Read rubric Verbatim
What to Submit
Submit your executive summary as a 4- to 5-page Microsoft Word document with double spacing, 12-point Times New Roman font, and one-inch margins. Add a title page. Sources should be cited according to APA style.
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IHP 630 Module Seven Activity Guidelines and Rubric
Overview
In this module, you learned about the signi�cance of key performance indicators (KPIs) at various stages of a revenue cycle. You also explored how KPIs impact strategic planning and boost
�nancial performance.
In this assignment, you will analyze whether a healthcare organization is meeting its KPIs and write an executive summary to share your �ndings.
This assignment will help you apply revenue-cycle principles to data analytics and evaluate the signi�cance of KPIs in strategic planning and �nancial performance. It will also help you prepare
for section 5 (Revenue-Cycle Process) in the course project.
Directions
Using the provided revenue-cycle dashboard in the Module Seven Activity Dashboard, analyze the data in the dashboard to determine whether the organization is meeting its KPIs. Then write
an executive summary discussing your analysis.
Your executive summary should have short paragraphs for each rubric criterion, with clearly marked paragraph headers. You may refer to the relevant “Activity Reading” resource in the
Module Resources section to better understand how an executive summary is structured. If you need writing support, access the Online Writing Center through the Academic Support module
of your course.
Speci�cally, you must address the following rubric criteria:
1. Revenue-Cycle Dashboard: Summarize at least two KPIs from the front end, two from the middle, and two from the back end of the revenue cycle, as well as why you believe these KPIs
will demonstrate whether the organization is meeting its KPIs or not.
2. Front-End KPIs: Examine the possible cash-�ow issues and operational improvement possibilities of at least two front-end KPIs in the revenue-cycle dashboard of the chosen
organization. Consider the following questions to guide your response:
How would you de�ne the KPIs you identi�ed from the front end?
How would these KPIs inform the organization of potential future cash �ow issues?
How do the KPIs inform the organization of operational-improvement opportunities?
3. Middle KPIs: Examine the possible cash-�ow issues and operational improvement possibilities of at least two KPIs from the middle of the revenue-cycle dashboard of the chosen
organization. Refer to the guiding questions for the “Front-End KPIs” in number 2 above for additional guidance.
4. Back-End KPIs: Examine the possible cash-�ow issues and operational improvement possibilities of at least two KPIs from the back end of the revenue-cycle dashboard of the chosen
organization. Refer to the guiding questions for the “Front-End KPIs” in number 2 above for additional guidance.
5. Metrics Analysis: Analyze the metrics on the dashboard to determine whether the organization is meeting its KPIs or not. Consider the following questions to guide your response:
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How is the dashboard notifying the leader if any metrics are not being met?
How would you determine that the metrics are not being met if the dashboard had no visual cues?
All the claims in your deliverable should be evidence based. Your citations should be from your independent search for evidence (not from the textbook, or module resources) of credible
sources and be current within the last �ve years. You are required to cite a minimum of two sources, at least one of which should be separate from your own research. Refer to the IHP 630
Library Guide located in the Start Here section of the course for additional support.
What to Submit
Submit your executive summary as a 4- to 5-page Microsoft Word document with double spacing, 12-point Times New Roman font, and one-inch margins. Add a title page. Sources should be
cited according to APA style.
Module Seven Activity Rubric
Criteria Exemplary (100%) Pro�cient (90%) Needs Improvement (70%) Not Evident (0%) Value
Revenue-Cycle Dashboard Exceeds pro�ciency in an
exceptionally clear and
insightful manner, using
industry-speci�c language
Summarizes at least two KPIs
from the front end, two from
the middle, and two from the
back end of the revenue cycle,
as well as why these KPIs will
demonstrate whether the
organization is meeting its KPIs
or not
Shows progress toward
pro�ciency, but with errors or
omissions
Does not attempt criterion 10
Front-End KPIs Exceeds pro�ciency in an
exceptionally clear and
insightful manner, using
industry-speci�c language
Examines the possible cash-
�ow issues and operational
improvement possibilities of at
least two front-end KPIs in the
revenue-cycle dashboard
Shows progress toward
pro�ciency, but with errors or
omissions
Does not attempt criterion 15
Middle KPIs Exceeds pro�ciency in an
exceptionally clear and
insightful manner, using
industry-speci�c language
Examines the possible cash-
�ow issues and operational
improvement possibilities of at
