University Health Care Walk In Clinic Wait TIme Analysis Essay

This will be a cooperative plan with the primary care offices. Patients with chronic illnesses will be referred to care managers if they don’t already have one assigned.

Majority of the cost would be on educating the staff through a meeting and written documents. The entire healthcare team and the staff of the unit will be affected by this change. The physicians and nurses will be affected the most because they are the ones doing the morning rounds on the patients, but the house keepers and patient care assistants will also be affected because they to will need to plan a time to go into the rooms when it is least disruptive for the patient.

The largest costs involved would include providing paid time for a two to three-hour in-service training (i.e. 30 nurses X $30-40/hourly wage = $900-1,200 X 2-3 hours = $1,800-3,600), and subsequent inclusion of the training in regulatory modules for the facility in programs like MyClinicalExchange.com or MyOCOAZ.com, which provide online training and testing modules (estimated to be approximately $4,000-5,000). Additionally, there would be the cost of a software update to add the Braden Scale to the Electronic Health Record and Workstation on Wheels for bedside charting (estimated to cost $2,000-3,000). Smaller costs would include a lunch/learn where lunch would be provided to gain rapport and introduce the key players and principles (approximately $200-300/shift, depending on unit size), and the cost of printed materials (less than $100/shift). For an acute care staff of 30 nurses, the overall cost to train and implement would total less than $14,000 on the high side, which would more than pay for itself in the first four patients who do not acquire a pressure ulcer during their hospital stay

Informative post, I did not know that Oregon was and still is the only state that passed a bill that mandated that private insurers pay NPs in independent practice the same rates they pay physicians for the same services. I would say more states should be following suit if this state can as you pointed out, can maintain spending on Medicare. For their fiscal year of 2015 Oregon’s total Medicare spending was 8,066,724,366. For my state of Nevada, which also has full practice authority it was 2,127,537,716 (Kaiser Family Foundation, 2015). This is a difference of $5,939,186,650! I wonder how much of this could be attributable to NPs being paid at the same rate as physicians.

Lastly, a study by Stanik-Hutt, J., et al. (2013) provides data showing APRNs improve quality of the healthcare system. This study validates what many of the aforementioned studies have already revealed. Furthermore, clinical nurse specialists (CNS) were found to reduce the length of time a patient was in the hospital setting; patients cared for in the primary care setting had the same outcomes as MDs in regards to blood pressure, glucose and

3. Evidences say that physicians who are paid under FFS happen to treat patients with excess services and procedures than those who who are paid by other methods like capitation (Gosden, Forland, Kristiansen, et al., 2000). (Gosden T, Forland F, Kristiansen IS, et al. (2000). "Capitation, salary, fee-for-service and mixed

After looking at your numbers and our capabilities, LTC Wardlaw suggests that we have 30 to 35 Patient scheduled for Hale Hauoli clinic. This would be for both Dental and Optometry. This allows for some leeway for patient that don't take an hour with the dentist, and Optometry takes about 30 minutes per patient. However if you feel that the DD population will take longer than average we can stay closer to 30 patients for each service. The 17 Medical will be an appropriate number.

There are many medical practices, facilities, and agencies have found that nurse practitioner (NP) and physician teams are key to providing high-quality and cost-effective care. After working diligently in providing patient carte there must be a reimbursement such as a fee-for-service. There are many entities like the public, private and managed health care plans that may regulate the reimbursement processes or each state. The public insurance costs less than private insurance is that payment rates for health care providers are typically lower. Another aspect to understand in what differentiate those types of payers the private insurances do not offer dental or vision care, services that are important for children, and some low-cost private

In primary care, it has been shown that the average cost of an NP visit is 20% less than a visit with a physician. Medicaid and Medicare reimbursement rate for mid-level providers is 85% of what physicians receive for the same medical services. Due to these lower percentages of reimbursement, studies indicate that fully utilizing NPs could decrease primary care costs by 20%. This decrease would offer an annual national savings of up to $8.75 billion. Additionally, it is believed that the reserves obtained from increasing the percentage of mid-level providers in primary care will compliment the lower compensation-to-visit ratio in family practice. Overall, these findings illustrate significant revenue from increased use of NPs and PAs (Hooker

NPs work can be seen as a contribution of revenue generators. Based on their scope of practice and the type of care they give they can generate more business for the clinic they work for. Increase with business comes with patients feel satisfied with the care they are given. It is vital that NPs learn the business side of their practice which involves the language of productivity, billing, reimbursement and insurance (Pickard, 2014).

MetroHealth and Fairview hospital from Cleveland, Ohio produce interesting result with the data give to the group. In the quest of finding why Fairview total cost is higher then MetroHealth concluded the length of stay and average price per day is high. Using different methods to analysis the data from MetroHealth and Fairview show a different picture about the length of stay. The One Sample T-Test reveals that Fairview’s total charge by DRG with the Nation Average was not significant and the null hypothesis could not be rejected. We know that Fairview percentage of patients seen is 26.39 higher than MetroHealth. This is one factor of why Fairview total charge is higher than MetroHealth. The Fairview DRG 291 contain more patient with 111 and

Thank you Lauren for starting this week’s discussion. It was during our lecture regarding billing and coding, that I learned reimbursement rates for NPs and MDs are different. MDs’ reimbursement rates are higher than NPs’. Since I am not out in the field practicing yet, this really have not affected me personally. Therefore. I do not have a strong feeling toward this unequal payment rates. From the reading, I learned that there is an association between the level of restrictiveness in state scope-of-practice laws and the level of autonomy NPs allowed by the public and private payer policies. Moreover, payers have the ability to determine what services NPs are paid for, their reimbursement rates, and whether NPs are designated as primary care

Convenient access to care is a key factor in satisfaction. Patients with timely access to their primary doctors are less likely to seek costly care in the emergency department, and no show rates decrease when they do not have to wait days or weeks for an appointment.

Of the three systems I believe system two, by division is the best system. It focuses on the major departments that also perform procedures. The costs are not even across the board as the expertise of each division are not equal. The care of each of the patients is diversified in system two. When a patient goes to see the doctor, each doctor has a different fee

As stated above, adding more providers such as Nurse Practioners or Cardiologists not only increases the number of patients, it also provides the opportunity for patients to be seen sooner, thus decreasing wait time for scheduled appointment. Expanding the structure of the facility has the potential to provide providers and patients with increased comfort during visits. Updated facilities and amenities attract attention.