Knowledge Activity: Quality Improvement
with the EHR (Baccalaureate)
Student instructions
1. If you have questions about this activity, please contact your instructor for assistance.
2. You will review the chart of William Petrov to complete this activity. Your instructor has
provided you with a link to the Quality Improvement with the EHR (BS) activity. Click on
2: Launch EHR to review the patient chart and begin this activity.
3. Refer to the patient chart and any suggested resources to complete this activity.
4. Document your answers directly on this activity document as you complete the activity.
When you are finished, you will save this activity document to your device and upload
this activity document with your answers to your Learning Management System (LMS).
Glossary
Quality Improvement (QI): Systematic and continuous actions that lead to measurable
improvement in healthcare services and the health status of targeted patient groups (Rider &
Schertzer, 2023).
Continuous Quality Improvement (CQI): is a continual process focused on making gradual and
incremental improvements in processes, safety, and patient care. It involves a quality
management approach that prompts healthcare team members to consistently question and
assess performance, encouraging the pursuit of better practices. To address these inquiries
effectively, structured clinical and administrative data are essential components of the practice.
(O'Donnell & Gupta, 2023).
Rapid-Cycle Quality Improvement: Is a method for enhancing quality that involves identifying,
implementing, and measuring changes to improve a process or system. In this approach,
changes are made and tested within short periods, typically three to six months, as opposed to
the usual eight to twelve months. It reduces wasted activity and efforts for a quick turnaround
on QI projects. (Office of the National Coordinator for Health Information Technology, 2019).
PDSA/PDCA: Plan, Do, Study/Check, Act. A commonly used QI strategy that is a four-step rapid-
cycle quality improvement strategy. (Office of the National Coordinator for Health Information
Technology, 2019).
Plan: Identify an opportunity to improve and plan a change.
EHR Go Knowledge Activity: Quality Improvement with the EHR (Baccalaureate) HBK1021.6
Archetype Innovations LLC ©2024
1
, Do: Implement the planned changes on a limited scale, involving a small number of
patients.
Study/Check: Evaluate the outcomes of the changes. Did you successfully meet your
objectives?
Act: Utilize the obtained results to make informed decisions, integrate the changes into
your workflow.
The activity
The General Hospital has asked for your help to initiate continuous quality improvement (CQI)
regarding re-admission rates. A re-admission is considered two or more hospital admissions
within a 30-day window, for any reason. The CMS Readmissions Reduction Program (HRRP)
through the Affordable Care Act enforces financial incentives to hospitals who can lower their
re-admission rates. (CMS, 2023). The Hospital’s Quality Improvement committee would like to
look at the re-admission rates for four diagnoses with high re-admission rates nationally: renal
failure, congestive heart failure, sickle cell anemia, and diabetic gangrene.
Access the General Hospital Readmission Report (an Excel spreadsheet included with this
activity under 1: Overview and Resources) and follow the instructions below to create a Pivot
Table using that Excel spreadsheet.
Pivot table instructions:
a. In the spreadsheet, select and highlight all the cells that include data.
b. Then select Insert>Pivot Table
c. Leave the default selections as they are (defaults are: “Select a table or range”/
'Admission Data’ and New Worksheet). Press OK.
d. On the right-hand side of the pivot table screen, click and drag the “Readmitted
within 30 days” check box into the Columns box.
e. Then click and drag the “Discharge Diagnosis” check box into the Rows box.
f. Finally, click and drag the “Readmitted within 30 days” into the Values box.
Questions
EHR Go Knowledge Activity: Quality Improvement with the EHR (Baccalaureate) HBK1021.6
Archetype Innovations LLC ©2024
2
with the EHR (Baccalaureate)
Student instructions
1. If you have questions about this activity, please contact your instructor for assistance.
2. You will review the chart of William Petrov to complete this activity. Your instructor has
provided you with a link to the Quality Improvement with the EHR (BS) activity. Click on
2: Launch EHR to review the patient chart and begin this activity.
3. Refer to the patient chart and any suggested resources to complete this activity.
4. Document your answers directly on this activity document as you complete the activity.
When you are finished, you will save this activity document to your device and upload
this activity document with your answers to your Learning Management System (LMS).
Glossary
Quality Improvement (QI): Systematic and continuous actions that lead to measurable
improvement in healthcare services and the health status of targeted patient groups (Rider &
Schertzer, 2023).
Continuous Quality Improvement (CQI): is a continual process focused on making gradual and
incremental improvements in processes, safety, and patient care. It involves a quality
management approach that prompts healthcare team members to consistently question and
assess performance, encouraging the pursuit of better practices. To address these inquiries
effectively, structured clinical and administrative data are essential components of the practice.
(O'Donnell & Gupta, 2023).
Rapid-Cycle Quality Improvement: Is a method for enhancing quality that involves identifying,
implementing, and measuring changes to improve a process or system. In this approach,
changes are made and tested within short periods, typically three to six months, as opposed to
the usual eight to twelve months. It reduces wasted activity and efforts for a quick turnaround
on QI projects. (Office of the National Coordinator for Health Information Technology, 2019).
PDSA/PDCA: Plan, Do, Study/Check, Act. A commonly used QI strategy that is a four-step rapid-
cycle quality improvement strategy. (Office of the National Coordinator for Health Information
Technology, 2019).
Plan: Identify an opportunity to improve and plan a change.
EHR Go Knowledge Activity: Quality Improvement with the EHR (Baccalaureate) HBK1021.6
Archetype Innovations LLC ©2024
1
, Do: Implement the planned changes on a limited scale, involving a small number of
patients.
Study/Check: Evaluate the outcomes of the changes. Did you successfully meet your
objectives?
Act: Utilize the obtained results to make informed decisions, integrate the changes into
your workflow.
The activity
The General Hospital has asked for your help to initiate continuous quality improvement (CQI)
regarding re-admission rates. A re-admission is considered two or more hospital admissions
within a 30-day window, for any reason. The CMS Readmissions Reduction Program (HRRP)
through the Affordable Care Act enforces financial incentives to hospitals who can lower their
re-admission rates. (CMS, 2023). The Hospital’s Quality Improvement committee would like to
look at the re-admission rates for four diagnoses with high re-admission rates nationally: renal
failure, congestive heart failure, sickle cell anemia, and diabetic gangrene.
Access the General Hospital Readmission Report (an Excel spreadsheet included with this
activity under 1: Overview and Resources) and follow the instructions below to create a Pivot
Table using that Excel spreadsheet.
Pivot table instructions:
a. In the spreadsheet, select and highlight all the cells that include data.
b. Then select Insert>Pivot Table
c. Leave the default selections as they are (defaults are: “Select a table or range”/
'Admission Data’ and New Worksheet). Press OK.
d. On the right-hand side of the pivot table screen, click and drag the “Readmitted
within 30 days” check box into the Columns box.
e. Then click and drag the “Discharge Diagnosis” check box into the Rows box.
f. Finally, click and drag the “Readmitted within 30 days” into the Values box.
Questions
EHR Go Knowledge Activity: Quality Improvement with the EHR (Baccalaureate) HBK1021.6
Archetype Innovations LLC ©2024
2
