1. Standard: Eligibility and process for appointment to medical staff
The medical staff should be composed of doctors, physicians, and non-physician practitioners, all who are determined eligible by the governing body. The staff must periodically conduct appraisals and examine the credentials of the candidates before recommending them to the governing body. With telemedicine services, a written agreement by the governing body must ensure: the distant-site hospital is a Medicare-participating hospital, the individual providing services at the distant-site is privileged at providing telemedicine services and has a list of privileges, and the distant site physician/practitioner is licensed by the state. When a hospital’s patients have telemedicine services furnished to them, the governing body may choose to have its medical staff rely on credentialing and privileging decisions made by the distant-site telemedicine entity when making recommendations for induvial physicians/practitioners there. There must be an internal review by the hospital of the physicians/practitioners performance of these privileges, and the hospital must send the information to the distant-site entity for use of
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The responsibility for organization and conduct would fall on an individual doctor, a doctor of dental surgery/medicine, or a doctor of podiatric medicine. Medical staff members must have voted by majority either to accept a unified and integrated medial staff structure or opt out and maintain separate and distinct medical staff for their hospital. All rules, regulations, and rights of the integrated or separate medical staff structures must be told to the medical staff after the majority vote. The unified and integrated staff structure is established based on each member hospitals unique circumstances and implements policies to ensure needs and concerns are given due
The Hospitals medical staff including on call- physician and their designees should be made aware of Hospital bylaws or policies and procedures.
Physicians in this co-management arrangement are paid by the hospital based on fixed duties developed beforehand. This payment method is important for the enactment of co-management. The fixed-fee structure works in coordination with a clear set of administrative tasks that physicians must complete for the purpose of refining quality, patient safety, and operations of the service line. When these tasks and performance metrics are developed in the contract, leadership must describe the effort or hours that were required to completed these fixed duties
When everyone is working on the patient making progress in different directions, the patient will be completely lost and eventually lose confident in the caretakers. Atul Gawande describes this through a car analogy in which a vehicle is made using the best features of different manufactures. He describes the care as, “A very expensive pile of junk that does not go anywhere… It’s not a system.” Everyone has a different skill set that if used in a collaborative way the medical team will be able to identify the problem more efficiently, recognize areas of failure and address them in a timely manner, and lastly with an ordered system the patient-physician relationship will form a stronger bond. With a more ordered work environment, the health care professionals will be able to attend to the patient more keeping them informed and be able to interact with the physician more frequently. Just to show how well this order work Gawande noticed that with an implemented checklist complication rates fell 35 percent and the death rates decrease 47 percent far more than any drug. This will allow the physician and nurses to not only help the patient with physical treatments such as medicine but psychologically as
The purpose of telemedicine is to remove distance as a barrier to health care. While telehealth is an accepted resource to bridge the gap between local and global health care, integrating telehealth into existing health infrastructures presents a challenge for both governments and policy makers (HRSA, 2011). Today there are policy barriers that prevent the expansion of telehealth, including reimbursement issues raised by Medicare and private payers, state licensure, and liability and privacy concerns.
“Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve a patient’s clinical health status” (American Telemedicine Association, 2013). Telemedicine is the use of technology such as email, mobile devices, and computers to communicate health information (Mayoclinic.com, 2014). Telemedicine has enabled the use of communication technologies by healthcare professionals for the evaluation, diagnose, and the treatment of patients in rural areas (GlobalMed.com, 2014). Telemedicine is used in a variety of health care services like primary care, patients monitoring, health information sharing, health education (America Telemedicine Association, 2013). These services are delivered using various mechanisms such as video conferencing, personal health apps, e-visits (Mayoclinic.com, 2014). These technologies have been proven to increase access, to be cost efficient, to improve quality, and intensify patients’ satisfaction according to the America Telemedicine Association.