least two KPIs from the middle
of the revenue-cycle dashboard
Shows progress toward
pro�ciency, but with errors or
omissions
Does not attempt criterion 15
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Criteria Exemplary (100%) Pro�cient (90%) Needs Improvement (70%) Not Evident (0%) Value
Back-End KPIs Exceeds pro�ciency in an
exceptionally clear and
insightful manner, using
industry-speci�c language
Examines the possible cash-
�ow issues and operational
improvement possibilities of at
least two KPIs from the back
end of the revenue-cycle
dashboard
Shows progress toward
pro�ciency, but with errors or
omissions
Does not attempt criterion 15
Metrics Analysis Exceeds pro�ciency in an
exceptionally clear and
insightful manner, using
industry-speci�c language
Analyzes the metrics on the
dashboard to determine
whether the organization is or
is not meeting its KPIs
Shows progress toward
pro�ciency, but with errors or
omissions
Does not attempt criterion 20
Articulation of Response Exceeds pro�ciency in an
exceptionally clear and
insightful manner
Clearly conveys meaning with
correct grammar, sentence
structure, and spelling,
demonstrating an
understanding of audience and
purpose
Shows progress toward
pro�ciency, but with errors in
grammar, sentence structure,
and spelling, negatively
impacting readability
Submission has critical errors in
grammar, sentence structure,
and spelling, preventing
understanding of ideas
10
Scholarly and Professional
Sources
Incorporates more than two
scholarly, current (within the
last �ve years) sources, or use
of sources is exceptionally
insightful
Incorporates two scholarly,
current (within the last �ve
years) sources that support
claims
Incorporates fewer than two
scholarly, current (within the
last �ve years) sources, or not
all sources support claims
Does not incorporate sources 10
APA Style Formats in-text citations and
reference list according to APA
style with no errors
Formats in-text citations and
reference list according to APA
style with fewer than �ve
errors
Formats in-text citations and
reference list according to APA
style with �ve or more errors
Does not format in-text
citations and reference list
according to APA style
5
Total: 100%
,
IHP 630 Module Seven Activity Dashboard
The following is a dashboard for a hypothetical hospital. It includes key performance indicators for the front end, middle, and back end of the revenue cycle. Use the data in this dashboard to support your work on the Module Seven Activity.
Area of the
Cycle
Key Performance Indicator (KPI) Target: 100%
January – March Actual
April – June Actual
July – September Actual
October – December
Actual
Front End
Accurate patient demographics (correct spelling of name, middle initial, address, phone number, date of birth) are collected at registration.
89% (Color: Yellow)
87% (Color: Yellow)
92% (Color: Yellow)
92% (Color: Yellow)
Insurance is verified and insurance card is scanned or copied upon initial visit or admission.
71% (Color: Red)
68% (Color: Red)
92% (Color: Yellow)
75% (Color: Red)
Required prior authorizations are obtained before procedures are scheduled.
98% (Color: Green)
99% (Color: Green)
89% (Color: Yellow)
85% (Color: Yellow)
Patients without insurance or potential high out-of-pocket costs will be provided information about the organization’s financial assistance program at the time of registration.
48% (Color: Red)
32% (Color: Red)
30% (Color: Red)
51% (Color: Red)
Middle
Charges are captured for services provided. 91%
(Color: Yellow) 92%
(Color: Yellow) 85%
(Color: Yellow) 86%
(Color: Yellow)
Clinical documentation is completed within 5 days of patient visit/discharge.
93% (Color: Green)
96% (Color: Green)
81% (Color: Yellow)
81% (Color: Yellow)
Area of the
Cycle
Key Performance Indicator (KPI) Target: 100%
January – March Actual
April – June Actual
July – September Actual
October – December
Actual
Members of the medical staff are notified within 2 days of any delinquent (greater than 5 days) clinical documentation in patient charts.
100% (Color: Green)
98% (Color: Green)
99% (Color: Green)
100% (Color: Green)
Coding is completed within 5 days of clinical documentation completion in the medical record.
100% (Color: Green)
70% (Color: Red)
78% (Color: Red)
76% (Color: Red)
Back End
Claims will be “scrubbed” for errors using electronic scrubbing software prior to submission to a third-party payer.
100% (Color: Green)
98% (Color: Green)
100% (Color: Green)
100% (Color: Green)
Denied claims are reviewed/accepted/appealed within 21 days of claims denial.
62% (Color: Red)
53% (Color: Red)
59% (Color: Red)
59% (Color: Red)
Patients will be billed for any account balance within 14 days of insurance reimbursement.
88% (Color: Yellow)
95% (Color: Green)
96% (Color: Green)
95% (Color: Green)
Days in accounts receivable will be less than 47 days at the end of any quarter.
56 days (Color: Red)
48 days (Color: Red)
55 days (Color: Red)
53 days (Color: Red)
The following table explains the color-coding system in the dashboard above:
Meeting Requirements 95% or Greater Green
Meeting Requirements 80% to 94% Yellow
Meeting Requirements Less Than 80% Red