Managing Healthcare Professionals: Mini-Case Studies
Respond to each of the scenarios below. Please label your mini-cases. Your response may be in a word document format or in a power point format. Cover all of the issues in each case you and use good writing and presentation techniques and address the issue(s) in detail. Answer in bullet format where possible
1. You are a new administrator at Jonestown Medical Center. You receive a telephone call from the nurse manager of the emergency room. Dr. Smith, an emergency room physician who is an employee of your hospital, has just reported for duty. The nurse manager suspects that Dr. Smith is intoxicated. What do you do? You are the practice manager of Docs R Us, Ltd., a large multi-specialty medical practice employing over 100 physicians. You are conducting a random review of billing for doctors in the practice and you discover that one of the internists in your group who treats mostly Medicare recipients has been checking off the wrong code for her procedures on the billing form. The procedures on the patient record do not match the billing form codes. You pull up her files for the past 3 months and find a pattern of upcoding. When you meet with her to review this miscoding, she becomes very defensive and angry. What do you do?
2.You are the assistant director of the hospital medical staff office at The Rural Outreach Community Hospital in a tiny town in Arkansas. It is your job to verify physician credentials for staff privileges. Your hospital receives an application from a physician for staff privileges. On his application it states that he graduated from medical school in El Salvador. When you call to verify this, you are told that the medical school burned down 2 years ago and all the records were destroyed. What do you do?
This is an exercise in your management abilities and knowledge.
cover each question seperately