Does QA matter? Ask the 17,000 pregnant men

In case you missed it, last month’s newsfeed turned up a series of interesting articles about a medical miracle: 17,000 pregnant men in Britain.

NEMT Communications Director Tara Courtland

Even if you did miss the story, if you work in the healthcare field, your mind has probably immediately turned to the answer: coding errors.

And that’s exactly what happened: coding errors led to reports of 17,000 pregnant men because the guys were accidentally coded for, say, an obstetrics exam instead of a prostate exam.

Of course it’s led to a lot of talk about ICD-10 and the wisdom of adding another 122,000 codes to the books. But there are plenty of people already arguing about that so I’ll pass.

Instead, I just want to take the opportunity to pat medical transcriptionists, editors and coders on the back. What you do is important. Accuracy really matters and typos can be costly (or worse).

Good, skilled, highly-trained personnel are those who have the education, the dedication and the focus to get it right, every time, every day. We can’t replace them with software and we can’t skimp on their training.

We’re proud of our accuracy rate and our people, not just inside NEMT, but in the American industry as a whole. It’s a tough industry – when you get it right, no one notices; when you get it wrong, suddenly 17,000 guys turn up pregnant.

Here’s to those of you who get it right every day. Thank you for all you do.

(You can read the Washington Post article here.)

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What’s your batting average?

Baseball season in America … whether your game is little league, high school, college, semi-pro, professional or all of the above, the season is in full swing.

NEMT New Business Development Director Rick Bisson

And even if you’re not a big sports fan you have to love the excitement of rooting for the home team.  Watching a game or catching the highlights, it’s all about the numbers: batting average, earned run average, runs batted in, homeruns, stolen bases – the list goes on.  The game vitals are displayed on your TV screen: runs, men on base, pitch count, inning, even the speed of each pitch.  And why are the numbers so important? Because the team with the best percentages wins more games and increases their likelihood of earning a spot in the World Series.

Like baseball, healthcare has its own arsenal of statistics: infection rate, readmissions, billing cycle, mortality and the list goes on and on.  Patient safety drives healthcare measurements.   Regulatory and competitive forces compound the need for improved statistics.  Meaningful Use has driven attention and focus on results at an amazing pace.  Like baseball, adding financial incentives has earned teams and their players attention and produced improved results.

The stakes in healthcare are very different than baseball.  Patient care is the final outcome.  Winning the game in healthcare means curing disease, healing wounds and preventing illness.  The World Series in healthcare is saving lives.

Physicians, nurses, administrators, health information, housekeeping and vendors all play a role in saving lives.  We are the pitchers, fielders, batters, designated hitters, managers, bat boys and grounds keepers.  In transcription, our vitals are the accuracy and timeliness of patient reports.  Our vitals for this year stand at 99.29% accuracy and 99.84% turnaround.   Accurate reports, delivered before they’re due – we take that notion seriously.   We’re focused on the World Series.

What does your season look like?  Are your results leading you to a winning season?  Will you make the playoffs?  Contact me.  Let’s discuss a game winning strategy.

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Getting on the bus: six tips for making new hires

I’m attending the Women Presidents’ Organization 12th Annual Conference in Atlanta this week.  Jim Collins, author of a number of books including Good to Great and his most recent, Great by Choice, was this morning’s keynote speaker.

NEMT CEO Linda Sullivan

This is the third time I’ve heard Jim speak and he is one of the best – not only for content but also for style and delivery.  No yawning going on in that room of 750 women business owners this morning.  He gave us several ‘lists’ of takeaways.  Here are his six things to do when hiring people for those all important seats on the bus.
1.  Make sure the new hire’s core values fit with your company/department/facility when they walk in the door.

2.  The person should not need to be tightly managed.  Guided, developed – yes but not micromanaged.

3.  They need to understand that they have responsibilities not a job.

4.  They need to actually do what they say they are going to do.  What a concept! This is my personal favorite.

5.  Display window and mirror maturity.  Meaning when things go well they point out the window giving others credit and when things don’t go well they look in the mirror and accept responsibility themselves.

