WGU C806 Introduction to Pharmacology Task 3 |Passed on
First Attempt |Latest Update with Complete Solution
C806 Introduction to Pharmacology
Task 3
A1. FINANCIAL IMPACT
The United States healthcare system is troubled by billing mistakes that amount to billions of dollars of
lost revenue each year. (Courtney, 2022) In this scenario the difference between the billed blood
infusion and the actual blinatumomab infusion that was provided is $6,900. This mistake occurred a
total of seven times within the last year amounting to a sum of $48,300 of lost revenue. Healthcare
facilities rely on reimbursement to remain functional; this is why it is so important to submit correct
insurance claims.
A2. ISSUES
Quality of care was affected because the wrong transfusion was mistakenly documented in the
medication reconciliation section many times. This can result in the wrong infusion being given to the
patient in the future, potentially causing patient harm or death. This may constitute negligence and
could result in a lawsuit being brought against the hospital. Also, the medical record is considered a
legal record so proper documentation is imperative to maintain it’s integrity.
A3. CORRECTIVE ACTION PLAN
I. STAFF TO BE INCLUDED: All clinical and administrative staff
, II. FAULTS IDENTIFIED: There is a chronic problem of blinatumomab infusion being erroneously
documented as a blood transfusion in the medication reconciliation system in the EHR. Due to
the infusion being documented incorrectly, it is then being coded and billed improperly as
well. This unfortunately is costing the hospital thousands of dollars in missed reimbursements,
creating patient safety and quality of care issues, and could also possibly lead to legal
problems.
III. CAUSE: The drug reconciliation application contains a drop-down box with alphabetical
selections and blinatumomab infusion immediately precedes blood transfusion. It is
entirely
probable that choosing the wrong infusion is simply due to the fact that staff is not double- checking
their work.
IV. REMEDIAL ACTIONS: Re-education should take place to ensure that everyone
understands exactly how the medication reconciliation system works and the importance
of ensuring accuracy in your work. Rethink the drop-down box option in the medication
reconciliation application or possibly replace it with a different way to input therapies
received.
V. ASSESSMENT: An analysis should be conducted to determine the most cost-effective solution
to the problem.
VI. ACHIEVABLES: Realistic timelines should be set, specifying the goals you are looking to
obtain, and defining any milestones.
VII. EVALUATION: Monitor progress, and assess the plan’s effectiveness (Centers For Medicare
& Medicaid Services)
B1. NATIONAL DRUG CODE
An NDC is a unique, universally identifying 3-segment number assigned to every drug in the United
First Attempt |Latest Update with Complete Solution
C806 Introduction to Pharmacology
Task 3
A1. FINANCIAL IMPACT
The United States healthcare system is troubled by billing mistakes that amount to billions of dollars of
lost revenue each year. (Courtney, 2022) In this scenario the difference between the billed blood
infusion and the actual blinatumomab infusion that was provided is $6,900. This mistake occurred a
total of seven times within the last year amounting to a sum of $48,300 of lost revenue. Healthcare
facilities rely on reimbursement to remain functional; this is why it is so important to submit correct
insurance claims.
A2. ISSUES
Quality of care was affected because the wrong transfusion was mistakenly documented in the
medication reconciliation section many times. This can result in the wrong infusion being given to the
patient in the future, potentially causing patient harm or death. This may constitute negligence and
could result in a lawsuit being brought against the hospital. Also, the medical record is considered a
legal record so proper documentation is imperative to maintain it’s integrity.
A3. CORRECTIVE ACTION PLAN
I. STAFF TO BE INCLUDED: All clinical and administrative staff
, II. FAULTS IDENTIFIED: There is a chronic problem of blinatumomab infusion being erroneously
documented as a blood transfusion in the medication reconciliation system in the EHR. Due to
the infusion being documented incorrectly, it is then being coded and billed improperly as
well. This unfortunately is costing the hospital thousands of dollars in missed reimbursements,
creating patient safety and quality of care issues, and could also possibly lead to legal
problems.
III. CAUSE: The drug reconciliation application contains a drop-down box with alphabetical
selections and blinatumomab infusion immediately precedes blood transfusion. It is
entirely
probable that choosing the wrong infusion is simply due to the fact that staff is not double- checking
their work.
IV. REMEDIAL ACTIONS: Re-education should take place to ensure that everyone
understands exactly how the medication reconciliation system works and the importance
of ensuring accuracy in your work. Rethink the drop-down box option in the medication
reconciliation application or possibly replace it with a different way to input therapies
received.
V. ASSESSMENT: An analysis should be conducted to determine the most cost-effective solution
to the problem.
VI. ACHIEVABLES: Realistic timelines should be set, specifying the goals you are looking to
obtain, and defining any milestones.
VII. EVALUATION: Monitor progress, and assess the plan’s effectiveness (Centers For Medicare
& Medicaid Services)
B1. NATIONAL DRUG CODE
An NDC is a unique, universally identifying 3-segment number assigned to every drug in the United
