Jonathan Garcia
ISFM 305
Family Clinic Stage 1
11 September 2016
Process Analysis
The in processing of patients as described in the Case Study documentation shows an extremely inefficient method currently emplace at the UMUC Family Clinic. Most of the ineffectiveness comes from waste of time and repetition of information resulting in wastes of time. Throughout this document, I will cover why this process is inefficient and how the addition and the use of a technology may speed up the process for the clinic’s staff and its patients. Based on the UMUC Family Clinic Medical Practice case study, there has been a great deal of patient complaints in regards to the in processing procedure. Because of this immediate feedback from
…show more content…
Nearly all of the steps are redundant and cause excessive work for both patients and staff. The major issues are with nurses being preoccupied with other duties, which require patients to have extended wait times. Nurses must waste time searching for medical records and the waste of time and duplication of data associated with the patient’s annual review of their information. All of these extra steps can be easily removed by using an in processing kiosk and EHR. Having the kiosk and EHR system will allow patients to immediately in process at arrival, health record information will easily be at the disposal of the nurse and doctor through a simple search tool and patients can review their data annually by viewing and only updating information necessary for change with the …show more content…
The technological application of the HER system will help improve the overall patient experience in his clinic. Through this, he will be able to gain more patients consequently more profits for the clinic. This will enable him to reinvest the profits in the clinic and be able to appropriately improve and upgrade it. In reducing, the extra costs the clinic had by removing the billing company now Dr. Martin will be able to use this capita to renovate the clinic’s space. With the added income generated from the continuous process improvements Dr. Martin has additional strategic plans. One strategic goal of Dr. Martin’s is carrying out a major renovation in the waiting and examination areas. With his floor plan modified, he wishes to expand his clinic into a 3-physician group and if possible rent out some space to physical therapist in order to generate some more income. This will also be achievable through the additional profits that he will get from the implementation of EHR system i.e. through more customer retention due to improvement in the patient
The way in which healthcare organizations need to implement a new strategy into their A/R departments comes from the realization that time of registration is the best time to ask the patient for payment (Souza& McCarty, 2007). Front end staff in the healthcare industry has not been responsible for collecting payment from the patient before services are rendered; that responsibility has been that of the A/R staff. There have been other healthcare organizations that have found solutions to problems within their A/R departments. Sutter Health was successful in identifying problems in their A/R department, finding solutions for those problems in their A/R department and implementing their solution program into their company. Sutter Health has set themselves up for continued success in their A/R department.
For years now, the healthcare system in the United States have managed patient’s health records through paper charting, this has since changed for the better with the introduction of an electronic medical record (EMR) system. This type of system has helped healthcare providers, hospitals and other ambulatory institutions extract data from a patient’s chart to help expedite clinical diagnosis and providing necessary care. Although this form of technology shows great promise, studies have shown that this system is just a foundation to the next evolution of health technology. The transformation of EMR to electronic heath record system (EHR) is the ultimate goal of the federal government.
This technology assist the nurse in confirming patients identify by confirming the patients’ dose, time and form of medication (Helmons, Wargel, & Daniels, 2009). Having an EHR also comes with a program that allows the medical staff to scan medications so medication errors can be prevented. According to Helmons, Wargel, and Daniels (2009) they conducted an observational study in two medical –surgical units one in the medical intensive care (ICU) and one in the surgical ICU. The researchers watched 386 nurses within the two hospitals use bar code scanning before they administrated patients’ medications. The results of the research found a 58 % decrease in medication errors between the two hospitals because of the EHR containing a bar code assisted medication administration
Over the past few years, the health care service has seen many changes. The Affordable Care Act, for example, creating more insurance in order to care for the indigent and people in the most need of help. Health care is a very essential and necessary element of an individuals lives. The methods and preparation that is needed in order to provide adequate and efficient patient care to all is very critical and sometimes specific. The health care organization has ventured from focusing on input management to focusing and improving output management (White, 2011).
Diagnosis specific bundled payments for select conditions such as hip and knee replacement and heart valve replacements were implemented. Thedacare has been working towards value based contracting, but as of the time of this article had not engaged in this payment system. Fourth, integrated care delivery across separate facilities. In 2007, Cosgrove reorganized all services at the main campus into multidisciplinary units organized around diseases and organ systems called Institutes. Unlike traditional care delivery using the provider specialty as the organizational framework. Cleveland Clinic also integrated their IT platform. Fifth, expand excellent services across geography. The Cleveland Clinic’s Excelerate program to reduced purchasing and materials cost across driving physician and hospital alignment. Finally, build an enabling information technology platform. Cleveland Clinic’s Knowledge Program collected patient reported outcomes and health status information at each appointment and transferred this information to the electronic health record. MyPractice, single data warehouse, MyChart to connect physicians and patients to the same information, Dr.Connect for referring physicians to review records, and finally Explorys for data
Implementing the use of Electronic Health Records (HER) would lead to accurate payments during new procedures, fewer rejected and improper claims, improved disease management and better understanding of health conditions and heath care outcomes (Jaynelle, 2009). Another implication would be the staffing of the community hospital. This would imply an increase in expenses. If the facility were to forego one of the two crucial matters, then staffing of the facility would suffer. A reduction in staff members would lead to a decrease in expenditure but negatively affect nurse-to-patient ratio. The Government is proposing for staffing ratios to be legislated, which will have a positive impact on the nurse but the Panton-Fuller health facility will now have to be prepared for a financing uncertainty (Jaynelle, 2009).
