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Applying Japanese management tips to patient accounts.

"Just in time," a Japanese management philosophy that has been applied successfully in manufacturing operations, also can be used to improve management of patient accounts departments. Under its principles, healthcare organizations would develop standardized procedures; involve workers in decision making; set up training and education programs aimed at creating a multi-skilled pool of workers; establish smooth production schedules; and foster cooperation and commitment to the philosophy throughout the organization.

Accounting↗

Factory approach can streamline patient accounting.

Although they may seem fundamentally different, similarities exist between operations of factories and healthcare organizations' business offices. As a result, a patient accounting approach based on manufacturing firms' management techniques may help smooth healthcare business processes. Receivables performance management incorporates the Japanese techniques of "just-in-time" and total quality management to reduce unbilled accounts and information backlog and accelerate payment. A preliminary diagnostic assessment of a patient accounting process helps identify bottlenecks and set priorities for work flow.

Accounts Payable and Receivable↗

Claims submission leads electronic advances.

To increase and accelerate reimbursement, providers are increasingly establishing electronic linkages with payers at all points in the patient accounting process where labor costs can be reduced and accuracy of information can be improved. The greatest advances are being seen in claim submission, as manual data entry of claims information is being replaced by electronic data interchange. Cleaner claims, faster payment, and reduced staff are just some of the results.

Computer Communication Networks↗

A taste of our quality: our experience with reengineering, developing and introducing new technology, and organizational renewal.

As recipient of the 1995 CLMA Quality Management Award, MDS Ontario Laboratory Division (MDS) has the great opportunity to share with the CLMR readers, through this article, highlights of our change process. These highlights have proven to be valuable learning experiences to us as an organization in health care that has undergone and continues to undergo significant change. In the course of our 5-year journey, MDS has undertaken two main change processes: restructuring and Renewal. Restructuring was a result of financial pressures placed on the organization by our single payer of service, the Ontario Government. Restructuring achieved the required results of reducing the operating expenses of the Ontario Laboratory Division. It was foreseen that one of the greatest challenges at the end of the Restructuring process would be restoring employee morale. The Renewal process began with a leaner, more flexible organization. We needed to address employee morale, and focus the organization on the future and the opportunities that it holds for the employees and the organization. Thus, we began "Building Our Future Together." The key learnings that have enabled us to transform the division successfully are based on the five principles of change: context, communication, commitment, culture, and celebration. These principles have provided the foundation from which our renewed organization will move forward.

Awards and Prizes↗

Effective managed care marketing strategies for evolving markets.

In a world of increased competition and changing consumer expectations, one of the keys to a fiscally sound health plan is having a dynamic marketing strategy that takes into account the shifting attitudes of consumers as managed care markets mature. The primary goal of any health plan marketing strategy should be the acquisition and retention of members. Providing cost-efficient and convenient service for enrollees, offering low or no deductibles, having convenient office locations, and minimizing paper-work are important elements of such a marketing strategy. Factors such as brand awareness and the perceived image of a health plan also are important considerations in acquiring and retaining market share. The relative importance of these consumer satisfaction criteria change as a managed care market evolves and matures. Financial and marketing managers, thus, should ascertain their market's stage of development and respond with appropriate marketing strategies.

Community Participation↗

Foundations for a new tomorrow: how to bridge the gap in work force literacy.

U.S. companies face substantial challenges from abroad, and to meet these challenges they need workers who have the ability to learn on their own. Unfortunately, many workers lack the basic skills they must possess in order to respond to current and future changes. This article describes a new perspective on literacy in the workplace and presents a strategic approach to improving literacy. The approach includes determining what skills are truly needed, evaluating the current skill level of the work force, and tailoring education to meet the specific needs of particular groups of workers.

Costs and Cost Analysis↗

Supplier certification modified for health care.

There have been numerous articles written in detail regarding industrial-based supplier certification programs. These programs generally concentrate on suppliers of raw materials. After reviewing them, it is difficult to visualize how these programs could support the ambulatory or inpatient operations of a healthcare institution. The University of Maryland Medical Center, a 747-bed teaching hospital in Baltimore, took on the challenge to adapt the supplier certification program to support its healthcare institution. After months of struggle, a program emerged by expanding the Medical Center's current process management philosophy, to include its suppliers. Documentation from the program developed by the Medical Center indicates the level of supplier support has increased. Through this certification program, the supplier is aware of the Medical Center's expectations and needs. In turn, the Medical Center has become aware of how its internal processes can hinder the supplier's operation. The supplier certification program has provided a valuable communication conduit. This article covers a brief summation of the industrial-based supplier certification program and how the University of Maryland Medical Center has adapted the program to support all its operations.

Certification↗

Streamlining referrals.

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Computer Communication Networks↗

Goodbye to paperwork.

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Electronic Data Processing↗