To address the financial issues faced by Bright Road, a complete overhaul of the system is required. In regard to late payments from insurers, billings are made on a fee-based schedule. The insurers do not pay on time and refuse to pay penalties because of the common coding and billing errors by Bright Road. According to Dr. Halpert, this could be improved in two ways, a better billing software system which is supported by electronic health records, as well as improved discharge procedures to make sure physicians and administrative staff correctly input data (Campbell & Rankin, 2016).
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Readmission rates can be reduced by improving patient care and education. This can be done through both physician and patient training. Dr. Fairbanks suggests that enhanced education at discharge, as well as an available hotline to the hospital, will allow patients to better take care of themselves at home and avoid any post-release complications that will lead to readmissions.
Staff turnover can be reduced via a multifaceted approach which also addresses other issues facing the hospital. Improved EHR and technology to help with information input for nurses and prescriptions can free up time spent on patients as well as help with reimbursements. That will improve both the quality and quantity of care, leading to fewer readmissions, less stress, and better morale (Dickerson & Latina, 2017).
The CNO also mentioned improving the work environment by offering nurses support and a reward system, potentially also offering raises. Meanwhile, low admission to obstetrics can also be improved through technology, both recordkeeping and childbirth-related. This will improve nursing care, and the intimate setting with patients, which Bright Road maintains is a strong suit. A targeted marketing campaign can be costly but produce higher admissions with appropriate changes in places at the facility.
Campbell, M. L., & Rankin, J. M. (2016). Nurses and electronic health records in a Canadian hospital: Examining the social organisation and programmed use of digitised nursing knowledge. Sociology of Health & Illness, 39(3), 365-379. Web.
Dickerson, J., & Latina, A. (2017). Team nursing. Nursing, 47(10), 16-17. Web.