The medical secretary, registered nurses, licensed practical nurses, and physicians communicated consistently and appropriately so that all staff could effectively complete the actions required of their respective roles. I noted the strong relationship between the nurses and the physicians. The nurses held a heavy influence on the physician’s decisions regarding a situation, because the nurses were the ones conveying pertinent information related to the patient’s status. Based on the information provided, the physician would make recommendations and provide guidance to the nurses. The physician’s directions were then carried out by the nurse, influencing the nurse’s plan of care for his/her
Organizational philosophy commits in establishing a high quality program that will be of distinct benefit to the community, as well as the medical staff. Mission consists of high patient satisfaction, compassion, reduction in medical errors, proper medical decisions, and patient education. For this reason, leadership is seeking the interest and commitment for expansion of a JRU to establish a program that is compatible with goals for quality, cost-effectiveness, and growth within the most efficient period.
Whitten, P., & Buis, L. (2007). Private payer reimbursement for telemedicine services in the United States. Telemedicine and e-Health, 13(1), 15-24.
Telehealth allows a lower-level healthcare practitioner to communicate with a physician or specialist when necessary. Remote rural areas use a Physician Assistant or a Nurse Practitioner on location in remote areas. When procedures call for a physician, an internet or satellite link provides a teleconference with a physician who can prescribe appropriate treatment (Gangon, Duplantie, Fortin & Landry 2006). This could be implemented in lower income urban areas, allowing free clinics to lower costs, and require fewer physicians. Programs that increase the level of healthcare available to school children could be increased.
Due to WellStar being a multi facility health system, its organizational design is constantly being reviewed for simpler and more efficient processes. WellStar’s two smallest hospitals, WellStar Paulding and WellStar Douglas, previously under went reconstruction with regards to their hierarchical structure in Patient Access Services (PAS). WellStar Paulding, the smallest facility of the five hospitals, renovated their managerial chain of command in PAS. WellStar Paulding’s patient volume is less than half in comparison to the 4 additional hospitals. As a result, their staff is smaller and only requires minimal supervision. In the past WellStar Administrators requested supervisors for every department, a manager of the entire department, and a director that managed PAS’ management directly and PAS staff indirectly. Recent cuts ...
This is a nearly 40-minute interview. The object of this interview is the leader of a community medical centre. This medical centre has five physicians, two nutritionists, one occupational therapist, a nurse and three service desk receptionists. This medical centre serves the community of more than five thousand patients now. After the interview, integration of the following eight items in this leader’s characteristics and traits.
The technical issues that need to be addressed are fairly straightforward and deal largely with the set-up and maintenance of a telemedicine clinic. A clear understanding of the stakeholders in such a program is required along with a delineation of services that will initially be provided by the telemedicine clinics. As we have mentioned, we believe starting off with neurology, dermatology, and rheumatology clinics in three rural offices is the best way to start the telemedicine initiative. It of course follows that hardware that meets both communication and privacy standards will need to be acquired along with personnel hiring and training.
The introduction of technology in health care in the form of Electronic Health Records (EHR), the storing and maintaining confidential medical history electronically. This advancement in technology has catapulted how patient records are received and transferred from physician to physician. Telemedicine is a form of technology that allows a physician or specialist to treat and diagnosis a patient from miles away or from other continents. Telemedicine gives individuals in rural area the ability to see a physician without struggling to find a doctor in their region (www.beckershospitalreview.com, 2014).The introduction of Health portals that allow patients and physicians to communicate from the comfort of one’s home, office or anywhere technology is welcomed. Mobile health unit that travel to rural areas and other areas where individuals that may not have transportation to visit medical facilities. Finance and economics have impacted the health care industry over the last 10 years by the cost sharing and changing benefits in many employer-sponsored health plans. Health cost makes up a large part of the budget in the United States because 10 years ago the number of uninsured or underinsured Americans was higher than previous years. The economy in the
This paper’s brief intent is to identify the policies and procedures currently being developed at Midwest Hospital. It identifies how the company’s Management Committee was formed and how they problem solved and delegated responsibilities. This paper recognizes the hospital’s greatest attributes and their weakest link. Midwest Hospital hired Dr. Herb Davis to help facilitate the development and implementation of resolutions for each issue.
Organizational structure provides the framework to enable members of the organization to delegate responsibility, maintain accountability and structure authority. UMC utilizes organizational structure and has organizational diagrams readily available for review when necessary. The chain of command in the Neurotrauma Intensive Care Unit (NTICU) included the assistive personnel reporting to nursing, nursing reporting to team leader for the shift, sh...