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What factors contribute to the complexity of the revenue cycle in healthcare
Leadership in the hospital setting
Leadership in the hospital setting
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As healthcare facilities strive for greater efficiency, a critical first step is a comprehensive review of operations as they currently exist; an organizational assessment can help find any deficiencies or gaps and guide you to proper improvements that are needed for greater success.
An organizational assessment is systematic and collects and evaluates data about many areas of an organization’s internal capacity, from finances, supply chain, personnel and quality, to marketing and market share. In the end, you will cut costs while improving your quality of care and outcomes.
Appraising and evaluating
Strategic planning and improvement can be simplified into just a few key steps that reassess the current state of operations and reinforce
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Strengthening infrastructure could mean ramping up onboarding of staff members, focusing more on training to up quality care standards and outcomes, or keying in on finance and revenue issues. The key is to identify your highest priority elements and give them the needed discussion and focus to effect positive change.
Monitor - An efficient performance management system must be in place, or put into place, to establish the baseline for improvement. Monitoring the performance of each of the assessed objectives will help to identify any issues with the action plan and allow you to re-allocate resources if needed.
These areas are the most crucial to be examined during an organizational assessment:
Finances/revenue cycle
We put this one first for a reason; failings in this area can kill an otherwise healthy organization. It is vital to be aware of the particulars on the revenue owed to the facility. A lot of bad debt is a big problem, and must be quickly addressed, as should an unhealthy payer mix or lengthy accounts receivable turn times.
In addition to your revenue cycle, other finance items to review in-depth are your profitability, debt capacity, expenses and capital spending. Each of these elements is important in ensuring the long-term viability of an organization.
Supply
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Getting a handle on your leadership capacity gives you the insight needed about the ability of your leaders to prioritize, inspire, make decisions, provide guidance and motivate the team.
Your staffing level, quality of employees, communications, technology and facilities, and most other daily decisions, are made by your management team. Therefore, it is crucial that organizational leadership is in tune with the vision and missions of the organization, and that everyone is “rowing in the same direction”. Quality
The quality of the clinical services you offer and the outcomes of those services, is a key element in your organization’s success. For this reason, efficiency and throughput, patient safety and quality indicators, and service distribution are all important elements to examine.
Along with clinical services, another area that affects quality care is information technology; having the right data capabilities, information sharing and coordination of care data are important to appropriate treatments and positive patient outcomes. Market
The capital management plan consists of several steps, such as planning, analyzing, selecting, executing, and following up with the selected ones to reevaluate whether there are factors in the organization that may influence the decision of the selection based on needs and demand for the proposed project. Healthcare organizations must inhere a strategy to stay ahead of their competitors so that they can maintain their patient volume. By measuring the quality of care through performance, patient satisfaction, experience, and cost, all play a role in having patients choose your hospital. Today, many healthcare organizations have adopted the triple aim strategy of great quality, great patient experience at a reasonable cost. With the tracking of their patient experience and continuously improving the quality of care at a reasonable cost, to stay one step ahead of their competitors and to maintain and increase patient volume has been successful help in the healthcare market.
Current health care systems exist in complex atmospheres that regularly change to meet the demands of health care personnel and consumers. Health care systems deal with many different cultures, values, and interests making it increasingly more difficult for management to provide their employees with a clear vision of the future (Lega, Longo, & Rotolo, 2013). Begun, Hamilton, and Kaissi (2005) explain health care centers utilize strategic planning to better understand their environments and ensure the organization’s structure, culture, and important decision-making are compatible within their current surroundings. Ginter, Duncan, and Swayne (2013) describe strategic planning as “the periodic process of developing a set of steps for an organization to accomplish its’ mission and vision using strategic thinking” (p.14). The goal of strategic health care planning is to improve performance throughout the organization (Begun et al, 2005). This paper discusses the strategic plan for Brooklyn Hospital Center including its long and short- term goals, its strategic thinking and key stakeholders, and the various strategies identified within the plan.
...f clinical information systems in health care quality improvement. The Health Care Manager. 25(3): 206-212.
The next element would be process. Process goal is to determine how the health care is administered, delivered, and managed. They way an organization care for their patients is very important. I would make sure that every patient is comfortable and that each patient gets adequate time within their appointment time. I would not have my staff to rush through anything just to see another patient and meet their next appointment time. At the same time, if they have another patient waiting, they need to go to that patient and to tell them it might be a few minutes later before you reach them. My staff will not just have a patient waiting and they do not know what is going on. The third element to improve the quality of health care is manage the outcome of the patient’s care. If the staff is doing their best and building a relationship with the patients, the patients will trust the staff judgement and will work with the physicians in order to improve their health. Everyone has to work together as a team to improve the quality of the patient as well as the
Leadership at times can be a complex topic to delve into and may appear to be a simple and graspable concept for a certain few. Leadership skills are not simply acquired through position, seniority, pay scale, or the amount of titles an individual holds but is a characteristic acquired or is an innate trait for the fortunate few who possess it. Leadership can be misconstrued with management; a manager “manages” the daily operations of a company’s work while a leader envisions, influences, and empowers the individuals around them.
