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Data Analysis Strengthens Employee Engagement, Performance
In a recent case, a series of unauthorized disclosures occurred at a particular site in one region. An audit to evaluate workflow and ask “why” revealed that employees were not using the appropriate checklist to validate patient authorization to release information. The solution was to provide the right checklist along...
The goal is to analyze and improve processes and performance. Using breach data as a guide, here are five strategies to consider:
• Conduct deeper audits—use the “ask why” technique
• Provide education, training, ongoing assessment—and continually monitor progress
• Look for common themes as the root causes of unauthorized disclosures
• Partner with employees to improve quality of work
• Use a team approach to achieve better outcomes from lessons learned
Once employees are engaged, improvement in overall performance and compliance should follow. If employees don’t know what they’re doing wrong, they have no opportunity to fix the problem. And through education and awareness, others can avoid making the same mistake. Success depends on communication and collaboration. W...
Faced with the threat of unauthorized disclosures and ever-increasing audits, providers should focus less on when and who, and more on why and what has been done to correct the issues.
Lean Six Sigma Improves ROI, Quality Assurance Processes
According to the American Hospital Association’s first quarter 2016 RACTrac report, an average of 6,330 medical records were requested per hospital from RAC auditors nationwide (all four regions) during the first quarter of 2016.4 Given the vast volume of requests for information, human error is a huge factor in medica...
As an integral part of creating strategies to redefine and improve ROI processes, Lean Six Sigma is now being used at an ROI outsourcing company to reduce unauthorized disclosures and improve quality assurance processes. “We are combining Lean Management and Six Sigma to reduce the occurrence of unauthorized disclosure...
Hospitals, clinics, and physician practices can benefit from analyzing Lean Six Sigma data to minimize errors, support decision making, and increase patient engagement. And Lean Six Sigma practices are aligned with conducting analysis and education before making a quick decision to terminate an employee involved in a b...
“The best way for hospitals to avoid mistakes in the ROI process is to follow what the data reveals—by staff member, type of information request, requestor/auditor, and delivery method,” Haddad says. “Lean Six Sigma is about more than reducing labor costs and staff—it’s about improving processes to mitigate the risk of...
Data-Driven Analysis Brings Benefits Beyond ROI
Healthcare organizations at all levels are realizing benefits through increased efforts to assess workflow, redefine processes, evaluate technology, bolster education, and monitor progress. Strong data-driven analysis ultimately results in improved consumer trust. Increased privacy and security compliance supports an o...
As healthcare makes the transition to a value-based model, the timing is right to advance data analysis that will strengthen both employee and patient engagement, support management decision making, and enhance staff performance and compliance.
Tracking Unauthorized Disclosures
By monitoring unauthorized disclosures using specific data elements, HIM directors are better equipped to improve ROI procedures. Targeted education can be conducted and workflow improvements made based on a thorough analysis of breach data.
[1] Mind Tools Editorial Team. “5 Whys: Getting to the Root of a Problem Quickly.” Mind Tools.
[2] AHIMA. “Information Governance Principles for Healthcare (IGPHC).” 2014.
[3] Welz, Erika. “Hiring Your First Employee.” Entrepreneur.
[4] American Hospital Association. “Exploring the Impact of the RAC Program on Hospitals Nationwide.” RACTrac. June 3, 2016.
Elizabeth A. Delahoussaye ( is the privacy officer/senior vice president of compliance for CIOX Health, where she is responsible for the oversight of the organization’s compliance, training, and education.
Article citation:
Delahoussaye, Elizabeth A. "Data Mining a Breach’s Silver Lining: Analyze Breach Data to Improve Release of Information Performance in HIM" Journal of AHIMA 87, no.10 (October 2016): 33-37.
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You may produce an internet business on nearly anything, some of you could genuinely believe that there is no need anything to provide, you’d never be conscious of how much you are doing. Whenever you shop on the internet it is like going throughout the world trying to find a certain item that you simply’re in search o...
numinosity of letting go
People in our hungry modern world are always scraping at the clay of their hearts. They have a new thought, a new plan, a new syndrome, that now explains why they are the way they are. They have found an old memory that opens a new wound. They keep on relentlessly, again and again, scraping the clay away from their own...
Negative introspection damages the soul. It holds many people trapped for years and years, and ironically, it never allows them to change. It is wise to allow the soul to carry on its secret work in the night side of your life. You might not see anything stirring for a long time. You might have only the slightest intim...
~John O’Donohue
see. hope. now.
inquiry for today~  just stop. look. listen. don’t forget to breathe. it is enough.
Just as the ocean has waves or the sun has rays, so the mind’s own radiance is its thoughts and emotions. The ocean has waves, yet the ocean is not particularly disturbed by them. The waves are the very nature of the ocean. Waves will rise, but where do they go? Back into the ocean. And where do those waves come from? ...
~ Sogyal Rinpoche
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Granite vs. Other Countertop Choices
Granite is the most durable countertop available. According to scientific theory (the Marble Institute of America), the newest piece of granite on the planet is almost 750 million years old... so old that granite's durability isn't measured in years - it's measured in eons.
