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H & G Clinic Essay

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Recommended: Current status of electronic health records

Another weakness is different payer requirements for certain procedures and treatment. There are various items that can prevent the clinic from obtaining revenue for its services such as not having a prior authorization, the payer deems the treatment wasn’t necessary or the payer implemented a new requirement for this treatment that was not met. These are constantly changing and it is difficult for healthcare organizations to keep up with these ever-changing policies. B3. Evaluate at least two opportunities of the organization HG Clinic is a multi-specialty clinic and continues to build on these specialties as they come out and as the healthcare industry grows and changes. This is an opportunity now and in the future that HG Clinic …show more content…

Many healthcare organizations had to implement an electronic health records system (EHR) to meet certain guidelines set forth by the government. This was a technology that the clinic implemented years ago to meet the needs of the patient, the requirements of the insurance companies, lean processes, and government regulations. This software helped also look for opportunities to treat our patients better and track data for population health. HG Clinic is investing in a new billing system that will allow them to track patient data better and improved billing process. These are just examples of opportunities that the clinic implemented and are continuously evaluating their current software and equipment and looking for opportunities for …show more content…

These goals are set every year by the organization and then there are other goals set for each department that role up to the overall organization. One strength is that if you have all goals pointed in the same direction many times you can accomplish them such as lowering accounts receivable for the entire company. In 2016 the AR goal was 46 and HG Clinic met that goal by having all departments have that as a goal for the overall clinic. An example that was used is front end offices were to collect relevant demographic and insurance information to be able to file these charges right away so HG Clinic could collect on these services. This was done all front line

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Pleasant Bluffs: Launching A Home-Base Hospital Program While analyzing the case on Pleasants Bluffs, the main problem is how will they come up with a proposal for the pilot program for Pleasant Bluffs home-base hospital care and how to manage it. According to the case, it stated that Graff Salot, the director of Performance Improvement (PI), at Pleasant Bluffs Health System, is tasked with making these changes. (Erskine,2016) Therefore some potential solution might be to complete this task, he must first hired more people for administrative, and clinical. By doing this, will help to better manage the PI department and patients.

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We want a system that is both functional and affordable. There are many systems out there that look like they would be easy and cheap to maintain but in the end more time and money is spent on software updates and customer service and support. According to the Medscape EHR report 65% of physicians said that EHR systems improve documentation within their facility (Kane, 2014). While physicians say that these systems improve documentation and other clinical factors within their practice, 70% of them say that it decreases their face to face time with the patients (Kane, 2014). This reason is why an easy to use, easy to learn and easy to maintain system is most conducive to our needs.

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HCA 459 Senior Projects DQ 1and DQ 2 Name Institution Discussion 1 Organizational Survival Strategies Healthcare has to be abundant, effective, easy and cheap but in the real world health care is limited, ineffective and very expensive. Managers have to create healthcare that can survival the ever changing risks and challenges (Grigg, 2010). Mission transforming projects; many organizations are undergoing through mission transforming projects that are changes are made to the original mission because this is to provide diversification of services, and outsourcing for a new source of revenue generation (Want, 2006). Mission transformation is a deliberate process that integrates specific strategies to deal with new threats and challenges. An organization

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Kaiser providers receive a fixed amount of money per member, so as a cost saving measure, the system is geared toward keeping patients healthy and away from costlier and frequent service utilization. Kaiser Permanente utilizes a patient portal EMR system that they have named KP Connect. It is the largest civilian electronic medical record system, and is reported to have has improved clinical process measures and member retention, as well as elicited some operational savings and changes in utilization of

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Health Information Exchange Providers across the U.S. are turning to the Health Information Exchange also known as HIE. HIE provides secure online access to patients charts among a network of providers, hospitals, clinics, doctor’s offices, and pharmacies who join in the exchange, so they can have timely electronic access to records their patients will allow them to share. For patients this means having their medical records available no matter where they go and for providers it means having instant access to life saving information when seconds count

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HG Clinic’s provider’s carrier valid license in the United States that differ from the two countries. When treating patients using the Doctor Web service the provider would be located in the United States. The provider would have to be licensed for Canada because the patient is located in a foreign market. Having to get these providers licensed to treat in this foreign country would have an initial investment, but would be a one-time

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The HIM quality coordinator should include the HIM director and staff member in this process, and also make an attempt to secure upper management buy-in for the proposed solution. The HIM coordinator should seek collaboration across all departments in an attempt to address these issues, and develop an effective workflow process within the HIM department to ensure bill hold is held below $500,000.00 mark. Next step of action will involve having all physicians onboard with the new workflow process, which means that physicians make every effort to complete their patient’s file within a reasonable timeframe, and having a physician champion can help smooth things out. Lastly, there will be need to establish an effective policy to reduce the length of billing hold; this policy will specify a three to four day holding period, and with the support from upper management the organization can levy a penalty against any clinician/physician that fail to complete their patient’s file in a timely

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In her assessment of the American Reinvestment & Recovery Act (ARRA), Murphy (2009) discusses how its enactment provided unprecedented funding for the advancement of health information technology (HIT) which served to promote health care reform. Electronic health records (EHRs) by extension received a boost via incentivization for appropriate use in hospitals and ambulatory settings (Murphy, 2009). The benefits of EHRs include the ability to improve the delivery and quality of nursing care, the ability to make more timely and efficient nursing care decisions for nursing, the ability to avoid errors that might harm patients and the ability to promote health and wellness for the patients (McGonigle & Mastrian, 2015). An appropriate use of EHR

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Description of the legislation/policy Health information technology can advance the health of individuals and aid with the performance of providers to produce and improve quality and cost savings in patients’ health. In 2009, Congress passed, and former President Obama signed into law the Health Information Technology for Economic and Clinical Health (HITECH) Act, as part of the American Recovery and Reinvestment Act (Buntin, Burke, Hoaglin and Blumenthal, 2011). Authorized by the HITECH Act, the Office of the National Coordinator for Health Information Technology’s (ONC) has worked on health IT. The Health IT created legislation and regulations to provide requirements and certification criteria that the EHRs must meet to ensure health care

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Information on the estimated due date, baseline blood pressures, weight, medical histories, etc. are vital to adequate care. A disadvantage of scalability is the cost associated with adding new software at facilities. When a EHR doesn’t support the future growth in a healthcare facility potential benefits of sharing information with other facilities such as physician

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Working in a healthcare setting, I am aware that judgment and justification is not the biggest thing with doctors. Not very astonishing, really not very common in any job. So the question is do we have a case or no, given that the doctors’ capabilities will strike most people of the public as a reasonable and unjust stages. Maybe the easiest way to show that communication is the biggest key in a healthcare setting. Knowing what is given is considered the value of no proof of evidence based medicine.

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