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What information do you need to see to drive growth and improve the bottom line in your practice? Identifying the right information to be delivered at the right time to the right people can be a game changer for the performance of medical practices.Business intelligence (BI) is not just a fancy name applied to the same old canned reports from disparate data sources. BI, when done correctly, drives practice performance. It delivers mission-critical data exactly when it is needed without manual sorting through pages and pages and columns and columns of data. True BI combines data from two or more discrete datasets to provide a more dimensional view of the data. For instance, combining upcoming appointments with historical clinical data or front desk collections with staffing data produces reports that can offer guidance to support real-time decisions and actions. This book is full of techniques to combine data to deliver actionable insights and drive performance that can be applied to each unique practice situation. The results lead to a more efficient, profitable, flexible, and responsive medical practice that delivers higher-quality patient care.This book will provide you with the strategies to:- Design more efficient staff models - Predict gaps in provider schedules - Track and diagnose common errors for denied claims - Optimize referral patterns - Track delinquent patient payment - Monitor Medicare quality codes - And much more

Sweeping changes in healthcare directly impact the staffing model of today's medical practices. We must staff new patient access channels and new value-based care models. Staff must be deployed to meet the needs of individual patients and the broader patient population. They must master new technologies and learn new knowledge and skills. We must create care teams that seamlessly work together, innovate and engage patients in their health. This book presents critical tools and strategies to help you: - Determine if you have the right number and skill mix of staff on your care team - Build the optimal staffing model for key patient flows and administrative processes in your practice - Create new staffing roles to deliver value-based care and manage population health - Redesign work to deliver stellar patient experience and value - Create flexible staffing models via teleworkers and part-time staff - Create and retain a high-performing care team

The ACMPE Certification Exam Workbook is an essential tool to assist you as you confidently approach your exam.

Changing regulatory environment, efforts to tie quality to financial function through value-based performance, and the rapid growth in consumer payments along with shifting consumer expectations are just a few of the challenges plaguing medical practices today. These challenges increase the risks taken running a practice and emphasize the importance of hiring quality staff.This Simple Guide focuses on the Compliance and Risk Management group of job descriptions that deal with the ever-changing challenges faced by you and your staff.This guide will take you through: Identifying key attributes of candidates for complicated positions Analyzing job description to assure the role is focused on managing risk or if this is a part of a larger role, to decrease the possibility of a conflict of interest Interviewing basics with sample behavioral-based questions which focus on the candidate's knowledge base Immediate resources such as simple forms and templates that can be personalized for your practiceThis is written for anyone who has a hand in the hiring and recruitment process. Use it as a valued resource for direction and support for placing and retaining great staff.

There are key market drivers that are creating challenges for medical practices. These include a changing regulatory environment, reimbursement challenges, larger consumer payments with decreasing margins for medical practices and patients recognizing that they have a voice in their care. Patients have higher expectations and expect more from their clinical providers. This affects the medical practice at almost every entry and care point.Your clinical staff is pivotal in working with your patients and physicians. It's also incredibly important to place the right level of staff for risk reduction and quality outcomes. Recruiting and hiring staff is not something the practice does on a regular basis. But when the need arises, having a step by step resource with the information you need in one place, will make some of these decisions less difficult. This Simple Guide is focused on clinical positions, from nursing to technicians and other ancillary staff, and is one in a series of hiring guides.Use this guide to: Identify necessary subjective skills, such as empathy, that are balanced with good clinical practices Analyze tactical job descriptions, to ensure the candidate is reasonably focused on their core duties, working to the top of their license Implement interview basics with sample behavior-based questions that will provide insight to future performance Access immediate resources such as simple forms and templates that can be personalized for your practiceThis is written for anyone who has a hand in the hiring and recruitment process. Use it as a valued resource for direction and support for placing and retaining great staff.

Providers are faced with new challenges in consumerism, focused on dollars and increased quality of care. It is more difficult to maintain operating margins and deliver quality care. Practices are continually living in two worlds, balancing between the traditional reimbursement models while moving to value-based care. What are you to do?Be prepared to hire the right people with this manual as one in a series of Simple Guides. This guide is focused on revenue cycle positions, those positions that have historically been considered back office.Use this as step by step resource for: Identifying key skillsets, such as the ability to concentrate on detailed data, to appropriately measure activity in the practice Analyzing a job description that focuses on process-based achievements and supports job criteria Interviewing basics with sample behavior-based questions to provide insight on future performance Access to immediate resources such as simple forms and templates that can be personalized for your practiceThis is written for anyone who has a hand in the hiring and recruitment process. Use it as a valued resource for direction and support for placing and retaining great staff.

