As the recently appointed administrator of a local health clinic, Community Hills Care Clinic, your clinic is facing several challenges. Your clinic is being investigated for poor billing practices which include false billing of Medicare amongst other misconduct. This has caused quite a bit of attention to be focused on your clinic, which is well known in the area, by the local media. In turn, your staff is becoming anxious and worried about the future of the clinic, causing staffing turnover and shortages at times. Additionally, patients are becoming wary of the clinic in hearing the bad press. As the clinic’s administrator, the board wants to know how you intend to address the problems that you are facing.
Your Task:
Prepare a presentation for the Board, which includes the following:
Addressing poor billing practices issues in the clinic requires program steps that ensure the highest quality care for the patients (Bass, 2016). Different team members will be assigned to monitor and oversee each of the major domains of quality care. Resources will be leveraged for increasing safety, efficiency, and effectiveness goals. Different initiatives to measure quality will be used over time to maintain high standards. Physicians and other healthcare professionals will receive training on upholding safe services and high value to them. Reducing billing fraud must thus be accompanied by maintaining high-quality services for the patients