Most important role in a hospital's success is played by the operations team which should be led by a person who is thorough in the healthcare knowledge. We assist the hospital owner in building the operations team which includes Front Office Manager, Patient Care Executives and Doctor Co-ordinators. The biggest failure in any hospital is lack of knowledge and training amongst the operations team about the healthcare industry.
Most of the hospitals would get the tariff list from another hospital and make a copy of it with minor changes. The hospital tariff should be carefully created depending on the market. Packages should be made in such a manner that the doctor payment is equitable and not excessive. The hospital has to protect its margins in these packages whether for cash patients or for panel patients.
This is one of the most important task for any hospital. The insurance companies and the TPA's are constantly pushing the rates down. A proper presentation has to be made to the insurance companies about the services, facilities and the doctors available at the hospital. Customer pull has to be created before approaching the insurance companies for empanelment otherwise good rates cannot be negotiated. We offer all these services to our clients.
The operations team including the front office executives should be knowledgable about the various ailments and the treatments available at the hospital. They should be able to differentiate between wheat and chaff in terms of healthcare. Patient management is an art and can be mastered only through knowledge and training. We provide the necessary training to the operations team about these things.
A lot of hospitals suffer due to non realization of revenue from the services delivered to the patient. The operations team has to make sure that the IPD billing is done in such a manner that any service given should not go unbilled unless the hospital operates on fixed packages. Many patients who are admitted on non package basis get lots of services from the nursing staff and doctors which is neither captured nor billed.
Hospital which have installed Hospital Information System are also not using even 15% of the capabilities of this software. The HIS should be carefully selected in terms of Management Information Reports and the Marketing and Operations team should be able to make sense out of these reports. We help the hospital in selecting the right HIS and then provide training to the personnel to make maximum use of the software.