How to Make Changes in Your Healthcare Organization
For many of us change is a difficult process. In organizations like healthcare it seems to advance at a snail's pace sometimes. There is a need for change in healthcare, most agree, though we would be hard pressed to agree upon the changes needed. One incentive for change is pay-for-performance programs now beginning in several areas. I would like to describe a couple that affect primary care physicians and then give a few suggestions as to how to adopt changes to take advantage of these programs. Even if you are not in a primary care physician program, the methods suggested for change will be helpful, I believe.
In 2006 Medicare plans to institute a pay-for-performance program at the primary care physician level. Right now a model is being tested and seems to be doing quite well. In several states Blue Cross Blue Shield organizations are testing pay-for- performance programs. Here in West Michigan, Priority Health, a healthcare insurer, has promoted such a program for over five years. How does this work, you may ask? Priority Health, for example, funds the program for each of its patients a set amount. Doctors who meet a requirement of the program for a patient are rewarded with extra money for that patient. Hence, with many patients the income for the practice can be boosted considerably. The fact is that many are not rising to the opportunity. With planned cuts in Medicare reimbursements over the next few years, this source of income cannot be ignored! Healthcare programs need to change, no matter how difficult.
The impetus for change should rest with the leadership of an organization, although the change should not be the sole responsibility of the leaders. Representatives from all parts of the organization should be involved. Once the need for change in a process is agreed upon, either because of extra revenue from pay-for-performance programs or other agents or data that positively affect the bottom line, leaders should convene a task force to plan the change. With input from all, leaders should map the process as it currently exits and then should make a new map of how they would like it to be to incorporate the positive changes. The new procedure should be standardized for all to adopt.
How do you go about adopting these changes on a daily basis? This is probably the hardest part. Because humans learn in a variety of ways, it will take a variety of ways to implement the changes. The implementation of the changes should be based upon the learning styles of the individuals involved. Let me provide an example using the Medicare program. A patient who enters the Medicare program is entitled to a paid initial physical. A primary care physician should take advantage of this. Many don't. If I were the manager of such an office, I would remind my staff who set up appointments to be aware of this fact. I would remind them at regular staff meetings. I would post visible reminders in the office. I might even have a message flashed on the computer screen once in a while. Then I would review the appointments of patients who have become Medicare qualified and see how many had their initial physical or were booked for it. I would adjust my methods to remind staff of the need for such examinations and continue to improve on this until the office achieves 100% compliance with the goal.
Booking the exam is not the only needed change. Doctors who perform the physical must accomplish examination details and actions laid out by Medicare. Hence, to be paid for the exam, each doctor must adhere to the exam details. I would help the doctors accomplish this in a variety of ways, depending on the doctor's learning style. For example, a checklist of the exam details might be included in the patient history folder when the exam is performed. That way the doctor will not miss any steps. As the leader of the change, I would check with billing to see that all the steps were performed and adapt new approaches or reinforce existing ones to see that the changes are accomplished 100% of the time.
Changes such as these should be a part of a continuous quality improvement program at every healthcare provider organization. Let me quickly review the most important steps. First leaders should identify the changes needed. Then, the leaders should convene a committee of all affected staff to develop how to accomplish the change. Once the staff agrees upon the approach, the leaders should develop ways to implement the change on a daily basis adopting methods that incorporate learning styles of affected individuals. Then, they should continually analyze the progress of the changes and make necessary adjustments until the goals are accomplished. They should then audit the changes occasionally to be sure that the organization doesn't fall back into old habits.
I believe that adopting such a change process will dramatically help at your site. You will see savings in time, increased patient or client health and satisfaction, as well as an improved bottom line!
Donald Bryant, certified quality engineer, writes "Making Good Healthcare Better" a free monthly ezine for healthcare providers who want to dramatically improve patient health, improve the bottom line, and make work more rewarding, guaranteed. To find out more, visit http://www.bryantsstatisticalconsulting.com
This RSS feed URL is deprecated, please update. New URLs can be found in the footers at https://news.google.com/news
Commentary: The Tribune was wrong. Medicine often involves a risk to the patient. - Salt Lake Tribune
Rethink Healthcare: Government hospitals must provide quality, affordable medicine - Economic Times (blog)
Landmark CAR-T cancer study published in the New England Journal of Medicine - EurekAlert (press release)
Lotronex Lawyer: Lotronex Side Effects Lawsuit
Even in clinical trials, Lotronex displayed a tendency towards causing ischemic colitis in patients. From the February in which Lotronex was approved until June, the FDA received seven reports of serious complications of constipation leading to hospitalization.
The Last Line of Defense Against Medication Errors: What You Need to Know to Keep your Family Safe
This is a true story.Yesterday, I picked up a new antibiotic prescription for my daughter from my local pharmacy.
SUPERLASIK- Enhance Your Vision; Safer Than LASIK
Things are moving forward and new and advanced procedures are being developed for those who originally could not receive the standard Lasik procedure. Dr.
