Preview

Reddy Medical Group Case Study

Good Essays
Open Document
Open Document
529 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Reddy Medical Group Case Study
At Reddy Medical Group, all health care providers are employed and as such, do not have control of their own scheduling. In contrast, the Veterans’ Affairs (VA) allow their providers to control their own schedules, as per class discussion. While this allows VA providers with more freedom, it also introduces the possibility for scheduling manipulation. As a result, the volume of patients seen by VA providers may misalign with the intended mission of Veterans’ Affairs. Reddy Medical Group utilizes several methods to prevent manipulation of the providers’ schedules.
Firstly, providers are informed of the organization’s policy disallowing them to request front line employees to modify their schedules as those employees lack the authority to make
…show more content…
Based on the tenets of the ABC Model, there may be insufficient prompts or consequences for the desired behaviors, resulting in unwanted ramifications. The deviations within the check-in process include handling of insurance verification, collections, and overall dialogue between patients and employees. Despite the cues the electronic health records system (EHR) provide for staff to ensure all necessary information is both collected and correct, several vital fields are consistently left incomplete. Usually, there is a discussion and reiteration of the antecedents but no direct consequence to this behavior. Using the ABC Model as a guideline, it is a lack of negative consequences for poor performance as well as a lack of positive reinforcements for excellent performance that require revision in order to generate the desired behaviors for the check-in process. Tracking errors through analytical reports would give us the information to determine which employees are performing well. Showing the employees their results and discussing any obstacles to the work, we can then proceed to monitor the work. Once we have a consistent reporting platform, a reward system can be set in place for a consistent and excellent check-in

You May Also Find These Documents Helpful

  • Good Essays

    EHR Compliance Report

    • 248 Words
    • 1 Page

    As a chief information officer, it is important to make sure that everything is running smoothly. I noticed that we don’t have an electronic health record system. I want to propose this to the board of directors, asking if we can have the electronic health record system. An EHR is a computer software that has the patients’ paper chart available on the computer. This allows the health records to remain safe and secure. This EHR systems will make it so much easier to access the patients’ files at any time. This shows the patients’: medical records, medications, diagnoses, test results, and radiology images. The EHR displays tools to help the doctors make decisions based on the tools. I’m going to discuss: corrective coding initiative, compliance…

    • 248 Words
    • 1 Page
    Good Essays
  • Satisfactory Essays

    My current schedule has been re-fitted to make sure patients will have plenty of time in advance to make necessary appointments. My PA Saundra has agreed to take over certain patients in case of emergency.…

    • 717 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    The source of these problems seems to be coming from two areas in Interwest Healthcare. The first area is the miscommunication that the hospital administrators are having with upper management. The hospital administrators and upper management are not only having miscommunication issues but they also do not share the same role expectations with each other which is creating tension. “The hospital people accused Singh of being a bureaucrat who did not care about patient services. Singh accused the hospital staffs of not understanding the importance of accurate reporting” (Brickley, Smith & Zimmerman 2009 p. 38). The second area is the system or process that is in place for recording and entering data. The current process is clearly not running at an efficient rate which is raising concerns for upper management. Even though hospital administrators do not see to eye to eye with upper management the concerns that they have are valid and can have a very negative impact on Interwest Healthcare if the issue is not resolved.…

    • 730 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Health information management is highly involved with the Accreditation process for the Joint Commission. Accreditation is an indicator that the facility provides high quality care. The Joint Commission has set standards for health record documentation. The record is essential because it contains all information from the time the patient enters the hospital to the time they are discharged. This is a way physicians and health care providers communicate and is important and for continuity of care. One of HIM goal is to improve patient safety and health care quality, which is a standard and expectation for the Joint Commission. Since HIM works hand and hand with physicians and health care providers HIM is responsible for conducting audits on…

    • 354 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    stated that “During my tenure, there is going to be continued emphasis throughout the agency and in our interactions with other health partners for complete…

    • 6573 Words
    • 27 Pages
    Powerful Essays
  • Best Essays

    The staff employed in a medical facility depends on many things to keep the quality of patient care in the positive and efficient. Physicians and nursing need the current and most recent information on a patient to ensure this. The EHR system makes this more possible because the rate for exchange of information increases with this system. It not only provides more accessibility to a patient records from the other facilities and departments that also carry their medical information, but can also ensure the patient will get the best care possible by keeping the staff up to date with their medical information using these coordinating methods. Some of these methods include information such as diagnostic reports where they can be uploaded into the system instantly once complete and offer a faster rate of review for the staff. Did I mention that this system also notifies the assisting staff when these reports are ready for review? Imagine how many live could be saved or changed with this? (Dickerson, Sensmeier, 2010).…

