...| CASE: KEEP PATIENTS WAITING? NOT IN MY OFFICE | BUSN 6110/ME – OPERATIONS & PROJECT MANAGEMENT | | | CASE KEEP PATIENTS WAITING? NOT IN MY OFFICE 1. What features of the appointment scheduling system were crucial in capturing “many grateful patients”? By seeing patients at their “exact” appointment times, the patients were very grateful. It is rare that the doctor did not see the patients during their allotted time. The key to ensuring appointments remained on schedule was to book appointment realistically. By allotting the proper amount of time for each visit (this was tied to the services require) this kept the schedule on track. Patients are also given a specific time, e.g., 10:30 or 2:40 vice the usual come in 10 minutes or 30 minutes. There was an adequate number of examining rooms and her 2-3 assistants depending on the workload were well instructed on the standing operating procedures. New patients were asked to arrive in the office early to get their initial paperwork completed. New patients were also told about the strict adherence to appointment times. 2. What procedures were followed to keep the appointment system flexible enough to accommodate the emergency cases, and yet be able to keep up with the other patients’ appointments? The doctor felt that most doctors used them having an emergency as an excuse not to stick to their appointment times and felt this would not work in her practice. If it was a true emergency...
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...physician client relayed this story to me: "The patient barged into my office as I was on the phone and threatened to sue me because he had been waiting four hours. I said politely that the hospital called because one of my patients was in critical condition and I have to deal with the critical ones first." Lee J. Johnson, JD When I expressed dismay, the client told me that his patients are used to such situations. Four hours? Unless the patient lives 3.5 hours away and has no cell phone, there is no excuse—in the office or in the courtroom—for making a patient wait that amount of time. The doctor in this example defended his actions by saying that medicine is a business. No business can flourish without positive word-of-mouth promotion, however, and your medical office will not realize good productivity if you are in court instead of the office. PATIENTS HATE TO WAIT In most patient satisfaction surveys related to the medical practice setting, patients' main complaint is long wait times. In one survey, patients waiting 10 or fewer minutes rated their satisfaction as "good" to "very good." Another survey concluded that punctual patients are annoyed if they have to wait 37 minutes to see the physician. If you make a patient wait a long time to see you, you are telling the patient that you do not value his or her time. The good news is that wait time is not likely to show up as the major complaint in a lawsuit. Some cases exist, however, in which plaintiff attorneys...
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... Table of contents page Case Study: Peace Memorial Hospital: Downtown health Clinic …….………………. 3 Executive Summary …………………………………………………………………….. 3 Environmental Aspects …………………………………………………………….. 5 Demographics …………………………………………………………………….. 5 Politics …………………………………………………………………….. 7 Competition …………………………………………………………………….. 8 Marketing …………………………………………………………………………….. 9 Objectives …………………………………………………………………….. 9 Strategies …………………………………………………………………….. 10 Tactics …………………………………………………………………………….. 10 Four Ps …………………….…………………………………………….. 11 Product …………………………………………………………… 11 Price …………………………………………………………………… 11 Place …………………………………………………………………… 11 Promotion …………………………………………………………… 12 Marketing Information Systems ……………………………………………. 12 Conclusion …………………………………………………………………………….. 13 References …………………………………………………………………………….. 14 Marketing Audit Case Study: Peace Memorial Hospital: Downtown health Clinic Peace Memorial Hospital (PMH) is one of six independent, nonprofit, general...
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...Telenursing: Is It in my Future? Devry University Telenursing: Is it in My Future I remember the first time I heard of telenursing. It was about 4 years ago and I was still new to home health nursing. My director informed the office that we would be having an in-service on a new telehealth monitoring device we would be using for our high risk patients. We were shown how to operate the monitors and was demonstrated all of its capabilities. The telephone based devices had an interactive voice response system that could remotely monitor a patient’s blood pressure, heart rate, O2 saturation, weight and blood sugar via a telephone connection. The devices were recommended for all cardiac and respiratory patients who were at high risk for re-hospitalization since the devices would be able to recognize early symptoms and help the nurses to make quick decisions about the patients’ plan of care. So what is telenursing and telehealth? Hebda & Czar (2013), states that “telenursing is the use of telecommunications and information technology (IT) for the delivery of nursing care”. Telehealth is “the use of telecommunications technologies and electronic information to exchange healthcare information and to provide and support services such as long-distance clinical healthcare to clients”. Although, telenursing is still a fairly new concept to me, there is documentation of telenursing in the 1970’s. The first published telenursing article was written by Mary Quinn, RN in 1974...
