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Members of your patient access staff probably are reminded often that the clinical side of patient care is more important than gathering the proper information.
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Thirty years ago, the Master Patient Index (MPI) used by a hospital's registration and admitting department typically was maintained by medical records.
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Typewriters were the only way to record a patient's information when Vicki Sanseverino began working as an "admit representative" at St. Elizabeth Community Hospital in Red Bluff, CA, in 1983, as there was no computer system in place at the time.
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If your hospital is switching to an electronic medical record (EMR), this change is an excellent opportunity to start a much-needed dialogue with clinical areas.
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Doing "more with less" is a major challenge for patient access leaders, both now and in the coming years. Lauree M. Miller, director of patient access at Catholic Health Initiatives in Lincoln, NE, expects this challenge to grow when healthcare reform initiatives are implemented in 2014, due to decreased hospital revenue.
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Some medical staff members might view access services staff as "expendable" and unimportant to the flow of patient care outside of entering information into the computer, according to Kimberly Ablog-Shapiro, access representative supervisor for the night shift in the emergency department (ED) at University of California Davis Medical Center.
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The "technology" utilized by registrars 30 years ago at Tufts Medical Center in Boston consisted of a typewriter, multi-part forms, a copy machine, and a manual embossing machine to print patient identification cards.
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Can you do this for us?" It's a common question fielded by patient access managers from clinical areas.
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In many organizations, financial counseling processes have moved upfront and are now the responsibility of patient access.
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Traditionally, a registrar had to be physically present to enter data as patients arrived, but expanded roles have opened up the possibility of telecommuting for some departments.