I helped the Infection Prevention Department in recording the device day counts for inpatients in different units. This is an ongoing project and require knowledge of Excel Spreadsheet. I was able to learn the device-associated infections and their impact on the patients and the organization. The reports are auto-generated by the EHR (Electronic Health Record) System. I am responsible for entering the Foley counts and catheter counts for eight clinical units within the hospital. The records are kept in the Infection Prevention Device Day Count Spreadsheet for the Infection Perfectionists to further analyzed the data and initiate appropriate communication with the clinicians regarding the risks of device-associated infections.
I assisted the
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Credentialing Department grants privileges to the providers and validates accuracy of licensure for all clinicians who are affiliated with St. David’s Medical Center. The Alternate Provider list help the Credentialing Department keep tracks of providers who are in the same medical specialty.
I assisted the Quality Department in physician privilege evaluation process. Quality Department use both the paper filing system and an electronic spreadsheet to track providers who have completed their Focus Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE). I was responsible for updating the spreadsheet with the date the providers received their evaluations. I was also responsible for filing the respective evaluation form in the provider’s folder.
I updated the job descriptions for Quality Department and Medical Staff Department. There were a total of eleven job descriptions including Clinical Excellence Coordinator, Quality and Regulatory Coordinator, Quality Coordinator, Manager of Quality, Director of Quality, Senior Director of Quality, Infection Prevention Coordinator, Senior Data Analyst, Medical Staff Coordinator, Manager of Medical Staff and Continuing Medical Education Coordinator. Each job description includes position title, department name, department number, career path opportunities, job summary, general responsibilities, job responsibilities
| * 2a) Document review of hospital policy and procedures in practicum journal * * * * * * * * 2b) Submit a copy of the needs assessment program outline with changes in the practicum journal * * * * * 2c) Document review of program outline with mentor in practicum journal * * * * * * 2d) Submit program outline and power point presentation with speaker notes in
The precise tasks performed by the different PAs are determined by the boundaries of factors like education, experience, state laws, facility policy and the supervising physician’s delegatory decisions. Each factor should be effectively constructed in order to deliver the efficient health care to the patients. State laws and regulations
* Auditing and feedback reports- immediate access to quality indicator and patient feedback reports (Avatar reports)
Other responsibilities would include the proper handling of requests for medical records. The person taking on this duty would also be responsible for administrating the training and assuring compliance of everyone in the organization.
In lieu of the upcoming accreditation inspection by the Joint Commission, the department has sent a memorandum to employees informing them of the process that can be expected. In the next few paragraphs, the employees will be provided with the necessary information to be prepared on the day of the inspection and throughout the rest of the year as accreditation is an ongoing pursuit for the most competent care for patients within our organization.
Medical examination clearance by the Personnel Department’s Examining Physician. Medical examination clearance includes the Department’s ability to reasonably accommodate any work restrictions found by the Department’s Examining Physician;
On the other hand, many physicians do not know the importance of the program. In this case, there is an extensive amount of pressure on organizations for them to perform quality care, use correct coding, and get measured accurately through the MACRA. In addition, engaging physicians with their clinical documentation process may be an important factor though a difficult task in all healthcare organizations. Clinical documentation has become a critical part of every patient encounter. In terms of meaningful use, it must provide efficient, accurate, and timely services because it is what patients depend on. The clinical documentation improvement (CDI) program is intended to facilitate an accurate depiction of the clinical status of patients as it gets transferred into coding. At the same time, coded data has the responsibility to report physician’s clinical information, reimbursement, and tracking trends. Physicians must have the right education towards coding necessities, which is vital to correct reimbursement and quality reporting under MACRA’s quality payment program. Essentially, clinical documentation improvement (CDI) programs must be implemented into physician practices as it helps educate them on the general specifications that documentation and certain practices for the ICD-10
It is the King Fahad Medical City commitment to ensure balance, independence, objectivity and scientific rigor in all Continues professional Development (CPD) activities. The desired outcome of this policy is to conduct CPD activities that are free of the appearance of or actual conflicts of interest and the introduction/demonstration of bias in favor or against a commercial product, service, or device in return for known or unknown personal and professional gain. The intent of this policy is to ensure that any potential conflict will be identified openly so that the activity participants may form their own judgments about the presentation with the full disclosure of facts. To comply with government bodies for programs accreditation
The connections between auditing, accurate diagnostic and practical coding with CDI programs is that the clinical documentation improvement (CDI) is that revising and monitoring offers oversight for the CDI program, understanding into physician documentation and collaboration, and objective assessment of the performance and efficiency of individual CDI staff members as measured against the facility’s policies and
Over the past several decades, efforts to measure, publicly report, and reward physician performance have gained increasing importance. However, currently available metrics to assess physician quality and clinical performance are far from ideal.1 Board certification was designed as one such measure, to provide an overall assessment of physician competence.2 Certification by a medical specialty board is meant to indicate that a physician has the knowledge, experience, and skills for providing quality health care within a given specialty. Yet, data supporting the association between board certification status and provision of superior quality of care are limited and somewhat controversial.3-6 Therefore, it is important to critically evaluate the content of board certification exams on an ongoing basis to ensure that it is not only current, but also directly relevant to the care to be
Professes excellent customer service skills and equite decisions, with staff, family members, governmental agencies, visotors, and vendors according the professional role and representation to the professional setting. Professioonal knowledge, skills and training in medical records retention, maintaing patient a staff condifntality according to policy and proceddure, and regulatory guidelines. Additional expereince includes proficiency and effiecny in, survey preparedness, Quality Qssessment and Assuance for Quality Improvement, and provide education/training on the organization performance of operation for preventive deficient practice, achieving excellence in standard of care practice, star rating according to CMS, quality care measures, Casper report, regulatory quality initiatives, and customer service satisfaction analysis to further enhance positive clinical care outcomes of the patient-centered model according to regulatory guidelines, facility policy and
A job description should portray a clear picture of the requirements and the expectations of the applicant (Sweeney, 2010). The description consists of the following standard elements, but not limited to, job title, education and experience, and skills and competencies. Hence, the job title listed by AMIA (2015) is Clinical Informatics Specialist (RN). To be qualified for this position, an
Length of stays are also evaluated, as length of stays often speak to whether providers are following evidence based medicine and thus providing quality care.Besides looking at volumes the credentialing committee will need to look at performance including morbidities and mortalities. These numbers and other quality indicators should be review to see if providers are performing at with national averages. With the the onset of value based purchasing, there is now much data such as HCAHPS which can and should be evaluated which allows providers to be compared to other local physicians as well as national averages. Patient complaints and disciplinary action which have also be placed in provider's files must be reviewed as part of the credentialing process. This allows institutions to see if there is some type of trend that needs to be corrected or if there's a reason for adjustment to providers privileges. Often completion of the medical records is also considered as well as part of this process. This speaks to providers attention to detail and compliance with other hospital rules and regulations. Continued noncompliance can be cause for disciplinary action, re-education, or may require corrective
I learned the physician privilege evaluation process by helping the Quality Manager with Focus Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE) filing and system updates.
Illumine is a confidential reporting system that is available to staff and can be found on the UAMS Intranet and the Arkansas Children’s Hospital Intranet. All members of the UAMS, ACH and UAMS Regional Campus communities who have access to those intranets can access and use ILLUMINE. Reports should be made to ILLUMINE by any individual who feels s/he has witnessed or been the victim of behavior on the part of a physician faculty member or a resident that significantly breached the Professionalism