Advantages Of Medical Practice Management Solutions

This proposal has been prepared for Riordan Manufacturing Company by the BSA/375 Learning Team Corporation. We are pleased to provide this proposal and look forward to working closely with members of the Riordan Manufacturing team. After careful analysis and review, we are confident that our recommendations will greatly enhance Riordan Manufacturing and place them firmly in the lead amongst other companies.

“An Integrated Physician Model is the result of a series of partnership between hospitals and physician develop overtime” (Harrison, 2016). Primarily, it is a joint venture that has become many joint ventures. In addition, all of this joint ventures are connected through congruent goals, and that is to provide different level of care to all the patients. Integrated physician model also organizing themselves to improve the cost and quality by operating under a clinical guideline. This could include acute care hospital, home care, nursing homes, affiliated medical group, primary care clinics, employed physician and any independent medical groups.

The HMO’s stress wellness and preventive care, therefore its focus is more on health maintenance rather than just the treatment itself. Because of this, HMO’s offer much richer benefits than the traditional plans. HMO’s have little to no upfront costs in an effort to encourage maintenance, while comprehensive and major medical plans have up-front cost sharing so as to discourage over utilization.

Two organizations migrating to a common health information system would need a system that meets current regulatory requirements, meets the needs of the combined organization and their practice environment. The implementation of a common health information system would require an interdisciplinary group of forward thinking innovators, and an interoperable electronic medical record system that includes standard nursing terminology.

The health facility in this case study experienced several problems and issues beyond possible solution efforts by the time. One of the main problems is based on the perfect way of handling the various challenges attributed to a shift from the hospital’s fee-for-service in the case of managing care environment. Besides, some local physicians were loyal to Dr. William and had the necessary flexibility and availability to assist the doctor in various ways, but today they are no longer available to assist the doctor towards the achievement of his medical and societal mission. The physicians were always available and loyal to the doctor and they could volunteer their efforts especially in cases of physician shortages in the health center. The physicians cannot afford the time they once used for volunteering activities in the health facility to assist Dr. Williams (Swayne, 2008). The reason behind this problem is that the physicians have now been employed by various managed health care organizations. Others have been involved in various contractual agreements such that the partners prohibit them from working with the health care facility. Although the health care facility has a few small groups or individuals offering primary care, these individuals and small groups are still struggling to survive in the industry. As such, the majority of them cannot

Planning is the most critical part of the organization’s information management process and requires the collective involvement of all employees of the hospital. Therefore, staff and licensed independent practitioners, selected by the hospital, should participate in the assessment, selection, integration, and use of information management systems for the delivery of care, treatment, and services.

Manage care are a contract with health care physicians and othe meidcal clinics that gives care to member at a lower price. The network plan is made by these providers. The cost of the care plan normally pays client son this network’s rule. Plans sometimes make your choices cost you less. A flexible plan is provided, it may cost you more. Theres three manage care plans: health maintence organization formally know as HMO normally pays the care in your network. You must choose your primary physician who will manages most of your care. Perferred provider orginaztion known as PPO normally pays more if you saty within your network and they still pay half of the cost outside the network. Point of serives POS plans give the oppurtunity to choose between HMO and PPO everytime you in need for

Key People/Structures Dave Burton, & Brent James - Clinical Management System Design Linda Leckman – CEO Medical Group Nancy Nowak – Chief Nursing Officer Brent Wallace – Chief Medical Officer Guidance Councils – one for each of nine care areas – ensure CPMs are implemented Development Teams - developing of and responsibility for Clinical Process Models (CPM) Bill

The practice management software allows activities such as patient care, scheduling, billing, claim processing, and other related operations. With this program doctors and staff can spend more time with patients and less time on administrative tasks. This program can be utilized by private practices, health centers, long

This statistic brings focus to a trend that is seen over and over again throughout the country. Medical practices are seeking ways to upgrade and outsource in order to reduce expenses, enable them to bring in more revenue, and remain independent in what have become some tough times in the healthcare industry.

Today almost every major health care organization has a case management program managing and directing the use of health care services for their clients. Also, case management by payer organization is recognized as external case management (Jacob & Cherry, 2007). Hospitals recognized the need for the case management model in the mid-1980s to manage the lengths of stay of hospitalized patients and the treatment plans (Jacob & Cherry, 2007).

How do you define slavery in today’s modern society? The word slavery sparks up heated conversations. The idea that all humans were born with their own rights, no matter what race or class they were in, was not prevalent during the early developmental stages of America. There has always been slaves throughout the history of man, dating all the way back to the 1600’s until today’s day in age when it is no longer legal but still seems to prevail. There are still cases in which slavery still exist but is more commonly hidden from the public eye. The only thing that has changed for slavery is the mindset behind it and the openness for it. Instead of race having to be the main aspect, people believed fate determined if you were free or enslaved. The people of that time believed that if you were born at the bottom of society you were indefinitely going to stay at the bottom in a society of poverty.

Utilization management is described as the implementation of guidelines which reduce unnecessary use of medical resources (Kongstvedt, 2007, p.190). There are a variety of methods used to ensure costs are kept at a minimum without compromising patient care. The use of utilization management (UM) are yielding financial benefits resulting in managed care organizations (MCOs) and facilities investing more into UM programs.

Case managers also provide support and information to patients and their families. Next, is utilization review. `Its main objective is to review each case and determine the most appropriate level of services, the most appropriate settings in which the services be delivered, the most cost efficient methods for care delivery and the need for planning of subsequent care. Other methods used for utilization and control are choice restriction and practice profiling' (Douglas, 2003, p.328).

There are many changes occurring in the healthcare system. With the ever-evolving health care system, healthcare administrators have to be ready to adjust to the changing system. Today, we are going to address the differences between Patient Center Medical Homes (PCMH) and Health Management Organizations (HMO) a long with the changes in healthcare technology, the workforce development and the payment system that are important in the success of the changes that are being made.