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If a bad outcome occurs with a boarded patient, what standard of care will the ED be held to?
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Did a "boarded" ED patient have a bad outcome that can be in any way associated with a delay in diagnosis or treatment, or a failure to properly observe?
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Risk management is the process of identifying factors that may be a source of exposure to lawsuits and adverse outcomes.
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Consider the old adage, "garbage in, is garbage out." "This truly has a distinct meaning where upfront errors are concerned," says Jackie Mitchler, a revenue cycle analyst in the patient business services department at Affinity Health System in Menasha, WI.
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Will a completed registration be problem-free or result in a claims denial? The buck stops with the registrar.
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Were departmental goals achieved or exceeded? If so, employees will feel a sense of accomplishment for a job well done, says Joy Wright, a patient registration supervisor at Lodi (OH) Community Hospital.
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"The goal for our staff is to reach at least a 90% monthly accuracy rating for preadmits, activations, and discharges," says Bailey Holloway, admitting evening coordinator at Maine Medical Center in Portland.
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Patient access jobs are challenging to fill for a variety of reasons. One is the need to recruit employees that are quick learners and flexible.
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Some patient access leaders are realizing that exemplary staff members can be a major resource for training and education. This could be because staff are more comfortable learning from their colleagues, or because the department is being charged to do "more with less" and more formal training resources are cut. Either way, it can be a successful strategy.