Background Statement: Federal Qualified Public Health Clinic (FQPH) is experiencing an organizational break down. Many of FQPH patients are recipients of Medicaid and SCHIP, or uninsured self-pay clients as it is located in a large Northwestern City. The physicians are frustrated with current conditions. As a last-ditch effort, they inform Administrator of their complaints that need immediate attention or they will terminate employment. Those complaints include inadequate paper medical records; inefficient patient registration practices; mean and slow employees; mistreatment of patients and medical staff; inadequate staff; disorganization of medical supplies and medications; untimely lab results; unclean facility; and unsafe parking. …show more content…
Medical records are not electronic, but paper, which causes them to become lost or misfiled. Physicians need readily access to patient records so they can treat patients effectively. The secondary issues are lack of clearly defined roles. The physicians’ primary role is to provide patient care; however, the physicians are performing administrative duties such as scheduling clinic coverage and maintaining adequate medical supplies in examination rooms. Such task should be assigned to administrative assistants. Undefined employee roles create problems because some tasks remain unfinished. Another secondary issue is the weakened employee expectations and employee performance, which adversely affects good patient care as well. The person in charge of patient registration is unprofessional to staff and patients. The facility is not clean because maintenance is slow in performing assigned duties. The parking is unsafe and unattended. The staff lacks the motivation to perform well. Your Role As administrator of the clinic, I oversee the daily operations of the clinic. The advantage of being the administrator is that I can implement the necessary changes. The disadvantage of being the administrator is that the burden falls on me to ensure the organizational structure is solid and functional from lower level to upper level positions. Often administrators cannot to be the eyes on the floor
The management team in the healthcare environment has a very important role within their facility. There are ten managerial roles that fall within three categories. The three categories are: interpersonal roles, informational roles, and decisional roles. “A manager’s interpersonal roles involve interactions with people inside and outside the work unit. The information roles involve the giving, receiving, and analyzing of information. The decisional roles involve using information to make decisions, to solve problems, to address opportunities” (Lombardi & Schermerhorn, 2007. P. 13). Interpersonal roles involve interactions with people inside and outside the unit. Informational roles of a health care manager involve giving, receiving, and analyzing information. Finally, the decisional roles of a health care manger involve using information for decision making, problem solving, and addressing opportunities (Lombardi & Schermerhorn, 2007. P. 13). Of all these different roles, I believe the most important role is the interpersonal role. The
Electronic Health Records will include the same information as the paper record. This includes basic patient information such as demographics, medical history, medications, allergies, laboratory results, radiology images, and billing information. (2006) Each individual doctor can specialize their system and what they want it to include. They can add different components to the electronic health record that are important to them and needed in their practice. (2006)
RE: Electronic Medical Records 8/28/2015 11:52:36 AM I agree with you Ashley, it's all about the patients privacy. The confidentiality is very important, and any records or information relating to the patients is to be considered privileged.
Electronic health records can lessen the disintegration of care by refining care coordination. The use of electronic health records will deliver providers with accurate information. This is especially important for those that see multiple specialists, and enable a smooth transition between care settings and receive treatment in emergency
During my time with them, I was able to differentiate between the functions, roles, and responsibilities of healthcare managers, while working with the following managerial positions. I was able to view them carry out various management functions of planning—closing of a pharmacy, getting annual goals for annual merits, discuss implementation of FY18 strategic planning, staffing--interviews, directing—manager/leadership meetings and staff meetings, controlling—weekly safety huddles addressing patient safety events, addressing staff concerns, and addressing staff behavior, and decision making—completing daily tasks and going to
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.
Patient records have evolved from paper to electronic over the past 20 years. To start paper records were all there was. Physicians and nurses’ hand wrote doctors orders as well as patient history and diagnoses. These we often hard to read as well as not very secure as they were kept in filing cabinets and desk drawers. Once the choice of switching from paper to electronic records has been decided they are slowly switched over into what is called a hybrid record. These records are based off both paper and electronic records. When switching over into new records it just does not happen overnight it must be eased into it due to it being rather difficult to have precise transformation.
Conducting a thorough evaluation using the seven categories should provide useful information about North Macomb Medical Associates overall patient satisfaction. The employees should view the assessment as a learning experience. The first area that will be reviewed facilities leadership. This criteria evaluates how the senior leaders, which in the case of North Macomb Medical Assistants would be the owner, the four other physicians, and the office manager. According to the National Institute of Standards and Technology (NIST) (2015), “senior leaders play a central role in setting values and directions, communicating, creating and balancing value for all stakeholders, and creating an organizational focus on action, including transformational change in the organization’s structure and culture, when needed” (p. 3).
Administrators must be able to learn and lead when regulations and laws change so that the medical organizations they lead are in legal working order. Finance management of costs for the facility and patient billing to creating work schedules are just a few of the duties and administrator is found doing on a daily basis (O*Net Sites, 2015). It is standard for an administrator to spend part of his or her time communicating with physicians and staff. Evaluating staff procedures along with quality assurance helps keep medical facilities within safety guidelines so patients get the best care possible (O*Net Sites, 2015). This being said this profession carries a lot of responsibility to those they lead but also to
The 1st Lesson: Hospital values must be in line with what patients want. The key driver for patient satisfaction is the courtesy, not efficiency of the hospital. Patients judge the service received by courtesy, but employees are managed according to efficiency and safety. Although provide safe care is paramount, the hospitals do not learn any credit for providing safe clinical practice and environmental safety.
I am all for electronic medical records. I have been in the healthcare field long enough to remember when patients medical records were paper. In my experience, paper medical records allow for patient privacy to be compromised. Some examples on how patient privacy can be disturbed when it comes to paper medical records are that almost anyone can go into the patient 's chart that is in the nurses station. This can include physical and occupational therapists, certified nursing assistants, nurses and physicians who are not caring for the patient. There have been times where I have walked to the nurses station at my job and it
While my decision to purse a medical career was the direct outcome of witnessing my grandmother’s loss, I had yet bigger decisions to make. Throughout my medical training I was becoming more and more fascinated by the role of a physician as an administrator. He not only cared for his patients medically, but also looked after the business of medicine. But I had questions- and the more I searched for answers the more questions I had. Why is the system run the way it is? How can care providers create a more safe and patient friendly environment? What factors influenced the care models?
The three governing entities for hospitals-- the medical staff, the administration and the board of trustees—seemingly have the same goals of providing safe, quality patient care and to do so at a reasonable cost. Tension between the three often exists, however, despite the common goals. I believe there are three main reasons for this tension: Mistrust, unclear expectations and lack of communication. These three concepts are intertwined, with each one affecting the other two, so it generates a cycle that is difficult to break.
Each employee plays a significant element in the operation of a well-run office. There are several aspects that fulfill the professional and positive experience of a patient.
People see hospitals as a place where one goes for healing and medical care, but hospitals are businesses that healthcare administrators have the responsibility of maintaining. Healthcare administrators’ responsibilities include many aspects related to patient care. Some of those aspects are social and public policy and the technical management of healthcare delivery in hospitals. Unfortunately, healthcare administrators are faced with many challenges as well. One of the growing challenges that healthcare administrators are facing is the shortage of healthcare professionals.