This document discusses how healthcare practices can maximize operational efficiency and enhance productivity through efficient facility design and use of systems and technology. It emphasizes the importance of evaluating patient, staff, and record flows and creating a therapeutic environment. Specific strategies covered include using evidence-based design principles in exam rooms and common areas, implementing web-based scheduling and diagnosis, utilizing electronic health records to free up space, and adding services like labs, pharmacies, or sleep labs to increase revenue. The overall goal is to see more patients, provide a better experience, and increase income.
The Changing Healthcare Consumer & the Emergence of VDPCHint
Guy Friedman of SteadyMD introduces us to Virtual Direct Primary Care, an emerging, technology-driven care model that allows for a broader cross-section of people to participate in direct primary care.
See the full session at: http://video.hint.com/guy-friedman-the-changing
The Gemini Hospital Information Management SystemThe Gemini
The Gemini Hospital Management Software provides a comprehensive solution to the health care industry. The application is capable of handling clinical, administrative and financial aspects of patient care. Information about appointments, bed availability, and schedules of doctors, specialized services, and treatments are easily accessible
Planning the implementation of an EMR or EHR, then you need to understand the basics of defining your clinical workflow. This presentation was made at a variety of medical conferences
The Changing Healthcare Consumer & the Emergence of VDPCHint
Guy Friedman of SteadyMD introduces us to Virtual Direct Primary Care, an emerging, technology-driven care model that allows for a broader cross-section of people to participate in direct primary care.
See the full session at: http://video.hint.com/guy-friedman-the-changing
The Gemini Hospital Information Management SystemThe Gemini
The Gemini Hospital Management Software provides a comprehensive solution to the health care industry. The application is capable of handling clinical, administrative and financial aspects of patient care. Information about appointments, bed availability, and schedules of doctors, specialized services, and treatments are easily accessible
Planning the implementation of an EMR or EHR, then you need to understand the basics of defining your clinical workflow. This presentation was made at a variety of medical conferences
Healthcare Delivery Reimagined: Patient Flow and Care Coordination AnalyticsAdrish Sannyasi
Come to learn how Splunk’s data analytics platform could be utilized to solve many high impact business problems in healthcare delivery systems to reduce cost, improve patient outcome and safety, and enhance care coordination experience. Analyze observed behavior from healthcare event data and metadata to discover patterns, monitor compliance, and optimize the workflow. Furthermore 80% of healthcare data is unstructured (clinical free text and documentation), or semi-structured and many new data sources are such as tele health, mobile health, sensors, and devices are getting integrated in many healthcare systems specifically in the area of chronic disease management. So, one need analytics software that can harvest, interpret, enrich, normalize, and model diverse structured and unstructured data and analytics approaches that embrace the “data turmoil” by relying less on standardized data items and more on the capability to process data in any format.
Diagnostic Imaging Accreditation Scheme Infographic - RELEVANT TO AUSTRALIA ONLYLogiQA
In Australia the federal government's Department of Health and Ageing has mandatory requirements that diagnostic imaging practices and some other medical and allied health practices need to abide by to ensure that they remain eligible for the government's Medicare rebate. These are called the Diagnostic Imaging Accreditation Scheme:Practice Accreditation Standards.
PatientCalls understands the daunting task of trying to find a medical answering service to fulfill your organizations’ patient care requirements. Therefore, we created this visual comparison checklist to be used as a tool for choosing the most sensible service provider.
In recognition of the services provided by diagnostic & pathology centers, we at Insights Success have come up with our new edition – India's Most Trusted Diagnostics & Pathology Centers.
Pushpawati Singhania Research Institute (PSRI Hospital)eHEALTH Magazine
Elets 7th Healthcare Leaders Forum 2017, New Delhi - Dr Dipak Shukla, Chief Executive Officer , Pushpawati Singhania Research Institute (PSRI Hospital), New Delhi
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
3 Strategies for Maximizing Service Line Efficiency, Quality and ProfitabilityWellbe
Maximizing service line efficiency, quality and profitability is a hot topic, particularly with rising patient care demands, changing reimbursement models, and estimated physician shortfalls. This webinar takes a look at three solutions beginning in the operating room and expanding to the entire patient care journey.
