A practice assessment begins with a data and documentation request, followed by interviews with providers and staff and time spent getting to know the practice. During this initial phase, the objective is to examine the operations and identify key pain points for the practice that require immediate attention, such as a lack of proper policies and procedures or understanding a recent shift in culture.
Staff and providers must be equipped with the resources and skills necessary to carry out their duties and function as a high performing team. An assessment is meant to provide the insight and tools necessary for a tune-up of the practice, not to place blame or point fingers for any inefficiencies or lack of structure that may be contributing to lost revenue.
Staffing is a major contributor to the well-being of a practice and the single largest expense category for most businesses. The consequences of hiring challenges can further drive expenses, reduce productivity and diminish work quality. It is important to understand the roles and functions of the team to ensure staff are properly deployed according to their abilities.
The internal systems and structure of the medical practice are directly tied to the policies and procedures detailing how, when and by whom certain functions are to be performed. Indicators that a practice may lack this structure and need improvement include high staff turnover, lagging collections and poor patient and staff satisfaction.
Staff productivity and process improvements goals are often aligned with staff requests for more training or feedback on their performance. Staff evaluations must be performed annually, at a minimum. Regular staff meetings and training opportunities should identify areas of focus, such as customer service, revenue cycle, governmental regulations, or leadership development. Lastly, staff should be rewarded and paid appropriately based on their experience and the value they add to the practice.
Practices must have the proper financial controls and policies in place to mitigate expense mismanagement and embezzlement. Every medical practice puts itself at risk by not instituting strict internal controls to protect the practice from revenue loss and potential employee theft. There is no guarantee employee dishonesty will be avoided. However, having proper controls in place will help mitigate risk and provide proper documentation in case further action is needed such as a police investigation, lawsuit, or insurance claim.