As a Healthcare administrator there are many different challenges to be faced. Being the backbone of any company in general is a hard but rewarding task. On a day-to-day basis healthcare administrators have to deal with the bulk of the problems wherever they work. The people in these positions deal with things ranging from unethical doctors, to hiring and firing the janitor. The topic this paper is going to focus on is the type of issues healthcare administrators deal with when going through the process of employment for their doctors.
What happens when the doctors aren’t being credentialed as often as they should be? When patients come into any healthcare facility they expect a certain level of professionalism. Patients expect to be taken
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Let’s talk credentialing
Credentialing at many companies includes (but is not limited to) the following: 1. Gathering information about a doctor’s background and qualifications through a formal application process.
* Checking the background information
* Checking the information against reliable sources, including the National Practitioner Data Bank and the American Board of Medical Specialties
2. Contacting:
* Any state where the doctor reports an active medical license and sees our members Schools and hospital programs, to be sure the doctor’s training is complete and accepted by the specialty board
* The National Technical Information Service, Drug Enforcement Agency or Controlled Substance Registration, as confirmation that the doctor is authorized to write prescriptions
* Medicare/Medicaid, to be sure the doctor is not banned from caring for Medicare/Medicaid patients
3. Reviewing the doctor’s:
* Personal history, to determine if any disciplinary actions have been taken
* Malpractice insurance, to confirm active
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The reason being not only that the credentialing process takes time but that the company is understaffed in that department. The first thing that the company needs to do is reevaluate their need for more staff. The company may not want to spend the money it will take to pay an employee a specific salary, but is it worth it to save that money but lose over a 100k in unpaid bills? That is something the company needs to think about because they are either losing or spending money either way. The amount of money that’s being written off would be significantly lowered if not completely eliminated. The amount of money that will be made from hiring new staff will far outweigh any salary costs the company is worried about.
Risks of understaffing
* Scrap and Re-work - When organizations attempt to force more work through already constrained production processes, attention to detail tends to suffer. As a result, error rates typically rise.
* Late Deliveries and Failure to Complete Projects on Time - Staff shortages affect production capabilities, which impairs your ability to meet production and project schedules.
* Increased Stress - As employees are stretched to meet job requirements, their stress levels rise and they become incapable of maximizing their performance.
* Customer Dissatisfaction - Delivery and quality problems invariably result in decreased customer satisfaction, which may be compounded by poor service
Owned equipment and supplies are often in need of repair and staff sometimes fail to keep accurate inventory and order on time of need.
According to the U.S Department of Health and Human Services, the Affordable care Act from President Obama gives consumers more options and benefits when seeking coverage from insurance company. It offers lowering cost as well as gets more access to high quality of care. This law creates Patient’s Bill of Rights that is very effective to protect consumers from any abuses or fraud from insurance company. Some preventive services are available to many Americans especially Medicare recipients at no cost. Not just that, they also receive a special offer of 50 percent discount for any well-known drugs in the market place under Medicare named “donut hole.” The Affordable Care Act helps other organizations and programs to convince healthcare providers
Medical examination clearance by the Personnel Department’s Examining Physician. Medical examination clearance includes the Department’s ability to reasonably accommodate any work restrictions found by the Department’s Examining Physician;
The doctor's education, years in practice, if there are any malpractice suits in the past, present that they are involved in should all be transparent and made available to the patient/consumer
Certification demonstrates to physicians, employers and others that you have taken proactive steps to advance your education, knowledge and skills.” (http://www.ambanet.net/cmrs.htm) This exam is taken online and shows that someone is dedicated and invested in this career, which is very attractive to potential employers. While the exam certification is not required by Federal or state law it is important to bring a high level of standardization to the knowledge, competency, and ethics to an industry which can effect a large number of people at their most vulnerable (sick, elderly.
because in the hospital that I work at most physicians include the parents in the plan of care and
There are many ethical issues in the healthcare field. These issues range from insurance coverage, senior care, childhood immunizations, beneficence, abortion, medicinal marijuana, honesty and medical research (Fritzsche, D., 2004). Today we will discuss the ethical concerns in only one aspect of heath care and that topic is research (Benatar, S., 2000). Medical research is necessary in order to make strides in health care, introduce new medications, to discover new symptoms and disorders and to test new treatment options for current medical problems. Students of medicine, universities and pharmaceutical companies conduct this research primarily. Much of this research is time consuming and costly, therefore obtaining funding is not
•Ability to restrict patients from physicians who are not the “physician of record” (e.g., attending, admitting, surgeon, and consulting)
The corporate practice of medicine (CPOM) usually denotes employment of physicians. Every state has its own statutes governing the licensing of physicians and makes it a criminal offense to practice medicine without proper licensure. It also prohibits business corporations from practicing medicine or employing a physician to provide professional medical services. Through this, the American Medical Association sought to ensure that only licensed medical professionals practice medicine and prevent the commercialization of medicine. This was borne out of the belief that a physician’s medical judgment might be clouded if non-licensed professionals exercised too much control over his or her practice.
4. Environmental and operational causes are considered to be interrelated in causing the defects. The issue about cleanliness and sanitation like mandatory wearing of proper attire and proper handling of raw materials are the things the manager should consider. Another thing could be proper management of inventory. Stocks should be done vis-a- vis demand of the customer to limit the amount of raw materials to be stocked to be consistent in
Insufficiency of well trained and skilled workers in the industry that can produce with high quality or meet production deadlines.
Approximately 90 percent of physicians who participated in the survey reported that the prior authorization process often or always delays access to medical care to the patients
It is very obvious in the manufacturing company that without enough workers it cannot produce the goods on time which may affect their profit as well as their reputation.
increase job stress and effect performance. To stay ahead of these issues it is recommended to perform
This manifests itself at 2 levels. Firstly, firms soon reach a state of overload. Deadlines are missed, standards and quality of work drop and a vicious cycle emerges and feeds on itself. This is a very common phenomenon with small and medium sized professional firms. They do not have the capacity to manage their growth or the peaks and valleys associated with the modern business world. Secondly, the firm is so consumed with meeting operational deadlines that it loses it’s ability to keep up to date with latest best practice, legislation or other issues demanding new skills. In this case clients will soon recognise that mistakes are made due to lack of currency of skills. These are some of the more visible risks to firms who do not pay attention to the attraction, growth and retention of key talent. Beyond the visible, other manifestations of the problem arise. Staff morale declines because leadership talent is absent and this energy drop is transferred to the client. Internal politics and protection of territory or unwillingness to share information and surface problems affect the functioning of the firm. All of these things affect the ability of the organisation to offer great service and take advantage of opportunities to grow.