You are the president of a multi hospital system that is growing at a rapid pace

Question

You are the president of a multi hospital system that is growing at a rapid pace. There are strains on resources, and pressures to find new ways to achieve an economic scale in operations. In a meeting with the staff, a suggestion was made to look overseas for two services the system normally did internally.
The first was to consider outsourcing the reading of radiological images to an India-based radiology company. They would have radiologists available 24/7, and the images can be sent to them digitally. There would be a 50% savings and would eliminate the need an on-call radiologist in the hospital. It would also call for a reduction in staff and a reduction in supply acquisition.
The second suggestion was to outsource medical records transcription to a Pakistani company. Voice transcriptions could be sent digitally in real time (as notes were dictated), at a cost of nine cents per line versus the current 22 cents per line that the hospital is paying with a local transcription company. The turnaround time was comparable. The negative aspect is that sometimes language differences could cause errors in transcribing. In addition, the decision to take business away from local companies would impact the local economy.
Weighing all the facts, what choices would you make? Keep in mind you want to move your organization forward, yet at the same time, you want to consider your working relationship with the present providers of these services. Defend your choices! You are the president of a multi hospital system that is growing at a rapid pace. There are strains on resources, and pressures to find new ways to achieve an economic scale in operations. In a meeting with the staff, a suggestion was made to look overseas for two services the system normally did internally.
The first was to consider outsourcing the reading of radiological images to an India-based radiology company. They would have radiologists available 24/7, and the images can be sent to them digitally. There would be a 50% savings and would eliminate the need an on-call radiologist in the hospital. It would also call for a reduction in staff and a reduction in supply acquisition.
The second suggestion was to outsource medical records transcription to a Pakistani company. Voice transcriptions could be sent digitally in real time (as notes were dictated), at a cost of nine cents per line versus the current 22 cents per line that the hospital is paying with a local transcription company. The turnaround time was comparable. The negative aspect is that sometimes language differences could cause errors in transcribing. In addition, the decision to take business away from local companies would impact the local economy.
Weighing all the facts, what choices would you make? Keep in mind you want to move your organization forward, yet at the same time, you want to consider your working relationship with the present providers of these services. Defend your choices! You are the president of a multi hospital system that is growing at a rapid pace. There are strains on resources, and pressures to find new ways to achieve an economic scale in operations. In a meeting with the staff, a suggestion was made to look overseas for two services the system normally did internally.
The first was to consider outsourcing the reading of radiological images to an India-based radiology company. They would have radiologists available 24/7, and the images can be sent to them digitally. There would be a 50% savings and would eliminate the need an on-call radiologist in the hospital. It would also call for a reduction in staff and a reduction in supply acquisition.
The second suggestion was to outsource medical records transcription to a Pakistani company. Voice transcriptions could be sent digitally in real time (as notes were dictated), at a cost of nine cents per line versus the current 22 cents per line that the hospital is paying with a local transcription company. The turnaround time was comparable. The negative aspect is that sometimes language differences could cause errors in transcribing. In addition, the decision to take business away from local companies would impact the local economy.
Weighing all the facts, what choices would you make? Keep in mind you want to move your organization forward, yet at the same time, you want to consider your working relationship with the present providers of these services. Defend your choices!

Explanation / Answer

All this process is known as revenue cycle management.

Where it has a different types of steps including

collecting data

Medical transcription

Medical coding

Medical billing

And the insurance companies will involve in the strip final step.

As we have to give the medical records to read to Indian companies saving a lot of time and concentrating on the patient care. And saving a lot of economy and providing business process outsourcing management creating a mutual understanding between two companies which means two countries. All these are related to business management. Coming to the medical management.:

1. We can concentrate more on patient care

2. We can save patients economy.

3. We can provide at quality care.

4. Reduces staffing pattern and their management pattern.

Even though there will be last chances to create an error while coding and encoding them records. From the other side which means the medical coder transcriptor where they had qualified in this particular field after that has confirmed professionally this work has to be assigned and their Quality of work has to be examined frequently.

In India most of the companies are depending on this medical coding records and they are becoming experts in revenue cycle management. Including the billing according to the USA process.

Not only in the radiology in other fields like Pathology, inpatient department, emergency department, anesthesiology, evolutionary management. These are the other process, where we can reduce the work and concentrating on the patient's purpose and providing it is quality of work. And we can meet the demands of the patient.

Coming to the medical transcription related to the Pakistani companies there may be more chances to get errors because there will be language differences to get the errors.

If we get the error in the medical transcription it will affect on the other processes like coding and billing also so this is the initial step where we have to concentrate on more.

So, the medical transcription should be in observation frequently. Usually the position will explain in the sonogram,

The device which transfer the voice into data form so it has to enscript manually to do the corrections.

Coming to the economy purpose. We can save more money and providing business management with more mutual benefits.

There are a lot of chances to save nearly 50% of economy.

TAT ( Turn Around Time):

Even though it has take more time , as the process has to go in different ways and process so it leads to TAT issues.

So keeping all this points in my mind. Taking the decision from the higher authority. Gives the fruitfull output to the organisation.

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