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...This case study is about Dr. Barr who is a veterinarian and opens her own clinic. She like most first time owners is having problems managing, organizing, controlling inventory, and staffing employees. She just needs to take some time and find out the main goal that she set out to accomplish in the first place. The operation management problem that Dr. Barr is currently facing is planning, organizing, and controlling. Planning consist of knowing when to stay open late and when to close the clinic early. Organizing, the current system that she has in place is not adapting to current setting of the clinic for example the overflow on Friday evenings. The Schedule isn’t working for Dr. Barr because demand for her service offered is greater on Fridays than Wednesday. She should switch the days the clinic is open late due to the demand for her services on Friday. Inventory problems always occur when more than one person is doing inventory because mix numbers come out, more than what is needed is ordered and therefore ending up with an excess of that product. The office assistant should be in charge of ordering inventory and it should be taken at least once a week which then, eliminates running out of things and having too much of other stuff and wasting products. Dr. Barr should have switched the schedule around when she noticed the demand for her services were greater on Friday than Wednesdays. Had one person in charge of inventory and schedule both veterinarians on...
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...Responsibility Lawrence Fergus Ethics Case Study Samantha Ruiz 04/17/2011 Jerry McCall is Dr. Williams’ office assistant. He has received professional training as both a medical assistant and a LPN. He is handling all the phone calls while the receptionist is at lunch. A patient calls and says he must have a prescription refill for Valium, an antidepressant medication, called in right away to his pharmacy, since he is leaving for the airport in thirty minutes. He says that Dr. Williams is a personal friend and always gives him a small supply of Valium when he has to fly. No one except Jerry is in the office at this time. What should he do? 1. Does Jerry’s medical training qualify him to issue this refill order? Why or why not? Jerry’s medical training as a LPN does not give him the qualification to issue this refill order but in clinical setting a Medical Assistant has the qualification to various duties which depends on the state law in your state you reside in. Medical assistant include task of taking medical histories, recording vital signs, explaining medical or treatment procedures to a patient, getting the patient ready for their examination and help assist the physician in the examination process. As directed by a physician, they might instruct patients about medications and special diets, preparation and administer medications, authorize drug refills, telephone prescriptions to a pharmacy, draw blood, prepare patients for x rays, take electrocardiograms, remove...
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...Retail Sales: Is There a Place in Your Business? By Randy Schmitke, CPA, MBA You have probably asked yourself or your staff questions like these: Should we get more aggressively into shoes? Should our company grow into the area of post-mastectomy? Would it be beneficial to our business and our patients if we carried some soft goods and walking aids in our offices? If you have asked these questions, then you have thought about retail sales as a part of your O&P operation. What is "retail" and why might you want to enter the retail game? First, we should define what "retail" is in the context of this article. Although most facilities have a "retail" fee schedule for all the appropriate billing codes, this is not what we are referring to here. The American Heritage Dictionary defines "retail" as the sale of goods or commodities in small quantities directly to the consumer. The key word in this definition is "commodity" this denotes a product which involves little or no customization and is readily available for purchase, most likely in a variety of locations. Clearly, products such as extra-depth shoes, canes, and select compression hosiery would fall into the category of commodities. These products need little or no customization and can be found in shoe stores, home medical equipment stores, pharmacies, and even department stores. Businesses selling these types of products differentiate themselves primarily by focusing on selection, service, or location. Of course,...
