The case study:
As the recently appointed administrator of a local health clinic, Community Hills Care Clinic, your clinic is facing several challenges. Your clinic is being investigated for poor billing practices which include false billing of Medicare amongst other misconduct. This has caused quite a bit of attention to be focused on your clinic, which is well known in the area, by the local media. In turn, your staff is becoming anxious and worried about the future of the clinic, causing staffing turnover and shortages at times. Additionally, patients are becoming wary of the clinic in hearing the bad press. As the clinic’s administrator, the board wants to know how you intend to address the problems that you are facing.
Your Task:
Prepare a presentation for the Board, which includes the following:
- What issues you want to address in the clinic
- What strategies you intend to use to ensure that patients receive quality care, while addressing the clinic issues
- What policies will you need to examine and implement?
- What process improvement tools could you use to help you?
- Address the need for ethical decision making. What is it? Why is it important? How will you enforce it in the clinic?
- Going forward, what technology will you use or implement to help ensure the clinic’s success?
- How will you market yourself to the public in an attempt to regain trust and portray a better image?
*Please use APA formatting
*Remember, presentations are the take-aways, the Speaker’s note box is where you write what you would actually say.
Expert Solution Preview
Introduction:
As the administrator of a local health clinic, our clinic is facing several challenges ranging from poor billing practices to staffing shortages, causing patients to be wary, and the clinic’s reputation to suffer a setback. In this presentation, we will be addressing the issues faced by the clinic, the strategies to be employed to ensure that patients receive quality care, the policies to be examined and implemented, the process improvement tools to be employed, the need for ethical decision making, the technology necessary for the clinic’s success, and marketing strategies to rebuild trust and the clinic’s reputation.
1. What issues you want to address in the clinic?
The clinic is facing several problems that need to be addressed. The primary issue is poor billing practices, which include false billing of Medicare, resulting in an investigation of misconduct. This has caused negative attention from the media, leading to staffing shortages, and patients becoming wary of the clinic. Additionally, staff anxiety has caused a significant turnover, adding to the shortage of qualified health professionals.
2. What strategies you intend to use to ensure that patients receive quality care while addressing the clinic issues?
We intend to develop a strategy that ensures that there are enough qualified staff to meet the needs of our patients. We will conduct frequent training sessions to ensure that staff members are aware of the best practices in healthcare delivery. We will also establish a patient feedback system, which will allow us to monitor the quality of care provided to patients at the clinic.
3. What policies will you need to examine and implement?
We will examine policies covering billing practices, compliance with federal healthcare regulations, patient care, and the recruitment and retention of qualified staff. Policies around the use of technology and its impact on healthcare delivery will also be considered.
4. What process improvement tools could you use to help you?
We will employ process improvement tools such as six sigma methodologies, which will help us to identify and eliminate inefficiencies in our billing and healthcare delivery process. Additionally, we will introduce electronic health records to reduce the likelihood of errors and improve communication between staff and healthcare providers.
5. Address the need for ethical decision making. What is it? Why is it important? How will you enforce it in the clinic?
Ethical decision making refers to the process of making decisions that are consistent with principles of right and wrong. It is essential because it ensures that patients receive the highest standard of care and that the clinic maintains its integrity. We will enforce ethical decision making by conducting regular training sessions, ensuring that our policies are consistent with ethical principles, and introducing reporting mechanisms that will allow staff members to report unethical practices.
6. Going forward, what technology will you use or implement to help ensure the clinic’s success?
We intend to implement electronic health records to improve communication between healthcare providers, reduce errors, and improve healthcare delivery. Additionally, we will explore the use of telemedicine, which will allow us to provide care to patients in remote areas.
7. How will you market yourself to the public in an attempt to regain trust and portray a better image?
We will develop a comprehensive marketing strategy that involves advertising our services and facilities, hosting health fairs and open days, and partnering with healthcare organizations and community groups. We will also establish a robust social media presence, which will allow us to communicate with patients and the public.