The Trouble with Tranqs
There's a whole group of drugs out there called benzodiazepines.They are tranquillisers, or sedatives.
Robotic Future of Hospitals; Pandemic Prevention and Bio-Terrorist Attack
There is a huge concern in the medical industry that if a biological weapon were released that those sick might come to the hospitals in such large numbers that before you realized an attack had occurred everyone in every nearby hospital would also be infected. Then of course the hospital itself would be rendered useless and all those already in the hospital no matter what the reason would literally condemned.
What You Should Know About Mixing Medications and Diet...
I had a call the other day from a potential client in a serious situation. He was young and had been diagnosed with CAD (Coronary Artery Disease), suffering from extremely high blood pressure and cholesterol, his doctor had put him on a medication that was suppose to lower and control these symptoms, and he had been on this medication for over 2 years.
Lamisil Side Effects Lawyer: Lamisil Tablet
While the recent Lamisil commercial featuring Digger, a disgusting cartoon fungus, is still fresh in our mind (who could forget the imagery of a toenail being pulled back and colorful germs crawling in?) it is a good time to look at the side effects of this seemingly innocuous drug. Despite the disturbing advertising campaign, who would have guessed that an antifungal tablet could have so many negative side effects?The drug comes in both cream and tablet form and is used to fight nail fungus, athlete's foot, jock itch, and ringworm.
rX My Heart and Hope to Die
This must be a mistake! How could his drug costs rise from $150 a month to $1101 in just three weeks? My hands shook while I read the pharmacy bill.There was no mistake.
Relafen: A New Drug with an Old Danger
Individuals who regularly take Relafen (nabumetone) or other anti-inflammatory medications, either for arthritis, joint pain, or other indications, should be aware of severe adverse health implications that can potentially result from prolonged use. Relafen is usually prescribed for osteoarthritis or rheumatoid arthritis to reduce pain, inflammation, and stiffness, but can also be prescribed for other purposes.
Naturopathic Medicine is an holistic approach that relies on natural remedies. Sunlight, air, and water are thought of as natural healers; this, along with nutritional supplements and massage therapies are all part of naturopathic medicine.
Food for Thought
Depression is a disorder marked by sadness, low energy, impaired concentration, and feelings of dejection. Some people believe that depression is normal.
Utah Drug Rehab: Searching For A Therapist
Finding the right treatment for any person suffering with a drug abuse problem can be a difficult task - where do you start, how do you know what to look for, how do I find a good therapist or treatment center in my area? Thankfully, there are many resources to help you find the help that you or a loved one need - here are some tips to help you locate Utah drug rehab help.There are many online directories that compile records of qualified therapists and centers nationwide, and you can use these to find Utah drug rehab help by simply entering your particular location into their search engines.
Antibiotics 101- What You Absolutely Need to Know
IntroductionAntibiotics are said to be the greatest contribution of modern day science helping the doctors to think beyond microorganinsms.their importance is felt much more in developing countries where the infections are prevalent.
CT and MRI Scans in Neurological Practice: A Quick Overview
Before computed tomographic (CT) scans became available in the 1970s, there was no good method for imaging the brain. The available methods and technologies struck around the target without quite hitting the bull's-eye.
Rheumatoid Arthritis : the time bomb
The beginning is very much hard to spot as we migh just wake up in the morning and feel that the fingers on our hand do not function as they should. A little of bit of movement and everything is fine.
Nasonex And You: Breathe Easy, Not Sneezy
While everybody else is wandering around enjoying the spring weather, are you hiding out in your hermetically-sealed house? Do you dread the start of poolside parties because your date is going to be a box of tissues? If so, like so many of us, allergies may be running your life.Why me? And why allergies?An allergy is caused when your body releases chemicals to ward off foreign bodies trying to make their way into your blood stream.
NIH Official Altered Drug Study
NIH Official Altered Drug StudyDr. Edmund Tramont, director of the National Institute of Allergy and Infectious Disease Division of AIDS, altered the conclusions from a safety report on pregnant women taking the drug nevirapine in order to cover up its negative side effects.
Irritable Bowel Syndrome: Simple Self-Help Tips
If you have been diagnosed with irritable bowel syndrome (IBS), you will know how difficult it is to treat. Doctors can be dismissive of IBS symptoms such as diarrhea, constipation and bloating, and when treatment is offered it may only help for a short while before the distressing symptoms return.
Redux Lawyer Discusses Fen-Phen Fad
In the early nineties, Redux was the original miracle diet pill. A predecessor to fenphen, Redux was just the "fen", fenfluramine in the form dexfenfluramine.
Bextra and Vioxx Withdrawal Spawn Advertising Pause from Bristol Myers
Pharmaceutical giant Bristol Myers Squibb has announced that they will suspend direct-to-consumer advertising for their prescription drug products for a year. This comes in the wake of the well-publicized withdrawals of Merck's Vioxx and Pfizer's Bextra, two non-steroidal anti-inflammatory drugs (NSAIDs) that were voluntarily withdrawn from the market recently.
|home | site map | Dr. Thad Thomas|