The Journal of medical practice management : MPM
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Do you have a poor-performing employee on your medical practice team? If so, you're not alone. Unfortunately, this is a problem that many medical practice managers face. This article describes the best strategies for managing your team's weakest link. ⋯ It offers guidance to practice managers about protecting their time and energy when handling a poor performer. It provides a simple formula for calculating the cost of a low-performing employee, 10 possible personal reasons for the employee's poor work performance, specific questions to ask to uncover the reasons for poor performance, and an eight-rule strategy for confronting poor performance effectively. Finally, this article offers practice managers a practical strategy for handling resistance from their weakest link, illustrated with a sample dialogue.
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Healthcare delivery systems will change in dramatic ways in the years ahead. Anesthesiologists have to adapt and support the innovators. The Perioperative Surgical Home (PSH) is a patient-centered and physician-led multidisciplinary and team-based system of coordinated care. The goal of the PSH is to create a better patient experience and make surgical care safe, efficient, and aligned in order to promote a better medical outcome at a lower cost.
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The telephone system is the pulse of communication in a medical group. As customers demand increased access to their providers, telephone systems and their operators are becoming overloaded. Re-engineering is critical to meet this surging customer demand. This article explores new methods and applications of re-engineering the telephone system by managing demand, instead of the traditional solutions of adding more staff and/or more lines.
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Although with the implementation of the Patient Protection and Affordable Care Act millions of previously uninsured American residents will gain access to healthcare coverage, millions more will remain uninsured due to the lack of mandatory state Medicaid expansion as well as mandates that forbid undocumented immigrants and legal residents of less than five years from purchasing insurance through the newly available market exchange. With limited options for healthcare coverage due to employment and lack of citizen status, undocumented immigrants rely heavily on funds provided by both Emergency Medicaid and Disproportionate Share Hospital programs. Through reevaluation of current funding, mandates forbidding access to market exchanges, and plans to further enable access to affordable health coverage, states have the unique opportunity to both aid their residents and relieve the financial burden on healthcare facilities and Emergency Medicaid funds.
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Unfortunately, cliques aren't a problem that you left behind in high school. Workplace cliques can be just as or even more troubling for you today, especially if they have the potential to affect your career, employee morale and performance, and your medical practice more broadly. This article describes workplace cliques in detail. ⋯ It describes five common workplace cliques: management, veteran, prior relationship, status, and homophily. It offers medical staff employees 10 strategies for working effectively alongside of a clique. Finally this article describes the pitfalls and risks of belonging to a workplace clique.