Risk Management Assessment Summary NAME HCS 451 Date INstructor Risk Management Assessment Summary It is important for a healthcare organization to promote and develop secure and successful patient care practices; the conservation of financial resources and the upholding of safe working environments are crucial to its name. Hospitals today face a wide range of risk factors that can determine success or failure, including: * Competitive responses both from other hospitals and physician groups. * Changes in government rules and regulations. * Razor-thin profit margins. * Community relations as expressed through zoning and permitting resistance.
The key to a successful project depends on consistent communication between all members of the team, clarity, and good performance measures. There are several steps that must be taking when selecting and acquiring an information system. The first step is to assign a project steering committee with people from different departments within or close to the organization; these individuals on this committee will coordinate, organize, plan, and manage the system acquisition process in researching what type of information system that would be right for the organization; then a project manager needs to be appointed to be the overseer of the project and to make sure the project will be on schedule as planned, staying on and within budget; next the project goals and objectives must be defined specifically for the organization and vendors will need to be screened and evaluated in order to get the best individuals for the project; after vendors have been screened and evaluated carefully, the organization should start receiving proposals from the screened vendors After all goals and objectives have been carefully established and understood, it is time to put a proposal together to receive
Steps in the Medical Billing Process Cris Lambdin HCR220 6/24/12 Natalie M. Cooper Steps in the Medical Billing Process The role of a medical billing specialist in any type of medical practice is of vital importance, the skill, knowledge (both billing and clinical), and ability at which that individual can perform their duties can make or break a medical facility. There are ten vitally important steps in the process of obtaining payment for services rendered within a medical facility, which begin with a patient scheduling a visit and continue as follows: * #1 ~ Preregister Patients * #2 ~ Establish Responsibility * #3 ~ Check Patient In * #4 ~ Check Patient Out * #5 ~ Review Coding Compliance * #6 ~ Check Billing Compliance * #7 ~ Prepare and Transmit Claims * #8 ~ Monitor Payer Adjudication * #9 ~ Generate Patient Statement * #10 ~ Follow Up Patient Payment and/or Collections Number one on the list is to pre-register the patient, a patient may call ahead to schedule an appointment or they may have a minor emergency requiring a visit, or it may be a new, or returning patient. After scheduling an appointment is the time to collect and record all personal, identifiable, and insurance information, or verify returning patient’s information, and eligibility(MedPro Solutions, 2012), (PPM Information Solutions, 2012) and Valerius, Bayes, Newby, & Seggern, 2008). Number two on the list is to establish financial responsibility, and the patient’s health care provider. There is information that must be confirmed for insured patients; covered services/procedures, the medical condition necessitating service/procedure.
Unit – HSC026 Implement person centred approaches in health and social care NCFE NVQ Level 2 in Health and Social Care HSC 1.1 Define person-centred values? 1.2 Explain why it is important to work in a way that embeds person centred values? 1.3 Explain why risk-taking can be part of a person centred approach? 1.4 Explain how using an individual’s care plan contributes to working in a person centred way? 2.2 How do you find out the history, preferences, wishes and needs of the individual?
The Chief Operation Officer needs to collaborate with other departments (e.g., Chief Medical Officer, Chief Financial Officer, Chief Operations Officer, etc.) to direct compliance issues thru existing channels for investigation and resolution to make sure that the services provided are meeting the needs of the patients. Patton-Fuller Community Hospital goal is to make the patients experience as pleasant as possible, so improvements must constantly be made to keep up with the needs of the patients. If a patient’s needs are not being met because the hospital does not have the required equipment an action plan would have to be made to make sure the hospital is meeting their standards set by their mission statement. To purchase the required equipment an action plan would be set and different departments would have to collaborate to make it happen as quick and painless as possible.
Patton-Fuller Community Hospital Networking Project The Patton-Fuller Community Hospital has been serving its local community since 1975. The staff is committed to provide healthcare services designed to meet the needs at every stage of their patient’s life. The hospital has a pledge of having the best patient with the most pleasant experience as possible. To accomplish this, the hospital must first look at all aspects of healthcare which includes assessing and improving the IT infrastructure. Information technology systems and networks have become the backbone in practically every organization.
Quality Management Assessment Summary Maria Cordero HCS/451 June 12, 2012 Lauri Rose Quality Management Within an organization quality management is a systematic and continuous process utilize to deliver products and services that can meet or exceed a customer’s expectations. However, in healthcare it has evolved over the years to address the increase demands of patient’s quality of care and services. And addressing the problems in patient outcomes. The healthcare field tends to utilize quality management to focus on the safety of patients and staff, the reduction of medical errors, and avoiding morbidity or mortality rates. To insure and improve the quality of a healthcare facility requires the entire staff to be educated on the definition
Strategic Plan Part I- Organizational Structure Jennifer Janke HCS/589 Health Care Strategic Planning Sheryl Mc Gee, PhD April 13, 2015 Strategic Plan Part I - Organizational Structure Strategic planning is necessary in health care organizations since change is a continuous aspect and implementation is necessary. For this project, Health South Sunrise Rehabilitation Hospital is the chosen organization that is moving forward by improving itself to provide better services to their patients. Mission and vision statements as well as values are important to be communicated with employees, stakeholders, and everyone else. Strategic planning will have successes and failures, but leaders need to think positive at all times. This paper will
An advocate is a person who intercedes on behalf of another person in a bid to ensure that their best interests are communicated. Involvement is the inclusion or engagement of the patient and can relate to communicating with patients regarding their planned care. Participation takes involvement a step further, and relates to taking a more active role and sharing. This can relate to the health and social care provider actively engaging the person in the development of their care plan. Trust relates to having confidence in another person - that is, to having faith that they are reliable and honest.
This HR team member is well versed about the health care marketplace in order to offer competitive compensations packages to new and existing members of the staff. This includes some market research to determine what a facility can do in the way of benefits and how much it will cost to supply said benefits to the staff. Regulatory compliance This function ensures that each member of the staff knows and understands the regulations the facility and each staff member are held to. This involves any credentials that team members must have to perform their individual jobs. It also involves ensuring that each member of the staff is aware of and follows the HIPAA and other guidelines legally mandated to health care facilities.