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HELP!! monitoring y patients aren't getting pneumonia antibiotics on time

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Problem:This is a study guide question and I was looking for some insight on this... it's a scenario...

Your ED is typically overcrowded and busy. Data reveal that although the CMS require ...there is moreshow problemThis is a study guide question and I was looking for some insight on this... it's a scenario...

Your ED is typically overcrowded and busy. Data reveal that although the CMS requires that pneumonia patients receive antibiotic within 4 hours of coming to the ED, these patients are receiving antibiotics between 6 and 8 hours after arrival. As the administrator, what can you do?

*How would you analyze the problem?

*Which members of the professional staff would you call on to help you analyze and improve the situation? Why those staff and not others?

*Who would be accountable for improvements?

*How would improvements be measured?

*How would the data be reported? Why I one format rather than another hide problem