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Journal of Medical Practice Management: MPM

Neil Baum
Doctors need to become more efficient in order to become more productive. One of the best ways to enhance efficiency is effective scheduling. Every practice has several urgencies or emergencies every day that have to be worked into the schedule, and these few additional patients can wreak havoc with the schedule. This article will to use "sacred time" in order to enhance efficiency in the practice.
May 2016: Journal of Medical Practice Management: MPM
Jeffrey Huang
Enhanced recovery after surgery (ERAS) consists of standardized, coordinated, interdisciplinary perioperative care plans. An increasing body of evidence supports the clinical effectiveness of ERAS for a wide range of procedures. ERAS plans been implemented worldwide. Evidence from randomized controlled trials, systematic reviews, and meta-analyses has demonstrated the economic benefits of ERAS.
May 2016: Journal of Medical Practice Management: MPM
Sung J Shim, Arun Kumar, Roger Jiao
A hospital is considering deploying a radiofrequency identification (RFID) system and setting up a new "discharge lounge" to improve the patient discharge process. This study uses computer simulation to model and compare the current process and the new process, and it assesses the impact of the RFID system and the discharge lounge on the process in terms of resource utilization and time taken in the process. The simulation results regarding resource utilization suggest that the RFID system can slightly relieve the burden on all resources, whereas the RFID system and the discharge lounge together can significantly mitigate the nurses' tasks...
May 2016: Journal of Medical Practice Management: MPM
Michael O'Connell
Cleveland Clinic has used a collaborative approach in seeking ways to make care more affordable by identifying approaches to create better value by improving quality and decreasing costs. It is possible to achieve cost savings and create better value without compromising quality. By engaging caregivers and creating multidisciplinary teams to evaluate cost savings, over $500 million was saved, and hundreds of ideas were implemented. This article reviews 30 cost-saving ideas that any medical practice could use...
May 2016: Journal of Medical Practice Management: MPM
Laura Hills
Becoming a manager of former peers is a common occurrence in medical practice management, but it can be awkward and challenging. This article describes the specific staff management challenges that recently promoted practice managers encounter. It urges promoted managers to seek support outside the practice through new friendships, mentoring, and leadership networks. This article also describes how best to announce the promotion and suggests that new managers hold one-on-one meetings with each employee. It offers the agenda for those meetings and for the manager's first whole-team leadership kickoff meeting...
May 2016: Journal of Medical Practice Management: MPM
Neil Baum, Erich N Brockmann, Kenneth J Lacho
Entrepreneurs are known for opportunity recognition--that is, "How can I start a business to make money from this opportunity?" However, once a commercial entity is formed to take advantage of an opportunity, the leadership priority shifts from entrepreneurial to strategic. A strategic perspective leverages limited resources to position a business for future success relative to rivals in a competitive environment. Often, the talents needed for one priority are not the same as those needed for the other. This article, the first part of a two-part article, intends to simplify the transition from an entrepreneurial to a strategic focus...
May 2016: Journal of Medical Practice Management: MPM
Brian Metherell
E-mail may rule the world in other types of businesses, but for medical practices, the telephone remains the primary mode of communication with patients, specialists, and pharmacies. From making appointments to calling in prescriptions, telephones are essential to patient care. With technology changing very quickly and new capabilities coming into the medical practice, such as telemedicine and Skype, you need to know your options when choosing a new telephone system. The possibilities include on-site, cloud, and hybrid networked solutions...
May 2016: Journal of Medical Practice Management: MPM
William Jackson Epperson, Susan Fink Childs, Gordon Wilhoit
The Triple Aim has become the guiding light and benchmark by which healthcare organizations plan their future efforts. It has been adopted into healthcare policies with little regard for including the skill sets of compassion and emotional intelligence. The multiple increasing demands on providers of healthcare are unsustainable and will cripple the system, resulting in outcomes that are counter to the Triple Aim goals. Patient engagement with shared decision-making should become the primary focus of care delivery...
May 2016: Journal of Medical Practice Management: MPM
Timothy W Boden
No abstract text is available yet for this article.
May 2016: Journal of Medical Practice Management: MPM
Ron Howrigon
Because of their involvement with the Affordable Care exchanges, the national insurance companies have reported significant financial losses. As a result, there will soon be significant payer pressure to reduce medical expenses. To succeed in future negotiations with the payers, medical practices must understand the needs of the payers and then play to those needs. The author is a former managed care executive with more than 25 years of experience managing provider networks and implementing payer strategies for some of the largest payers in the United States...
