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A proposal is often used to communicate and present information to stakeholders within an organization. In many cases the primary purpose of the proposal is to convince stakeholders that the project is worthy and beneficial to the organization and serves as a tool to gain approval.

Stakeholders must understand what the project can do and why it is feasible, in order to accomplish the set goals and contribute to strategic initiatives. An effective proposal, if effectively communicated, can convince stakeholder buy-in and aid as a driver for change. It may also involve negotiation tactics and strategies.

Park Health System is experiencing a shortage of coders. Over the past five years, there has been a 40% vacancy rate for coders throughout the main hospital and satellite clinics within the healthcare system. The backlog and vacant positions have created an issue related to unbilled revenue, overworked coders and extended work hours and schedules. It is estimated that there is an annual loss of $10 million. It has also been communicated that many of the qualified coders that were offered a position, declined because they are interested in working from home. To address the problem, the health information management department is proposing that there be an implementation of a home-based coding system. This concept is feasible because the system utilizes an electronic health record and all patient information is available electronically. You have been assigned as the project manager. You are responsible for developing a project proposal to recommend a vendor/system to resolve the issues for Park Health System. The proposal is the document used to present the project to organizational leaders, executive management and other stakeholders.

Organizational challenges:

Outsourcing costs are currently estimated at $50,000 per year. Reduce outsources costs by 50%
Have no open coding positions – a vacancy rate of 0%
Increase coding productivity by 30%
Reduce annual loss by 50%
Currently losing $10 million per year
Improve timeliness and turn-around time
Code inpatient records within four days of discharge and outpatient records within five days of the visit
Overall timeline for project is 18 months

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