Stukenberg Successful Collaboration in Healthcare

A Guide for Physicians, Nurses and Clinical Documentation Specialists
1. Auflage 2010
ISBN: 978-1-4398-1293-8
Verlag: Taylor & Francis
Format: PDF
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, 136 Seiten

This critically acclaimed work makes the case for collaboration and shows that it can be greatly enhanced with conscious understanding and systematic effort. As a healthcare specialist who has worn many hats from direct care giver to case manager to documentation specialist, Colleen Stukenberg is able to –

- Show how to build trust and communication and demonstrates specific opportunities where collaboration can make all the difference

- Identify ways that quality of care and financial factors overlap and the advantages that can be garnered through an understanding of this

- Explain how those in different roles view information through different types of knowledge and how an understanding of each perspective makes it easier to find the best source for important answers

- Discuss the education and ever-increasing role of the clinical documentation specialist who is often involved in all facets of a patient’s progress, from intake and admission right up through discharge.

As the author points out, good healthcare is dependent on the right person performing the right role, which promotes excellent collaboration. And when people are allowed to function in their proper roles, job satisfaction increases, which in itself leads to better attitudes, which then leads to even deeper levels of collaboration and with it, the successful promotion of safe, quality care.

Zielgruppe

Physicians, staff nurses and nurse managers, clinical documentation managers and directors, case managers, Directors of Patient Financial Services, Financial directors and managers, Utilization Review Managers; hospital administrative staff consultants and students in nursing, medical and health administration programs.

Autoren/Hrsg.

Stukenberg, Colleen M.

Stukenberg, Colleen

Fachgebiete

• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Public Health, Gesundheitsmanagement, Gesundheitsökonomie, Gesundheitspolitik
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Pflege Pflegeforschung, Pflegemanagement
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Krankenhausmanagement, Praxismanagement

Inhaltsverzeichnis

Chapter 1 Introduction
Chapter 2 Building Trust and Communication
Communication Styles
Aggressiveness
Passive-Aggressiveness
Passiveness
Assertiveness
Aspects of Communication
Communication and Trust
Emotional Maturity
Communication Assessment
Code of Conduct
Communication Template
SBAR: Situation, Background, Assessment, and Recommendation
Knowledge Differences
Working Together
Nursing Roles and Collaboration
Other Opportunities to Collaborate
Summary
References
Chapter 3 Impacts: Quality and Financial
Length of Stay and Diagnosis-Related Groups
DRG
Hospital-Acquired Conditions
Present on Admission
Impacts of DRGs, POA, and HAC
Post-acute Transfer Policy
Outlier Payments
Public Reporting
Recovery Audit Contractors
Considerations for Preparing for RAC
Summary
References
Chapter 4 Clinical Documentation Specialist: Who Is Involved and What Is the Process?
CDS Role
CDS Process
CDS Worksheet
Unit-Based versus Physician-Based Model
Chart Review
Query Aspects
Query Criteria
Technology
Systematic Review Method
Physician Response Concerns
The Working DRG Assignment and Impacts
An Internal Audit
Completing the Loop
Data Collection and Considerations
CDS Role Allocations and Job Description
CDS Support
Summary
References
Chapter 5 Clinical Documentation Specialist and Education
CDS Training
Clinical Knowledge and Experience
Coding and DRG Terms
The Query Process
CDS Continued Education
CDS and Nursing Education
CDS and Physician Education
Keeping Current and Understanding Change
Applying Change
Summary
References
Chapter 6 Collaboration with Hospital Case Management
Case Management Legal and Quality Considerations
Case Management and Ethical Aspects
Importance of Clinical Knowledge and
Case Management
Terms for the Case Manager
Case Management and the Admission Process
Case Management and Physician Collaboration
Case Management and Accurate Documentation
The Discharge Plan
Discharge Planning Checklist
Multidisciplinary Team and Discharge Planning
Readmissions
Case Management and Post-discharge Follow-Up
Case Management and Data Collection
Summary
References
Chapter 7 Putting It All Together
Scenario 1
Scenario 2
Scenario 3
Scenario 4
Summary
References
Chapter 8 Final Thoughts
Index
Author

Über Autor(innen)

MSN, RN, CMSRN, Clinical Documentation Management Specialist FHN Memorial Hospital