Integrated Family Wellness (IFW) a alternative medicine medical clinic located in Brookfield, WI. It has been owned and operated by Dr. Michele Nichols NMD since 2001. In 2015 it was identified that Dr. Nichols desires for her organization to have a franchised system for medical providers to establish their own profitable integrated medical practice, regardless of the specialty. Lisa McNeil and Trifecta Consulting were hired to assess the organizational and training needs, determine why profits have flat lined in the last three years, and make suggestions for improvement of processes and systems. Four weeks into the observation period, the following has been determined: there are no training protocols for employees, unused job descriptions, an outdated procedure manual, little staff oversight, no formal collection of demographics and statistical patient data, no formal operating/marketing budget, no centralized tracking of monies coming and going, no client follow up, no client engagement, and no staff reviews. While this consulting project will take almost 2 years to complete and will be the focus project of my degree program, the purpose of this assignment at Alverno College, I will focus on the task assessment, addressing: job descriptions, oversight, training, and reviews. Due to the nature of the above tasks and the amount of time for development and testing of implemented tasks, some of the information presented will be theoretical and purely conjecture, at this
Practice: review, plan and monitor, eg respect for the value base of care, professional interactions with
This would include physicians, nurses, directors, and any other support staff. Getting the input of coworkers can help find if the mission, vision, and values of the facility are correctly understood and to evaluate how they are received by the organizations staff. After completing this task, seeking input from those outsides of the facility should be received. This could contain input from the community, patients, family of those patients, or other facilities within the surrounding areas. After collecting the information from both, internal and external sources, the outcomes need to be evaluated to find mutual themes and then compare them to the existing values that the practice holds presently. Next, removing obsolete information and reports that presently do not line up with the organization will then permit the usage of the Teals process of refreshing the way the practice can keep up with current medicine. Customers and coworkers need to be able to see how every value is signified and how each value will line up with the practices mission and vision statement. The organization needs to continue to communicate the values constantly because it will allow the staff to have a better and more concise understanding of what they stand
HIM Personnel play an important role in the Medicare system. Medicare has transitioned from “fee for service” to providing incentive payments for providers that issue high quality care at affordable prices. In order to achieve the “pay-for-quality” incentives hospitals and health care officials must improve their documentation processes. “If it isn’t documented, it wasn’t done” is more important than ever. It is the responsibility of the HIM professional to ensure the integrity of the patient chart. HIM professionals monitor the quality of documentation and ensure all clinical documentation is complete and accurate. HIM professionals are the key to identifying process problems while keeping in mind patient safety, quality of care, and revenue integrity. Medicare requires that hospitals report quality improvement measures in order to receive payments; HIM professionals can directly impact Medicare incentive payments. HIM professionals are directly involved with the Medicare Audit Improvement Act. The HIM professional collects health data that is subject to the audits; HIM professionals are the point of contact for responding to Medicare audit requests.
As a HNC Health Care student I am required to provide evidence of the following principal aims and objectives: to integrate knowledge, theory and practice, to develop and apply a broad knowledge and skills and to have an individual patient/client focus in my practice. To achieve all of the above I am required to complete project in a form of Graded Unit which consists of three stages: planning, development and evaluation.
This standardized dialect is also pertinent for medical schooling and teaching in addition to clinical research and studies conducted by scholars, scientists, and physicians by providing a valuable foundation for domestic and coast-to-coast operation evaluations. CPT is used to describe doctor’s services, a vast amount of administrative services in addition to operating services executed in medical facilities, treatment care centers, and outpatient divisions. Providing support for clerical duties and functions such as processing medical claims and initiating strategies and procedures for the evaluation of clinical care is another cause of relevance for CPT. The system also meets the need for tracking trends and identifying improvements, plus progression goals and scaling the value of healthcare services received by patients. The CPT coding system provides physicians throughout the United States with a consistent method for classifying and coding clinical procedures which in return provides a more efficient tool for recording and reporting task that were completed. Physicians, scholars and payors, have been dependent upon CPT to interconnect with other fellow associates, patients,
Quality of service should be one of the most important and well monitored goals for any medical facility, from your small town family doctor’s office, to nursing and rehabilitation facilities, all the way to large hospital systems. The quality of service provided in a facility doesn’t just affect the patients. Quality of service also affects the bottom line, or whether or not the hospital system is profitable. In order to better access the system’s current quality of service and to devise improvement plans I would need to explore issues that have significant effect on quality of care such as, patient satisfaction and retention, medical errors
b) Evaluate measures which may be used to inform patients of their rights and responsibilities and recommend areas for improvement within your organisation……………………………………………………………………………………………………………..
