Library
Reduction in Claims Denials for High-Tech Imaging (HTI) at SMDC Health System Center for Therapy
SMDC Health System Center for Therapy was experiencing a higher-than-usual level of claims denials from a number of insurers for high-tech imaging tests (CT and MRI). The claims were being denied because SMDC had not obtained prior authorization for the tests. Thi
- Filetype: pdf
- Publish date: 2009-12
- Keywords:Case study; Healthcare; Process improvement; Root cause analysis; Control plan; Cause-and-effect (fishbone) diagram; Process mapping
Review of IDR Inventory Control Processes and Implementation of Procedures to Minimize Discrepancies
At a large university health system, inventory distribution and receiving (IDR) rates fell to 32 percent below the minimum customer requirement of 98 percent. There was no clearly defined inventory control procedure. An independent audit revealed a significant dis
- Filetype: pdf
- Publish date: 2009-12
- Keywords:Case study; Healthcare; Process improvement; Materials management; Inventory control; Root cause analysis; Business results; Cause and effect diagram; Compliance; Measurement system; House of quality
Development and Implementation of a New Process for Handling Add-On Lab Orders
At SMDC Health System's Duluth Clinic-Ashland, additional lab tests ordered by providers were not communicated to the laboratory in a standardized, efficient manner. Once a sample had been drawn and tested, the electronic health record system did not recognize the
- Filetype: pdf
- Publish date: 2009-12
- Keywords:Case study; Process improvement; Root cause analysis; Business results; Process control; Process mapping; Stakeholders analysis
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