Think Of Staffing Like Joint Commission Does

Every hospital in the country has heard of the Joint Commissions on Accreditation of Healthcare Organizations (JCAHO), even if they don’t use them for reviewing their hospital standards. JCAHO is known to be tough, with a great emphasis on regulations and rules for every area of consideration a hospital has to address, even down to things such as putting stoppers in doors (they don’t like that).

Something many people might not know is that JCAHO also has thoughts on proper staffing levels at hospitals, including interim staffing standards. Though not specific to the revenue cycle, it’s interesting to see some of what they believe:

* At least once a year, an organization must provide its Board of Directors with written reports on: (i) all system or process failures; (ii) the number and types of sentinel events; (iii) whether the patient/resident and their families were informed of the event; (iv) all proactive and responsive actions taken to improve staffing safety; and (v) all results of analyses related to the adequacy of staffing.

* When an organization identifies undesirable patterns, trends, or variation in its performance related to the safety or quality of care, it includes the adequacy of staffing in its analysis of possible causes.

* When analysis reveals a problem with the adequacy of staffing, an organization’s leaders responsible for patient/resident safety are informed of the results of this analysis and action is taken to resolve the identified problems.

* At least once a year, an organization’s leaders responsible for the patient/resident safety program review a written report of the results of any analysis related to the adequacy of staffing and any actions taken to resolve identified problems.

Overall, it’s a great outline to use when thinking about staffing levels at your hospital in all departments. As it pertains to the revenue cycle, verifying that there’s enough staff to handle all outstanding claims is critical to the success of the billing department. Making sure that there’s someone who understands how a charge master works and why it’s critical to the success of a hospital’s financial standing is important. Making sure things such as denials, secondary billing, and even proper collection efforts are taken care of might mean taking a look at staffing and determining that interim staff is needed to help address these issues.

Sometimes, you just might need an interim consultant to come in and take a critical look at your organization, especially if those already in leadership positions are too close or too entrenched to give the effort a fair appraisal. Often the claim is that it costs too much money to bring in interim staff, no matter what level they’re at. The reality is that the money you spend just might be the different in ending the year above or below budget, based on what interim staffing can do for you.

Advertisements

Articles On Expeditive

We’re not only an interim staffing company, although that’s the main concentration of our business. We also offer revenue cycle consulting services through Expeditive and our main stock holder.

Because of that, we’d like to introduce you to our articles page. At the present time we have six articles, with more coming, and they address issues regarding both staffing and accounts receivables issues. Here are the titles and brief synopsis of those articles; you can visit the main article page to read any of them.

When Might You Need an A/R Swat Team – our recommendations for helping health care entities decide if they need to bring in professionals to help them out.

Five Ways To “EMPOWER” Your Patient Accounting Personnel” – our recommendations for ways to help your current staff work better independently.

Accelerating Cash: Using an Action Plan – our recommendation for how to increase your cash collection process.

Hiring Top-Quality Revenue Cycle Staff – our recommendations on how to evaluate talent that you want to bring into your facility as full time staff. You can also use these criteria in evaluating interim needs.

Improving Your Revenue Cycle IT Infrastructure – our recommendations for what your financial needs are if you’re looking into changing your computer patient accounting systems.

Challenges When Outsourcing Your Business Office – our thoughts on what you might want to consider if you’re thinking about outsourcing your accounts receivables.

We hope you stop by to take a look at what we have to offer in our articles.

Can You Go It Alone?

Something that we are proud of at Expeditive is our white paper, titled Can You Go It Alone? This isn’t necessarily an advertisement for our staffing company as much as a recommendation for health care entities that are having difficulties with their revenue cycle operations and ways to review how they might get out of those difficulties. We’re not going to print the entire white paper here, as we’d love for you to download it and absorb what we have to say, but we will give you some highlights here to whet your appetite.

First, facilities must determine what their issues are when the believe their financials are performing poorly. Is it the billing department? Is it medical records? Could the problem be charge capture? Could there be an issue with how the budget was put together? Maybe there’s a logjam at registration which results in poor information capture. It could be many things, and they might take time to review.

Second, what do you want to do when you’ve figured things out? Can you handle it all with the people you have, or do you need some kind of outside assistance? Do you want to outsource things, or bring someone in to work on your issues? Do you need some leaders, or some independent workers? Do you need training of some sort?

Third, what would be success to you? Sure, you might want it all, but can you afford it all? Do you want quick results or are you willing to take the time to get it right?

And fourth, where can you go to get this help? For that one, click on the first link in this post and see if we might be able to offer you what you need.