The billing clerk was receiving all the claims regarding the
home care as from last five years he had been visiting and submitting all the
claims. He worked for the re certification codes for all the patients and
overlooked the care plan for the oversight code. After visiting from the home
care nurses it was identified that some other codes are required to be included
in the codes. The codes can be billed against the clerk if he declares about
what kind of supports were provided by the physician.
Health management technology used of Project charter
A wide range of benefits are associated with the use of Io Mt
and even more advantages are required to be discovered. The growing expertise
in the field and industry requires more benefits as mentioned below,
Objective reporting: The devices are capable to record and
report all the activities of nervous system. The reports are not only based on
the subjective information that is how the patient feels but instead of the
simple analysis, report provides some objective evaluations. The objective
evaluation provides information about the progression of disease and the
efficacy of the patient therapy.
Remote monitoring: In case of the remote monitoring process
the patient is more accountable for the higher healthcare services. The
healthcare providers gets initial report card and gets the compliance related
to the actual patient therapy and report card provide accurate information
related to the patient conditions.
Local activity recording of Project charter
The use of device recording process enables to collect data
that was not considered to access in the previous processes. The use of such
sort of data enables to improve the understanding for the mechanism for the
action of such chronic diseases. After having complete understanding of disease
the therapy process can be improved and besides this the disease prevention can
also be increased.
Automation: The automation of the device and records
provides by the devices can reduce the possibility of human error and the
fraudulent in the disease reporting process. The use of devices in the
sub-acute care facilities, clinics and hospitals reduces the changes of human
errors.
Precision medicine: The precision of treatment increases and
delivery of all the designed targeted stimulation can be optimized by improving
the facilities of therapy and process reduces the side effects of the
treatment. Consider that patient takes the pills, the first process is
metabolizing process of the pill and then it is systematically distributed in
the whole body of the patient. The distribution of the pills is regardless of
intended targeted part. There are number of ways to deal with drug-related side
effects and to reduce the issues by increasing the precision level. The use of
advanced system can improve the stimulation related to the particular target
and degree of precision.
Adaptability: The human body naturally built feedback look
and iterates on the same feedback that can be adjusted to increase the patient
outcomes.
Specific healthcare conditions of Project charter
Mainly two problematic conditions are required to be
considered and to overcome.
a) The lacking of understanding regarding different codes
that are allowed in the home care plan.
b) The lack of time in the day timing to allow billing clerk
to have complete investigation for the new practices to be considered.
The new process is required that enables to sort out all the
files in a proper way to identify the additional tasks that can be added in the
process.
Management of chronic illness of Project charter
Io,T system is intended to improve the precision levels of
health care services for the patient’s particularly chronic conditions. The
combined process including remote monitoring mobile platform and analytics can
repeatedly redesigned for the higher risks of patients that are suffering from
congestive heart failure (CHF). The use of devices is easy and affordable for
instance to measure and monitor blood pressure, heart rate, and wireless
scales. The device improves overall wellness of the patient. In some previous
researches, researchers estimated value of the improved health and wellness of
the patients from the chronic illness through remote monitoring could amount to
$1.1 trillion per year by 2025.
Overall cost of Project charter
Consultancy repetition
|
One time
|
Consultant fee
|
$ 375
|
Time
|
2 ½ hours
|
Billing clerk’s time
|
10 hours along with processing
of 122 reports form the home care
|
Home care reports
|
@ $25/hour = $250
|
Estimated cost for the process in the 6 months
|
$ 625
|
Monitor treatment plans of Project charter
The plans is specially designed according to the needs, the
clauses are mentioned in the below provided lists.
The advisor of practice transformation will visit on monthly
basis.
After initial use of worksheet, the changes will be
mentioned to make the treatment more effective and make to process flawless.
The process for the
billing process can be improved by the integrated process and the additional
work is required besides the routine work.
In case if the work goes behind but still cost effective for
the portion to be outsourced in the half day.
Scope and milestones of Project charter
The work requires higher levels of understanding for the
codes and the care plans. The bills should be appropriate against all the
codes, and the $ 98 were considered per patient for those who avail the
treatment and left without paying bills and all the additional services. The
work enables to capture all the revenues for the patients as 100% for all those
who are eligible.
Start date: Feb 1 - Feb 28
End date: April 15- April 30
vision and goals documented
Through the home healthcare nurse, the billing clerk will be
able to learn about new codes and will enable the physician activities. The
revenue opportunity per patient is estimated at $98. The process includes
photocopy of documentation for the billing at end of each month. The simple
worksheet was provided to capture all the data and the asses of eligibility for
fee $ 98. The six-month billing data for
the recovery of additional revenues was analyzed by the billing clerk.
