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Quality in Health Care for Private Medical Practices

Learn about the different areas of quality in health care and how to implement quality standards in your private medical practice. This module covers administrative, fiscal, and clinical quality standards, as well as quality management.

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Quality in Health Care for Private Medical Practices

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  1. Businessfor Health Business Skills for Private Medical Practices Module 11: Understand Quality in Your Health Practice

  2. A Quick Start Welcome! While you are waiting for the class to begin, please take the Pre-Test and make sure your name is on it before you hand it to the facilitator. Thank you!. Business Skills for Private Medical Practices

  3. Agenda Welcome What Does Quality in Health Care Include? Three Areas of Quality in Health Care Administrative Quality Standards Fiscal Quality Standards Clinical Quality Standards Clinical Quality Management Summary and Evaluation Close Business Skills for Private Medical Practices

  4. Learning Objectives During this session, you will: • discuss what quality of health care services means to you; • describe three key focus areas for quality in health care; • propose administrative quality standards for a small health care practice; Business Skills for Private Medical Practices

  5. Learning Objectives • propose fiscal quality standards for a small health care practice; • propose clinical quality standards for a small health care practice; • determine where your practice does not currently meet your proposed quality standards; Business Skills for Private Medical Practices

  6. Learning Objectives • Propose how to handle quality management issues; • discuss the next step; and • state your key take-away from this session. Business Skills for Private Medical Practices

  7. Always follow your national clinical guidelines and protocols Business Skills for Private Medical Practices

  8. Introduction You will have 1 minute to introduce yourself: 1. Your name 2. Your position 3. Your business 4. How long you have been in business Business Skills for Private Medical Practices

  9. What Does Quality in Health Care Include? Business Skills for Private Medical Practices

  10. The Quality of an Experience How is the experience of going to a restaurant similar to the experience of going to a doctor’s office? This is a competitive brainstorming activity. Your tables will have 5 minutes to list as many answers as possible to this question. The group with the longest list will win a prize! Business Skills for Private Medical Practices

  11. Quality Issues in Health Care Business Skills for Private Medical Practices

  12. Three Key Areas of Quality in Health Care Business Skills for Private Medical Practices

  13. Quality in Health Care “The safety and quality of patient care depend both on the decisions and actions of clinicians as well as the reliability and effectiveness of processes and systems in the physician practice.” Business Skills for Private Medical Practices

  14. Quality in Health Care “The greatest potential gains in patient safety may result from improving the infrastructure of information management, communication and coordination of care.” Business Skills for Private Medical Practices

  15. Three Key Focus Areas for Quality in Health Care ClinicalFiscal Administrative Business Skills for Private Medical Practices

  16. Administrative Quality Activities Business Skills for Private Medical Practices

  17. Fiscal Quality Systems Business Skills for Private Medical Practices

  18. Clinical Quality Activities Business Skills for Private Medical Practices

  19. Administrative Quality Standards Business Skills for Private Medical Practices

  20. What Would Have Avoided This Problem? Business Skills for Private Medical Practices

  21. Proposed Administrative Quality Standards • The office is clean • The office is free of trip hazards • Patient medical records are kept confidential at all times • All telephone communications between patients and staff are documented and placed into the patient’s medical record • ? Business Skills for Private Medical Practices

  22. Readiness and Ability to Meet These Administrative Standards Business Skills for Private Medical Practices

  23. Fiscal Quality Standards Business Skills for Private Medical Practices

  24. What Would Have Avoided This Problem? Business Skills for Private Medical Practices

  25. Proposed Fiscal Quality Standards • Charges for services are clearly posted • Patients receive a bill that details the services received and the cost of those services • Clinic maintains a monthly cash flow and has an overdraft facility with a bank to cover cash short falls • ? Business Skills for Private Medical Practices

  26. Readiness and Ability to Meet These Fiscal Standards Business Skills for Private Medical Practices

  27. Clinical Quality Standards Business Skills for Private Medical Practices

  28. What Would Have Avoided This Problem? Business Skills for Private Medical Practices

  29. Proposed Clinical Quality Standards • Staff and providers are trained on hand hygiene and follow hand hygiene procedures, such as washing before and after patient care, and washing after using the bathroom • Staff and providers follow the 6 R’s when administering medicine • ? Business Skills for Private Medical Practices

  30. Readiness and Ability to Meet These Fiscal Standards Business Skills for Private Medical Practices

  31. Quality Management Business Skills for Private Medical Practices

  32. Why Care About Quality? Please pop up out of your chair if you can say something to support this statement: Quality is not just the right thing to do- it makes good business sense. Business Skills for Private Medical Practices

  33. Case: Beta Health Services, Ltd. Working with your table group, please: • Identify the administrative, fiscal and clinical issues at Beta Health Services, Inc.; and • Recommend necessary quality health standards. Business Skills for Private Medical Practices

  34. Audit Findings and Recommendations Business Skills for Private Medical Practices

  35. Summary and Evaluation Business Skills for Private Medical Practices

  36. Evaluation Sheet Business Skills for Private Medical Practices

  37. The Next Step 1. Create an action plan to establish the clinical, fiscal and/or administrative quality standards that your practice does not currently meet. [Please see the Sample Action Plan on page 25.]  Business Skills for Private Medical Practices

  38. Action Plan Business Skills for Private Medical Practices

  39. The Next Step • Identify and implement quick wins- low-cost or no-cost actions that can be taken to establish necessary quality standards. • Set priorities. Business Skills for Private Medical Practices

  40. The Next Step • Incorporate the quality standards into your practice’s operating policies and procedures. • Plan how you will manage staff performance to ensure that the quality standards are implemented properly. Business Skills for Private Medical Practices

  41. Let’s See How Much You’ve Learned Please take the Post-Test. We will compare it to your Pre-Test to see how much you’ve learned in this session. Thank you. Business Skills for Private Medical Practices

  42. My Key Take-Away Business Skills for Private Medical Practices

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