Questions We Can Help You To Answer

Paper instructions:

The Assessment Rubric for Critical Thinking (ARC) Assessment Profile is a written demonstration of your competence to analyze, synthesize, and evaluate a management  problem and create a bridge between theory and application. 
A successful ARC project will demonstrate your capacities to examine, question, critique, modify, and reflect on an  issue associated with the improvement of a management situation. This will include utilizing your critical thinking skills to intellectually explore and critically examine a problem/issue, develop a perspective on this problem/issue and provide support in favor of your perspective. 
There are six major goals within the ARC Assessment Profile. They are:

1) Communication: Define the problem.
    a. Identify the main issue or problem in the Scenario: Aggressive Behavior at Chevron Medical Center.
    b. Support your choice of the main idea or problem with details and examples.
    c. How does this issue or problem impact the department in general and the workers in the
        department?

2) Analysis: Compare & contrast available solutions.
    a. What is your goal?  
    b. Clarify your objectives  for addressing the issue and/or problem.
    c. What do you hope to accomplish?
    d. What will you need in order to accomplish your objectives? 
    e. What are the end results your are looking toward?

3) Problem Solving: Select one of the available solutions and defend it as your chosen solution.
    a. Create one primary solution and one imaginative new alternatives. Defend your chosen solution 
        and alternative.
    b. Back up your choice through facts and or evidence that support your primary and alternative  
        solutions. 

4) Evaluation: Identify the weaknesses of  your chosen primary and alterative solutions.
    a. Envision any consequences  within your chosen primary and alternative solutions.
    b. What will you do if the employee refuses to  accept and/or follow your directives?

5) Synthesis: Suggest ways to improve/strengthen your chosen primary OR alternative solution.
    a. Identify concepts and ideas from multiple sources that improve or strengthen your solution.
    b. Identify possible trade-offs  and the impact that trade-off  may or may not have on 
          your solution and department.
    c. Identify potential missing information and the impact that missing information may or may not 
        have had on your solution.

6) Reflection: Reflect on your own thought process after completing the assignment.
      a. Identify the strengths and weaknesses in your thought process with this project.
      b. Where there bias’ in your thinking?
      c. What did you learn from doing this project?
      d. What would you do different next time to improve your critical thinking skills process?
Each goal has specific predetermined questions that must be included in your document along with your assessment of the issue/problem at Chevron Medical Center (see below Scenario: Aggressive Behavior at Chevron Medical Center). The ARC Assessment Profile’s assigned goal sections will be submitted in weeks 2, 4, 6, 8, 10, & 12 of this course. You only need to submit the goal assigned for each particular week. Your  weekly document will be graded/assessed utilizing the ARC grading rubric. See separate document in the “Student Resources Folder”.

Critical Thinking Case study: 
Scenario: Aggressive Behavior at Chevron Medical Center
    Chevron Medical Center is a 300 bed trauma hospital in La Porte, Indiana. Chevron Medical Center is a Joint Commission approved Medicare, Medicaid facility and houses a separate large outpatient surgery center adjacent to the main hospital. (You) Sandy Marshall is the Director of Health Information Management, and manage all of the records for both the main hospital and the outpatient surgery center.  
    Ten months ago, Chevron Medical Center  moved totally away from paper medical records and implemented an electronic health record (EHR) system. The move was completed in three  phases over an eighteen month time span. The majority of your 16 employees were  ecstatic about the move to an EHR and were fully onboard with the change. One of your employees, Donna Hartford is frustrated over all of the security features associated with the new EHR. Donna is very vocal about  wanting some of the security features disabled so she can get faster access to patient records and not have to sign in multiple times a day due to the systems auto shut down if idle for 10 minutes. The current process in place for all hospital employees is to first log on to Chevron Medical Center’s main system with a user name (assigned by the hospital IT department) and password (selected by the employee); second, then log on to the electronic health record using the main user name but a different password along with an access code (again assigned by the hospital IT department). 
    Donna wants to sign on one time and access anything she wants within the main system and electronic health record for as long as she wants with no additional logons or lock outs. She has assured you and the hospitals risk management department  she will sign off completely when she goes on breaks, lunch, and at the end of her shift.
    Donna has been extremely negative in regards to the new EHR sign on process and has made it a daily goal of hers to complain to anyone and everyone she comes in contact with. This includes co-workers, physician's, department heads, other employees within the facility, and etc. Once a week, you have a brief department meeting with your staff just to touch base on how things are going, new items you need to share with them, productivity levels, concerns, and etc. During these meetings, Donna exhibits severe negative behavior emphasizing the need to eliminate the security features within the EHR. She becomes very verbally aggressive when one or more of her co-workers do not agree with her and say they have no issues with the process currently in place. There have been one or two times she has hit her fist on the table and shook her finger at everyone. Donna's behavior is very disruptive  and has all your other employee's fearful she may become physically violent at any given moment. You have consulted Donna on her behavior in the past and she manages to tone it down for several weeks.  But within two to three weeks she is back to her aggressive  behavior again. You have had quite a number of complaints from other employee's throughout the facility and know you must take action to control this situation.
    Due to the State and Federal rules and regulations in regards to confidentiality and security of patient health information, you are at a loss as to how to possibly accommodate Donna's request. You have reviewed:
1. Chevron Medical Center's internal policy and procedures on confidentiality, security, and access to patient health records. It clearly states due to HIPAA and Joint Commission regulations, all EHR systems must be equipped with confidentiality, security, and access controls for protecting  patient health records.
Your task, utilizing the 6 goals of the ARC, is to assess the issue/problem with Donna.