1Copyright © 2007 by Saunders, an imprint of Elsevier Inc. All rights reserved. Managing the Medical Office Formal Office Communication Formal Office Communication Policy Manuals Policy Manuals Staff Meetings Staff Meetings In-Service In-Service CME CME

2Copyright © 2007 by Saunders, an imprint of Elsevier Inc. All rights reserved. Organizing the Medical Office Organizing the Medical Office Typical Business Functions Typical Business Functions Mailing and Shipping Srvs Mailing and Shipping Srvs Outside Vendors Outside Vendors Contracts w/other Hlth Care Providers Contracts w/other Hlth Care Providers Supplies Supplies Comply with Licensure/Certification Req. Comply with Licensure/Certification Req. Managing the Medical Office

3Copyright © 2007 by Saunders, an imprint of Elsevier Inc. All rights reserved. Human Resources Human Resources Supervising in the Medical Office Supervising in the Medical Office Performance Reviews Performance Reviews Disciplinary action Disciplinary action Office Policy Manual Office Policy Manual Recruit/Train Recruit/Train Staff Scheduling, payroll, benefits Staff Scheduling, payroll, benefits Managing the Medical Office

4Copyright © 2007 by Saunders, an imprint of Elsevier Inc. All rights reserved. Risk Mgmt/Quality Assurance Risk Mgmt/Quality Assurance Discuss Risk Management Discuss Risk Management Discuss Quality Assurance Discuss Quality Assurance Managing the Medical Office

5Copyright © 2007 by Saunders, an imprint of Elsevier Inc. All rights reserved. Risk Management A risk is an occurrence that could result in patient injury or any type of financial loss. A risk is an occurrence that could result in patient injury or any type of financial loss. Risk management programs in health care facilities should focus on financial loss prevention and reduce the possibility of negative publicity resulting from sentinel events. Risk management programs in health care facilities should focus on financial loss prevention and reduce the possibility of negative publicity resulting from sentinel events.

6Copyright © 2007 by Saunders, an imprint of Elsevier Inc. All rights reserved. Quality Assurance Quality health data has nine characteristics. Quality health data has nine characteristics. Validity, accuracy of data Validity, accuracy of data Reliability, counted on to be accurate Reliability, counted on to be accurate Completeness, information is available in its entirety Completeness, information is available in its entirety Recognizability, Data understood Recognizability, Data understood Timely, information is up to date Timely, information is up to date Relevance, usefulness of data Relevance, usefulness of data Accessibility, Easily available Accessibility, Easily available Security, unauthorized people from accessing data Security, unauthorized people from accessing data Legality, refers to the correctness of the information Legality, refers to the correctness of the information

7Copyright © 2007 by Saunders, an imprint of Elsevier Inc. All rights reserved. Risk Management JCAHO defines sentinel event as an “unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof.” JCAHO defines sentinel event as an “unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof.” Records are kept of sentinel events and should be investigated thoroughly. Records are kept of sentinel events and should be investigated thoroughly.

8Copyright © 2007 by Saunders, an imprint of Elsevier Inc. All rights reserved. Quality Assurance Four concerns of quality assurance 1. Overuse, are excessive and can cause cost increases, i.e., emergency room for nonemergencies. 2. Underuse, Patients do not take advantage of many services 3. Misuse of services, often reflects errors, such as laboratory errors or misdiagnoses. 4. Variations, various parts of the country individuals use services in different ways

9Copyright © 2007 by Saunders, an imprint of Elsevier Inc. All rights reserved. SAFETY SAFETY Disposing of Biohazardous Materials and Practicing Standard Precautions Disposing of Biohazardous Materials and Practicing Standard Precautions OSHA Standards of 1991 are mandatory in all medical facilities. OSHA Standards of 1991 are mandatory in all medical facilities. Standards were revised in 2001 ( Standards were revised in 2001 ( Managing the Medical Office

10Copyright © 2007 by Saunders, an imprint of Elsevier Inc. All rights reserved. Safety, Cont… Safety, Cont… Disposing of Biohazardous Materials and Practicing Standard Precautions Engineering controls Disposing of Biohazardous Materials and Practicing Standard Precautions Engineering controls Universal precautions Universal precautions Work practice controls Work practice controls Managing the Medical Office

