...from family doctors, walk-in clinics, and urgent care clinics throughout the CHWO system. Overall, the clinic is open for three half-day sessions per week. Hours of operation were from 8:30am-1:00pm, Monday through Wednesday. During the remainder of the week, the facilities were used by other sub-specialties of surgery. Staffing for the clinic consists of one surgeon, two senior resident students, three clerks and four registered nurses. Patient flow for the clinic was approximately 80 patients per day, with 60 percent being for follow-up appointments. The process at the clinic can be broken down into several steps. First, at the front-desk, patients must register and verify all necessary medical and identification documents with three nurses and three clerks. Registration ends promptly at 11:30am, while verification continues until 12:45pm. Next, patients are taken to the radiology department where there is six imaging rooms and six technicians on staff. In this step, patients take two types of generic x-rays: upper extremity or lower extremity. Depending on the type of x-ray, extra time must be allotted for adjusting the machine. Patients then also had to wait for development and review of their films by radiologists. Finally, the patients had to return to the clinic and wait for a doctor to review their films with them regarding their injuries. Dr. Kellie Leitch, Chief of Paediatric Orthaepedic Surgery at CHWO was concerned with mounting wait times that were being...
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...Executive Summary Paws Palace Pet Clinic is experiencing a high influx of new patients for Dr.Bill Schulke and his wife/manager, Sue Schulke. The opportunity of prospective new patients and profits is wonderful if all new patients could be attended to. The problem lies in the simple question, would a veterinary assistant be necessary in order to treat all patients and still keep profits soaring up for the clinic? Using Monte Carlo simulation and distributions fitting using the @Risk software, the below report will showcase how a veterinary assistant is the best option for the clinic’s future and will double their profits annually. Background Paws Palace Pet was initiated by Veterinarian, Bill Schulke, along with his wife/office manager, Sue Schulke. In the beginning two years of their practice, they would work regularly scheduled business hours of 8:30am to 5:30pm. Over the last year they have experienced a growth in patients and have found the need to work past regular hours. Bill has created a policy for self-preservation, he will take the last patient at 7:00pm and if there are any remaining patients, they would need to return the following day. Although working past hours has allowed profit and gain in patients, at the end of the day, Bill still has 2-5 patients left without attention. This then results in lost patients who do not return again the following day and it also results in loss in potential profits. His wife, Sue, was instructed to keep track of 100...
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...needed based on their study. Incorporating the Downtown Health Clinic would be PMH’s service line strategy, which will assist in the following objectives: (1) expansion by hospital referrals, (2) higher privately insured patients referral, (3) developing a relationship with the business community and accommodating to employers’ specific health needs, and (4) becoming self-supportive three years after opening. According to the reports from May 1999 through March 2000, DHC was clearly meeting its’ objectives. Rather than analyzing the qualitative and quantitative perspectives of the Gynecology department of the clinic, the following analysis will explore how technology and social media can positively affect the clinic, particularly in expediting the scheduling of patient appointments. Women typically seek accessibility and convenience when choosing doctors or facilities to perform obstetrical/gynecological care. Incorporating technologically driven tactics to facilitate the working woman’s schedule would be an advantage for the clinic, reducing errors in scheduling as well as waiting room over-crowding. Technology can provide a partial cure to this nation-wide dilemma, helping the clinic staff run the clinic more efficiently and properly attend to patients’ needs and recurring follow-ups and check-ups. Appointments, in general, are important in order to maintain order...
