orientation, auditing automating results

8/15/2013

2013 Morrisey Technology & Educational Conference 1

Orientation, Auditing &Automating Results

Cheryl Cisneros BSN, CPCS, CPMSMDolores Rivera, Lead CoordinatorRay Sanchez, Data Analyst

Advocate Health Care

11 Hospitals (4 Surgery Centers) 6,800 physicians500 allied health practitioners

11 PHOs and 3 Medical Groups4,245 physicians 255 allied health practitioners 

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2013 Morrisey Technology & Educational Conference 2

Objectives

A Standardized  Orientation Program

Audit Tools

Develop Audit Database

Outcome Data

Orientation 

90 Days30 day assessment

60 day assessment90 day  assessment

……….and onward

“To feel fully competent it can take 6 months.”

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2013 Morrisey Technology & Educational Conference 3

Orientation LogName: Initial Date:APPLICATIONS30 Day Successes/Strengths –60 Day Successes/Strengths –90 Day Successes/Strengths –

MSOW Database Overview: Completed Date Application Overview:Observe ____  Enter  with Supervision ______    Enter Independently ______

Completed all Specialties/Locums/Sites ___ # of files touched to date____

Complete by Week 12

Degree QTY Date Complete w/ Supervision

QTY Date Completed Independently

MD / DO

Allied Health –(PA, NP,CNS)

Locum, TeleRad,Managed Care

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2013 Morrisey Technology & Educational Conference 4

Monitoring Opportunities for Improvement (OFIs)

Week 4: Credential OFIs Week 4:  Database OFIs

Week 8: Credential OFIs Week 8:  Database OFIs

Week 12: Credential OFIs Week 12: Database OFIs

Audit Tools

Develop Project Team

Create Tools

Incorporate with Orientation

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2013 Morrisey Technology & Educational Conference 5

Create Audit Tools

NCQA, TJC, DNV, HFAP, AAAHC and Other Regulatory Requirements

Facility Specific: Credentialing  &/or   Database Conventions

Reporting Results to Coordinator

Audit tool

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Results to Coordinator

Paperless?

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Develop Audit Database

Identify Key Stake Holders

Translate paper to paperless

Testing 

Go live

Moving to Paperless

Initial Applications

Determine content of Audit tool

Mapping Audit tool to MSOW

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2013 Morrisey Technology & Educational Conference 8

Credentials Tab

Credentials Tab

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2013 Morrisey Technology & Educational Conference 9

Credentials Tab

ID Tab

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2013 Morrisey Technology & Educational Conference 10

ID Tab

ID Tab

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2013 Morrisey Technology & Educational Conference 11

Insurance Tab

Images Tab

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2013 Morrisey Technology & Educational Conference 12

StatusReport

Database Conventions Auditing

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2013 Morrisey Technology & Educational Conference 13

Coordinator Audit Results

Testing & Go LiveTesting Plan

Rollout Time Frame

Revisions

Testing

What’s next?

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2013 Morrisey Technology & Educational Conference 14

Auditing Outcome Data

Coordinator Performance

Application Credential & Database OFIs

Reappointment Credential & Database OFIs

Summary Report

8/15/2013

2013 Morrisey Technology & Educational Conference 15

• Questions?