1st solution: A unique clinical and operational service model focused on the specialization of qualified, reimbursable clinical labor to optimize surgeon involvement and reduce OR costs.
2nd solution: Taking a holistic view of the service line through the patient care journey to produce a value stream map to understand the current state. Assisting staff with comparing this current state to the ideal future state, comparing national benchmarks and clinical best practices helps your staff innovate and co-create an individualized plan to get your service line to a higher level.
3rd solution: Utilizing dashboard metrics of the critical to success factors, to sustain and improve your service line.
As a participant, you will be able to:
• Identify key operational and clinical indicators of orthopedic service line efficiency
• Describe how Surgical First Assists can add value in the OR
• List the steps in developing and/or evaluating or building an orthopedic service line
• Describe how metrics/dashboards assist in sustaining change and improvement of orthopedic service line
About the Speaker:
Miki Patterson, PHD ONP, Senior Director of Orthopedics in Intelligent CareDesign at Intralign
Dr. Patterson is a certified orthopedic nurse practitioner and brings over 25 years of clinical experience in healthcare, consulting, direct advanced orthopedic patient care, teaching, NIH level, qualitative and quantitative research and publishing. She is a past president of the National Association of Orthopedic Nurses (NAON) and continues to be nationally recognized for leadership and advancing orthopedic care.
Our client was great at delivering health care, but wanted to validate solutions to handle financial aspects of the patient journey more efficiently and with sensitivity.
Healthcare Delivery Reimagined: Patient Flow and Care Coordination AnalyticsAdrish Sannyasi
Come to learn how Splunk’s data analytics platform could be utilized to solve many high impact business problems in healthcare delivery systems to reduce cost, improve patient outcome and safety, and enhance care coordination experience. Analyze observed behavior from healthcare event data and metadata to discover patterns, monitor compliance, and optimize the workflow. Furthermore 80% of healthcare data is unstructured (clinical free text and documentation), or semi-structured and many new data sources are such as tele health, mobile health, sensors, and devices are getting integrated in many healthcare systems specifically in the area of chronic disease management. So, one need analytics software that can harvest, interpret, enrich, normalize, and model diverse structured and unstructured data and analytics approaches that embrace the “data turmoil” by relying less on standardized data items and more on the capability to process data in any format.
Diagnostic Imaging Accreditation Scheme Infographic - RELEVANT TO AUSTRALIA ONLYLogiQA
In Australia the federal government's Department of Health and Ageing has mandatory requirements that diagnostic imaging practices and some other medical and allied health practices need to abide by to ensure that they remain eligible for the government's Medicare rebate. These are called the Diagnostic Imaging Accreditation Scheme:Practice Accreditation Standards.
PatientCalls understands the daunting task of trying to find a medical answering service to fulfill your organizations’ patient care requirements. Therefore, we created this visual comparison checklist to be used as a tool for choosing the most sensible service provider.
In recognition of the services provided by diagnostic & pathology centers, we at Insights Success have come up with our new edition – India's Most Trusted Diagnostics & Pathology Centers.
Pushpawati Singhania Research Institute (PSRI Hospital)eHEALTH Magazine
Elets 7th Healthcare Leaders Forum 2017, New Delhi - Dr Dipak Shukla, Chief Executive Officer , Pushpawati Singhania Research Institute (PSRI Hospital), New Delhi
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
3 Strategies for Maximizing Service Line Efficiency, Quality and ProfitabilityWellbe
Maximizing service line efficiency, quality and profitability is a hot topic, particularly with rising patient care demands, changing reimbursement models, and estimated physician shortfalls. This webinar takes a look at three solutions beginning in the operating room and expanding to the entire patient care journey.
1st solution: A unique clinical and operational service model focused on the specialization of qualified, reimbursable clinical labor to optimize surgeon involvement and reduce OR costs.
2nd solution: Taking a holistic view of the service line through the patient care journey to produce a value stream map to understand the current state. Assisting staff with comparing this current state to the ideal future state, comparing national benchmarks and clinical best practices helps your staff innovate and co-create an individualized plan to get your service line to a higher level.
3rd solution: Utilizing dashboard metrics of the critical to success factors, to sustain and improve your service line.
