Medical Group Practice
Forms of Medical Group Practice
According to Kralewski, Rich, Feldman, Dowd, Bernhardt, Johnson, and Gold, (2000), a group practice is a shared responsibility between the patient’s physical scape as well as the care service. The primary objective of group practice is meant to achieve goals like meeting quality metrics and streamlining operations and participation in customer contracts that reward higher quality care and more efficient performance. The following are the various common forms of medical group practices.
Accountable Care Organizations
This model highlights three primary standards, including neighborhood responsibility, shared investment funds, and execution estimation. That implies that the Accountable Care Organizations are comprised of neighboring local delivery systems, are qualified for shared funds when use falls beneath a particular benchmark and are required to report persistent experience information alongside clinical process and result measures.
A medical home is a way to provide patients with a central primary care practice that will coordinate care across settings and providers. That often means a physician leads a team of clinicians in the delivery of all of a patient’s healthcare services. While this group practice model isn’t new, it’s one that’s been shown to lower costs, improve care, and even reduce burnout among physicians.
On the other hand, the concierge practice tries to give more access to doctors by restricting the number of patients at any given time. Customers pay a month to month expense that is charged straightforwardly and consequently increase expanded connection with their specialists, frequently including boundless and more extended arrangements and access using telephone and email. A few practices additionally charge safety net providers for persistent administrations.
For a newly licensed practitioner, the medical home practice is the best medical group practice to implement this is because of the easy to implement it and managed it, and also the cost of operation is cheaper. On the other hand, it is the most straightforward form compared to other group practice approaches
Changes in the Role of Physicians in the Medical Practice
The medical practice is one of the most changed service delivery areas over the past 20 years. This is because of the increased implementation of technology, education management as well as diversification (Collen, & Ball, 2015). For example
Over the past twenty years, the doctor’s role has had significant diversification, based on the doctor’s specification, experience, and expertise. The change has evolved due to the environmental need for specific expertise in service delivery in the health sector/. On the other hand, the physician role has expanded in that a doctor can provide care services through devices such as mobile phones, and computers, where the patient is provided the service remotely. The service has changed to the point that the physician can diagnose and prescribe drugs to a patient. This is mostly influenced by the increased use of technology as opposed to the traditional face to face medical service.
Challenges That Today’s Physicians Face as Members of a Medical Group Practice.
Besides the changes have brought about challenges that affect the physician in the implementation of group medical group practices such as,
- How to evaluate the cost of service delivered per patient or session
- On the other hand, the other challenge is how to cope and manage the consistently rising cost of operation in the service delivery process associated with a medical group practice. For example, Managing finances with the uncertainty of Medicare reimbursement rates
- The other challenge is the lack of EHR interoperability, where physicians are unable to electronically transfer all the information they require or need to share, and when they are able, the practice is too tiring which requires them to switch screens, log in to new systems and manually enter data. According to Collen, and Ball, (2015)., there are very few physicians who can have complete interoperability, moreover, Collen, and Ball, (2015) explains that about 6% of medicinal services suppliers can viably and proficiently share information with different clinicians who utilize an electronic health record (EHR) framework not the same as their own
Competencies That a Physician Should Demonstrate.
For a practice manager to be successful, effective and efficient communication is one of the critical aspects to have, this is because a fruitful practice director must have the capacity to impart and tune in to their staff. Practice supervisors set the tone of the workplace by showing how best to communicate with patients and representatives. Achieving objectives, exhibiting appreciation, and making yourself accessible to your staff are fantastic approaches to create a positive and gainful workplace. On the other hand, practice managers should be specialized as well as specific to their profession in that they can provide the quality service as well as answer directly and confidently patient question about their illnesses as well as the medical practice in general. The other competencies are that practice managers should be well vast with their environment, in that they should learn the systems thoroughly, through acquiring experience through understanding their daily activities efficiently.
Hurdles That a Physician Might Face In Group Practice.
- Busy Schedules
Physicians in any practice are challenged with the task of having to deal with patients during the day and filling in reports and physical paperwork concerning their future schedules and other activities. At times, the physicians can be tasked with additional administrative work, thereby reducing the time for the nurses and physicians to relax or be with the patients. The busy schedule, therefore, affects their productivity in various sectors.
- Software Certification Clarification
Technology is dynamic and changes as time progresses. The IT department in the healthcare system face these changes, and there is need to abide by the software and technological clarifications in the given industry. It is important to follow the regulations to be well-informed in creating the high-level of competency required with the advanced technologies. The healthcare system is expected to ensure they understand the products and services they offer and how the technological advancements are done to benefit their system. Certification criteria that are published by the Electronic Health Network Accreditation Commission should be agreed with as argued by the Modern Healthcare Systems.
- 3. Issues with Audits
Tracking patient information from paper records becomes hard as the time progresses since the papers may be lost or torn. There is software with the capability of creating and holding patient records for an indefinite time, which can be useful to be used for long-term and short-term. This data can be stored in external hard drives and other cache sites.
Functions of HRM Necessary to Attract and Retain the Type of Employees Required
According to Pope, Kautter, Leung, Trisolini, Adamache, and Smith, (2014), for the human resource management in medical practice to maintain high retainment standard of the practitioners to implement the following
- Providing the employees a platform where they can air their views as well as share their discomforts to the employee without discrimination or subjection. As a result, the employees feel included in the institution and also develop the sense of belonging
- Implementation of fairness and equitable treatment of all employees where there is no favoritism in work allocation as well as the remuneration process should be implemented with regards to qualification and experience for the practitioners. As a result of this implementation, the employees fill motivated since their performance is measured by the quality of service delivered meaning that future success is guaranteed.
- Appreciation of the practitioner’s service delivered to the institutions. For example, promotions from internal recruitment, gifts as well as bonuses for brilliance in performance.
Consumer Behaviour That the Physician’s Practice Management Should Consider
Improve Patient Flow.
A productive and effective customer schedule is one of the major factors to consider. For example, establishing a maximum scheduled time for every patient, such that the physician is expected to utilize about 20 minutes per patient. As a result, the physician can eliminate boredom as well as overloading themselves for efficient service delivery.
Improve Communication through Handouts.
The physician should minimize the unnecessary phone calls for simple questions through using brochures. This is because they can concentrate on both clinical subjects as well data about the training. Through the use of handouts about their patients’ conditions or medicines can likewise help center the visit with the goal that essential data is suitably communicated
Empowering Through Education
Health data tends to be most useful when users are searching for particular facts or information. In any case, the manner by which data is offered can restrain its effect. Purchasers can be befuddled by comparative, yet not indistinguishable, data from numerous sources that frequently vary in quality. As a result, the practitioners should improve implement the empowerment practice as a marketing approach.
Kralewski, J. E., Rich, E. C., Feldman, R., Dowd, B. E., Bernhardt, T., Johnson, C., & Gold, W. (2000). The effects of medical group practice and physician payment methods on costs of care. Health services research, 35(3), 591.
Collen, M. F., & Ball, M. J. (Eds.). (2015). The History of Medical Informatics in the United States. Springer.
Pope, G., Kautter, J., Leung, M., Trisolini, M., Adamache, W., & Smith, K. (2014). Financial and quality impacts of the Medicare physician group practice demonstration. Medicare & Medicaid research review, 4(3).