M8 SBAR

M8Sbar.pdf

Overview

In this module, you learned how tools and technology can help with the documenta!on process. They make regulatory

compliance and audits easier for healthcare organiza!ons.

This ac!vity will help you assess how technology supports regulatory compliance in healthcare. It also enables you to explain

how electronic documenta!on systems support billing and payment reimbursement.

Scenario

You are the manager of the coding department for a healthcare organiza!on and have found a coding error while doing a

preliminary compliance audit of claims submission to Medicare. You found that the physician has entered incorrect procedure

codes on encounter forms and found similar errors on other suppor!ng documenta!on, such as pa!ent visit summaries,

electronic medical records, etc., for the last quarter. You also no!ce that the documenta!on and coding policies and

procedures have not been updated in three years. You need to examine the situa!on and recommend ac!ons to mi!gate the

error.

Direc!ons

Create a situa!on, background, assessment, recommenda!on (SBAR) analysis using the template provided to assess the

documenta!on and coding scenario and recommend ways to rec!fy the situa!on. Explain the situa!on in detail, followed by

background informa!on. Include any assump!ons you are making about the situa!on. Then explain the immediate

assessment and recommenda!ons you have for your supervisor.

You may want to review the resources in this module to refresh your knowledge of how to create an SBAR analysis. If you

need wri!ng support, access the Online Wri!ng Center through the Academic Support module of your course.

Specifically, you must address the following rubric criteria:

1. Situa!on: Analyze the situa!on for elements of concern rela!ng to compliance and financial reimbursement. Consider

the following ques!ons to guide your response:

What is the problem, and how or where did it begin?

How severe is the problem as it relates to organiza!onal risk and financial performance?

2. Background: Explain the essen!al informa!on related to the compliance and reimbursement situa!on. Consider the

following ques!ons to guide your response:

What is the current status of the situa!on?

Who should receive communica!on about the problem?

3. Assessment: Assess the concerns adequately based on the situa!on and the background informa!on. Consider the

following ques!ons to guide your response:

What is your understanding of the situa!on, and why must it be addressed immediately?

What are your assump!ons about the root cause of the problem?

4. Recommenda!on: Recommend at least two ways to resolve the problem based on the situa!on, background, and

your assessment. Consider the following ques!ons to guide your response:

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How would you educate the physician and other providers using evidence-based research and guidelines?

How would you deliver your recommenda!on in various learning environments?

All the claims in your deliverable should be evidence based. Your cita!ons should be from your independent search for

evidence (not from the textbook or module resources) of credible sources and be current within the last five years. You are

required to cite a minimum of two sources. Refer to the IHP 630 Library Guide located in the Start Here sec!on of the course

for addi!onal support.

What to Submit

Submit your completed SBAR Analysis template as a 1- to 2-page Microso" Word document with double spacing, 12-point

Times New Roman font, and one-inch margins. Sources should be cited according to APA style.

Suppor!ng Materials

The following resource supports your work on the ac!vity:

Template: Module Eight Ac!vity: SBAR Analysis

Use this document to complete this ac!vity.

Criteria Exemplary (100%) Proficient (90%) Needs

Improvement (70%) Not Evident (0%) Value

Situa!on Exceeds proficiency in an excep!onally clear and insigh#ul manner, using industry-specific language

Analyzes the situa!on for elements of concern rela!ng to compliance and financial reimbursement

Shows progress toward proficiency, but with errors or omissions

Does not a$empt criterion

Background Exceeds proficiency in an excep!onally clear and insigh#ul manner, using industry-specific language

Explains the essen!al informa!on related to the compliance and reimbursement situa!on

Shows progress toward proficiency, but with errors or omissions

Does not a$empt criterion

Assessment Exceeds proficiency in an excep!onally clear and insigh#ul manner, using industry-specific language

Assesses the concerns adequately based on the situa!on and the background informa!on

Shows progress toward proficiency, but with errors or omissions

Does not a$empt criterion

Recommenda!on Exceeds proficiency in an excep!onally clear and insigh#ul manner, using industry-specific language

Recommends at least two ways to resolve the problem based on the situa!on, background, and your assessment

Shows progress toward proficiency, but with errors or omissions

Does not a$empt criterion

Module Eight Ac!vity: SBAR Analysis Rubric

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Ar!cula!on of Response

Exceeds proficiency in an excep!onally clear and insigh#ul manner

Clearly conveys meaning with correct grammar, sentence structure, and spelling, demonstra!ng an understanding of audience and purpose

Shows progress toward proficiency, but with errors in grammar, sentence structure, and spelling, nega!vely impac!ng readability

Submission has cri!cal errors in grammar, sentence structure, and spelling, preven!ng understanding of ideas

Scholarly Sources Incorporates more than two scholarly, current (within the last five years) sources, or use of sources is excep!onally insigh#ul

Incorporates two scholarly, current (within the last five years) sources that support claims

Incorporates fewer than two scholarly, current (within the last five years) sources, or not all sources support claims

Does not incorporate sources

APA Style Formats in-text cita!ons and reference list according to APA style with no errors

Formats in-text cita!ons and reference list according to APA style with fewer than five errors

Formats in-text cita!ons and reference list according to APA style with five or more errors

Does not format in- text cita!ons and reference list according to APA style

Total: 100%

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