11Copyright © 2007 by Saunders, an imprint of Elsevier Inc. All rights reserved. Safety, Cont… Safety, Cont… Engineering controls include: Engineering controls include: Puncture-proof biohazard waste containers (sharps containers) Puncture-proof biohazard waste containers (sharps containers) Biohazardous waste containers for nonsharp articles with biohazard potential Biohazardous waste containers for nonsharp articles with biohazard potential Managing the Medical Office

12Copyright © 2007 by Saunders, an imprint of Elsevier Inc. All rights reserved. Universal Precautions Universal Precautions Handling body fluids: Handling body fluids: Handle all body fluids as if they have the potential for bloodborne pathogens. Handle all body fluids as if they have the potential for bloodborne pathogens. Fluids include blood, semen, feces, urine, sweat, tears, vomitus, saliva, sputum, and other potentially infectious material (OPIM). Fluids include blood, semen, feces, urine, sweat, tears, vomitus, saliva, sputum, and other potentially infectious material (OPIM). Treat all fluids as possible causes for HIV or HPB. Treat all fluids as possible causes for HIV or HPB. Managing the Medical Office

13Copyright © 2007 by Saunders, an imprint of Elsevier Inc. All rights reserved. Universal Precautions, Cont… Universal Precautions, Cont… Work Practice Controls Work Practice Controls These include controls that reduce the risks for exposure by modifying procedures. These include controls that reduce the risks for exposure by modifying procedures. Managing the Medical Office

14Copyright © 2007 by Saunders, an imprint of Elsevier Inc. All rights reserved. Universal Precautions Universal precautions refers to the practice, in medicine, of avoiding contact with patients' bodily fluids, by means of the wearing of nonporous articles such as medical gloves, goggles, and face shields. Universal precautions refers to the practice, in medicine, of avoiding contact with patients' bodily fluids, by means of the wearing of nonporous articles such as medical gloves, goggles, and face shields. medicine medical glovesgogglesface shields medicine medical glovesgogglesface shields Under universal precautions all patients are considered to be possible carriers of blood-borne pathogens. The guideline recommends wearing gloves when collecting or handling blood and body fluids contaminated with blood and wearing face shields when there is danger of blood splashing on mucous membranes and when disposing of all needles and sharp objects in puncture-resistant containers. Under universal precautions all patients are considered to be possible carriers of blood-borne pathogens. The guideline recommends wearing gloves when collecting or handling blood and body fluids contaminated with blood and wearing face shields when there is danger of blood splashing on mucous membranes and when disposing of all needles and sharp objects in puncture-resistant containers. Universal precautions are recommended for doctors, nurses, patients, and health care support workers who are required to come into contact with patients or bodily fluids. This includes staff and others who may not come into direct contact with patients. Universal precautions are recommended for doctors, nurses, patients, and health care support workers who are required to come into contact with patients or bodily fluids. This includes staff and others who may not come into direct contact with patients.

15Copyright © 2007 by Saunders, an imprint of Elsevier Inc. All rights reserved. 10 Ways New Health Care Bill will Affect You 1. Your kids are covered 2. You can’t be dropped 3. You can’t be denied insurance 4. You can spend what you need to. 5. You don’t have to wait 6. You must be insured 7. You’ll have more options 8. Flexible spending accounts will become less flexible 9. If you earn more, you will pay more 10. Medicare may cover more or less of your expenses

16Copyright © 2007 by Saunders, an imprint of Elsevier Inc. All rights reserved. Final Exam Review! Final Exam Review – A study guide will be sent via and posted in doc sharing. Final Exam Review – A study guide will be sent via and posted in doc sharing. Let’s go over some questions! Let’s go over some questions! Exam tips, Exam tips, pace yourself keep an eye on the time; pace yourself keep an eye on the time; If you don’t think you know the answer to a question, skip it and come back after you finished the test. If you don’t think you know the answer to a question, skip it and come back after you finished the test. Read all possible questions before choosing Read all possible questions before choosing Eliminate any questions that are clearly wrong and choose from the others. Eliminate any questions that are clearly wrong and choose from the others. Words like always and never often signal that an answer is false. Words like always and never often signal that an answer is false. When you are finished with the test, go back through and check your answers for careless mistakes. Change answers only if you are sure that are wrong. When you are finished with the test, go back through and check your answers for careless mistakes. Change answers only if you are sure that are wrong. Use all of the allotted time to check and recheck the test. Use all of the allotted time to check and recheck the test.