CHAPTER 33 INFORMATION AND ADMINISTRATION CAREERS Administration Benefit
CHAPTER 33 INFORMATION AND ADMINISTRATION CAREERS Administration Benefit Chart Confidential Customary Deficient Dictation Insurance Reasonable Transcribe Journal question: What personal qualities would make a student a good candidate for a career in information or administration? Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 1
Chapter 33 Learning Objectives Identify at least 10 terms relating to health care information and administration. Specify the role of selected information and administrative health care workers, including personal qualities, levels of education, and credentialing requirements. Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 2
Information and Administration Careers Critical to the quality of care delivered Cover a broad spectrum of careers Health care facility administrators Ø Health care facility managers Ø Supervisors Ø Medical secretaries Ø Unit coordinators Ø Medical records personnel Ø Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 3
Information and Administration Careers Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 4
Information and Administration Careers Educational Costs and Earnings Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 5
Health Service Administrators Responsibilities Manage the facility budget, programs, and personnel Ø Responsible for relations with other agencies and organizations Ø Coordinate services, hiring, and training of personnel Ø Responsible for establishing the policies and procedures of the facility Ø Adhere to Health Insurance Portability and Accountability Act (HIPAA) guidelines Ø Meet legal regulations Ø Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 6
Joint Commission Accredits 88% of U. S. hospitals ORYX initiative New program by the Joint Commission Ø The facility’s performance goals and the standards for staff and equipment are considered. Ø Data include patient outcomes. Ø Use expanded for home care, behavioral health, ambulatory, and laboratory facilities. Ø Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 7
Health Service Administrators Education Individuals with a 4 -year bachelor’s degree usually find positions in small institutions. Ø Master’s or doctoral-level preparation is preferred to work in large facilities. Ø Internship is required by many administrative programs. Ø Licensure is usually required for an administrator position in large facilities. Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 8
Medical Staff Services Responsibilities Maintaining the credentialing of all physicians and allied health practitioners in a health care facility Ø Maintaining records of licensing, continuing education, and training Ø Responsible for reviewing and implementing federal standards Ø Certification as a certified provider credentialing specialist Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 9
Patient Representative Helps patients understand the health care policies and procedures of the facilities Obtains services for the patient Helps patient make informed decisions about their care Work may vary depending on the needs of the patient Ø May help patient draft a living will or resolve a conflict Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 10
Patient Representative Education Facility may set its own requirements for education and experience. Ø Many patient care representatives have a master’s degree in a health-related field. Ø Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 11
Human Resource and Labor Relations Personnel Recruit, screen, and hire qualified personnel Provide training Interview prospective employees Explain benefits Ø Supervise background checks Ø Education Ø Varies with responsibilities or duties • Bachelor’s degree for entry-level position • Master’s degree in Human Resources Administration • Certification is available. Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 12
Health Care Pre-employment or Student Background Check Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 13
Fair Credit Reporting Act (FCRA) Defines guidelines for requesting or requiring background checks Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 14
Health Care Risk Manger Supervises programs to reduce the number of accidents and incidents involving patients and staff members Establishes policies and procedures Reviews documents Patient charts Ø Employee incident reports Ø Communicates with legal representatives Certification and licensure available. Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 15
The Joint Commission’s Official “Do Not Use” List Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 16
Health Services Clerk or Office Manager Has the duties of receptionist, accountant, and assistant Responsible for the smooth operation of the services Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 17
Hospital Registration Staff Record and manage the admission of clients Responsibilities of the admissions clerk • Preregistration interviewing • Verifying insurance • Arranging transportation • Assigning beds for hospital stay • May also assist with death and birth forms Ø Education • On-the-job training • Managers may require college degree in a health-related Ø field. Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 18
Preadmission Form FIGURE II-6 The patient may complete the admission form alone or with help from a health care worker. Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 19
Sample of Insurance Form Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 20
Medical Secretary Duties of the medical secretary Taking dictation Transcribing and charts Filing records Keeping budget records and fee schedule Assisting with medical reports, articles, and conference proceedings Ø Preparing correspondence Ø Ø Ø Education or training Ø Ø Vocational training or associate degree Knowledge of medical terminology is essential. Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 21
Business Correspondence Sample . FIGURE 33 -2 Business correspondence reflects the relationship of the health care worker with the patient Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 22
Sample Record for Charges and Payments FIGURE 33 -3 Records for charges and payments are used to provide accurate billing. (From Cooper MG, Cooper DE, Burrows NJ: The medical assistant, ed 6, St. Louis, 1993, Mosby. ) Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 23
Summary The role of the health information and administration health care team is to manage the budget and maintain patient records. Health information administrators manage personnel by hiring and training workers. Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 24
Review The type of payment basis that provides for payment at the time of service is: a. Private pay b. Medicaid c. Fee for service d. Co-payment e. None of the above Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 25
Review The type of payment basis that provides for payment at the time of service is: a. Private pay b. Medicaid c. Fee for service d. Co-payment e. None of the above Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 26
Review The medical transcriptionist: a. Listens to and types information to provide a permanent record b. Provides access to information c. Analyzes public health data d. Records the work of the photomicrographer e. Types charting done on a discharged patient Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 27
Review The medical transcriptionist: a. Listens to and types information to provide a permanent record b. Provides access to information c. Analyzes public health data d. Records the work of the photomicrographer e. Types charting done on a discharged patient Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 28
- Slides: 28