May 2016: Journal of Medical Practice Management: MPM
Kelley Suskie
The pathway to professional development does not require a start or end date. Professional development is a perpetual process that is set into motion the day you first ask "why?" or "how?" Anyone who has spent time with a toddler knows that the endless pursuit of knowledge and, therefore, intellectual growth starts at a very young age. As we mature, we refine our questions beyond the whys and hows and start the professional development journey. Throughout each academic pursuit, we accomplish another rung on the ladder of our achievements...
May 2016: Journal of Medical Practice Management: MPM
Steven Blubaugh
The concept of the patient-centered medical home (PCMH) represents a shift in how healthcare is delivered as it shifts from reactive to proactive. The PCMH is a care transformation model with a number of studies demonstrating its effectiveness; becoming a PCMH can be a significant undertaking for primary care practices. This article presents a general overview of the PCMH model and briefly explains how it relates to the other healthcare reforms currently taking place.
May 2016: Journal of Medical Practice Management: MPM
Debra Cascardo
No abstract text is available yet for this article.
May 2016: Journal of Medical Practice Management: MPM
Aimee Greeter
Providers are struggling to understand how the macro-level changes occurring in the healthcare industry will affect them on a micro-level, especially as they pertain to the shift toward value-based reimbursement. This article presents a guide to physicians and practice administration, in both the private and hospital-employed practice setting, on how to effectively manage this shift from fee-for-volume to fee-for-value. It analyzes new reimbursement models, population health management trends, and second-generation alignment and compensation models to help the reader understand practical tactics and overarching strategies to prepare for the changing method of reimbursement in the health-care industry...
May 2016: Journal of Medical Practice Management: MPM
Ronald Menaker
Physicians and allied health staff in healthcare are finding themselves in situations characterized by uncertainty, chaos, and ambiguity, with high levels of burnout. A major influence is an aging U.S. population, resulting in increasing cost and reimbursement pressures. Medical group practices need leaders who have the capability to thrive in this environment. This article presents an integrated leadership model offering strategies and insights gained from keeping a journal for 40 years. Strategies to be shared include leading self through learning, leading others by developing relationships, leading organizations by achieving excellence, and achieving work-life integration and synergy...
May 2016: Journal of Medical Practice Management: MPM
Richard Self, Janis Coffin
In October 2015, the Centers for Medicare & Medicaid Services released its final rule on the new guidelines for alterations to the long-standing EHR Incentive Program. These Modified Stage 2 and upcoming Stage 3 Meaningful Use Rules were developed in response to provider and organizational feedback during the last few years. This article provides a comprehensive overview for the new rules as they relate to Medicare and Medicaid Eligible Providers. Reporting deadlines for previous calendar year compliance and the basic criteria for automatic provider hardship exemptions to avoid reimbursement penalties also are discussed...
May 2016: Journal of Medical Practice Management: MPM
Valora S Gurganious
Medical practice management has never been more complex than it is today, with volumes of rapidly changing regulations, increasing cost pressures, and rising quality standards under the Affordable Care Act. These challenges have made it more critical for practices to assess their current position in order to determine how best to move the practice forward. A practice assessment begins with four simple steps: an evaluation of the long-term goals and motivation of the practice's owner; a review of key practice financials and how successfully the practice captures every dollar to which it is rightfully entitled; a measure of provider productivity and strategies to improve it; and an assessment of the talent and morale of the team of professionals at the practice...
May 2016: Journal of Medical Practice Management: MPM
Mark Reiboldt
No abstract text is available yet for this article.
May 2016: Journal of Medical Practice Management: MPM
Jay A Shorr
No abstract text is available yet for this article.
March 2016: Journal of Medical Practice Management: MPM
Timothy W Boden
Many medical practices have cut back on education and staff development expenses, especially those costs associated with conventions and conferences. But there are hard-to-value returns on your investment in these live events--beyond the obvious benefits of acquired knowledge and skills. Major vendors still exhibit their services and wares at many events, and the exhibit hall is a treasure-house of information and resources for the savvy physician or administrator. Make and stick to a purposeful plan to exploit the trade show...
March 2016: Journal of Medical Practice Management: MPM
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