Hiring and firing is not something you do regularly in your practice so how do you handle it when one of your most valued employees has given notice or a long-term staff member just quit? What if your practice is expanding and you need help to define new positions and how to distribute the additional workload? As one in a series of Simple Guides, this manual takes the guesswork and confusion out of recruiting and hiring the best staff.This Simple Guide provides detailed information on Patient Access Positions, the positions that are key to getting your patients through the door of your medical practice, while creating a memorable experience during their visit.Use this as step by step resource to: Identify key skillsets: i.e. stellar customer service mindset and others that will support your successful hire Analyze job descriptions: to ensure everyone is clear on performance expectations Interview with situational questions: to give you a better idea of how your candidate will perform in the demanding front office space Access immediate resources: simple forms and templates that can be personalized for your practiceThis is written for anyone who has a hand in the hiring and recruitment process. Use it as a valued resource for direction and support for placing and retaining great staff.

Being in an executive leadership position can be challenging, no matter the size of the organization. Having that executive leadership role in a medical practice can be even more so. This group is responsible for the strategy and the tactical methods of carrying out the mission of the organization. Hiring for these positions requires in-depth knowledge, careful consideration, and master hiring skills.Whether you are replacing an executive or hiring one for the first time, this Simple Guide will be your partner in setting you up for success when hiring executive positions.This Simple Guide will take you through: Identifying the primary attributes of those in leadership roles Analyzing the best practice in developing position descriptions for leaders, taking into consideration practice culture and performance metrics Interviewing basics with sample questions to standardize the process Accessing immediate resources such as simple forms and templates that can be personalized for your practice.This is written for anyone who has a hand in the hiring and recruitment process. Use it as a valued resource for direction and support for placing and retaining great staff.

This book provides a review of each task associated with the Human Resource Management domain in MGMA's Body of Knowledge for Medical Practice Management, 4th Edition.

Payment reform efforts will be a mainstay of healthcare delivery so long as our societal spending on care is high while our outcomes are inconsistent or middling. To thrive - financially, individually, and collectively as care delivery units - we must be able to demonstrate to ourselves and for others, the value of the outcomes we produce. While it is true that you can't improve what you don't measure, it is also true that you can't act on measurements you don't understand. Every healthcare system, form a single provider office up to a national chain, has to bridge administrative and clinical workflows to create better, more meaningful, outcomes for each patient. Learn to rebuild an organization with tools you already have in your practice now to listen to your patients and create a system to empower patients and staff alike.Create an environment where outcomes are:- measured in a meaningful way- evaluated based on both the patient and the practice's needs- acted upon to strengthen both the practice's community and bottom line.Dr. Walsh utilizes extensive clinical, business, and academic experience to demonstrate a proven methodology to identify and measure what matters most to patients. Learn to:- capture the data that matters to patients- create data governance and oversight structures- employ new cost-allocation techniques- evaluate the effectiveness of varied transformation techniques- implement shared decision-making- improve the patient experience with all levels of the practiceHere is the roadmap to identifying actionable strategies and effective improvement activities to engage your patients and align your people so your organization can navigate toward value-based outcomes and thrive.

This book dives deeply into the key challenges and opportunities of value-based care. Explore how to use your core values and strengths to transform your practice. Answer critical questions like where to start, where the finish line is, and what happens along the way. You will gain the insight needed to deliver a better patient experience, while improving health and lowering the cost of care. Learn to:- Support your practice's transformation by understanding the leadership skills needed in value-based incentive programs- Evaluate what already exists in your practice and what needs to change to positively demonstrate outcomes- Assess key elements to assess when considering options for participating in programs with alternative payment models- Examine how the organization of teams can deliver better patient experience and higher staff satisfaction- Determine how to create a high-functioning team based on each person's strengths- Maximize team member potential and improve retentionGather information about how to prepare for, and maximize, your participation in value-based payment models. Learn to create the foundation for alternative payment models and understand how to structure your practice to succeed in value-based care, while avoiding penalties or exclusions from networks. Gain insights about managed care and find the right solutions to implement in your practice.

We are what we think all day long. At least that's what Ralph Waldo Emerson said. If that is true, then you should really stop and ask yourself, "What am I thinking about right now?" And if you take a moment to really do that, then the title of this book will make sense to you. So often, we simply react to what is going on around us, and while we do "think" when we react, we often do not "critically think," because if we did, we would respond and not react. When I was in the Navy, I was taught to "work the problem," which meant to stop, look around, use whatever tools were available and figure out a solution. In fact, that's pretty much what I do today; I am a problem solver. I find solutions to problems that are oftentimes complex and illusive, and I often do it by just standing there -- taking a breath, looking at the information that is available to me and then making the best decision possible. Does it always work out the way I would like? Nope. But the outcome is positive a whole lot more often than it is negative, and that's because I have reduced the uncertainty around the problem.The purpose of this book is to show you how to reduce the uncertainty around the decisions you make, thereby increasing the likelihood of a positive outcome. The way to do this is to understand the process of critical thinking and evidence-based practice. Being an evidence-based thinker means being able to wade through the masses of information and data and bring to the table something that we can use to make better decisions. And evidence-based decisions will more often than not result in positive management outcomes. So, welcome to my world. And remember, don't do something, just stand there.

Forget everything you've learned in any "statistics" courses you've ever attended. This groundbreaking book will introduce a "mind set," not a "tool set" to effectively utilize data to improve your practice.