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Monthly Archives: September 2011

Office Squabbles? Three Areas to Look for a Fix

Do you have conflicting personalities in your office? Do such differences result in petty squabbling?  While inter-office conflicts are common, there are a few things an administer can do to greatly reduce conflict in the workplace.  It's important to address conflicts before they affect the professionalism of your practice, the morale of your staff, and your practice's productivity. Most of what is attributed to personality conflicts in the workplace can be traced to a just a handful of sources for which you most likely are responsible! Job descriptions: It's all too easy for disputes to emerge when responsibilities are not well defined. In today's changing medical field, jobs change -- don't let those job descriptions lead to finger-pointing in the office. Clearly delineated responsibilities allow staff to both receive credit and take responsibility for tasks. Without clear definitions it's too easy for misunderstandings (of differences in performance) to escalate into personal resentments. Cross-training: The counterpart to clearly job descriptions is that your staff should be well cross-trained and able and willing to fill-in where they are needed. Cross-training has the benefit of helping everyone in the office truly appreciate what important roles the others are fulfilling.  Additionally, it shows that you are interested in the well-being and career and skill advancement of your staff.  There's a fine line between a groove and a rut!  To the extent you are able, provide variety in the work environment so that your staff doesn't fall into an abyss of boredom. Fairness: If your staff perceives that some receive preferential treatment, morale will suffer and, with falling morale, it's only to be expected that friction will increase.  An under-appreciated fact is that perceptions of fairness and openness to communication go hand-in-hand. If your staff feels they can approach you to complain because you have a sincere interest in their well-being, you are well on your way to resolving squabbles among your staff. Challenge yourself to hear that which is difficult for you to hear. No one is free from biases and your staff can serve as a mirror to your own policies -- it's important

By |2022-01-01T22:52:42-08:00September 30th, 2011|

An insurer will use Jeopardy-winning Watson computer to aid diagnoses

Is this a good thing? The Wall Street Journal and Slate report that Wellpoint will capitalize on the famed Watson computer's ability to analyze as much as 200 million pages of content in as little as three seconds to aid their own nurses as well as physicians in researching diagnoses.  Oncologists are the first target group of physicians. Some concerns are being raised, though.  Will the system be programmed to find the best -- not just the most cost-effective -- treatment options? And, of course, the data used to generate physician recommendations will be of critical importance. What are your thoughts on this news?  An important advance for medicine?  Or a potentially problematic development that could unintentionally create more bureaucracy, and put more control in the hands of non-doctors? Read more about this story: On The Wall Street Journal

By |2016-08-19T17:57:09-08:00September 12th, 2011|

The Time is Now for ICD-10 Planning

Regulatory requirements that affect the medical practice are changing rapidly.  While the primary focus may seem to be on EHR systems and meaningful use to obtain those stimulus funds, there are other mandatory system changes that need to be addressed now, starting with the conversion to ICD -10 code set. The new code set represents an important advancement in diagnostic coding and conversion to it is required.  Limitations of ICD-9 include limited descriptive reporting and inability to adapt to advances in medical procedures and technology. The new system promises more flexibility and descriptive capacity. As a result, more accurate healthcare data reporting is expected. Due to the significant structural differences  between the existing ICD-9 diagnostic coding system and ICD-10 coding system, the transition to ICD-10 code set is one of the critical areas of change for physicians in the near future.  Medical practices will be required to adopt the use of the ICD-10-CM code set by October 2013. Since the new system is relatively complex, you’ll want to make sure your entire staff receives the training they need as early as possible. One potential benefit for doctors that “under code” is that more precise diagnosis and procedure codes will enable more accurate reimbursement. Additional benefits include an improved ability to measure health care services, reduce coding errors, a decreased for supporting documentation with claims, and the ability to use administrative data to evaluate medical processes and outcomes. October 2013 may seem a long way off, but given the magnitude of this conversion it is important to address this change now in order to avoid severe work disruption and delayed or lost payments. The first step in planning for the conversion to ICD-10 is to assess the organization’s readiness for adapting the new codes and understanding the impact of the change on your practice. Practice leaders should meet with billing system IT representatives and develop an implementation strategy, time-line and budget to accomplish the conversion. The timeline should include adequate time for testing the system and it should contain a plan for providing essential education and training for the team members.

By |2011-10-27T16:54:55-08:00September 9th, 2011|
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