As a participant, you will be able to:
• Identify key operational and clinical indicators of orthopedic service line efficiency
• Describe how Surgical First Assists can add value in the OR
• List the steps in developing and/or evaluating or building an orthopedic service line
• Describe how metrics/dashboards assist in sustaining change and improvement of orthopedic service line
About the Speaker:
Miki Patterson, PHD ONP, Senior Director of Orthopedics in Intelligent CareDesign at Intralign
Dr. Patterson is a certified orthopedic nurse practitioner and brings over 25 years of clinical experience in healthcare, consulting, direct advanced orthopedic patient care, teaching, NIH level, qualitative and quantitative research and publishing. She is a past president of the National Association of Orthopedic Nurses (NAON) and continues to be nationally recognized for leadership and advancing orthopedic care.
Our client was great at delivering health care, but wanted to validate solutions to handle financial aspects of the patient journey more efficiently and with sensitivity.
If your business is in luxury brands, cosmetics, appareils, accessories, you need to consider setting up a flagship store in Paris to upgrade your brand image..
How to Build a 5-Star Practice with a Patient-Centered ApproachKareo
Valora Gurganious, MBA, CHBC, Partner, Senior Management Consultant will discuss:
-The importance of an enhanced patient experience and how it affects all aspects of your business such as your collections rate and patient retention
-How adopting technology can help you see more patients daily without the administrative burden
-The areas of your current workflow that can be enhanced to build and maintain positive relationships with your patients
Tap into our integrated system. See how your organization can achieve a new level of care and financial success. Leverage the NextGen Healthcare Ambulatory Ecosystem for your healthcare IT needs.
Read how NextGen® solutions can handle multiple diagnoses data from all of your critical channels and help you achieve true interoperability through our integrated solution.
Justifying your Occupational Health Clinic budgetMedgate Inc.
Facing increasing budgetary pressures means that more than ever occupational health clinics are under pressure to justify their existence. Here is a preview of our forthcoming webinar with Dr Mary Anne Alexander which addresses the concerns of nurses, doctors and managers and shows how better use of data can help to provide the answers.
Enabling clinicians to deliver higher quality of care, focus less on IT & more on patients. Enabling IT to deliver a higher level quality of service and gain a seat at the table.
How can you extend current uses of Lean Six Sigma beyond process but to incorporate empathy building? Join Jill Secord, RN, MBA, who will explore effective integration of proven approaches to accelerate quality and efficient health care services.
Streamlining Your Medical Practice for Profitability and SuccessConventus
Conventus webinar video providing key success strategies and tactics for improving productivity, profitability, and patient care. The one-hour video features host Susan Lieberman of Conventus and Stevie Davidson of Health Informatics Consulting.
In this live webinar, Valora outlines the three main stages of starting a medical practice:
1) Planning - creating a business plan, setting a budget and outlining your timeline
2) The Nuts and Bolts - finding a location, credentialing, administrative setup, and choosing the right technology for your needs
3) Opening - hiring staff and activating your marketing plans
Lean Facility Design as an Agent of Organizational Change for the Future of H...The Neenan Company
Presented on April 16, 2011 at the 2011 American Medical Group Management (AMGA) Annual Conference in Washington, DC
Presenters:
Dr. Randall Huss, President, Mercy St. John's Clinic - Rolla Division
Gerald Dowdy, Vice President, Mercy St. John's Clinic - Rolla Division
Whitney Churchill, AIA, Architect, The Neenan Company
Dan Garofalo, Vice President Business Development, The Neenan Company
Using the acclaimed and highly innovative St. John's Clinic - Rolla facility as the kick-off for discussion, the presenters described how the Lean facility design served to drive Lean process improvement and a new model of patient-centered care. Presenters provided one-and-half-year follow-up data, including voice of the customer surveys, patient satisfaction, call center metrics, provider feedback, and lessons learned. An emerging national trend in healthcare organizations utilizing Lean facility design, as well as results that can be obtained, was discussed.
Healthcare Globally needs a major disruption and a transformative approach to make life sustainable on this planet with the ever increasing threat to Quality of Life.
