PHD ONLY

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Scenario Summary

Sunshine Hospital is a 235-bed teaching hospital in Marin County, California with generating revenue of more than $700 million last year. It employs 1,220 employees, 698 multidisciplinary physicians, and has renowned regional cardiology and oncology programs, specializing in lung cancer. It is JCAHO and URAC accredited, has cancer research funding through the National Institutes of Health (NIH) through 2010, and has achieved a three-year accreditation with commendation by the Commission on Cancer.

The Oncology Care Committee is a multidisciplinary 20-member committee, chaired by the chief oncologist, and includes regular members a pathologist, anesthesiologist, diagnostic radiologist, several surgeons of various specialties, lead oncology nurse, Director of Nursing, Director of Social Services, Director of Health Education, Director of Quality Services, Director of Dietary Services, pharmacist (Pharm D), and a hospital administrator. Other departments, or professions, are included on an ad hoc basis. The primary purpose of this committee is to establish the direction of the oncology program at Sunshine Hospital, evaluate the oncology protocols and quality of care using internal and external data, and make recommendations for improvement to meet regulatory and accreditation standards.

It is that time of the year when the 2007 Sunshine Hospital Annual Report is being developed to be distributed to not only medical staff, but also patients and community leaders. After having been at the Executive Committee meeting the previous day, John Anderson, HIM Director, has called two key members of the HIM department together to discuss the data required for this report, which is due in two months - you and the data analyst. It is your responsibility to develop the yearly Cancer Registry Annual Report, which is used for the hospital's Annual Report.

Your Role/Assignment

You are an RHIT and Certified Tumor Registrar (CTR) by The National Cancer Registrars Association’s (NCRA). You are responsible for administrative oversight and support of the program, including compiling the data for the cancer registry program and coding all cancers, statistical breakdown of specific cancers and stages, and patient demographics of the patients; support the NIH research grant; and reporting statistics to the organizational Cancer Committee, Morbidity and Mortality Committee, and other committes as requested.

As the Cancer Registrar, you are responsible for the development of the yearly Cancer Registry Annual Report, which is used for the hospital's Annual Report. The HIM Director has tasked you to present the initial required data listed below to him in an Excel spreadsheet and graphs within four weeks for his review. (Due in Week 4 of this course).

After his approval (and instructor grading and feedback), you will then develop the the Cancer Registry Annual Report using the compiled data from Week 4, and additional key requirements for incorporation into the Sunshine Hospital's yearly report by the CEO. (Due in Week 7 of this course)

Key Players

Patrick Johansson, MBA, CEO

Mr. Johansson has held this position for the past four years and reports to the Hospital's Board of Directors. He was the previous Vice President of Financial Management at Sunshine Hospital, and his vision has driven Sunshine Hospital to achieve high standards of quality and numerous recent accreditation awards and fiscal accountability. He is known for his personal nature with all employees and his attention to details.

Nancy Turlick, MD, Medical Director, Oncology

As the Oncology Program Director, Dr. Turlick has been at Sunshine Hospital for five years and came from the Dana-Farber Cancer Institute. She has spearheaded quality of care initiatives, which has led to revision of oncology standards of care that are established with current evidence-based medicine research, both within Sunshine Hospital and oncology nationwide. She is a hands-on Director, following the statistics of the program very closely and is a frequent visitor to the HIM Department.

John Anderson, RHIA, HIM Director

Mr. Anderson is a recent graduate with a Master's degree in Health Information Management (HIM) and Registered Health Information Administrator (RHIA). He has been an employee of Sunshine Hospital for the past three years and was previously the Data Analyst in the department.

Sarah Montgomery, Data Analyst

Ms. Montgomery's job requires her to extract, analyze, and report hospital data to the entire organization using various databases. She provides specific patient services and hospital data including ALOS, LOS, surgery, deaths, births, admissions, discharges, pharmacy, claims, etc. on a monthly basis to the Executive Committee, Quality Council, Financial Management Committee, Risk Management, and Infection Control.

Deliverables/Activities

Week 4: Excel Spreadsheet (85 Points). Develop the Cancer Registry spreadsheet in one document using eight separate tabs for each particular groups of data and their corresponding tables and graphs. This assignment will also be used to develop the content of your Cancer Registry Annual Report. Feedback on development and presentation will be provided by the instructor.

Make sure to review these General Instructions (Week 4) on this deliverable.

Week 7: Final Paper (85 pts): The completed project is due in Week 7. The length of the paper should be 7-9 pages (excluding title and reference pages), double spaced, and in APA format. See DeVry APA resources for guidance on APA formatting located in Course Home page and links below.

Make sure to review these General Instructions (Week 7) on this deliverable.

Dropbox

See the Syllabus section "Due Dates for Assignments & Exams" for due date information.

For instructions on how to use the Dropbox, read these step-by-step instructions

Citation Help

Don't forget to cite your sources properly in APA format, both parenthetically and in your reference page. If you need assistance with proper citation, the following website may be beneficial:

http://www.apastyle.org/faqs.html

Be certain to review the APA Style information available from the APA Resource Center . MS Word 2007 also has a great reference tool on the tool bar.