101 Careers in Healthcare Management

FACHE

PHD.

Anthony R. Kovner

Leonard H. Friedman

Springer Publishing Company

Foreword by David B. Nash, MD, MBA, FACP If you own, run, or have anything to do with a medical practice, you must read this book. Today the practice of medicine must be recognized as a business. No longer can the business of the practice be based on the intuition of the physician or office manager. This exciting book from Greenbranch Publishing promises a new way for physicians and administrators to look at the medical practice. Owen Dahl decodes business theories and applies them to today's medical practice. Filled with winning techniques, Think Business! will teach you the following: -Financial fundamentals - how to keep tabs on the practice -Employees as assets: how to recruit and retain them -How to differentiate your practice from your competition -Setting the stage for pay-for-performance and quality of care -Why medical staff should care about satisfied patients and quality outcomes -Motivate employees to build great teams; it's not only about the money! -Smart strategies to focus your practice as a business Packed with plenty of take-home value, you can count on Owen Dahl to provide you with the language, the players, and the management techniques to ensure success in your practice. It is time to bring solid business principles to the medical practice! And, running a profitable medical practice takes more than your staff's strong clinical skills. Today's practice is complex -- declining reimbursement per patient or per procedure, complexity in managing the patient process, technology needs, decision-making processes to ensure optimal use of resources, outcomes management...and don't forget the nuances of employee management!

Think Business! Medical Practice Quality, Efficiency, Profits

Medical Books

Owen Dahl

CHBC

Administration & Medicine Economics

Greenbranch Publishing

Boost profitability without cutting costs or increasing revenues Medical practices face serious financial challenges. &gt;Staff and costs are already cut to the bone. Payers fight physicians for every penny of reimbursement. Revenues aren t likely to soar anytime soon. So what can be done to increase profitability? This perfectly-timed book provides good answers and ready-to-use tools by Six Sigma Black Belt Frank Cohen and Practice Management expert Owen Dahl in Mastering Lean Six Sigma for the Medical Practice: Improving Profitability by Improving Processes. 
Step by step, this book explains how to use Lean Six Sigma decision-making processes, team-building principles and efficiency-boosting tools to do more without increasing costs. That means more of the revenue that comes in goes right to the bottom line. Plus, you ll learn the secrets of using data analysis to hold payers feet to the fire to optimize revenue. Six Sigma practices have revolutionized other businesses. Now, by being ahead of your field in applying them to the medical business, you ll put your practice way ahead. In fact, don t be surprised if you find yourself at an upcoming conference presenting a case study about your own thriving practice. NOTEWORTHY FEATURES: Real skill-building for making decisions and using process-improvement teams even if you re in a solo practice Lean Six Sigma exclusively for medical practices you can apply improvement strategies directly to everything from managing litigation and payer behavior to gaining more control over office operations and clinical efficiency. A sharp focus on the business model giving practice profitability the level of attention that s previously been focused solely on quality of care. 
Table of Contents Chapter 1: What s In It For Me? Lean Six Sigma benefits for healthcare providers, administrators, frontline staff, attorneys, consultants and payers. Chapter 2: Process Improvement How to map processes to the revenue cycle to drive efficiency and profitability. Chapter 3: Team Building How process improvement (PI) teams differ from other teams and how to create and use them. Chapter 4: Project Management How to streamline, eliminate bottlenecks, and use data and metrics for making PI decisions. Chapter 5: TPI Toolbox 24 Lean Six Sigma tools tailored specifically for medical practices. Chapter 6: Deployment Using Lean Six Sigma tools to cut denials due to CCI edit policy by 50%, speed patient registration, complete entire patient visits in 60 minutes, and make other profit- boosting improvements. Chapter 7: What's Next? The vital role Lean Six Sigma plays in the future of health care and practice profitability.

Lean Six Sigma for the Medical Practice

Frank Cohen

Integrating Behavioral Health into the Medical Home: A Rapid Implementation Guide offers up- to-the-minute guidance on how to integrate behavioral health (BH) into primary care in a manner which is legal, profitable, clinically effective, time-efficient, and reflective of best practices. A one-of-a-kind practical resource not available anywhere else, the distinguished authors present the facts here to help you make rapid and accurate decisions while integrating for the first time or improving your current integrated BH program. The book is geared toward practice leaders or anyone responsible for launching and overseeing a BH service. Topics Include Why? Understand how healthcare delivery and population management must incorporate behavioral health, especially in the medical home Which service delivery model is the right fit for your organization? And how to roll-out a program system-wide Learn how to leverage integrated behavioral health services in the medical home to help you achieve the Triple Aim How to develop and organize your team and get buy-in from all stakeholders Personnel selection and training all staff to deliver team-based success How to shoot past business competitors who do not have these programs Sample business tools: policy samples; templates for business case analyses; surveys for your medical staff; sample pro formas, funding and program evaluation tools, and much more... Insider Tips: A step-by-step guide to achieve the ROI (Return on Investment) desired Clear Do's and Don'ts to improve financial and clinical outcomes Best Practices: Case Examples of outcomes and cost savings How to make these programs worth developing and sustaining... clinically and financially TABLE of CONTENTS SECTION I: GETTING STARTED Introduction Chapter 1: Why Integrate Behavioral Health? Chapter 2: Shared Interprofessional Skills: Language and Collaboration Optimize Operations Chapter 3: What Are Your Needs? Chapter 4: A Menu of Integrated Behavioral Health Options SECTION II: BUSINESS DEVELOPMENT, POLICY, AND OPERATIONS Chapter 5: Policy Chapter 6: Business Development Chapter 7: Calculating Value and Revenue Cycles Chapter 8: Measuring Your Program s Impact Chapter 9: Hiring Chapter 10: Training Chapter 11: Facilitating the Transition Process to Integrated Care SECTION III: CASE STUDIES, PROFILES, AND EXEMPLARS Chapter 12: System Initiatives IMPACT Colorado Access Aetna Cherokee Health Systems Intermountain Health Edmonton Southside Primary Care Network The Piedmont Health Group