6.  Think that what your company/department/facility does is cool.  They have passion for the work and the goals.

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Fear and loathing (ICD-10 isn’t as scary as you think)

Last week, I attended the AHIMA 2012 ICD-10 Summit. The program kicked off with Rose Dunn, COO of First Class Solutions and past interim CEO of AHIMA. If ICD-10 is in your future, take every opportunity to hear what she has to say.

One of my takeaways from her presentation is that if your facility is not at the very least in the planning stages for implementing ICD-10, make it your first priority beginning today.

I also got an interesting perspective from Debbie Abbott, the director of Resolutions (Int) Pty Ltd, located in Australia. She was involved in the process, from the government side, of bringing up ICD-10 in that country in 1998.

One of her observations was that once ICD-10 is in place, because the look-up methodology is so much more intuitive than ICD-9, it becomes much easier to use after the break-in period.

Her other interesting observation was that there was so much fear, which she found very surprising.  My observation, having attended several ICD-10 workshops and events, is that while there is fear, there appears to be less of it.

Even with the deadline extension (likely now to be Oct. 1, 2014), people seem to be simply accepting the inevitable and getting on with it.

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Teamwork (from 1,000 miles away)

When small companies turn into big companies, they face new challenges and NEMT is no exception. We’ve been in business for 22 years but in the last decade, we’ve moved from a regional New England-based company to a large national organization with hundreds of transcriptionists.

NEMT Communications Director Tara Courtland

While that success is obviously a source of great pride, it also comes with new challenges. One of those challenges is a question we ask ourselves regularly – how do you create a close-knit team and a sense of unity among people who work from home and who have never met?

There’s no single right answer to that so we’ve instituted a variety of initiatives: an employee newsletter, March Madness pools, MT Week games, photo contests … all designed to give our workforce members a sense of community.

We recently initiated a new one: a charity match program. We’re all familiar with corporate matches – you donate $50 to charity and your employer will match it. But in most companies, that only applies to full-time employees. We decided to open ours up to everyone – full-timers, part-timers, independent contractors … everyone on our payroll can take part.

We came up with the idea because, in our employee newsletter, we noticed that many of our team members submit pictures or stories about the charity events they participate in. Once spring hits, everyone takes to the streets to walk for a cause.

We discussed the idea of sponsoring a charity walk ourselves but our people are spread across so many states that no matter where we held it, only a few NEMT members could participate.

We also thought about picking a large national charity walk and encouraging everyone to sign up in their own city. But we didn’t feel good about picking a single charity for everyone; we might pick breast cancer, but just as many of our team members may care more about heart disease or Alzheimer’s or child abuse.

Then we realized – we don’t have to pick for them; we could do just as much good for our team and for our world by supporting the group each person has already chosen. Our only two rules are that the charity has to be a legitimate nonprofit with no political or partisan affiliations, and that the charity has to be hosting an event: a charity walk or a dance or dinner – a specific occasion for which participants are asked to raise money.

The reason for that is simple: we’re a solitary and sedate industry. Almost all of our team members work alone from their homes in sedentary jobs. In our free time, it wouldn’t hurt us to get up, get out and do something active. Our charity match is earmarked for events in order to encourage exercise (although exercise-type events are not required; one of the examples we use is a knit-a-thon) and socialization and also to give our team members something they can talk about and share with each other.

Of course we also want to make the world a better place and that’s one of the other reasons for the individual matches; it’s the small local charities have been hit hardest by the recession. We could pick a well-known national organization to have the widest appeal to our workforce, but it’s the local food banks, homeless shelters and SPCAs that are hurting the most these days and we want to help our team members help their own communities.

So we expect this program to be a win-win for our team members and their communities. So far, it’s proven to be popular. In the first few days of the launch, we made matching donations to Children’s Memorial Hospital in Chicago; Brashaw Christian School in California; and Autism Speaks in Maryland.

We’re excited about this and we’re looking for feedback and suggestions from other companies that have tried similar programs – or that have similar challenges and innovative solutions for building teamwork remotely.

What have you seen in your company? Or what would you like to see? Leave us a comment or email tcourtland@nemtinc.com.

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