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...Financial Incentives 5 Improved Quality of Patient Care 6 Increased Productivity and Efficiency 7 Recommendations 8 Conclusion 9 References 11 Executive Summary The benefits of successfully implementing an electronic health record are both vital to the future of our business as well as rewarding. The purpose of this report is to clearly demonstrate the need for implementation of an electronic health record and provide explanation of the benefits available to us with successful implementation. . The three main benefits I will be presenting research on are the financial benefits of an electronic health record, the ability to provide better quality patient care and the opportunity to increase productivity and efficiency through implementing an electronic health record. There are significant financial incentives for implementing an electronic health record and meeting Medicare and Medicaid’s requirements for meaningful use. Eligible providers can earn up to $44,000 through the Medicare EHR Incentive Program and up to $63,750 through the Medicaid EHR Incentive Program. There are three stages involved in meeting meaningful use the first stage consists of data capture and sharing, the second involves advanced clinical processes and the third focuses on improved outcomes. Incentives are paid out annually over four years. There are many ways implementing an electronic health record can improve the quality of patient care. Some of these reasons include: decreased...
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...is why I think that improving the whole kiosk movement would be worth the capital for hospitals, pharmacies and other medicinal clinics to use. Not only are these industries taking advantage of kiosks, but so are colleges and universities to better help aid students. Kiosks have been introduced throughout the US as early as 2010 for the healthcare industry to utilize for patient check-ins and/or dispersing some medicines to patients. Let’s further discuss how this could be beneficial to the market. Market Structure- It is said that this is a new age for healthcare kiosks. So many people are adept to new and constantly changing technology. The health care industry is one that has proven to be recession free in terms of the business cycle stages. Unaffected by catastrophic events due to the industry making more in dividends and excelling in marginal revenue (Wunker, 2013). Healthcare self-service innovators such as Allscripts and Fujitsu, Clearwave, Nova Medical, HealthAsyst, MedHost, and Interior Health have turned to KIOSK’s custom design expertise to bring new patient check-in solutions to market (Kiosk, 2015). KIOSK’s ability to leverage modular design efficiency and integrate highly custom peripherals has provided these clients with exceptionally cost competitive market entry points. Application specific peripherals such as biometric identification, insurance card scanners, cameras, privacy screens, and payment transaction devices streamline patient and work flow, improve...
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...issues with it. To fully understand Canada’s health care you must start to understand it from its core. The mismanagement of health care has resulted to long wait times and made it the biggest political issue facing Canadian health care (Rachlis, 2005). Wait times in Canada has become a major issue in the health care system and a major set back in providing good quality health services to Canadians. Along with addressing the issues of wait times I will also include the problems of packed emergency rooms, what exactly these wait times are and how it can improve. When ill or in pain, there is nothing more frightening or frustrating than having to wait for treatment. Many Canadian face long wait times for health services such as waiting to see a specialist, having a transplant or simply getting a check up at their local doctor office. Wait times in the Canadian health care system has become a problem for Canadians, despite polices which states equal access to health care, this is not true. It was stated that there is two types of wait times, surgery, MRI, CT wait times and emergency room (ER) wait times (Service Ontario, 2008). Patients suffering from cancer, double transplants for example all end up all getting wait listed and not being able to get the treatment they need right away. It has been reported by CBC that wait times for referral to a...
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...chose to use is the virtual physician visit. This visit would be structured to finance standard care for any patient with trivial sicknesses.Patients would be able to log onto a specified website where they would be able to openly communicate with a physician. After logging in and connecting with a physician, the patient would be able to communicate the symptoms that they are experiencing to the physician via instant messaging or leaving an email and waiting until a physician can respond to their concerns. This will allow the physician to make a diagnosis and send a prescription to the patient’s pharmacy if needed or provide the patient with specific instructions for care. If it is determined that the symptoms are more serious than the patient expected, it may be required that they go to a local hospital or urgent care to be assessed to ensure that it is nothing more serious than anticipated. This way, if the physician is unsure, the patient s not placed in grave danger for anything further to take place. The service is cost effective and paid online with a patient’s credit card which is initially less expensive than a doctor’s office visit in most cases and gives consumers around-the-clock care without having to leave their jobs or homes. Not only is it cheaper but it is more convenient. According to Robert L. Smith, Virtual care is a form of communication whose time has come and can be instrumental in fixing our current state of affairs within the health care system. (Galewitz...
