rganizational Assessment

As a manager, you have to continually evaluate the organization and its strategy and consistently adapt the business model to ensure that the overall business plan is one step ahead of the competition.

In this assignment, you will get an opportunity to learn, from actual experiences, how an informed manager would assess the current overall health of an organization and make decisions regarding future opportunities and performance.

Tasks:

Select an industry relevant to your career. If you lack work experience, you can base your selection on real-life market situations or business areas that you may have knowledge about. You can also consult sources such as the Wall Street Journal,Financial Times, Bloomberg Markets, the Economist, US News and World Report, and the online library resources.

• Research the growth opportunities in the industry, competitive strategies that were employed, typical customers, and other relevant information related to the industry. Specific opportunities will differ depending on the industry selected, but be sure to consider current economic events and news relating to the industry that may influence the future direction of your industry.
• Within this industry, select a midrange-performing company that provides goods or services. Then, address the following:
  • Analyze why this company maintains the level of success it does from an economic and financial perspective. Develop at least two visual aids (e.g., charts, graphs, or tables) to support your argument.
  • Evaluate whether the company’s pricing and positioning decisions contribute to or hinder that success.
• Evaluate whether the strategy currently used by your industry, as discussed in previous sections, appears to be sustainable over time.

Create a 3 to 5-page research paper. At the end your paper, include a reference page and cite scholarly sources in APA style.

Read the case study about the University Clinic Associates Below:

University Clinic Associates employs over 200 physicians who are on the faculty at the University Hospitals and Clinics. With 20 specialty clinics and over 2000 clinic visits a week, accurate coding and documentation of these encounters is critical to obtaining the correct reimbursement. At present, each clinic is staffed with mostly clerical staff members who do the scheduling of appointments, registration of patients, and data entry from encounter forms for billing purposes.

To assess the current situation, William Murken, the financial manager responsible for the clinics, has hired you (an RHIT with a CCS credential) as a consultant to conduct a coding and documentation audit.

You meet with the staff to go over the records and complete the audit. After you have established a rapport, you remind staff members that accurate diagnostic and procedural coding cannot be achieved without clear and complete health record documentation. There are many instances where documentation omissions, such as the specifics of a service, can affect reimbursement.

Nowhere is this truer, you explain, than in recording Evaluation and Management Services. Virtually every physician performs E/M services. Thus, the impact of coding and documentation on the reimbursement of these services is enormous. When billed services cannot be substantiated using documentation in the health record, the physician may not get paid or may have to refund overpayment.

The staff seems to appreciate your input. One person comments, “This will give us a target as we assign medical codes in the future.”

For a copy of your Audit results, see below:

Download the data sheet related to the case study at University Clinic Associates linked below.

• E/M Audit Results

Using the above pieces of information, write a complete 1-2 page report or presentation describing your findings to the financial manager. The format used for your presentation can be a Word Document, Power Point Presentation, or Letter/Memo format. Be creative in your presentation to the Financial Manager. Your report must include:

1. An interpretation and description of the findings in Table 1.

   • Did the clinic over or under charge overall?

   • What is the total amount?

2. A well written conclusion to the financial manager based on your findings, including examples of the errors found.

   • Which codes were over coded, thus over billed? Which were under coded, thus under billed?

3. Provide recommendations (being specific) on staffing, education, forms, and design.

   • Provide at least four ideas/changes the clinic can implement to improve the coding. Each idea should be specific and include supporting reasoning for why the change would improve the coding at this clinic.

     Over the past weeks, you have been working on Professional Practice Activity #1 involving the E/M coding audit at University Clinic Associates. This week you finalize your written paper to the financial manager, and submit the information below in one Microsoft Word Document.

      

     Remember:

     1.You need to interpret the findings and decide if the clinic over or under charged overall. Be sure to give the total amount of over/under charging.

     2.Provide several examples from the spreadsheet that show the over and under charging for various codes.

     3.Finally, provide at least four ideas/changes the clinic can implement to improve their coding going forward.

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The role of nursing in bridging the gap between managers and physicians in hospitals

We face challenging barriers to effective communication in the healthcare field. As our world becomes smaller, we are in constant contact with patients, colleagues, or consumers from culturally diverse backgrounds and we need to develop our skills to improve effective communication.

• The Role of Nursing in Bridging the Gap between Managers and Physicians in Hospitals
• Improving Communication in the Health Care Setting

Based on your research, answer the questions below writing at least five sentences per question in a Microsoft Word document. You need to think of a communication with a healthcare professional colleague to answer the following questions:

• What barriers to effective communication could occur with a health care professional colleague who is culturally diverse? How can these barriers affect patient outcome when effective communication is essential?
• What assumptions can you make about a healthcare professional colleague you do not know well? How can these assumptions impact your communication if your customs are different from your healthcare professional colleague’s customs and you do not understand their customs completely?
• How can you overcome language barriers or make assumptions not based on facts to increase team unity and motivation? How important is it for you to take responsibility and improve your cultural competence?

Now you need to think of a communication with a patient or a consumer and answer the following questions:

• What specific language barriers can result when you communicate with a patient or a consumer who speaks limited English? How can you gather information or educate when language barriers are present?
• How do you adjust to conflicting values or traditions from patients in a specific religion or culture? For example, patients who are Jehovah’s Witness religion may refuse blood products or other religions may not eat pork. How do you adjust dietary restrictions communicating in a collaborative manner with the dietary department?
• What are the benefits of a healthcare organization to provide cultural awareness and training for each employee to better understand and accept others? Does your current or past organization provide cultural awareness training? If not, what will be your recommendation to your management team?
• Select one culture other than your own and describe how this culture may deal with death and mourning.

Support your responses with examples.

Cite any sources in APA format.

References:

Kaissi, A. (2008). The role of nursing in bridging the gap between managers and
           physicians in hospitals. The Health Care Manager, 27(2), 113–117.

Ponte, C. D. (2011). Improving communication in the health care setting. American
           Journal of Health-System Pharmacy, 68(8), 666–667.