Scope
a. Mixed-Methods Data Gathering
In this process the comprehensive view is considered for the
points of care, cost views, and flow of patients in the system. The system
identifies existence of gaps and the occurrence of bottlenecks. The process is
based on literature review, identification of all the quantitative data, and
engagement of stakeholder with the collection of qualitative data. The project
depends on DMHAS volume & funding, community provider, hospital claims, and
client level data.
b. Mixed-Methods Data Analysis
The data analysis process is provided by the Camden
Coalition of Healthcare Providers and includes exploratory and descriptive data
analysis. The partners will consider some quantitative and qualitative data for
the development of visual rendering and the report summary. The recommendation is
also provided for the regional mental health care system.
c. Policy Analysis of Project charter
The analysis of policy is comprehensive that is associated
with federal policies regarding delivery of services for the behavioral health
and current state in different regions. The policy analysis process will
identify all the recent changes made in the policy initiatives and that are not
implemented.
d. Outreach to
Stakeholders & Community to Communicate Findings and Proposed Initiatives
The analysis of all the community, stakeholders and work
includes work in progress and the processes used for the findings. The process
considers different successful models in some areas and provides opportunity
for the stakeholder improvement.
Development of Policy
& Advocacy Initiatives
The process of identification considers policy initiatives
and advocacy conditions required for the collaboration to be continued.
Recommendations for Pilot Projects
The process requires some recommendations for the findings
of work, streamline process, pilot projects and processes to accomplish the
projects and testing of hypothesis that are developed on large scales.
Milestones of Project charter
Phase
|
Milestone
|
Goal Settings
|
Documented goals and visions
|
Planning of Financing
|
Case developed of business
|
Requirements for process
|
Request regarding the development of information
|
Comparison of Products
|
Completed vendor comparison
|
Selection of the proper vendor and Negotiation with vendor about the
Contract
|
Vendor selected
Contract signed
|
Implementation of Population Health Management Technology
|
Go-live
|
Implement population health management technology
The infrastructure of the medical devices is based on the
different software applications as well as Healthcare IoT that is Internet of
Medical Things. The applications are developed for improvement of communication
and IT system. The simplest example is someone wearing Fitbit for the walk and
tracking his steps by the tabulated process in the iPhone. The Bluetooth
technology is used in this process and the data is then shared with his
physician to provide the information about the real state of his health. The
Wi-Fi connection is used to report the data with family and close friends [1].
Key Stakeholders
Title
|
Name
|
Sponsor - CEO or COO
|
|
Project manager (likely fills another role as well)
|
|
High-level clinical leader (preferably a physician)
|
|
Chief operations officer
|
|
Chief financial officer
|
|
Health information technologymanager or lead
|
|
Care manager/care coordinator
|
|
Others, including: consultants, a board member, nurse, other clinical
staff
|
|
|
|
Project budget and revenue of Project charter
The individual report requires five minutes for the process
and the end of month report is batched. The cost of each report is $ 2 and each
report is able to earn $ 96.58 and the net cost becomes $ 94.58. According to
estimate reports earns $20,860 on annual basis.
Staff time
|
75 hours
|
Consultants
|
$ 48
|
Software/ vendor solution
|
$ 2988
|
Other costs
|
$ 469
|
Constraints of Project charter
The possible constraints in the present project are associated
with the privacy and security issues. In case of any technical error the system
can undergo some issues and can induce impact of the treatment of the pediment.
Assumptions of Project charter
All the collaborative members are considered to share the
relevant data with Camden Coalition. The willingness of key stakeholders means
a lot. The scope of work aligns with the time duration and the sources required
for the allocation of the project.
Risks and dependencies
The dependencies along with challenges for the insufficient
infrastructure are mentioned below and it requires to manage high quality care [2].
Dependencies of Project technologies
The project depends on the machine learning process and data
optimization capabilities for the improvement of therapeutic process of patients
tremendously.
The Cost of care is increasing due to increase in the need
of delegate, elimination of all the automate system, and process requires to eliminate
waste from the patient care pipeline to improve the health of patient [3].
The popularity is increasing with efficacy and the
reimbursement codes are required for the telemedicine.
Ideally the implementation of medical devices is not
possible but it can improve health of therapy fast.
The possibility for the human error cost is reduced in the
current care system.
Biggest challenges include of Project charter
The biggest challenge of the process is the high cost and
long timeline for the approval, the reimbursement process requires new
therapies can be effective to improve the health of patients.
The establishment of interconnections are different for the comprehensive
system and the training is required for the implementation in the health care
center. The workers and patients should be able to understand the process of operation
for the system [4].
The general population is sometimes afraid of cyber security
used in the IoMT tech.
Approval signatures
project sponsor name:
project manager name: