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Building an effective corporate compliance plan.

Corporate compliance plans are essential for healthcare organizations to cope with, and perhaps even stave off, investigations arising from allegations of illegal business practices. Initial development and implementation of a corporate compliance plan can be facilitated through four steps: determining the content of the code of conduct, determining how the code will be distributed, assigning responsibility for implementing the plan, and appointing a compliance task force to guide the implementation process. Special attention should be paid to education requirements of the United States Sentencing Guidelines to see that all employees understand and can apply provisions of the plan.

Employee Discipline↗

Applying a marketing perspective to health research organizations.

An excellent way for health research organizations to raise funds is by applying a well-executed marketing plan. Such a plan should include four steps: performing an environmental/internal audit, performing a services marketing audit, performing a relationship marketing audit, and developing a set of marketing strategies and tactics.

Consumer Behavior↗

Reviewing practice procedure can improve bottom line.

Anecdotal and statistical sources attest that many hospital-owned physician practices are either losing money or breaking even. This is alarming for not only hospital-owned practices, but stand-alone practices, too. However, careful review of standard billing and coding practice procedures and policies, among other things, can help reverse that trend.

Appointments and Schedules↗

Implementing an effective security team.

The author describes her hospital's decision to implement a security team--why it was needed and what was involved-- and discusses future plans.

Hospital Bed Capacity, 300 to 499↗

Self audit: a path to excellence.

These checklists have provided an opportunity for reflection on how your medical group is being managed. The checklists, while not comprehensive, have included many of the more important points group practice managers should be familiar with if they want to be successful.

Group Practice↗

Diversification strategy and performance: implications for health services research.

Health care represents a promising area of research due to its uniqueness. In recent years, considerable progress has been made in diversification strategy and performance research but not the study of health services strategy research. This article reviews diversification strategy and performance in health services domains. Adopting Datta, Rajagopalan, and Rasheed's (1991) framework, the authors evaluate the theoretical and empirical contributions of this research. The limitations and theoretical implications of these efforts are also explored.

Financial Audit↗

Teaching hospitals. Push me, pull you.

The Alder Hey Inquiry concluded that trust between Liverpool University and the hospital could have avoided the 'worst excesses'. In the past decade policies in health and higher education have weakened the long-established mutuality of hospitals and universities. Formal partnership arrangements are urgently needed.

Communication↗

Balancing the perfect scorecard. Inquiry as intervention in physician practice management.

We describe how inquiry into several operational aspects of health care delivery in the Division of Medicine at the Cleveland Clinic Foundation improved clinical and administrative functions, demonstrating the principle that inquiry is intervention. The process of inquiry displays data on a "performance wheel" that summarizes several indicators, allowing easy comprehension of performance in various operational aspects and a visual appreciation of the interaction among these operational aspects.

Appointments and Schedules↗

Primary care trusts. Called to account.

Primary care trusts are set to control three-quarters of the NHS budget. Many will be hindered in their new roles by inexperienced managers, unproven processes and fledgling support systems. Workforce planning and the appointment of dedicated project managers to drive change is an urgent priority.

Budgets↗

Applying the balanced scorecard in healthcare provider organizations.

Several innovative healthcare executives have recently introduced a new business strategy implementation tool: the Balanced Scorecard. The scorecard's measurement and management system provides the following potential benefits to healthcare organizations: It aligns the organization around a more market-oriented, customer-focused strategy It facilitates, monitors, and assesses the implementation of the strategy It provides a communication and collaboration mechanism It assigns accountability for performance at all levels of the organization It provides continual feedback on the strategy and promotes adjustments to marketplace and regulatory changes. We surveyed executives in nine provider organizations that were implementing the Balanced Scorecard. We asked about the following issues relating to its implementation and effect: 1. The role of the Balanced Scorecard in relation to a well-defined vision, mission, and strategy 2. The motivation for adopting the Balanced Scorecard 3. The difference between the Balanced Scorecard and other measurement systems 4. The process followed to develop and implement the Balanced Scorecard 5. The challenges and barriers during the development and implementation process 6. The benefits gained by the organization from adoption and use. The executives reported that the Balanced Scorecard strategy implementation and performance management tool could be successfully applied in the healthcare sector, enabling organizations to improve their competitive market positioning, financial results, and customer satisfaction. This article concludes with guidelines for other healthcare provider organizations to capture the benefits of the Balanced Scorecard performance management system.

Benchmarking↗

Quality assurance in the health care industry.

The purpose of this article is to explore the quality assurance methods commonly used in the health care industry. Factors that influence the delivery of quality patient care is explored as well as factors that affect implementation of quality control measures. The importance of quality patient care to the economic success of the health care industry is described. Quality improvement efforts that are utilized by health care institutions are described including: independent performance audits, internal audits, outcomes analysis, consumer reports, industry guidelines, and consumer satisfaction surveys. Highly effective hospital managers exhibit management roles, behaviors, and a range of activities that correlate strongly to institutional commitment to quality and improved patient care outcomes. By reinforcing their involvement in quality improvement efforts, hospital managers were able to enhance their effectiveness in promoting and sustaining quality care.

Consumer Behavior↗