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...While pursuing a career in allied health (PTA), we should be aware of many things such as confidentiality, privacy and security pertaining to patient information. Not only is it against the law to link information of a patient outside the workplace, but there is a slang term called “HIPPA” (Health Insurance Portability and Accountability Act). HIPPA was put into play in 1996 for healthcare fields and facilities. This act allows patients personal healthcare information to be protected from being used or shared with anyone unless the patient writes a hand consent saying otherwise. Each patient’s healthcare information is kept in medical records, billing records, and health insurance computer systems. Patient’s information must always be protected....
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...Counselling WAES April 07 The Case Study Introduction The purpose of this case study is to show process during the time I saw this client at Southwark Bereavement Care. In it I intend to focus on how the psychodynamic approach that I used with my client was effective and helped my client to have an understanding of the way he relates to people and to himself. For this I will cover the first 3 sessions and explore my thoughts on the process. The setting Southwark Bereavement Care is a short term, free counselling service offered to people living in the London borough of Southwark who have been bereaved. It offers weekly one to one sessions up to twelve weeks. This can be extended for a few more weeks in individual cases where both counsellor and supervisor agree it would be beneficial for client. Group supervision is provided by the agency fortnightly. The agency is based on the first floor of an office building in a residential area of south London. Clients are seen in a room towards the back of the house, which is quiet and dimly lit, with 2 sofas and a little table where there is a water filter and a box of tissues. There isn’t a waiting area and part of the contract that counsellors discuss with clients and request them not to turn up for session earlier than their allocated time. This has proven to be challenging at times when clients arrive early and counsellors have to let them in and use the waiting area that belongs to the company that occupies...
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...0 3 0 Electronic Health Records in the Physician Office CHAPTER OUTLINE Patient Flow in the Physician Practice Step 1. Pre-Visit: Appointment Scheduling and Information Collection Step 2. Patient Check-in and Payment Collection Step 3. Rooming and Measuring Vital Signs Patient Examination and Documentation Step 4. Patient Checkout Step 5. Post-Visit: Coding and Billing Post-Visit: Reviewing Test Results Coding and Reimbursement in Electronic Health Records Computer-Assisted Coding Clinical Tools in the Electronic Health Record Decision-Support Tools Tracking and Monitoring Patient Care Screening for Illness or Disease Identifying at-Risk Patients Managing Patients with Chronic Diseases Improving the Quality and Safety of Patient Care with Evidence-Based Guidelines E-Prescribing and Electronic Health Records Keeping Current with Electronic Drug Databases Increasing Prescription Safety Saving Time and Money LEARNING OUTCOMES After completing this chapter, you will be able to define key terms and: 1. 2. 3. 4. 5. 6. 7. 8. 9. List the five steps of the office visit workflow in a physician office. Discuss the advantages of pre-visit scheduling and information collection for patients and office staff. Describe the process of electronic check-in. Explain how electronic health records make documenting patient exams more efficient. Explain what occurs during patient checkout. Explain what two events take place during the post-visit step of the visit workflow. Describe the advantages of computer-assisted...
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...Online Therapy J Chav Online Therapy All kinds of people have discovered the benefits of using online counseling sessions for help dealing with problems such as anxiety and sexual problems in relationships as well as tackling depression and many other personal problems they find difficult that are impacting on their happiness and enjoyment of life One major advantage that you have when using an online therapy service in regards to confidentiality is anonymity, you can keep your identity hidden and keep your privacy, no one need know you are having therapy unlike normal face to face therapy when you could be seen attending sessions or meeting people you know going in or coming out of the office. The National Board for Certified Counselors is a not-for-profit, independent certification organization established in 1982. NBCC’s original and primary purposes are to establish and monitor a national certification system, to identify those counselors who have voluntarily sought and obtained certification, and to maintain a register of those counselors. The NBCC has established certain regulations that its members should adhere to regarding Online Therapy. The NBCC categorizes this as “Distance Professional Services”. National Certified Counselors, NCC, means that you will abide by a Code of Ethics. Among these include qualifications for the services provided, local, state and federal regulations, use of encryption and disclosure of potential hazards of distance...
