The case study:
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:
- What issues you want to address in the clinic
- What strategies you intend to use to ensure that patients receive quality care, while addressing the clinic issues
- What policies will you need to examine and implement?
- What process improvement tools could you use to help you?
- Address the need for ethical decision making. What is it? Why is it important? How will you enforce it in the clinic?
- Going forward, what technology will you use or implement to help ensure the clinic’s success?
- How will you market yourself to the public in an attempt to regain trust and portray a better image?
*Please use APA formatting
*Remember, presentations are the take-aways, the Speaker’s note box is where you write what you would actually say.
Requirements: .doc file
Book Title:
Planning Health Promotion Programs: An Intervention Mapping Approach – e-book available in
the APUS Online Library
Author:
Publication Info:
Jossey Bass
ISBN:
9781119035497
Book Title:
Tyler’s Guide: The Healthcare Executive’s Job Search, 4th ed. – e-book available in the APUS
Online Library
Author:
Tyler, Larry
Publication Info:
Health Administration Press
ISBN:
9781567933611
Answer preview
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
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