You are the HIM Director of a large trauma center and were assigned by the Chief of the Medical Staff to evaluate the preventative services of the Internal Medicine department to examine if they are complying with Medicare's Preventative Visit under the recent Affordable Care Act.
You conduct a retrospective analysis of the medical records for the past six months using the hospital's electronic medical record (EMR). Your findings, although startling, were indicative of what the Chief of the Medical Staff speculated--a large percentage of the patients were not receiving current screening preventative recommendation. The following data stood out: two physicians, who saw about 45 percent of all the patients, had 60% of their patients lacking in bone density measurements; colonoscopies were only done 34% of the time; and 13% of the patient population received the pneumococcal vaccine.
You are asked to present your findings at the monthly Internal Medicine departmental meeting. In the middle of your data presentation, two physicians begin to argue the results integrity and reliability of the data. Furthermore, they alluded to your being inept in your data analysis.
Specifically, how would you handle this situation? What preparation might you have done in advance to help prevent a situation like this? What conflict management or leadership expertise would you need to successfully defend your findings?