Write an executive summary to your CEO and describe how the IT Director’s suggestions would support the initiative. You are providing the strategic over view of how
this technology would support the CEO’s vision.
You are the Practice Administrator for a primary care physician practice. The practice has 15 physicians on staff, 3 nurse practitioners and 5 nurses. Your job
description is listed below for reference.
Your senior team is hearing about new modes of health care delivery and payment reform so has started to meet regularly and discuss how they can position themselves
for the future.
Your CEO has started discussions with a local hospital system about participating in their Accountable Care Organization. One thing that is being discussed is the low
rate of seniors visiting their primary care physician. The hospital believes that because the seniors are not getting annual checkups and addressing potential health
issues early, they are ending up in the hospital emergency room.
The CEO has asked the senior team what the practice could do to improve the rate of annual primary care visits to the practice. To understand what the CEO is using as
a baseline to understand the problem, use the Dartmouth Atlas. Follow these steps to see the data that is pertinent to this discussion:
Go to http://www.dartmouthatlas.org
Click on Data by Topic
Click on Hospital Use
On the right side of the screen, under start a New Report:
-Select Topic – Ambulatory Care Quality
-Select Indicator – Percent by Primary Care Visit
Click Submit
Click on Map, this will display an image of the United States that is color coded
The legend at the bottom of the map explains the data. If you hover over East Long Island NY, you will see the rate of Medicare primary care visits and can compare it
to other parts of the country.
After several meetings with the senior team to discuss various options the team asked you for input related to information systems and how they could support an
initiative to increase the rate of primary care visits.
You meet with the IT Director who gives you a couple of ideas:
Install a Customer Relationship Management (CRM) system
Install a data analytics system for population health. He suggested you search the Internet for options
Connect your EMR to the NY State SHIN-NY (the State Health Information Exchange)
Write an executive summary to your CEO and describe how the IT Director’s suggestions would support the initiative. Remember, you are NOT the IT Director so should
not focus on the details of the technology. You are providing the strategic over view of how this technology would support the CEO’s vision.
Practice Administrator Job Description
Overview:
Available in our offices in Manhattan, Brooklyn, Queens, Long Island and Staten Island.
The Practice Administrator is accountable for the overall management, supervision and development of their respective physician practice and ambulatory operations,
while assuring the efficiency and stability of the clinical operations in all areas, inclusive of quality, access and value. Holds team members accountable to
standards of performance to achieve short and long-term objectives in order to maintain the strategic orientation of the organization. Leads, supervises and
coordinates overall operational and administrative functions to ensure maximum efficiency, high quality patient experiences, and compliance with appropriate HR and
regulatory policies. Collaborates with clinical leadership and the Vice President of regional operations to ensure Advantage Care Physicians’ (ACP’s) strategic goals
are achieved by implementation of ACP’s strategic initiatives.
Responsibilities:
• Works collaboratively with physicians, administrative and clinical managers, and staff to ensure the achievement of practice-wide operational and financial
goals/metrics. Supervises and coordinates all processes and activities in the area/functions assigned ensuring organizational guidelines and policies are followed.
• Oversees and documents the implementation of and compliance with policies, procedures, programs, protocols, and systems to provide an efficient and accurate
patient encounter, which improves the medical office’s effectiveness and the quality of patient outcomes. Ensures compliance with all regulatory agencies, departmental
and organization policies and procedures for all staff.
• Evaluates how information technology can be leveraged to advance the practice’s goals. Works collaboratively with Information Technology team to establish short
and long-term vision.
• Disseminates and monitors adherence to departmental/group procedures and conducts meetings with physicians and staff to provide updates on facility and corporate
changes; Holds regularly scheduled staff meetings to provide a forum for open communication and problem resolution, ensuring goals are achieved and
policies/procedures are followed. Assists the Regional VP in developing organizational strategic plans and objectives based upon identified needs of patients and the
communities served by the respective offices. Assesses market trends and local needs and guides the development of services.
• In collaboration with the Medical Office Medical Director, the Nurse Manager and VP of Regional Operations, analyzes the medical office’s environment to assess
deficiencies and make recommendations in order to ensure to compliance with OSHA regulations. Works within scope to ensure equipment and facilities are safe and clean,
medical equipment is operating properly, and the environment of care is adequate. Reports any environmental deficiencies to facilities or on-site maintenance. Complies
and enforces all HIPAA and information security policies and procedures and reports all suspected cases of breaches of security and confidentiality. Adheres to ACP
patient-related issues policy.
• Assists with budget preparation by providing input on anticipated revenues and expenses. Evaluates budgetary variances and recommends a plan of action to correct
unfavorable variances, balance the budget and achieve organizational objectives. Initiates supply orders and controls operating expenses.
• Monitors key performance indicators and implements performance improvement initiatives, as needed. Continuously seeks and implements operational improvements.
Leads, supports, and mentors staff consistent with ACP’s strategic plan, in order to maintain an efficient patient-centered environment ensuring accountability,
quality patient care, and patient satisfaction.
Qualifications:
Required:
• Bachelor’s Degree with 3 years supervisory experience in an ambulatory care setting OR High School Diploma/GED with 10 years supervisory experience in an
ambulatory care setting.
• Extensive knowledge of the healthcare marketplace, financial analysis, current reimbursement issues, budgets and operational analysis.
• Knowledge of clinical office procedures, medical practices and terminology.
• Experience working in a unionized environment.
• Experience with EHR system.
• Ability to set priorities among multiple competing objectives, tasks and initiatives.
• Excellent verbal and written communication skills.
• Strong customer service skills.
• Demonstrated abilities in: Inductive Reasoning, Data Analytics, Employee Engagement, Conflict Resolution, Marketing Management and Provider Relationships.
• Knowledge of computer systems, programs and applications including Microsoft Office, electronic medical records systems, practice managements systems, and clinical
and scheduling applications.
Preferred:
• Bachelor’s Degree in Health or Business Administration.
The grading rubric is as follows:
A: Meets all assignment requirements
B: Meets most assignments requirements
C: Meets some assignment requirements
D: Meets few assignment requirements
F: Meets no assignment requirements
What does an ‘A’ look like:
1. Included all assignment requirements
2. Information clearly represent an understanding of the material
3. Information is not just facts, but applied knowledge
4. Demonstrates use of concise thought and clear ideas
5. Information supports position consistently
6. No spelling/grammatical errors
Each one of the criteria above is worth anywhere from 1 – 4 points based on this scale:
4—Clearly a knowledgeable, practiced, skilled pattern
3—Evidence of a developing pattern
2—Superficial, random, limited consistencies
1—Unacceptable skill application
24 total points possible.
Past assignment requirements were:-
1 To explain why information technology does not matter or does matter
2 Medicare Access & CHIP Reauthorization Act, Next Generation ACO model, Comprehensive Primary Care initiative and the Home Health Value Based Purchasing model are
just a few. Why I think Comprehensive Primary Care and Home Health Value Based Purchasing models are going to make a difference; what technology will be needed to
support the models?
3 Privacy and Security with IT
4 Planning an HER implementation
