ASQ Discussion Boards

Replies: 5

Laura

Best Practices Guide
Posted: Mar 16, 2008 9:02 AM

Has anyone been involved in developing a Best Practices Guide for your company? If so, could you share your experience and any suggestions for getting started?

Thanks.

Laura

Edward Blackman

Posts: 39

Re: Best Practices Guide
Posted: Apr 22, 2008 2:49 PM

Hello Laura,

I did not create a guide, but did a lot of BP sharing. There are a lot of BPs to glean across insurance types. For example, even though I worked in healthcare insurance, automotive insurance companies had excellent insights to share.

Also, Cigna was a great source for BPs. They've done stellar work with Six Sigma.

Take care,
Ed

Laura Kelly

Re: Best Practices Guide
Posted: Apr 23, 2008 9:34 PM

Thanks, Ed. Are there any best practices that you found universal in nature that youcould share?

Laura

abhinav

Re: Best Practices Guide
Posted: Mar 23, 2009 8:13 AM

anyone knows about the best workflow management from the insurance industry perspective?

Lorraine Ambrose

Posts: 3

Re: Best Practices Guide
Posted: Jun 27, 2008 5:35 AM

Does anyone have any best practices they would be willing to share on HEDIS best practice clinical interventions to improve HEDIS scores?

Edward Blackman

Posts: 39

Re: Best Practices Guide
Posted: Jun 27, 2008 8:19 AM

How much of your chart review process involves on-site visits?

One method to reduce travel costs while also decreasing cycle times for chart reviews is to ask sites (physician practices) to fax their charts to your office if there are less than 10 charts to review at their site. Some sites will resist this request, but most don't complain. If they do complain about the expense for fax transmissions, then you should offer to reimburse them.

Another cost savings method is to utilize a mix of about 70% resource staff and 30% regular FTE staff for chart reviews. As long as the resource staff have a solid clinical background, they should perform well.

Do your reviewers use laptops? What program are they using?