In today's health care environment many factors contribute to quality care. As a medical practice manager it is important to provide the best medical service for patients in addition to excellent levels of service. Appointment scheduling is a very important aspect of a smooth running medical practice. Appointment cancellation, no shows, and long waiting time by patients have a negative impact on the efficient running of the practice not only in lost revenue but the practices professional reputation as well (Kruse 2010).
The current set up does not give them the rewards they properly deserve. In fact, the prospect of a limited income is completely unavoidable. These medical doctors are also small business owners. First, they invest an enormous amount of money for office space, office equipments, and medical equipments. Second, the additional burden of overhead expenses and personnel salaries will put a dent on their bottom-line. Third, the inescapable specter of malpractice insurance premiums is a necessary evil the...
Also, these studies question those who are effected; in this case, those who are most effected, is everyone. Doctors and nurses spend the most time working within these systems, but the information that is put into these systems effects every individual in America, because it is their information. Because nurses are often considered “both coordinators and providers of patient care” and they “attend to the whole patient,” their opinion is highly regarded (Otieno, Toyama, Asonuma, Kanai-Pak, & Naitoh, 2007, p. 210). It is clear that the use of these new systems is much debated, and many people have their own, individualized opinion. This information suggests that when there is a problem in the medical field, those who address it attempt to gather opinions from everyone who is involved before proceeding. It has been proven by multiple studies that this system of record keeping does in fact have potential to significantly improve patient health through efficiency, and it is because of this that the majority of hospitals have already completed, or begun the transfer from paperless to electronic (Otieno, Toyama, Asonuma, Kanai-Pak, & Naitoh,
After explaining my proposal to Supervisor Renu, she expressed some weakness and more strongest point about my proposal. she told me if I talk this proposal to the board, there is an actual potential for the proposal to be established and the board will need more detail for the financial plan. Seema need to motivate the hospital and patients because, one reason is that hospitals lack motivation to record info that does not have a direct influence on compensation. And need to give answers was associated crosswise collections of hospitals, resolute created on their part of duals, to evaluate differing impressions of the HRRS. And another reason is, managerial information sets normally permit the gathering of a static quantity of data scheduled
Our clinical knowledge is expanding. The researcher has first proposed the concept of electronic health record (EHR) to gather and analyze every clinical outcome. By late 1990s computer-based patient record (CPR) replaced with the term EHR (Wager et al., 2009). The process of implementing EHR occurs over a number of years. An electronic record of health-related information on individual conforms interoperability standards can create, manage and consult with the authorized health professionals (Wager et al., 2009). This information technology system electronically gather and store patient data, and supply that information as needed to the healthcare professionals, as well as a caregiver can also access, edit or input new information; this system function as a decision support tools to the health professionals. Every healthcare organization is increasingly aware of the importance of adopting EHR to improve the patient satisfaction, safety, and lowering the medical costs.
Over the past decade, technological advances have paved the way for nurses to provide, quality, safe, standardized and individualized patient care (Saba & McCormick, 2015). The use of the Electronic Health Records (EHR) to manage patient data is quickly becoming widespread in the healthcare industry. The emerging use of the Electronic Health Record, is transforming how nurses care for patients. By creating and implementing an electronic, comprehensive, standardized method of recording patient data, nurses can facilitate and coordinate patient care with members of the multidisciplinary healthcare team. The use of the Electronic Health Record will promote positive
According to the article,” Advancing Information Technology in Healthcare” Information technology advocate Dr. David Brailer, the former national coordinator of Health Information Technology at the United States Department of Health and Human Services, points out that;” simple strategies can yield tremendous benefits. For example, he suggests by providing each hospital with an electronic health record and then creating a linked network were these records could be accessed. He believes this initiative could potentially eliminate $600 billion a year in healthcare costs. Because this would eliminate repetitive tests and procedures performed when physicians cannot access patient’s information quickly. Another added benefit of Information Technology which can provide health care professionals with easier access to patient’s information allow storage of large database, monitor each patient’s medical history. This would cut down on missing charts, medical errors, and save the hospital money over time by cutting down on paper supplies. For example, in the past most hospitals kept their patient’s information a filing cabinet that could easily get misplaced or lost. In turn, this could lead to misdiagnosing a patient or the wrong medication being given. In order to
When asked to state the primary goal of his business, Dr. Slez cited “high quality health care service” as the firm’s main objective. The effective treatment of, and development of trust with, the practice’s patients, Dr. Slez continued, takes precedence over profits. Indeed, if all healthcare firms placed profits above patient care (and many do) we would be far worse off. While doing what is needed to stop the spread of a disease or alleviate pain may not always be the most cost effective approach, it is the approach demanded by the government and general public. This is not to say that Dr. Slez’s firm does not try to maximize profit. The f...
To meet the needs of the current organization a significant increase in staffing and recruitment must take place for the hospital to serve the community. Not having adequate staffing to accommodate the increase of patients can be a potential risk. Another weakness is the fact that the company has, in recent years fallen behind its competitors in the market sharing distribution. This may also be because of the threat that a competitor has recently updated their facility drawing in more of the market sharing.