Medical clinics and practices : understanding how they work and why / Roger Gruneisen.

Format:

Book

Author/Creator:

Gruneisen, Roger, author.

Language:

English

Subjects (All):

Clinics.

Physical Description:

1 online resource (187 pages)

Edition:

1st ed.

Place of Publication:

New York, New York ; London, England : Routledge, [2020]

Summary:

A hospital can be a private or public sector building where patients are admitted for acute treatment. On the other hand, a clinic is a hub of healthcare activity and a place where care providers interact with patients, prescribe medicine, and provide care instructions on what to do after leaving the clinic. Both sites have different and specific operational management needs and requirements. This book serves as a guide to new consultants, management engineers, administrators, and sales professionals seeking to assess simple clinics or medical practice operations. In addition to providing important information about the various aspects of managing a clinic or medical practice, each chapter explains common operating practices seen today and gives some indication of good or better practices. To organize the chapter flow, the chapters are simplified into the typical flow of how a patient moves through the system from patient access to registration to discharge and is presented in a 'Fact Finder' format. In this format, the author answers important questions: What is a care team? What kind of physical space does the practice need? What about equipment and technology needs? Finally, the author concludes with key infrastructure concepts, such as leadership and management systems, integration into larger systems, and key measurements. All topics important to those working in or servicing the ambulatory market.

Contents:

Cover

Half Title

Title Page

Copyright Page

Table of Contents

About the Author

SECTION I: INTRODUCTION

1 Why Write this Book?.

2 How to Use this Book.

SECTION II: OVERVIEW ON CLINICS INCLUDING THE PEOPLE AND PAYERS

3 General Questions to Help Understand a Clinic or Medical Practice.

Who are the Providers?

Who are the Managers and Administrators?

Who are the Clinical Staff?

Who are the Support Staff?

Who are the Patients?

How is the Organization Paid?

What is the Payer Mix?

SECTION III: PATIENT THROUGHPUT, PATIENT FLOW, AND CAPACITY

4 Questions to Understand how Patients Access Care or Patient Access.

What Type of Care do Patients Access?

How do Patients Access Care?

How Long do Patients Wait to Access Care?

5 Questions to Understand the Basics of the Clinic Capacity.

What Types of Point of Care Space Exist?

How Many Point of Care Spaces Exist?

What Hours of the Day and Days of the Week is the Clinic Open?

How Many Providers are Working During Which Hours and Days?

How Many Providers are Working Compared to Space Available to Work?

6 Questions to Understand what Happens before the Patient Visits.

How Much of the Check-In, Registration, and Payment Processing can a Patient do Before Setting Foot in the Clinic?

How Much Health Screening and Form Filling Out is Done in Advance?

What Tasks do the Front Office do to Prepare for Each Patient that Visits?

What Tasks do the Clinical Staff do to Prepare for Each Patient that Visits?

What Tasks do Providers do to Prepare for Each Patient that Visits?

7 Questions to Understand Location of a Clinic and a Location Strategy for the Clinic.

Physically, Where is the Clinic Located?

Physically What Type of Space is it?

How Accessible is the Clinic?

What is the Market Competition Like in the Area?.

Is there a Location Strategy for the Clinic?

8 Questions to Understand how Patients Arrive and Register

How do Patients Find Registration?

Where and How do Patients Check-in?

Is the Check-in Private?

Does a Line Form and Where Does it Form?

Do Patients Check-Out in the Same Spot?

Do Patients Have to Fill out Paperwork?

How Long Does Check-in Take?

How is the Waiting Room?

9 Questions to Understand how Patients get Roomed.

Are Patients Self-Rooming?

Who Escorts the Patient to a Patient Care Room?

Where are Height, Weight, and Vitals Acquired?

Who is Discussing a Patient's Reason for the Visit and Current Medications?

Are the Clinical Staff Working at the Top of Licensure?

Are Patients Stopping for Collections First or at the End?

How Do the Clinical Staff Alert the Provider that the Patient is Ready?

10 Questions to Understand the Provider Exam and Provider Workflow.

How Much Time do Providers Spend in the Exam Room with Patients?