This presentation explains a transformative approach towards healthcare ensuring quality healthcare for everyone where everyone takes care of their health proactively.
Medioctor aims to connect all the stakeholders in the healthcare ecosystem through unified process and deliver contexual content in real time enabling intelligent decision. We are integrating health, medical and information technology into a revolutionary Electronic Health Record being owned by individuals for the first time anywhere in the world
eBook - Tools, Resources, and Expertise for your ACO/Collaborative Care JourneyNextGen Healthcare
Learn how NextGen Healthcare can equip you with the tools, resources, and expertise needed to reach your Accountable Care Organization (ACO), Meaningful Use (MU), and Patient Centered Medical Home (PCMH) goals.
Quality Medical Care presentation made to a major Pharm mfgr in 1998 at a national meeting. Purpose is to explain how pharm company could use gov mandates to add value to contracts with MCOs.
Similar to Medical design operational efficiency seminar.ppt (20)
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
1. HEALTHCARE Realty & Development Services
Building Foundations for the Future
HEALTHCARE Realty & Development Services
2. HEALTHCARE Realty & Development
Discussion topics for today:
1. Physical Environment and Operational
Efficiency
2. Cost implications in selecting space
3. Costs and tax implications of
construction or renovation
3. HEALTHCARE Realty & Development
Your practice is your patient manufacturing
“plant.” It requires:
●Accessible location
●Physical plant
●Demographics (patients)
●Skilled labor
●Value added services
Your office takes patients,
applies labor and value
added services to produce
healthy individuals
4. HEALTHCARE Realty & Development
Let’s talk first about “Operations”!
Operations is the driving force behind
location and physical plant
Operations determines the demographic
criteria you seek in selecting a location
Operations determines the layout and
functionality of your “plant”
5. HEALTHCARE Realty & Development
How do a bunch “… of pimply faced
teenagers run a billion dollar corporation”
One word:
“SYSTEMS”
6. HEALTHCARE Realty & Development
By maximizing operational efficiency, we
will:
Show you how to utilize your physical
environment to maximize income
Enhance the patient experience for better
outcomes
7. HEALTHCARE Realty & Development
How can you increase income?
See more patients (increase productivity)
Charge more money per patient
Add more labor / providers
Add more billable services
Lower costs
“Fix” patients the first time (manage returns)
14. HEALTHCARE Realty & Development
How can we enhance productivity?
There are four primary ways to increase
productivity:
Efficient Space Design
Comfort for Patients and Staff
Technology
Utilize a Systems Approach
17. HEALTHCARE Realty & Development
Staff
RecordsPatients
This design failed to properly address the
three necessary flows in a medical practice:
18. HEALTHCARE Realty & Development
Additional design issues:
Crowding in corridors or at check out
Improper placement of Staff areas
Poorly designed exam rooms
Improperly designed door swings (exposes
patient)
Placement of fixtures results in poor sound
control
Poor staff control over certain patient areas
22. HEALTHCARE Realty & Development
What’s wrong with these “exam” rooms?
● Door swings/privacy
● Back to back plumbing &
electrical outlets create holes for
sound transmission
● Dr. must go completely around
patient in exam 2
● Dr. has difficult access to
cabinets/supplies in Exam 1
● Dr. is blocked in when seated
● Chairs have arms
25. HEALTHCARE Realty & Development
We know this is better because of
“Evidence Based Design”
Evidence Based Design is achieved by applying
scientific and engineering principles, such as time-
motion studies, to healthcare design.
“EBD” results in more patients seen, less stress,
better infection control, fewer errors, greater
comfort, better privacy and better control over
traffic and access to services.
26. HEALTHCARE Realty & Development
Monetary benefit of good design:
What is the value of two extra patient visits
per day?
2 patients x $75 /ea x 240 days/yr
= $36,000 / yr
27. HEALTHCARE Realty & Development
Part 2- Enhancing Productivity through
“Therapeutic Environments”
Healthcare facilities are designed not only to support and
facilitate state-of-the-art medicine and technology, patient
safety, and quality patient care, but to also embrace the
patient, family, and caregivers in a psycho-socially
supportive therapeutic environment. The characteristics of
the physical environment in which a patient receives care
affects patient outcomes, patient satisfaction, patient
safety, staff efficiency, staff satisfaction, and organizational
outcomes. The effects can be positive or negative. No
environment is neutral.
