Fellowship Topic Wish List

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1 Fellowship Topic Wish List Practice management topics by BOK Domain Business Operations Ancillary services/alternative revenue streams: Case studies on development and management of alternative revenue services/facilities: sports clinic, birthing center, alternative/complimentary medicine, in-office dispensary (partnering with a vendor); cosmetic procedures, imaging, Orthopedic service lines, etc. Business outsourcing Case studies (e.g., laboratory services, billing services, professional services; including sample RFPs and agreements) Closing a practice process, procedures, checklists, timelines Selling a practice; Practice valuation Medical office/facility design & construction Case studies on specialty-specific design considerations & issues; evidence-based design Medical office space leasing process & procedures; sample agreements Medical office relocation, including choosing a location; business planning, process & procedures, checklists Marketing your practice Case studies on marketing different Specialties (e.g., plastic surgery/dermatology) Tools, including Social Media, practice Websites, etc. Onsite or workplace wellness clinics pros & cons, benefits, set-up & operation; including community utilization, competitive environment for existing Primary Care services Satellite clinics planning, development & operation; business plan for opening successive sites (2nd, 3rd, etc.) Specialty-specific practice operations/financials Successful implementation of a Hospitalist service Other specialties, e.g., Pediatrics; Plastic Surgery; Dermatology; Allergy Starting a Practice Developing a business plan Demographic studies/data needed (panel size, etc.) & how to conduct Specialty-specific practice start-up Case studies, examples: In-house laboratory; Orthopedic "chains," Urgent Care Centers, General Surgery, Internal Medicine, Pediatrics (include pro forma financials including metrics such as start-up costs per physician) March

2 Financial Management Billing office issues (e.g., dealing with Medicare regulations, etc.) Centralized billing/business office set-up/operations/outsourcing/staffing models/flow charts Claims management/denial management/eob Audits Cost-benefit analysis how to conduct; templates Collection techniques/use of collection agencies; industry standards Cost Containment methods/cost capture methods implemented (e.g., charging for forms) Coding/Billing Coder/biller productivity how addressed Training issues/programs ICD-10 education and implementation strategies Coding/Billing Compliance audits/procedures Financial policies, i.e., financial hardship policies & implementation: co-pay standards, waivers of co-pay, guidelines for self-pay Financial reporting how to present to physicians Health Savings Accounts (HSAs) Outsourced billing operations/central billing operations/ how to compare/evaluate; RFP template Patient financing programs what Practices are doing? Related policies & forms Payer contracting/negotiation strategies & tools Payer reimbursement issues RVUs (e.g. various ways to implement, cost accounting, income distribution, fee schedules) Setting fee schedules for medical services and procedures guidance Human Resource Management Administrator bonus/incentive plans Administrator performance evaluation Administrator recruitment Disruptive physicians; physician &leadership anger management Employee benefit programs; health insurance programs, benefits paid by practice, caps Employee motivation programs/strategies Generational differences in the workplace Mediation programs in groups for interpersonal relationships/physician conflicts Mentoring programs New physician/ orientation/retention steps for success; Physician recruitment and retention, use of new techniques (e.g., social media) in recruitment; how to determine need (example: physician population needed to support orthopedic surgeon, etc.)efforts Professionalism Staff incentive plans (e.g., to find new clients, increase productivity, and reduce cost) compensation models, best practices Staffing models Support staff productivity 2

3 Information Management E-prescribing EHR adoption how to find & evaluate vendors EHR implementation issues; examples: Implementation procedures, including checklist Data Breach Insurance HL7 Interface Issues Scanning protocol; adding position of "scanner" Security policy & procedures Resulting changes to the Practice, for example: design of office to accommodate new EHR; addition of staff; new staff positions (e.g., scanner) EHR optimization Medical records management/ehr staff job descriptions & performance benchmarks Telemedicine in the practice, including office visits (including how to code) Electronic communication with patients: , automated notification systems, Internet, etc. Business record management policies & procedures followed Vendor search how to conduct; RFP sample Organizational Governance Accountable care organizations Board Committee roles and structures/governance issues/job descriptions (Finance, Operations, Executive) Compensation models: physicians, mid-level providers Incentive plans for mid-levels Incentive plans for physicians incorporating team work, group citizenship", patient satisfaction, etc. Contracting with an independent practice association (IPA) Emergency call coverage: stipends/policies Fair Market Value pro forma development Governance issues: physician strategies, financial reviews, succession Hospital-employed-physician agreements/arrangements Hospital-group practice relations/communications (e.g. handling billing, coding, patient registration; sharing information) Hospital-owned multi-site/multi-specialty practices successful performance and practices Integrated Delivery Systems Leadership models (e.g., Servant Leadership; Citizen Leadership; Transformational leadership examples, characteristics) Locum tenens search/relationships with search firms; policies & procedures Non-Physician providers and usage, efficiencies, scope of practice Peer review processes & procedures Physician or key leader departure or untimely death Physician governance Physician productivity improvement/new-physician ramp-up Physician relations tactics for engaging physicians Physician retirement/procedures & forms Physician termination Practice innovations case studies Professional services agreements the how, what, why, when 3

4 Role of medical director/managing partner; Managing partner pay & practices Selling a practice; Practice merger including multiple locations: Buy/sell agreements, practice asset valuation technique Succession planning administrators and physicians Patient Care Systems Achieving practice standards (clinical standards, safety, financial, environment, privacy, patient satisfaction, etc.) Appointments & scheduling, surgery scheduling, etc. process improvements and innovation. Practice efficiencies, such as shared medical appointments (group visits); Call Center operations; set-up; staff needed; performance benchmarks Improving patient flow/workflow/patient wait times/exam room utilization, etc. Referral management; physician referral satisfaction surveys Patient Centered Medical Home/Care coordination successful implementation; clinical care policies Patient registries successful implementation Front office operations; customer service; training examples No shows - reduction/no-show rates by specialty Outreach program set-up & management (e.g., vascular surgery outreach) Patient dismissal/termination for non-compliance issues Quality Management Accreditation processes & programs Clinical outcomes/evidence-based medicine Patient Satisfaction surveys; new patient surveys best practices Pay for performance processes programs Peer review of patient data for quality assurance purposes including software applications to assist process PQRI Practice efficiencies/"lean" tactics Practice efficiency audits/single practice and multi-site practices Practice quality innovations Process improvements Risk Management Billing staff audits best practices (charge & payment posting) Compliance policies & procedures including: office inspection checklist: HIPAA, OSHA, policy and procedure manual, needed equipment, signage, etc. HIPAA Compliance HIPAA Compliance officer policies & procedures/salary levels Nurse practitioner guidelines - Medicare incident-to rules See separate MGMA-ACMPE Government Affairs listing of key issues 4

5 Specialty specific topics Academic practices Tracking physician productivity; Staffing ratios (number of support staff to physicians); Ambulatory Surgery Centers Anesthesiology Contracts with hospitals, contract arrangements CRNAs and billing for them Pain management services Productivity for anesthesiologists Use of medical management companies Cardiology Imaging services Gastroenterology Ancillary services (e.g., Anesthesiology ancillary) Orthopedics Incorporating physical therapy into the practice Physical Therapy services Ophthalmology Use of optometrists in practice Urgent Care Centers aspects of setting up, establishing hours, services, utilization statistics, billing, revenue 5

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