Although pricing is on the higher end of the countertop market, the durability of granite makes it a more "cost effective" option - in short, it will retain its beauty and hold its value longer than any other countertop.
Natural Stone vs. Solid Surface
Solid Surfaces are manufactured and will be extremely consistent - they also come in colors that do not exist in nature. Every inch of a Solid Surface is basically the same as every other inch - which may be a benefit to some customers. In addition, the seams are made with "liquid" Solid Surface material which makes th...
The variations found in Natural Stone's unique veins and markings are part of its beauty and make it a true work of art which no man-made product can match. In addition, granite is much harder than Solid Surface materials - and as stated above, it will retain its beauty and hold its value longer than any other countert...
Natural Stone vs. Engineered Stone
The main reason to use Engineered Stone is the large selection of color choices. This material gives you consistency of color while maintaining the hardness of granite - and Technistone comes with a 10-year warranty.
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POOR CALISTA THEY ARE MOVING, KEEPING THEIR DOG NOT THEIR LOYAL CAT THAT IS 14 YRS OLD - READ BELOW, UNBELIEVABLE. SO SO SAD - THAT POOR CAT - SHE IS DECLAWED AND IN GOOD HEALTH. PLEASE HELP SPREAD THE WORD ASAP - SHE NEEDS A HOME BADLY. Calista is 14 years old and in very good health. She is front declawed and current...
Endeavour Alumni, Justyna Kalka is a qualified nutritionist, fitness lover and martial arts expert. We caught up with Justyna to give us the rundown (walk down may be more appropriate) about the signs and symptoms of adrenal fatigue and naturals ways to prevent and manage it.
What do more people need to know about adrenal fatigue? Are there any misconceptions out there?
I think that the biggest misconception in regards to the adrenal fatigue syndrome and cortisol, in general, is that most people believe stress to be only psychological or emotional (e.g. work stress, relationships or financial stresses). An important concept to understand when looking at successfully treating the HPA a...
Why is it so easy for people to miss?
It is easy to miss or even ignore the issue for a long time until things really get out of hand because we live in a culture which glorifies being super busy. “I’ll sleep when I’m dead” we often say with pride. We wear lack of sleep as a badge of honour, our common cultural attitudes are that stressed, always busy and ...
What are some signs you should get tested for it and what is the best way to get tested for it?
Symptoms of adrenal fatigue are numerous and can include:
• Waking up feeling unrested
• Weakness and low exercise tolerance with slow recovery
• Decreased ability to cope with stress
• Brain fog or decreased cognitive ability
• Difficulty with memory
• Dizziness when standing from sitting or lying down
• Low sex drive
• Increased severity of allergic responses
• Low blood pressure and more…
However, adrenal fatigue is not a clearly defined syndrome and symptoms alone are not reliable as a sole method of diagnosis and can be very non-specific, meaning high or low cortisol can often share similar symptoms, that’s why testing is so important.
Testing for cortisol/adrenal fatigue syndrome includes:
Cortisol serum test (very timing dependent and not enough as a sole method of diagnosis); saliva test (scientific literature suggests its high accuracy); and 24 hour urine testing (most accurate method for establishing total cortisol levels); there is also a new testing method now available – DUTCH test (dried urine te...
What are your top tips for people who have been diagnosed with adrenal fatigue?
Stress management is critical - Diet alone is not enough. Identifying negative habits of thought, learning to say “no”, taking time out and allowing for adequate rest is all part of stress management. There is a lot of research on mindfulness and meditation being very powerful tools of recovery and preventing relapse o...
A nutrient dense diet - A high protein breakfast in the morning to stabilise blood sugar throughout the day, which in turn helps to keep your HPA axis functioning appropriately. Plenty of protein has stabilizing effects on sugar. Moderate, quality carbohydrates tend to work best for adrenal fatigue and making sure not ...
Reduction or avoidance of stimulants is strongly recommended - In addition, prolonged stress depletes the body of vital nutrients so nutrient supplementation under the care of qualified health practitioner to support depleted adrenals and provide nutrients necessary for energy production is essential, B vitamins, vitam...
Sleep - plenty of rest is essential, no less than 7-8 hours a night.
Appropriate exercise - Physical activity is an integral part of recovery as our bodies are geared for action, especially when under stress when cortisol soars our body turns on the ‘fight or flight’ and exercise is a powerful way to bring the hormones of stress back to balance. However, in adrenal fatigue gentle approa...
Which modalities/health experts are best placed in your opinion to support people with adrenal fatigue?
I strongly believe that integrated, multi-disciplinary approach is always the most beneficial for the patient. If I was to choose only one thing I would seek advice on stress management first. It is a critical first step towards recovery. Step two would be nutrition and then naturopathic treatments.
Have you experienced it personally?
No, I have never experienced it personally but it is a common condition in clinical practice. 
Posted by Justyna Kalka
Justyna Kalka
Justyna Kalka is a qualified nutritionist, fitness lover and martial arts expert who uses her own journey overcoming an eating disorder to inspire people of all ages to embrace their health, strength and vitality.
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