~National Institute of Building Sciences
28. HEALTHCARE Realty & Development Services
A healthcare environment is therapeutic
when it does all of the following:
Supports clinical excellence in the treatment
of the physical body
Supports the psycho-social and spiritual
needs of the patient, family, and staff
Produces measurable positive effects on
patients' clinical outcomes and staff
effectiveness
29. HEALTHCARE Realty & Development Services
Key components of
“therapeutic environments”
Reduce / eliminate environmental stressors
Provide positive distractions
Enable social support
Provide patients and staff a sense of control
30. HEALTHCARE Realty & Development Services
How can we reduce stressors?
● Calming art
● Reduce paperwork
● Reduce wait times
● Noise reduction
● Eliminate crowding
● Odor control
● Natural light
● Privacy control
● Positive distractions
● Indoor air quality
● Temperature
● Aesthetic design and colors
●Cleanliness
31. HEALTHCARE Realty & Development Services
How to provide positive distractions:
Access to outdoors
Natural views
Educational materials
TV loop
Music
Art
32. HEALTHCARE Realty & Development Services
How can we enable social support and
provide a sense of control?
Provide adequate space for caregivers
Provide culturally appropriate environment
Area seating, quiet rooms, conference
rooms for larger gatherings
Lighting and temperature control
Scheduling
Data entry
Payment options
33. HEALTHCARE Realty & Development Services
Benefits of a “Therapeutic Environment?”
In reality, everyone benefits!
Patient satisfaction is much greater
Patient outcomes are much better
Staff satisfaction is much higher
Absenteeism is greatly reduced
Staff turnover is reduced
Errors are minimized
34. HEALTHCARE Realty & Development Services
Our “plant” is now in order!
We have created a
plant such that
patients, staff and
records flow smoothly
and our facility
provides a therapeutic
environment.
Now what?
35. HEALTHCARE Realty & Development Services
How can we Increase Revenues?
Creating systems using technology
Add extenders (PA / NP)
Add billable services
Value added services
36. HEALTHCARE Realty & Development Services
Let’s talk about systems and technology!
Systems make the world go
around. Typical medical
systems include:
●Communications
● Billing
●Treatment
●Marketing
●Human Resources
38. HEALTHCARE Realty & Development Services
Benefits to web based scheduling
Patients benefit by working around their
schedules
Patients find it easy to use
Capture patient data electronically
Verify insurance easily and in advance
Capture payment information
Possible to reduce staffing needs
CAPTURE SYMPTOMS & PROTOCOLS
40. HEALTHCARE Realty & Development Services
Benefits to web based diagnosis
Reduces calls and interruptions from patients
seeking advice
Patients find it easy to use
Capture patient symptom data
Provide staff with possible diagnosis
Alert staff to potential emergencies
When combined with online scheduling it
ALLOWS STAFF TO BATCH PATIENTS
41. HEALTHCARE Realty & Development Services
Electronic Health Records!
The implementation
of EHR’s provides a
platform for many
technical AND
treatment
improvements in
your practice
“systems!”
42. HEALTHCARE Realty & Development Services
UCF has a research arm that can help
you select the appropriate Electronic
Health Records system for you.
43. HEALTHCARE Realty & Development Services
A Benefit of Electronic Health Records
- it creates useable space!
