Healthcare Management Best Practices

Proven Healthcare Management Leading Practices to Adopt

  • Best Practices (#275) / Healthcare Management / Disease Management

    Best Practice (Good)
    Ensure that a single point of contact is responsible for communicating progress and any changes in the condition of a long-term, chronic patient to all involved parties (physicians, caretakers, family members, insurance providers, case managers, etc.) across entire healthcare spectrum.
    Typical Practice (Bad)
    Communicate with disease management program participants (physicians, caretakers, family members, insurance providers, case managers, etc.) as needed when a change in the patient’s condition takes place.
    Benefits: Ensures that all involved parties are continually updated and allows them to make suggestions and preparations based on changes in patient condition or status.
  • Best Practices (#276) / Healthcare Management / Healthcare Facility

    Best Practice (Good)
    Closely monitor hospital vendor costs — not only the market price but the cost in terms of performance. Health care facilities should build performance incentives into their contracts with vendors.
    Typical Practice (Bad)
    Review vendors from a cost only perspective and take preference to cheaper vendors.
    Benefits: A balance can be struck between vendor cost and quality, improving the overall level of care within the facility while keeping vendor costs manageable and consistent.
  • Best Practices (#277) / Healthcare Management / Healthcare Facility

    Best Practice (Good)
    Implement bar-code tracking software on all high-value medical equipment to track movement and usage from department to department.
    Typical Practice (Bad)
    Allow medical equipment to be transferred, on an ad hoc basis, from department to department based on need and frequency of use.
    Benefits: Ensures that when a piece of equipment moves between departments, it can be added to the correct department’s budget or revenue forecast or summary. Also provides a simple system to track the location of high-value hospital assets.
  • Best Practices (#278) / Healthcare Management / Medical Billing

    Best Practice (Good)
    Ensure that a patient’s insurance is verified at least one or two days before the date of service and designate a single employee to verify customer insurance policies.
    Typical Practice (Bad)
    Verify patient insurance on the day of the appointment and allow any front office billing or clerk employee perform the verification process.
    Benefits: Allows proper time to reschedule patient meeting, if necessary, and designates a single point of contact for all insurance verification-related tasks.
  • Best Practices (#279) / Healthcare Management / Medical Case Management

    Best Practice (Good)
    Create a standardized form to use when screening patients during the initial assessment phase. Include defined sections that must be completed covering physical, cultural, spiritual, family-related and financial aspects of the patient’s condition.
    Typical Practice (Bad)
    Allow medical case managers to develop their own screening process using their own experience and personal preferences, and require only that they take detailed notes on patient responses.
    Benefits: Allows for more detailed information from the client to be captured, which increases the likelihood that the plan of care will be effective. Also allows case managers to compare screening results with that of previous patients to develop a more effective plan of care based on past results from similar patients.
  • Best Practices (#280) / Healthcare Management / Medical Data Management

    Best Practice (Good)
    Create a master list for each patient, if patient records are contained in multiple, disparate systems (which is often the case), that lists the systems in which their information is located.
    Typical Practice (Bad)
    Search each medical record system when tracking down patient information to ensure that all relevant or required data is pulled and passed off the the appropriate party.
    Benefits: Reduces cycle time related to patient information gathering and ensures that gathered patient records are complete.
  • Best Practices (#281) / Healthcare Management / Prior Authorization

    Best Practice (Good)
    Explain the rationale behind special case approvals/disapprovals. Validation will be created within internal systems requiring explanations and appropriate documentation will be included.
    Typical Practice (Bad)
    Grant or approve authorization for special cases with no documentation or rationale for the approval/disapproval.
    Benefits: Case reviews will be done with greater efficiency and faster cycle times. The availability of rationale explains can help to set standards for future cases.

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