Due to increased patient volumes in the facility, the coding manager at Community Hospital is faced with an increased discharge not final bill (DNFB) rate. The management staff of the HIM department has brainstormed the following list of potential solutions to rectify this problem

Week 2 – QI assignment

 

Due to increased patient volumes in the facility, the coding manager at Community Hospital is faced with an increased discharge not final bill (DNFB) rate. The management staff of the HIM department has brainstormed the following list of potential solutions to rectify this problem. Using the categories and potential solutions below, determine the appropriate categories for the brainstormed solutions and create an affinity diagram.

 

Potential Solutions

· Implement computer assisted coding (CAC)

· Send coders home to work remotely

· Implement flex time

· Perform a work imaging study to see how the coders are spending their time

· Hire a coding support person to handle the clerical activities

· Have all coders code only one patient type (i.e., inpatients, outpatients, emergency room, ancillary)

· Hire more coders

· Provide more coding training

· Change encoders

· Change the coding workflow

· Train coders to code more than one patient type

Send all coders to a regional coding meeting