44. HEALTHCARE Realty & Development Services
Space that can be used to:
Add staff, particularly nurse practitioners or PA’s
45. HEALTHCARE Realty & Development Services
Benefits of adding extenders:
●Lowers wait times
●Adds more billable hours
●Allows physicians to select
preferred procedures
●Provide coverage and backup
●Assist in clinical research
46. HEALTHCARE Realty & Development Services
Space that can be used to:
Add services such as lab and x-ray
47. HEALTHCARE Realty & Development Services
Benefits of adding lab and/or x-ray:
Patient convenience
Practice convenience
Increases income
Provides quicker results
Results in better coordination
of care
Better patient outcomes
48. HEALTHCARE Realty & Development Services
Space that can be used to:
Add services such as Pharmacy
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Benefits of adding Pharmacy:
●Patient convenience
●Practice convenience
●Increases income
●Results in better patient
outcomes (approximately 35% of
patients do not fill prescriptions)
50. HEALTHCARE Realty & Development Services
How to add a Pharmacy:
Register as dispensing physician ($150 +/-)
Select only 10 – 12 most commonly used drugs
Select generics where possible and under $10
Select a system that takes minimal space & staff time
Work with manufacturer, not a distributor
Price at around co-pay
Do not bill insurance
20 Rx/day x $5/Rx = $100/day - $500/wk - $26,000/yr
51. HEALTHCARE Realty & Development Services
Space that can be used to:
Add services such as a Sleep Laboratory
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Example: adding a Sleep Lab:
Patient convenience
Patient retention
Practice convenience
Increases income
Better coordination of care
Results in better patient
outcomes
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Example: Additional revenues - Sleep Lab:
Convert exam rooms to sleep rooms (easy)
Lab must be accredited or physician must be
boarded in sleep medicine (usually C, P, N)
Select management company to start (provides
equipment & tech support)
Sleep labs can also generate significant additional
revenues in patient visits and titration studies
3 P/N x $700/P = $2,100/N - $1,350/N (mf) = $750/N ($195,000/yr)
54. HEALTHCARE Realty & Development Services
Space that can be used for telemedicine!
Example: One physician has contracted with 24
day care centers to provide medical services!
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What is telemedicine?
Telemedicine - delivery of health care by a physician to a patient using
some type of interactive video technology
Virtually any medical service can be provided via telemedicine for
follow-up or consultation purposes
Requires a secure videoconference system with high-speed internet
connection and peripheral devices, such as electronic stethoscopes or
otoscopes are commonly employed.
Most insurance providers cover interactive telemedicine consultations
including Medicare, Medicaid, and most private insurance companies.
Patients may still be responsible for a co-pay or deductible, the same
as a traditional in-person visit.
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Add services such as E-commerce:
Benefits:
Enhances patient communication
Easy for patient and staff
Targeted to service lines
(diabetes, oncology, etc.)
Increases income
Provides portal for enhancing
relationship
A means to providing better
outcomes
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E-commerce – how does it work?
Physician discusses product(s)
Book: “Yoga for sore backs”
Saw Palmetto supplements
Staff reviews recommendations with
patient and indicates on tablet.
Order sent to e-commerce store.
E-store receives recommendations
and sends e-mail to patient. Patient
can review cart and checkout.
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Space that can be used for
durable medical equipment
Advances in equipment design and size now allow for
many common services to be available in-house
59. HEALTHCARE Realty & Development Services
Space that can be used by other providers!
Space in your facility can be used by many
different providers who may, or may not provide
service to your patients. For example:
Space leased on off days or after hours to specialists
Space leased to labs (under investigation)
Space provided for group sessions/therapy
Space provided for patient education
Space provided for value added services
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Finally - what can fast food restaurants
teach us about efficiency?
Batch patients to streamline
operations and maximize income!
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Example: Diabetes
Set aside specific times for these patients
Scheduling and Diagnosing programs limits patient access
to these times
Set up in advance for all tasks necessary for this group of
patient’s particular needs
Maximize revenue/patient (orthotics, patient education,
cognitive studies, etc.)
A system can be created for each type of condition
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The final category – savings!
We have already reduced absenteeism and
turnover through our therapeutic
environment – two huge barriers to efficient
practice operations.
We have reduced clerical staff through web
based services, standardized systems, and
EHR.
Where else can we save money?
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Energy & Utilities:
Energy saving methods:
●Energy efficient windows
●Lighting & Daylighting
●Low flush toilets
●Water saving faucets
●Maintenance
●Added insulation
●Highly reflective roof
●Landscaping & Irrigation
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Non Traditional Savings
Less understood savings
Energy Star
Tax credits
Property tax adjustments
Depreciation
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For more information
Frank Ricci
Healthcare Realty & Development Services
300 N. New York Avenue, #2802
Winter Park, Fl 32789
Ph: 407-947-5074
Email: HealthcareRealtyServices@gmail.com