The organizational structure of our healthcare organization would be described as a large organization involving four other healthcare institutions in the Tampa Bay area. Our health care facility is the largest of the four hospitals. Our organization is a 431-bed facility that is “home to five Centers of Excellence that focus on major disease areas including cancer treatment, women's health, pediatrics, diabetes management and orthopaedics” (University Community Health, 2011). The type of services we provide are community outreach programs, inpatient and outpatient services, clinics and centers, rehabilitation center, imaging services, and robotic services. “Our mission is to offer patients access to the most advanced technology and treatment options available” (University Community Health, 2011). I would describe our organizational structure as decentralized between the individual hospitals as well as within each healthcare facility. The responsibility of the decision making is delegated to the ones doing the work and they are accountable for the results (Danna, 2009). There are interdisciplinary committees between facilities as well as within each facility. Therefore improving communication, collaboration, and s...
An organizational analysis is an important tool to become familiar with how medical businesses and organizations are able to meet standards of care, provide services for the community and provide employment to health care providers. There are many different aspects to evaluate in an organizational analysis. This paper will describe these many aspects and apply the categories to the University Medical Center (UMC) as the organization being analyzed.
Leadership is the action of leading a group of people or an organization. Leadership is leading a group of people or company to reach a result or further and the organization. A leader is supposed to be an example of how all employees are expected to act and what they should be striving for. Good leaders also don’t use their position within a company to take advantage of the company and its employees. A good leader is supposed to be able to perform their job with high standards, efficiency, and honor. However, for every good leader, there are bad leaders and the worse the leader the more detrimental he or she becomes to employees and the company they run. Poor leadership skills can ultimately ruin a company 's chance of success. The attitude
Health care must be fully accountable for quality and the patient experience is simply the patient's perception of quality. Society should question and debate on how healthcare organizations should show improvement for consumers. This can help organizations create reliable health coverage cost and evaluate medical performances for families and individuals in the future. Physicians and organizations are now evaluating patients with collection of electronic data to improve a patient’s...
The leadership is a privilege and it is such a privilege and an honor which will carry the tremendous responsibility which will inspire others to direct them to accomplish goals and vision of the organization. Leadership is about influencing the people, by producing direction, purpose and motivating in order to accomplish the mission, vision and improving the organization. The leadership philosophy is evolved based on the experiences, both positive and negative, in most of the initiatives and activities that we undertake. It is also one among the collaboration and teamwork within which the team members can utilize each other’s strengths to counter the weaknesses of the individuals. By observing, introspecting and experimenting we can developed a leadership paradigm which is inclusive, collaborative and proactive. We can develop the ability to recognize which will approach in order to reach the productive conclusion. The great leaders know their limitations and are capable at utilize their strengths and also the strengths of others to compensate.
The present environments for healthcare organizations contain many forces demanding unprecedented levels of change. These forces include changing demographics, increased customer outlook, increased competition, and strengthen governmental pressure. Meeting these challenges will require healthcare organizations to go through fundamental changes and to continuously inquire about new behavior to produce future value. Healthcare is an information-intensive process. Pressures for management in information technology are increasing as healthcare organizations feature to lower costs, improve quality, and increase access to care. Healthcare organizations have developed better and more complex. Information technology must keep up with the dual effects of organizational complication and continuous progress in medical technology. The literature review will discuss how health care organizations can provide effective care by the intellectual use of information.
Understanding quality measurement is essential in improving quality. Teams need to be able to understand whether the changes being made are actually leading to improved care and improved outcomes. For data to have an impact on an improvement initiative, providers and staff must understand it, trust it, and use it. Health care organization must understand the measurement of quality provided by the Institute of Medicine (patient outcomes, patient satisfaction, compliance, efficiency, safe, timely, patient centered, and equitable. An organization cannot improve its performance if it does not know how it is performing. Measuring quality improvements is essential as it reflects the quality of care given by the providers and that by comparing performance
Journal Title: Impact of Health Information Technology on the Quality of Patient Care. Introduction: Our clinical knowledge is expanding. The researchers have first proposed the concept of electronic health records (EHR) to gather and analyze every clinical outcome. By the late 1990s, computer-based patient records (CPR) were replaced with the term EHR (Wager et al., 2009).
When considering the term management, there has always been a common miss conception that this automatically makes an individual a leader. Leadership is only a single element of the management role. Many times managers are more comfortable utilizing a particular leadership style. While this may work well the majority of the time, certain employees or situations may require a different approach. Good leadership requires that the individual recognize the need for change to motivate their employees to accomplish the task at hand or to reach common goals. Understanding the importance of leadership is essential. However, the key element to focus on is what steps can be taken to improve one’s leadership capabilities. For many individuals this may be a difficult question to answer and may only be possible through self-assessment and reflection.
Leadership is the ability to influence individuals to make them want to achieve the objectives of the group the importance of leadership. It is the link between the workers and the organization's future plans and perceptions. It is working to unify the efforts of workers towards achieving the goals set. Control over the work and draw the necessary plans to solve problems. The development of individuals and their training, care and motivate them. The ability to increase individual development and humanitarian and practical