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...Jody Kelly Case Study #2 This Pareto Diagram shows that the most dissatisfaction comes from the areas of making appointments and checking in/out. Waiting time, whether it is to see a physician, getting an appointment or getting through on the phone, is the biggest issue to be addressed. Improving upon waiting time will drastically improve patient dissatisfaction. Problem Area | Occurrences | | Length to wait to see Physician | 13 | | Ease of Getting Appt. | 12 | | Ease of Getting Through on Phone | 10 | | Convenience of Office Hours | 7 | | Courtesy and Helpfulness of Receptionist | 7 | | Friendliness of Receptionist | 5 | | Resposiveness to Phone Calls Related to Care | 5 | | Comfort of Waiting Area | 4 | | How Well Physician Listened | 3 | | Respect Shown By Physician | 2 | | Confidence in Physician's Ability | 1 | | Respect Shown by Nurses/asst. | 0 | | | | | The lengthy wait to see a physician is due to the fact that the doctors are sometimes late getting to the clinic due to surgeries, teaching at a medical school, and unexpected emergences. The ease of getting a convenient appointment is could be inhibited by the doctor’s busy and unpredicted schedules and also the lack of communication between receptionists and secretaries. The difficulty getting through on the phone is caused by a heavy load on the receptionists and the fact that they cannot relay messages to secretaries without adequate phone coverage which also ties...
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...implementing mobile technology within the healthcare industry, there are many things to consider, and questions to ask. Within this paper, I will answer such questions as patient information accuracy, security issues, advantages and disadvantages of using a mobile device and the impact the social media has within the healthcare industry. Distinguish between patient self monitoring using mobile computing technology to inpatient visits to the doctor or hospital As technology continues to penetrate our daily lives, all forms of business have decided to take advantages of this phenomenon; from manufacturing to healthcare. Patients now possess the ability to monitor their vital signs using mobile technology, instead of travelling to clinics and hospitals to visit doctors. “In the past few years, the technology landscape has been drastically changed by the proliferation of consumer-focused mobile computing devices. These devices, primarily smart phones and mobile tablets, are a new type of platform – less power than laptops and workstations, but with more functionality and connectivity than traditional phones and personal digital assistants (PDAs)” (Himss 2011). There are some things to consider when both patients and doctors are involved with mobile technology. One will compare and contrast patients monitoring vital signs using mobile technology...
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...PRIMARY HEALTH CARE CLINICS IN WILLIAMSON COUNTY, TEXAS MARKET RESEARCH AND ANALYSIS AUSTINTATIOUS CONSULTING, LLC PREPARED FOR: DR. CHAU NGUYEN TABLE OF CONTENTS I. PURPOSE AND SCOPE OF ENGAGEMENT ........................ 1 A. YOUR CLINIC ........................................................................... 1 B. OUR EVALUATION.................................................................... 2 II. THE EVOLUTION AND CURRENT STATE OF THE HEALTH CARE INDUSTRY IN THE UNITED STATES............................... 2 A. THE IMPACT OF MEDICARE ...................................................... 3 B. IMPACTS OF THE THIRD-PARTY PAYER SYSTEM ........................ 3 C. THE AFFORDABLE CARE ACT AND BEYOND .............................. 5 III. MARKET STRUCTURE........................................................... 5 A. QUALITATIVE ASSESSMENTS .................................................... 5 B. QUANTITATIVE MEASURES ....................................................... 7 IV. COMPETITIVE ENVIRONMENT .......................................... 9 A. THE FIVE FORCES ................................................................. 10 B. SYNTHESIS ........................................................................... 11 V. LEGISLATIVE AND REGULATORY CONCERNS ............... 12 VI. CONCLUSION .................................................................... 12 ABSTRACT This analysis and memorandum were prepared by Marshall Coover, Chau ...
