital. After conducting a proper analysis in the hospital, it has discovered that there is an outbreak of superbugs which in one way or the other are compromising the overall service provision in the facility. It is, therefore, the responsibility of the CEO and the whole hospital staff and personnel to find out what caused the outbreak and after that formulate a strategic plan to eradicate the superbugs for good. This report paper will begin by identifying the codes associated with the outbreak of the superbugs. Secondly, the paper will examine the reasons as to why the government decided to settle on the coding of the more detailed ICD10 system. The paper will then find ways in which Patient-Centric Healthcare Practices can be improved to facilitate proper health care provision. Assessment of how HIMS can be used to improve patient experience will also be examined. Lastly, the paper will identify how the Maximum Care hospital will use Patient-Centric Healthcare practice principle to improve their services

Five possible codes related to the “superbug.”

Currently, in the facility, there have been several cases of patients who are showing symptoms that are as a result of superbugs. After analysis it has been found out that the symptoms are being brought about by some types of codes. The first contributor code is that of ICD10-CM Code J68.0 which is attached to acute chemical bronchitis. The symptoms of this condition are having are running nose, sour throat, cold fever, acute headaches among others(Giannangelo, 2016). A second code for the superbug is that of ICD10-CM Code J15.0 which identifies Klebsiella Pneumoniae. Some of the symptoms of Klebsiella pneumoniae include having some blood on the mucus or the mucus being yellow, fever, nausea, feeling weak in the entire body among others.

A third code related to the superbug is that of ICD10-CM Code A15.0 which identifies with mycobacterium infection and affects the lungs. Some notable symptoms for this include lack of appetite, weight loss, and severe coughs, among others. ICD10-CM Code A15.5 is the other code, and it identifies laryngeal tuberculosis. Symptoms associated with laryngeal tuberculosis are those of odynophagia, dysphagia, and having a hoarse voice. Lastly, it is the ICD10-CM Code A15.7 which is identified with primary respiratory tuberculosis. Some of the symptoms of this condition include those of lack of appetite, severe coughs with bloody stains, sweating at night among others.

Reasons the federal government changed from the ICD9 coding system ICD10 system

Sometimes back the federal government decided to change its coding system from the ICD9 to the more detailed ICD10 system. One of the reasons for this was that the ICD9 coding system in its developmental phase showed traces of needing some additional methods of tracking new diagnoses. This led to the initiating of the ICD10 system even before the previous one had reached its maximum. ICD10 coding system was chosen because it contained more than 155,000 codes as compared to ICD9 system which has about 17,000 codes.

A second reason as to why the government took this step was because ICD10 system is a more detailed version of ICD9 and has the accuracy in giving the specific health care problem one might be suffering from(Hammond, 2015). This also increases the radius to be covered during the finding of the solution. The fact of the ICD10 system being detailed also increases the accuracy of the results obtained.

ICD-10-CM was preferred by the government because it could reduce medical frauds since it provides detailed information about a patient’s body parts. However, during the transition period from the use of ICD-9 to ICD-10, several complaints arose. They came about because of the high cases that were being reported due to the misreporting of codes. With the introduction of ICD-10-CM these cases came to an end hence the reason why the government recommended its adoption.

Examples of Patient-Centric Healthcare Practices and ways they could be used to increase patient access to quality healthcare.

One example of a Patient-Centric Healthcare Practice is that where a partnership between doctor’s patients and their families is created. This partnership is crucial because it helps in aligning the goals of the hospital with the preferences of the patients and their families. Another example of the practices is where the patients are provided with education about their condition and of the hospital(Chalmers, Pearson, &Elshaug, 2017). This, in turn, gives them the freedom to make their own decisions on how they should be treated by the health care providers.

The first way that the Patient-Centric Healthcare Practice would be used for the patient’s access to quality health care is by providing adequate and useful information to the patients on the conditions they are suffering from. This informatics help in the recovery process of the patient since every information is found on the internet. A second way it could be used is through the Health-related quality of life (HRQOL) which helps in the interaction between the patient and the caregiver(Hammond, 2015). Thirdly, the practice assists the patients by providing the patients with their health records (PHRs). From the records, the patients can monitor the progress of their health where this information is vital for their recovery.

Ways HIMS can improve patients experience within a healthcare organization

HIMS is used to promote data stewardship through the introduction of rigid rules that limit access to health data and information. It also uses the cleared personnel alone to add to the set principles that standardize the content of the information. HIMS can improve patients experience by making sure that it deviates its focus from data transactions to patient quality through the use of data security. The following are three ways in which this system can improve patients experience within a healthcare provider.

To begin with, Centers for Medicare and Medicaid Services (CMS) have changed their mission from that of settling the debts for patients to seekers of quality health care for the patients(Spruit, &Lytras, 2018). This, in turn, helps the patients in their recovery process while worrying less about the cost they incur. A second-way HIMS improves patient experience is by the eradication of medical errors like those which were witnessed of $17.2 billion in 2008 across America. The system makes sure that the patients don’t suffer financially due to medical errors in hospitals. A third way that patient experience is improved is by patients benefit through data integration. Data integration helps in the monitoring and detection of unnecessary errors to the patient’s records.

Ways to use Patient-Centric Healthcare practice principles to improve quality care measures in an organization

It is essential for every organization to align the needs of the patients with the goal and values of the facility. In my organization, there are three ways through which the principles of Patient-Centric Healthcare practice can be used in the improvement of quality care measures.One way that this can be achieved is by the incorporation of patient-driven principles. With this, the patients can receive quality healthcare since the principles are formulated in a way that they favor them most.

Secondly, our organization can achieve this through the use of holistic principles. These principles involve situations whereby providers make decisions like those of maternity using a holistic approach. Example of this is where a pregnant mother is monitored from the point she conceives until the point she delivers the baby(Chalmers, Pearson, &Elshaug, 2017). The third and last our facility can achieve this is by the use of transparent measurements. This measurement is mostly used by the patient’s insurers where they are expected to be provided with up to date information. This information may vary ranging from the costs that came from the patient to the charges of the different procedures that the patient undergoes. Transparency is always achieved through this, and the patients end up to receive the quality care that they most expect from the healthcare providers.

Conclusions

Patient-centric health care practices strive to make sure that information is accessed easily, patients are educated, their information is safe and most of all they receive a quality education. Using the assistance of HIMS systems, these practices make patients feel at ease in the hands of their providers. This is because there is always a guarantee that the provision of quality health care will be experienced. Medical errors and the leaking of patient’s health records are the most threats that the patients suffer from in the different health care facilities. To counter this, it is recommendable for organizations to install new security features into their systems. With their installation, the risks of patients information becoming leaked or even the instances of medical errors are minimized or eradicated in some cases. One’s safe the condition, and quality of care becomes top notch in the given facility.

References

Chalmers, K., Pearson, S. A., &Elshaug, A. G. (2017).Quantifying low-value care: a patient-        centric versus service-centric lens.

Spruit, M., &Lytras, M. (2018).Applied Data Science in Patient-centric Healthcare.

Giannangelo, K. (Ed.). (2016). Healthcare code sets, clinical terminologies, and classification        systems. AHIMA, American Health Information Management Association.

Hammond, W. E. (2015). The status of healthcare standards in the United States. International    Journal of Bio-Medical Computing, 39(1), 87-92.

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