Sunday, July 21 | Partnerships and Collaboration, Thought Leadership

How and When to Analyze & Update Internal & External Medical Clinic Policies

By Ada Gudex, Senior Director and GM, TheraOffice

Most clinic owners probably spend time developing their policies and procedures prior to opening their practice; however, they can quickly be pushed to the back burner once daily life in the clinic picks up (i.e. treating patients, marketing, hiring and developing staff, and the list is endless!). Maintaining clinic policies and procedures and updating them when necessary is critical to ensuring you’re within compliance, but how often does this need to happen? Let’s explore how often you should reconsider your clinic policies and procedures.

Reevaluate Your Clinic’s Policies and Procedures

While reviewing your policies and procedures, we encourage you to make changes to ensure that they are up to date with industry and world happenings. As we all know, this became even more important with the onset of COVID-19. Make sure your staff and patients understand what is required of them, and it will help mitigate risk and exposure to business altercations.

Regularly reviewing your policies and procedures is also critical from a legal perspective. Obviously, practice owners never want to find themselves, their staff, and/or their patients in a legally compromising situation. Ensuring that your clinical policies and procedures are in alignment with local, state, and federal ordinances is key to minimizing those chances. If you work with a lawyer or legal team, it may be beneficial to have them review relevant policies and procedures to make sure you are covered on all fronts.

Additionally, it is recommended to institute or change policies and procedures with a proactive approach in mind. For example, try to think through possible scenarios that might arise and create policies to help address those instead of waiting for something to occur and then developing a policy or procedure in response to that. Of course, there will be some situations that you cannot foresee; however, doing your best to stay on top of these situations will be make managing those situations much more effective.

Factors in Reviewing Clinic Policies and Procedures

• Review everything from a legal perspective and seek legal guidance when necessary.

• Make sure policies and procedures are in alignment with industry best practices.

• Review the wording of each policy and consider having a few people read over the changes so that you can avoid misunderstandings and miscommunication.

• Within a pandemic scenario like COVID-19, policies and procedures are almost certainly going to have to change more often. Make sure staff and patients alike know what the requirements are through consistent, frequent communication, and patient and provider satisfaction will both be positively impacted. In light of the pandemic, ensure that your COVID-19 policies are up- to- date. We all know rules change frequently and making sure that patients know what is expected of them (i.e. temperature checks, vaccination requirements, mask requirements, etc.) before arriving will help them have a better experience at your clinic. On a similar note, make sure your staff members understand the COVID-19 policies as they apply to themselves and patients.
• For staff,: review in office etiquette, cell phone, dress code, escalation, technology compensation, overtime, work from home, and time off policies and procedures.

• For patients:, review HIPPA, release of information, assignment of benefits, insurance, cancel, late-cancel, no show, and financial policies.

• If you treat special patient populations like worker’s compensation, auto accident, minors, etc., ensure those policies are up to date as well and in alignment with industry rules and regulations.

Luckily, managing patient policies is very easy if you are a TheraOffice patient portal user, or if you use any of the systems within the Netsmart CareFabric® network. You can embed policies directly into the portal so that patient’s can agree to them prior to entering the clinic for their first visit. Furthermore, you can create policy groups so you can efficiently send out the appropriate policies to certain types of patients. If you are interested in learning more about the patient portal or are a current user and have questions, please reach out to our account management team at 800-472-5509 or support@ntst.com.

Meet the Author

ada-gudex
Ada Gudex · Senior Director and GM, TheraOffice

From the CareThreads Blog

5 Ways to Break Down Silos and Deliver Whole-Person Care

Thursday, April 03 | Thought Leadership,EHR Solutions and Operations,Interoperability,Value-based Care

How do organizations actually successfully transition from traditional siloed care to a truly integrated, value-based model?

More
care integration graphic

A Smarter Path to Care: How Outreach Unified Telehealth, AI and Analytics to Improve Outcomes 

Tuesday, April 01 | Thought Leadership,Care Coordination,EHR Solutions and Operations,Interoperability

At the 2024 OPEN MINDS Technology & Analytics Institute, Kelsey Silver, Assistant VP of Quality & Data Analytics at Outreach, offered a compelling case study on what full care integration can look like.

More
ai predictions

AI Beyond 2025: Predicted Impacts on Human Services and Post-Acute Care

Friday, February 21 | Thought Leadership

As leaders in AI and automation for healthcare, we’ve compiled 10 key predictions to expect throughout 2025 and beyond that will redefine how organizations operate, serve clients and manage resources.

More