Integrating Behavioral Health into the Medical Home: A Rapid Implementation Guide

Health, Fitness & Dieting

ABPP

Kent A. Corso

BCBA-D

Christopher L. Hunter

LSSMBB

Dr. Gene Rusty Kallenberg

Lesley Manson

PsyD.

Psychology & Counseling

This handbook enables your organization to systemize the tedious, ongoing, and mandatory process of credentialing your medical staff and to understand why you must! Healthcare organizations lose substantial revenue when providers on their medical staff are not properly credentialed. Payers have unique requirements for providers to satisfy before they will pay for services. Hospitals often face difficulty in getting the information from the provider and are challenged by a lack of systems for initial and ongoing verification and documentation. Administrators must weigh the cost benefits of in-house or outsourced credentialing and evaluate the options for software and other tools. Readers who use this handbook will feel confident and secure in their knowledge. Expanded description for online store: Healthcare organizations must have credentialed medical staffs to deliver their services. The reasons are two-fold: First, educated, licensed, experienced, and proven caregivers ensure that a hospital or medical practice is capable of delivering quality care. Secondly, payers require that the physicians and other licensed healthcare professionals are qualified and licensed to work with their patients. Before receiving payment for services, the provider must have specific credentials for providing that service. Verifying and documenting the credentials of a healthcare provider is tedious, ongoing, and mandatory. An organization with a large medical staff may struggle with keeping the credentialing function current, as many licenses have rolling expirations. Credentialing ensures that clinical practitioners are duly qualified, licensed, and board certified. It reports the history of malpractice claims, state-instituted sanctions, or other undesirable professional circumstances of providers. Credentialing and privileging of healthcare professionals protects patients and hospitals by minimizing the risk of medical errors that may result from the work of incompetent providers. It also undergirds the reputation and credibility of the institution in the eyes of providers and across the healthcare community. Further, credentialing with insurers forms the basis for reimbursement for professional services. Without the acceptance of the professional credentials of a provider, insurers and other third-party payers will not compensate his or her claims. The purpose of this book is to explain the necessity and to provide the process for the official documentation of each practitioner. The information presented in these chapters will serve as a practical resource for strengthening your organization s credentialing function. Book Features! -Outlines the necessity for credentialing in the delivery of care and in attaining reimbursements for services provided -Explores options for in-house and outsourced credentialing function -Provides systematic process for ongoing credentialing operations Table of Contents Chapter 1: Credentialing The Foundation for Quality and Safety Chapter 2: Types of Credentialing Chapter 3: The Pros and Cons of Outsourcing Credentialing Chapter 4: Regulatory Requirements Chapter 5: Automated Payer and Medical Staff Credentialing System Chapter 6: Training for the Credentialing Function Chapter 7: Conclusion The Importance of the Credentialing Process

The Handbook for Credentialing Healthcare Providers

Ellis M. (Mac) Knight

FACP

In this revised and updated 2nd Edition, nationally recognized expert, Owen Dahl, provides the vital information that top business schools teach. Think Business! Is designed for the busy professional as a mini-MBA for the medical practice environment. Written in a clear style, the revised edition covers the changes occurring in healthcare and reimbursement including the move from volume to value. All examples and content relate to the daily operations and activities that occur in a healthcare practice. Readers will learn: Financial fundamentals how to keep tabs on the practice Employees as assets: How to recruit and retain them How to differentiate practice from the competition Setting the stage for pay-for-performance and quality of care Why individual physicians and their executive staff should care about quality outcomes Motivate employees; it s not only about money! New for this Edition! Where to look first to control costs? This book provides the first 3 places to look MACRA, MIPS, PQRS, VBPM Alphabet Soup Volume to Value-based reimbursement How much does it cost to see a patient? Cost differentials of new patient vs. established patient, one office vs. another office, one provider vs. another provider... Step-by-step guide to revenue cycle management What is the expected profit margin on certain patient services? Basics of a strong compliance policy Risk Management: choose the MedMal policy right for the practice Quadrant matrix regarding adding ancillaries Tips on benchmarking the practice

Think Business! Medical Practice Quality, Efficiency, Profits, 2nd EDITION

Owen J. Dahl

With the current nursing shortage, recruiting and retaining the best nurses has implications for all levels of practice and all care delivery settings. Nurse Manager s Guide to Retention and Recruitment is a user-friendly guide for nurse leaders that provides sound theoretical perspectives, evidence-based practices, practical strategies, and tools for achieving the best recruitment, engagement, and retention outcomes for their organization. In addition, this book includes examples gleaned from the authors' collective years of experience and expertise in a complex urban healthcare market with large for-profit, not-for-profit, and public (county, state, and federally funded) healthcare organizations and systems.

Nurse Manager Guide to Retention and Recruitment

FAAN

NEA-BC

Victoria England

June Marshall

Cole Edmonson

NE-BC

Nursing

HCPro

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