OUR WORK
CMHC Nursing Services Productivity Project
OVERVIEW
The project included nursing services across the community mental health center, consisting of 8 – 12 nurses, rotating through 13 locations. The Director of Healthcare Integration wanted to increase billing and productivity, while also impacting the quality of care being provided to clients.
APPROACH
I utilized production reports from the medical record to establish each nurse’s baseline monthly production rate and the total hours monthly for nursing services. I met with the nursing staff to establish their daily, weekly and monthly tasks to assess time management, workload, skillset and knowledge base. I then met with each director to evaluate the effectiveness of nursing in meeting program needs and to gather feedback regrading increased production and quality of care standards.
RESULTS
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Nurses billing increased 72% from July of FY2020 to September of FY2021
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Nurses reported increased confidence in documenting and billing.
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Internal audit errors decreased by 76%
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Completed baseline assessments on all residential residents for the first time and established a process for new incoming residents.
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Increased client contact and engagement which improved the coordination of client care regarding physical health needs.
Community Blitz
OVERVIEW
A rural behavioral health clinic wanted to establish primary care physicians in their area to allow for better transitions in care for clients.
APPROACH
I met with the office nurse to establish expected outcomes before creating an action plan, including a list of providers she wanted to target. I then created all educational materials the nurse reviewed with providers during their meetings. The nurse spent a four hour window visiting eight different providers.
RESULTS
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Provided eight primary care physicians with information on services provided by the clinic.
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Established three providers that were taking new clients and the requirements for new patients.
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Identified one physician who only serves the elderly population.
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Improved coordination of care for clients with physical health needs.
Employee Onboarding
OVERVIEW
A residential program wanted to streamline their new hires training to allow new hires to obtain billing status within the first three months of employment.
APPROACH
I reviewed the current onboarding process and identified a need to develop the training and implement a timeline for new hires to obtain billing status within three months.
RESULTS
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Elevated staff competency by increasing training initiatives within the onboarding process.
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After implementation all new hires obtained billing status in less than three months.
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Increased billing productivity across new hires.