Articles Tagged With:
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Taking the lead in ensuring that pathways are followed
Case managers are the logical leaders in their hospital’s effort to follow clinical pathways, says Larry Burnett, RN, MS, managing director for Huron Healthcare, a healthcare consulting firm with headquarters in Chicago.
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Developing Pathways is a Team Effort
The first step in creating clinical pathways is to know and understand your data. Identify your opportunities to affect quality and costs.
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Negative consequences abound when nonprofits sue the poorest
Nonprofit hospitals receive a tax-exempt status based on their work to serve the poor by addressing their medical needs. However, the medical billing practices of hospitals recently were called into question by a Consumer Financial Protection Bureau report, according to the National Association of Healthcare Access Management (NAHAM). (To view the report, go to http://1.usa.gov/1umJmpZ.)
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Leaders in patient access department observed more than 100 registrations
When leaders in the Patient Family Experience department at Ann & Robert H. Lurie Children’s Hospital of Chicago learned that patient satisfaction scores were low in registration areas compared with industry benchmarks, they set out to find out why.
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Patient access learned these lessons from registration QI project
At Virginia Mason Hospital and Seattle Medical Center, patient access leaders recently did a “kaizen” project involving registration.
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Patients see access and clinical areas as one unit
You know that the real reason a patient had to wait an hour at registration is because the provider’s office didn’t send the order when they were supposed to. That reason makes no difference to the patient, however.
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Registrars use this script during pre-registration call
Below is sample scripting written for members of the patient access staff to handle pre-registration of patients at Huntsman Cancer Center, which is based in Salt Lake City, UT
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Department boasts denial rate of just 0.10% even with more payer requirements
Despite increasing requirements from payers, the denial rate at Dublin-based Ohio Health is holding steady at just 0.10%.
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Payer might claim ‘You never sent it!’ but patient access can prove otherwise
“You never sent it.” This response was all too common from payer representatives regarding clinical information that had been sent by registrars at Lawrence (MA) General Hospital.
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A Lean Methodology Improves Accuracy of Pre-arrival Information
Making patient access processes efficient begs for lean principles, says Louisville, KY-based Baptist Health.