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...0 3 0 Electronic Health Records in the Physician Office CHAPTER OUTLINE Patient Flow in the Physician Practice Step 1. Pre-Visit: Appointment Scheduling and Information Collection Step 2. Patient Check-in and Payment Collection Step 3. Rooming and Measuring Vital Signs Patient Examination and Documentation Step 4. Patient Checkout Step 5. Post-Visit: Coding and Billing Post-Visit: Reviewing Test Results Coding and Reimbursement in Electronic Health Records Computer-Assisted Coding Clinical Tools in the Electronic Health Record Decision-Support Tools Tracking and Monitoring Patient Care Screening for Illness or Disease Identifying at-Risk Patients Managing Patients with Chronic Diseases Improving the Quality and Safety of Patient Care with Evidence-Based Guidelines E-Prescribing and Electronic Health Records Keeping Current with Electronic Drug Databases Increasing Prescription Safety Saving Time and Money LEARNING OUTCOMES After completing this chapter, you will be able to define key terms and: 1. 2. 3. 4. 5. 6. 7. 8. 9. List the five steps of the office visit workflow in a physician office. Discuss the advantages of pre-visit scheduling and information collection for patients and office staff. Describe the process of electronic check-in. Explain how electronic health records make documenting patient exams more efficient. Explain what occurs during patient checkout. Explain what two events take place during the post-visit step of the...
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...incredibly important information because I want to be an Administrator of a nursing home myself one day. I decided that I wanted to study how these facilities operate, especially since I have not yet done my internship work and decided that this would be an excellent opportunity to take an early look inside the industry. I hope to discover through my research an answer to the question: “how have nursing homes adapted new technologies to minimize the costs and risks of day-to-day operations?”. For my research I used two theoretical frameworks that work together in many aspects. The first framework that I chose was Risk Management. I am interested in how nursing homes prevent risks and what they do in the case of accidents. I would argue that in these facilities, risk factors are everywhere; knowing how they control any situation that has a chance of putting the patient in harm’s way is very telling of how the industry is run. The other framework that I have incorporated is the development of technology in the nursing home. In an effort to deliver better care and services to the patients, technology must be every changing. New technology can be as advanced as new electro-shock therapies, using computer programs to make the health care staff’s lives easier when recording treatment for patients, or even as easy as an advanced door lock system to ensure that patients do not wander out of the building. Nursing homes are expected to...
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...MSRSAS - Postgraduate Engineering and Management Programme - PEMP
Module Code Module Name Course Department
EMM515 Lean Operations and Management of Lean Organizations M.Sc. in Engineering and Manufacturing Management Mechanical and Manufacturing Engg .
Name of the Student Reg. No Batch Module Leader
Liju G BUB0912004 Full-Time 2012. SANDEEP. N
M.S.Ramaiah School of Advanced Studies
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...I’ve learned in my first 4 weeks of being in Introduction to Health Science class at Kaplan University. The profession I chose is Health Information Technology. Health Information technology is very interesting. I have learned a lot about that I didn’t know even though I do this job on a daily basis. Health information technology (health IT) involves the exchange of health information in an electronic environment. Widespread use of health IT within the health care industry will improve the quality of health care, prevent medical errors, reduce health care costs, increase administrative efficiencies, decrease paperwork, and expand access to affordable health care. It is imperative that the privacy and security of electronic health information be ensured as this information is maintained and transmitted electronically. (US Department of Health and Human Services, n.d.) As a health information technician career opportunities exist in: doctor offices, medical facilities, hospitals, insurance offices, pharmaceutical companies and labs. (Associate of Applied Science in Health Information Technology, n.d.) Health information technicians have multiple duties/task that are done. The following are some of the duties that I’ve learn that health information technicians have to do: * Review patient records for timeliness, completeness, accuracy, and appropriateness of data. * Organize and maintain data for clinical databases and registries, * Track patient outcomes for quality...
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