How Much Documentation do Providers Complete in the Exam Room with the Patient?

How Much Time are Providers Spending in Motion Between Exam Rooms?

How Much Time are Providers Spending on Patient Care Tasks Outside the Exam Room Between Patients?

Is the Exam Room Set Up for Good Interaction Between Patient and Caregiver?

Do Providers Use Scribes, Dictation, or Voice Recognition?

How Does a Provider let Clinical Staff Know that they Need Something During an Exam?

How Does the Provider Give the Patient Closure?

11 Questions to Understand Patient Discharge and Patient Treatment.

Who Schedules Treatments, Follow-up Appointments, or Further Care for the Patient?

Who Completes and Where are the After Visit Summary and Discharge Completed?

12 Questions to Understand Patient Care Happening Between Visits.

How are Refills Managed?.

Who Manages Email or Phone Traffic?

How Much Outreach is Completed?

SECTION IV: KEY CAPACITY CONCEPTS AND VARIABLES TO ASSESS

13 Questions to Understand the Care Team.

Who is Part of the Care Team?

How do the Providers Act as Part of the Larger Care Team?

14 Questions to Understand Patient Scheduling and Provider Schedules.

How Much Time do Providers Book for Each Visit or Allocate per Patient?

How do Providers Schedule the Care Day?

Is there a Difference Between Time Scheduled or Allocated per Patient and What is Used?

15 Questions to Understand how the Provider is the Capacity Constraint.

What is the Typical Amount of Time a Provider Spends per Patient Visit?

How Often do a Provider's Patients Visit?

How Often or How Many Hours a Year does a Provider See Patients?

What is a Provider's Expected Capacity or Panel Size?

What is a Provider's Actual Throughput and Panel Size?

How Many Hours do Providers Work Compared to What is Planned?

16 Questions to Understand the Total Provider Capacity.

Are "Extenders" Used?

What is the Combined Panel Size for all Providers?

17 Questions to Understand how Physical Space is Used and Managed.

Who Preps Point of Care Space and Maintains the Rooms?

How Flexible are Patient Care Rooms?

How are Rooms Allocated to Providers?

What is the Utilization of Patient Care Space?

What is the Potential for any Underutilized Space?

18 Questions to Understand the Equipment and Technology Used.

What Electronic Registration Systems are Used?

What Electronic Clinical Documentation Systems are Used?

What System is Used for Scheduling?

What Diagnostic and Clinic Equipment is Used?

How is Technology Used?

SECTION V: KEY INFRASTRUCTURE CONCEPTS

19 Questions to Understand Leadership and Management Systems.

Who are the Formal Leaders in the Clinic or Practice?

Who are the Informal Leaders in the Practice or Clinic?

How is the Practice Managed?

How Often are there All Staff Meetings and All Provider Meetings?

How Often are there Team Huddles?

How Does the Practice Manager Engage with Support Teams?

Are there Management Systems like Lean in Place?

20 Questions to Understand the History of the Clinic.

Was the Practice Acquired by a Larger Health System?

Was the Practice Formed from Disparate Provider Practices?

How Many and Which Providers have been in Private Practice?

21 Questions to Understand the Strategy and Overall Challenges to Consider.

What is the Role of the Clinic?

What Strategies does the Clinic Deploy and are they Aligned with the Purpose?

22 Questions to Understand the Key Measurements.

What is the P&amp

L?

What is the Bottom Line per Provider per Year?

How Many Staff FTEs are there per Provider?

What is the Staff Expense per Provider FTE?

What are the Work Relative Value Units (wRVUs) per Visit per Provider?

What are the Days to Access Care?

How Much Planned Provider Time is Lost or Unused?

How Long do Patients Wait?

What are the Key Cycle Times of the Patient Flow Process?

SECTION VI: CLOSING

23 Conclusion and What's Next?

Appendix A: Checklist of all Questions

Index.

Notes:

Description based on print version record.

ISBN:

0-429-44015-4

0-429-80217-X

9780429440151

OCLC:

1125007477