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...global economy. For federal, state, and local governments, rising health care costs lead to higher Medicare and Medicaid costs, and funding cuts for other priorities, such as infrastructure, education and public safety. Thus, the net results of rising health care costs are far-reaching: higher costs for health insurance, the fraying of the nation’s safety net, an erosion in our global competitiveness, nauseating political positioning and long-term fiscal insolvency. While the health reform law makes important strides in expanding coverage, much more is needed to rein in the rising cost of health care. Other strategies for reducing health care costs are needed, particularly those that focus on promoting prevention and healthy living, improving patient safety, and promoting transparency on medical costs and quality, and reducing health disparities. All of these are...
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...American Well: The Doctor Will E-See You Now Background American Well is the brain child of Ido and Roy Schoenberg. Brothers, cofounders, and physicians they founded this online company in an attempt to improve access and change the delivery of healthcare. By having physicians available online, it changes the interaction between patient and provider. In today’s healthcare model, the patient is subject to the provider’s schedule and may have to wait days, weeks, or even months to obtain an appointment. American Well’s vision of the healthcare delivery model is to use the internet to connect the patient and the provider together within minutes. American Well was developed at a time when the demand for computer-based tools to collect, manage, communicate healthcare information and transactions was high. For American Well, this turned out be perfect timing. Physician adoption to new technology and payors willingness to reimburse for electronic communication paved the way for American Well to build their platform and move forward with a different model of healthcare delivery. Key Issues * HIPAA – IT Platform of American Well must be HIPAA Compliant * AMA assigned descriptive phrases and numeric codes to electronic, online communication between patient and providers. * Payors do not reimburse without a code. * However, most insurers still do not cover online services due to concerns over privacy, security, and patient demand. * American Well’s value...
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...the bottleneck of the process. The MRI clinic is experiencing problems; the relationship between BCMC and Quinte MRI is in trouble because promised expectations of 2 scans per hour is not met, performance is reduced , productivity is declining and they are at risk of losing their competitive edge. Balancing the process flow will make the operation more effective and manageable. With the process the way it is there are a lot of variability and uncertainties that I will have to contend with. By better managing the scheduling process I will definitely reduce wait times and increase productivity to meet set expectations of two per hour, which gives an output rate of 16 per an 8 hour shift. KEY ASSUMPTIONS • Backlog/ wait time for an appointment is always 14 days per patient. • Receptionist has idle time during an 8 hour shift • The MRI clinic is in operation for 250 days per year. • Scheduled time for any given procedure is from...
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...even some health care organizations can be considered a boundary less organization (Training, 2004). A boundary less organization is an organization that is able to communicate mainly through email, phone, and other virtual methods (Training, 2004). Boundary less organizations freedom to telecommute with any other organization around the world gives them the freedom to conduct business around the world. Improving Communication Using email and physician websites improve the communication between consumers and providers and a time saver as well (Cameron, 2009). Patients are willing to use e-mail and physicians’ websites to communicate with their doctors in an effort to save time, as long as they do not have to pay for the ability, according to survey results by Lightspeed Research. More than half of the 1,000 survey respondents said they are willing to use e-mail for a variety of interactions with their physicians, including receiving routine test results (59 percent), requesting repeat prescriptions (53 percent), confirming appointments (53 percent), and updating their doctors on existing conditioning (51 percent) (Cameron, 2009). Using a doctor's website for these activities or e-mailing the physician was popular with survey participants, but the majority of them also said that they would be unwilling to perform the same tasks through text messages or live online chats (Cameron, 2009). When it comes to e-mailing their primary care physicians specifically about illnesses or conditions...
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...medicine, savvy consumer-patients demand more from healthcare providers than simply accurately diagnosing a condition and prescribing an appropriate treatment plan. It is becoming more important for hospitals and providers to manage their online reputation to attract the attention of new patients and keep current patients satisfied with services. Increasing online visibility, and positive market share growth, includes developing an excellent website, improving customer service, streamlining patient flow and many other factors in a technology-driven environment. Before you know your patient has a problem, it is likely that they have already shared their concerns with social peers, colleagues and family members. Do you...
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