Archive for Healthcare

Is Your Hospital’s CEO a Team Player?

Monday, May 7th, 2012

I read a fantastic article by Haydn Bush from HH&N magazine the other day, entitled Can Hospital CEO’s Be Team Players?

He comes from the viewpoint that doctors in smaller practices have had to shift their role in recent years from one of oversight to one of team leading.  Here’s how Bush states the adjustment:

Physicians, Umbdenstock told me, have been moving from a role “as captain of the ship to leader of the team. It’s a very different orientation, from a hierarchical relationship to more of a leader, motivator and coordinator.” This month’s cover story explores that issue in depth, looking at how physicians, nurses, pharmacists, social workers and others are building collaborative teams to better serve patients. But as clinicians begin to embrace these new relationships, what about their counterparts in the C-suite? I applaud Bush and HH&N for bringing this issue up.  It’s something I’ve been talking about for a while now and I think it’s only becoming more important as time goes on.

In today’s economic environment, health care needs to start taking a page or two out of corporate America’s playbook.  Take a look at how Apple or other similarly successful companies handle their leadership and you’ll see the future of hospital administration.

In these companies, the CEOs that survive and thrive are totally team players.  They can’t succeed by looking down on drones sent out to do their bidding.  Instead, they need to be right there in the action, interacting with – and learning from – the skilled people they hire.

And another skill the top corporate CEOs possess (which a lot of hospital administrators still need to work on,) is knowing what they don’t know.  A Steve Jobs, for example, was really smart and talented.  But he was also smart enough to know that he didn’t know everything.  So he worked hard to surround himself with people who knew better.  And to go out and find the experts who could provide the knowledge he needed.

After all, it’s about the goal, right?  With all the changes affecting health care, there’s a whole new set of rules health care organizations need to play by.  And this trend toward teamwork internally and reliance on outsourced experts externally isn’t going to slow down any time soon.  A CEO who wants to succeed needs to adjust to leverage that fact, and they need to start now.

Categories : Ideas
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MAS Press Release Launch : Bottom Line Boost for Hospital

Tuesday, March 27th, 2012

Medical Account Solutions (MAS): Is proud to announce our company’s first Press Release. The release points to our latest Best Management Practices for Hospitals Case Study outlying MAS Comprehensive Outpatient Billing. See the quick summary below:

FOR IMMEDIATE RELEASE

Focused Medical Billing Solution Adds $1.3M Annually to NY Inner-city Hospital’s Bottom Line

Through the efforts of New York Medical Billing Firm, Medical Account Solutions (MAS), NY area hospitals may be able to reduce budgets while maintaining, or even increasing, services for patients through more productive follow up of outpatient billing receivables.

Press Release is available at PRweb http://www.prweb.com/ at: http://www.prweb.com/releases/2012/3/prweb9307766.htm

MAS-

Categories : Press Release
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When I read this article by Phil Galewitzon Kaiser Health News (in collaboration with the Washington Post) I was amazed, but not for the reason you might think.  Check it out:

Hospitals Demand Payment Upfront From ER Patients With Routine Problems

The gist of the article is that nearly half of the emergency rooms in the nation are now forcing patients who come in with non-emergency complaints to pay a fee upfront or else they are turned away.  $150 and $350 are both noted in the article, so the charges probably range pretty far.

I was amazed by this primarily because I agree with it!  In one way, it seems to go against the grain of what an ER is “supposed to do,” or at least what hospital emergency rooms have always historically done.  But as a medical billing specialist, I can’t argue with the logic behind the policy.

The article notes some startling statistics from HCA (the nation’s largest chain of for-profit hospitals):

 “Last year, about 80,000 emergency-room patients at hospitals owned by HCA left without treatment after being told they would have to first pay $150 because they did not have a true emergency.”

In other words, the upfront fee served as a deterrent to patients who didn’t really require emergency care.  Considering the fact that ER visits by uninsured patients often end up not getting paid, and that many people have actually become experts at “working the system” to use the emergency room to obtain free health care, this can translate to millions of dollars in savings over the course of a year.

It makes great business sense!

Of course, some doctors and patient care advocates are concerned, as the article also notes:

Physicians worry that sick people will forgo treatment. There is no data on how many who leave the ER without treatment follow up with visits to doctors’ offices or clinics.”

While I understand their concerns, it seems to me that combining this policy with some other measures may work better for everyone.  After all, when hospitals incur bad debt because of things like unnecessary and unpaid ER visits, all of us end up paying for it through higher healthcare costs.

So, here are a few ideas that might work:

  • Hospitals could make available a 24-hour walk-in clinic for routine complaints so that anyone showing up at the emergency room without a true emergency can receive the proper care (at the proper price) right on the premesis.
  • Maybe the price some of these ER’s are charging is a little high.  Maybe $50 is more reasonable. It could still work to deter those scam artists who are only out to receive services for free, while staying within reach of most patients with legitimate concerns.
  • Or, maybe educating patients about what they should expect from the emergency room is sufficient.  The Midland Memorial Hospital in Midland, Texas, has set up a 24-hour hotline where patients can call and speak to a nurse to help determine if they should come into the emergency room or visit a local clinic.  This, in conjunction with a $150 fee for non-emergency complaints resulted in a 10% drop in ER visits and a huge drop in bad debt as well.

I know this subject is going to spark some lively discussion, so let me know what you think: Is charging an upfront fee at the emergency room creative or corrupt?  How would you fix the problem of bad debt at the ER? 

Categories : News
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