Overview
Patient Care Systems and Quality Management are both covered in this course. These courses represent two of the eight performance domains as defined in the 2nd Edition of the Body of Knowledge for Medical Practice Management.
The Patient Care Systems introduces you to aspects of patient care delivery within the medical practice domain. This course encompasses tasks that are related to the provision of medical care and the resources and concepts used in the operations of the clinic. Whether your focus is clinical, administrative or some other area, the items covered in Patient Care Systems have an impact on the entire organization and are the essence the practice. These tasks cover monitoring business processes that support the clinical aspects of the group and providing ways to communicate with patients and getting them involved in their care. The tasks also cover managing the referral process, understanding how physicians schedule and the patient flow within the clinic. This course shows you how the various components work together.
Quality Management introduces you to aspects of quality management and the implementation of continuous process improvement into the medical practice. Quality improvement programs work toward improving patient care, organizational efficiency, and cost reduction.
Quality management techniques are among the newest approaches for managing the delivery of healthcare. High quality organizations formally review clinical data and set benchmarks for improving the data. When looking for measurable benchmarks, it is best to consider what is easily measured, and what is important to the organization and the practice. Examples include lab turn-around time, patient outcomes, patient safety, reducing billing denials and/or patient satisfaction scores.
Numerous types of quality improvement processes exist. For example, clinical pathways provide guidelines for improving health care delivery and ensuring patient safety. Also, peer review and quality assurance are mechanisms for quality improvement.
Learning objectives:
Patient Care Systems
- Establish and monitor business processes to ensure effective and efficient clinical operations
- Provide relevant and accurate resources to enhance patients’ knowledge, understanding, and participation in their medical care
- Develop and implement a referral management process
- Design efficient patient flow patterns to maximize physician schedules
- Manage front office operations to maximize patient satisfaction, collection of payments and customer service
- Implement a plan to control pharmaceutical supplies
Quality Management
- Utilize a quality improvement tool to develop a clinical pathway.
- Monitor the peer review process for clinical staff
- Develop and oversee patient satisfaction and customer service programs
- Identify, develop and maintain benchmarks for establishing practice performance standards
- Create internal processes and systems to participate in pay-for-performance programs to enhance health care quality
- Develop and monitor a program for staff, business and equipment credentialing and licensure
Who should participate:
- Course is designed for those with less than one year experience in medical group practice management
- Recent graduates in health care management or administration.
- Experienced professionals who would like an overview
- Ideal for those transitioning from other sectors in the health care industry into physician practice who want to understand the breadth of competencies required for success in the field
Career level:
Beginner to intermediate
Credit hours:
3 credit hours as assigned by ACMPE
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