The careful documentation and subsequent billing process within the course of a patient’s care is an important piece within the healthcare system as a whole. Proper documentation in a patient’s chart relating to any service or procedure is not only important for this patient’s future medical care, but for the facility to receive an accurate reimbursement for the services provided. Reimbursement is affected by every department within the hospital. Healthcare is a business in the long run, and inaccuracies within the reimbursement process will affect the financial stability of the hospital. If a department is mismanaging reimbursement data it could result
The Utilization Management and Care Coordination teams will be trained in small group sessions using oral presentations supplemented with handouts. The training will include demonstration of how to complete the LACE index and apply the risk stratification through the use of a patient case file review. The case file demonstration assists in establishing inter-rater reliability needs for consistent application of medical management decision making (McQuillan, 2001). Upon the completion of training the teams will be asked to complete a short training survey to assist in the measurement of change in behaviors associated with the training (APPENDIX G). The survey will ask the team to rate the effectiveness of the training based on a five point Likert scale rating from strongly agree to strongly disagree. The questions will
Utilize logical, analytical, and problem-solving methods to audit and investigate complaints and concerns from patients, staff, and physician.
While, the scope of the project works around including physician information, scheduling, appointments, patient demographics, medication and medical
The first step to obtaining necessary approval and support from administration and staff will be the preparation of a cohesive written report, accompanied by an electronic presentation. The more research I do on the subject, the better. My support staff and administration want to know how the evidence supports my suggested changes. Therefore, the research component of my project is very important at this stage. After the completion of the initial report and design of presentation, I need to make a scheduled delivery of the presentation to the health care organization's leadership and its staff members.
The frequency and consistency of communications will be taken into consideration, while utilizing a variety of communication techniques to convey this vision to stakeholders, redefining/modifying the communication to reflect organizational culture, and departmental micro-culture. The strategy to overcome these barriers will employ the integrative approach to further tackle the dissemination of information, and this strategy will engage all stakeholders at every level of the organization. A project team will be formulated that will comprise of volunteer team members from all key departments, from the administrative team down to the end users. The functions of the project team will include actively engaging all team members and reporting back to the implementation team with recommendations, or concerns, and working in tandem to create a common goal for the project and to further necessary alliance with key physician who will serve as the project champion; this will allow the project team to control the flow communication, and gain valuable
In this paper I will be speaking on the Health Care Industry and how it has changed over the years. There are many aspects of the medical industry that have changed from how medical information is kept to how medication is given. In this paper I will be explaining how health care has changed over the last 10 years and what the biggest change is in the next 10 years. I will also speak about what my role will be in the health industry, especially when it comes to adapting my skills into the health care industry. Along with the information mentioned above I will be expressing my perception of how the health care has changed over the course of my
“A thorough understanding of how information is currently collected, and processed is the starting point in performing a needs assessment” (Hebda & Czar, 2013, p. 155). There are four stages of conducting a needs assessment, these include: gap analysis, identify barriers, identify priorities, and summarize results (Young, 2008). The gap analysis can determine what the difference is between the current state and the desired state. Some of these areas that need to be considered are staff computer skill level, patient volume, time, resources, and the repetitive tasks. “ The goal is to determine what information is used, who will be using it and how it is used. All the data items used in the current system should be analyzed” (Hebda & Czar, 2013, p. 155). Important decisions need to be made regarding what types of information should be kept, what is redundant and what is necessary. To determine this, an evaluation of the strengths and weaknesses of the current process needs to be made, either manual or automated, to see what the organization needs. Systems should have a streamline data collection and it should be presented as information that can enable clinicians to coordinate care with ease and efficiently (Hebda & Czar, 2013). The data that is involved in the gap phase is collected through methods like observations, surveys,