You are the administrator of a large practice of physicians who are considering teaming with a regional hospital organization to establish a fully integrated health care system. One of the biggest changes you anticipate is moving from a billing system based on fee-for-service to one based on defined pay-for-performance patient care and outcomes. How would you plan for this transition?
One of the main thing which is to be done before changing from fee for service to pay for performance is to make a plan including objectives and goals of the new implementation . We should conduct a small pilot study before full implementation of the plan to know about the pros and cons .This will allow us to know about what all the resources , how much funds ,what laws etc would have to be followed during modifications. We should set a team of people with delegation of different tasks and set a period of time to complete the process .
You are the administrator of a large practice of physicians who are considering teaming with a...
Assume you are the CEO of a large group practice (75 physicians) that implemented an EHR system two years ago. The physicians are asking for an evaluation of the system and its impact on quality, costs, and patient satisfaction. In a short paper, create and document a plan for evaluating the EHR system’s impact on the organization in these three areas Search the Internet and find 5 health care information system vendors that offer EHR products. In a short paper,...
care administrator for a physician practice with five primary care physicians. Your practice has an existing electronic health record (EHR) system, which has been in place for three years. The EHR system has some existing functionalities to support the reporting of quality measures to Medicare to comply with public reporting requirements. However, there are some new requirements that require your practice to upgrade the EHR system’s software. To meet Medicare deadlines, this project will need to be completed within the...
Assume you are the CEO of a large group practice (75 physicians) that implemented an EHR system two years ago. The physicians are asking for an evaluation of the system and its impact on quality, costs, and patient satisfaction. In a short paper, create and document a plan for evaluating the EHR system’s impact on the organization in these three areas
You are the administrator of a large family practice clinic in a community with a population of 20,000 residents. You have five physicians and two nurse practitioners (NP) in the practice. You also have two nurses, three medical assistants, a medical record clerk and a billing specialist. Your clinic is the largest in the county and the nearest large city with a population 100,000 or more is two hours away. Your clinic is wholly owned by the physicians of the...
CASE 17: WATSON’S AMBULATORY EHR TRANSITION Major theme: System acquisition Primary care physicians play a key role in the U.S. health care delivery system. These providers integrate internal and external information with their clinical knowledge to determine the patient’s treatment options. An effective ambulatory electronic health record (EHR) is critical to supply physicians with the information they need to provide quality care and maximize their efficiency. This case involves the decision-making process to replace an inadequate EHR system in a...
You have graduated from the WCU and are now an administrator in a large orthopedic practice for Mainline Health. There is strong demand for the orthopedic services and most of the patients that receive services are privately insured. You are aware that the senior physician’s wife is an excellent physical therapist at the local hospital. The senior physician has stated that his wife is opening her own physical therapy practice just a few blocks away from the orthopedic practice. The...
Risk-Based Reimbursement For your assignment, a primary care physician is often reimbursed by Health Maintenance Organizations (HMOs) via capitation, fee-for-service, relative value scale, or salary. Capitation is considered as a risk based compensation. In an effort to understand the intricacies involved with physician reimbursement, particularly in an era of health care reform, identify and interview an expert in the field, such as: Hospital Administrator Managed Care Organization (MCO) executive Health care Consultant Legal Professional Assumption: MCOs use risk-based reimbursement for...
Physician practice EHR reselection A physician practice is located in a large medical office building. The practice has 15 providers, including 8 primary care, 3 cardiologists, 2 endocrinologists, and 2 geriatricians. Several years ago, they acquired an EHR that was selected as a joint effort by various practices in the building. From the start of its use, several of the physicians voiced concerns about the product not being user friendly and one of the cardiologists refused to use the system....
You are the CEO of a local hospital, which is located within a suburban location in a large metropolitan area. Though it neighbors million-dollar homes, the hospital’s mission includes providing care to underserved and indigent populations in the local area. In fact, one of the signature programs in this hospital is a prenatal care program provided for Medicaid beneficiaries. This hospitals goal is to increase the number of Medicaid beneficiaries that participate in prenatal care. It knows that only 40%...
After several years working as a clinic manager in the hospital setting, you have been hired by one of your physicians who is leaving the hospital to start his own practice in the community. You will be the practice manager, and responsible for much of the research development phases of this new venture. The physician has asked you to provide recommendations on what EMR to use. A few of your options include; pay for a license to use the system...