Patient # |
Service | Discharge Date | Admit Date & Time | Procedure Start Time | Procedure End Time | Physician Action | Quality Code | Notes |
2 | CD | 12/23/14 | 12/23/2014;1230 | 12/23/2014;1620 | No time noted on update stamp | |||
3 | EN | 12/04/14 | 12/04/2014; 0704 | 12/04/2014;0915 | H&P dated June 2014 | |||
4 | EN | 12/10/14 | 12/10/2014;0647 | 12/10/2014;0844 | No update stamp; signed, dated & timed at 0505 | |||
5 | EN | 12/19/14 | 12/19/14 | 12/19/2014;1426 | Op report dictated 12/22 | |||
6 | EN | 12/09/14 | 12/07/201;0614 | 12/07/2014;0751 | No date/time on limited exam | |||
7 | GS | 12/26/14 | 12/26/14 | H&P dated 11/24/2014 | ||||
8 | GS | 12/26/14 | 12/26/14 | 12/26/2014;1408 | Op report not dictated | |||
9 | GS | 12/26/14 | 12/26/15 | H&P dated 11/21/2014 | ||||
10 | GS | 12/30/14 | 12/21/14 | 12/21/14 | Op report dictated 01/09/15 | |||
11 | NE | 12/23/14 | 12/15/2014;0826 | 12/15/2014;1144 | H&P dictated 12/18/2014 | |||
12 | NE | 12/20/14 | 12/18/2014;0526 | 12/18/2014;0725 | 12/18/2014;0845 | H&P dictated 11/03/2014 | ||
13 | NE | 12/11/14 | 12/11/14 | H&P dictated post-op | ||||
14 | NE | 12/16/14 | 12/16/2014;0456 | 12/16/2014;0751 | H&P dictated 12/16; 0559 | |||
15 | OB | 12/23/14 | 12/25/2014;1642 | Op report dictated 12/29/2014 | ||||
16 | OP | 12/03/14 | 12/29/2014;1440 | Op report dictated 12/29/2014;1500 | ||||
17 | OR | 12/04/14 | 12/04/2014;0632 | Op report dictated 12/23/2014 | ||||
18 | OR | 12/17/14 | 12/17/2014;0952 | 12/17/2014;1247 | H&P dictated 12/15 | |||
19 | OR | 12/18/14 | 12/15/2014;0514 | 12/15/2014:0739 | Limited H&P completed 12/15;0730 | |||
20 | OR | 12/22/14 | 12/04/2014;1010 | 12/04/2014;1309 | Limited H&P signed/dated/timed as 1100 after analysis | |||
21 | OR | 12/06/14 | 12/03/2014;1710 | 12/03/2014;2346 | No H&P dictated | |||
22 | OR | 12/15/14 | 12/15/2014;1042 | Op report dictated 12/16/2014;1055 | ||||
23 | UR | 12/05/14 | 12/05/2014;0700 | 12/05/2014;0814 | H&P update dated/timed 12/5; 0900 post analysis | |||
Quality Code Key | ||||||||
1 = H&P >30 days | ||||||||
2 = No H&P prior to surgery | ||||||||
3 = No update to H&P prior to surgery | ||||||||
4 = No Operative report within 24 hours after surgery 1. Assign the appropriate quality code 2. Analyze the data. Which code is most common? 3. Is there one service that seems to be a problem? 4. What can you conclude from the data? 5. Establish a plan. How are you going to fix the problem? |
Get Answers For Free
Most questions answered within 1 hours.