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you will analyze the need to improve performance of an academic medical center. Case Study: A three-hospital academic medical center achieved stro as with many strong health systems was concerned about the impact of healthcare reform on future performance. The organization’s internal-gap analysis identified the need to improve per reducing labor and supply costs improving revenue-cycle operations) were important you will analyze the employee job performance and appraisal process. Case Study: Margie has been a coder in the HIM department of a large acute-ca prior to working at this organization she coded for 15 years at a similarly sized acute-care facility. Throughout her coding tenure Margie mostly coded outpatient encounters such as outpatient observations outpatient surgeries and emergency room visits. Two years ago Margie was cross-trained to code inpatient discharges as well. At last year’s performance appraisal Margie received an overall score of 3.8 out of 5 which denotes that she “exceeds job performance expectations.” This past performance appraisal cycle