    • 1748 Words
    • 7 Pages
    Best Essays
  • Satisfactory Essays

    Many health care facilities have a hard time keeping up with claims and payments in medical records. Some facilities hire people just to handle these tasks. If not properly monitored, it can cause problems in patients’ accounts. Health care facilities use electronic medical records to improve profitability while reducing the time it takes to submit and receive payment for claims. Many of the facilities purchase software with billing and claims. Some of the advantages of using the EMR system is that they can improve patient care. There is less potential for medical errors as well as improved quality and safety in patient care. Another advantage is that it allows more time to spend with patients Physicians and nurses have more time to spend with patients rather than wasting entirely too much of valuable time searching for, waiting for, and correcting information EMRs create more time for the work we are trained to do. Currently, as healthcare professionals, we spend as much time performing administrative tasks as we do caring for our patients. Some of the disadvantages are the expensive start-up costs and the costs of training that is involved. Another disadvantage is that there are many EMR systems and many facilities may use a different system other than the patient’s primary care facility, and those records may not be available to at the time of the patient’s visit. An example of a challenged faced when implementing a universal EMR system is choosing a proper systematic approach to the identity problem and training health care personnel to work with a paperless…

    • 268 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    Mha 601

    • 1208 Words
    • 5 Pages

    The health care organizations, managers develop new ways to address these errors among the postmodern and complexity adaptive systems (CAS). Managers must develop strategies for advantages of learning that if change is applied to our management skills in which is being implemented by the postmodern and complexity adaptive systems to become production. They are being faced with many challenges in any situation at our everyday employment or job setting. They must be able to determine what is correct when making decisions while knowing and learning to do what is right for the health care organization. In this assignment, I will cover the ten error scenarios and the explanation on why they are errors in healthcare management organizations.…

    • 1208 Words
    • 5 Pages
    Better Essays
  • Satisfactory Essays

    Related to this, because travel nurses work around health care organization’s schedules, they are generally…

    • 567 Words
    • 3 Pages
    Satisfactory Essays
  • Powerful Essays

    Meaningful Use of Ehrs

    • 2682 Words
    • 11 Pages

    Leaders in health care have two fundamental goals. The first is to provide high quality, evidence based patient care. The second is to be active engagers in the transformation of the health care delivery system. The ability to measure the quality of patient care efficiency and accurately to make the right decisions for the patient is the inherent goal of the use of the electronic health record (EHR). The EHR is currently underutilized in the United States, although the use has been progressively increasing over the last decade. Between 2009 and 2010, the percentage of office based physicians reporting having systems that met the criteria of a basic or a fully functional system increased by14.2% and 46.4%, respectively. However, the United States is still far behind other developed countries (Hsiao, 2010).…

    • 2682 Words
    • 11 Pages
    Powerful Essays
  • Satisfactory Essays

    At Grinnell Regional Medical Center (GRMC) and other health care organizations, the feedback control model is the most universally utilized control method. According to Draft (2014), the feedback control model “establish standards, measure performance, compare performance to standards, and make corrections as necessary” (p. 631). As health care continues to evolve and change, the Centers for Medicare and Medicaid Services (CMS), the largest insurance provider in the country; sets standards for care that organizations and providers must adhere to (CMS Roadmaps, n.d.).…

    • 91 Words
    • 1 Page
    Satisfactory Essays
  • Powerful Essays

    Meaningful Use

    • 2452 Words
    • 10 Pages

    In efforts to reform the United States healthcare system and create a nationally unified data exchange system the federal government has established an incentive program to eligible professionals and hospitals. The federal government has turned to certified electronic health record (EHR) technology to help facilitate the process of broadening health IT infrastructures. The federal government views EHR system used in meaningful ways as the key to reforming the healthcare systems. Meaningful use of the EHR systems can also improve the overall quality of healthcare, insure patient safety, as well as reduce the cost of healthcare to individuals (Bigalke & Morris, 2010, p. 116).…

    • 2452 Words
    • 10 Pages
    Powerful Essays
  • Good Essays

    This case study survey’s selected research work in OR, which is applied specially to the problems in Healthcare. According to Royston, 2009, OR is more utilized now so that with this they can address to day-to-day hospital management, resource constrained operations or for the treatment planning aspects in Healthcare Industry.…

    • 523 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Military Appointments

    • 442 Words
    • 2 Pages

    Scheduling and keeping appointments go hand-in-hand with one another. If someone were to miss an appointment accidentally, intentionally, emergency, or otherwise, said person(s) would cause someone else whom also needed an appointment on the same day for the same thing however unlikely. In the Twenty-Fifth Combat Aviation Brigade, if a soldier were to miss an appointment due to non-emergency circumstances a soldier will be marked as a no show, and the soldiers chain of command will be notified.…

    • 442 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Healthcare Outline

    • 286 Words
    • 2 Pages

    Evolution of Health Care Systems Presentation Outline: National Association for Home Care and Hospice University of Phoenix HCS/531– Health Care Organizations and Delivery Systems January 28, 2013 I. Introduction A. Name of organization 1. Hospice (End-of-life Care) II. Stakeholders, professional organizations, and health care professionals within the organization A. Stakeholders 1.…

    • 286 Words
    • 2 Pages
    Satisfactory Essays