{"id":3230,"date":"2020-05-07T13:23:04","date_gmt":"2020-05-07T13:23:04","guid":{"rendered":"http:\/\/hx.design\/?p=3230"},"modified":"2020-05-07T14:10:21","modified_gmt":"2020-05-07T14:10:21","slug":"doing-the-right-thing-clinical-regulatory-financial-implications","status":"publish","type":"post","link":"https:\/\/hx.design\/staging\/5366\/doing-the-right-thing-clinical-regulatory-financial-implications\/","title":{"rendered":"\u201cDoing the Right Thing\u201d \u2013 Clinical, Regulatory &#038; Financial Implications"},"content":{"rendered":"<blockquote class=\"btx-item btx-quote btx-quote--border btx-center-position btx-center-align btx-p-border-border btx-with-background\" ><div class=\"btx-quote-text btx-s-text-color btx-secondary-font\" >Always do what is right.\u00a0 It will gratify half of mankind and astound the other <\/div><div class=\"btx-quote-author btx-s-text-color \" >\u2013Mark Twain<\/div><\/blockquote>\n<p>\u201cDoing the Right Thing\u201d has always been important to me.\u00a0 I have always wanted to go to sleep each night knowing I am making things better, for patients and staff. Finding those win\/win situations where improving things clinically, while also having a financial gain, is the best part of what I have done for the last couple decades.\u00a0 The more financial gain, the more we can provide services to people that are often marginalized in our communities.<\/p>\n<p>It is counterintuitive that \u201cDoing the Right Thing\u201d also can yield stronger financial results.\u00a0 A strong and structured interdisciplinary clinical program allows for patients to get better faster, which is why we provide services to such a challenging patient population in the first place.\u00a0 It also helps support financial operations by supporting utilization review processes for continued stay (medical necessity) requirements.\u00a0 It helps control expenses by structuring the patient flow and supervision such that staffing is more focused and efficient.\u00a0 For example, think about a 16-bed inpatient unit and all 16 patients actively engaged in groups and activity therapies in a group room.\u00a0 It is much more efficient from a staffing perspective to observe those patients for safety (who are all essentially in one space), compared to all 16 of those patients being randomly scattered throughout a large unit, wandering in and out of rooms and bathrooms.\u00a0 You would need two staff just to safely complete the observation monitoring rounds for a disorganized unit where patients are bored.\u00a0 Having people be bored on an inpatient psychiatric unit can also cause havoc, as it can be related to higher rates of agitation, aggression and related rates of seclusion and restraint, and associated employee injury expenses.<\/p>\n<p>It sounds basic, but if you \u201cDo the Right Thing\u201d in terms of documentation, providing a safe and effective environment of care, and managing seclusion\/restraint rates, it helps keep hospitals out of trouble.\u00a0 If hospitals stay out of trouble with regulatory agencies, they can focus on enhancing operations, improving quality, and possibly expanding services.\u00a0 Once hospitals cut corners or don\u2019t have appropriate processes in place, getting in trouble is just a matter of time.\u00a0 Then, capacity can become limited\/capped, expenses can become unruly, and it\u2019s relatively easy to cascade into action plan after action plan with multiple (state and federal) regulatory agencies.<\/p>\n<p>Just think:\u00a0 If we are kind to our patients, provide a safe, warm and therapeutic environment, support an engaged interdisciplinary team and structure solid clinical programming, and we follow known processes for operational success, there are stronger financial results.\u00a0 That\u2019s a win\/win.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u201cDoing the Right Thing\u201d has always been important to me.\u00a0 I have always wanted to go to sleep each night knowing I am making things better, for patients and staff. Finding those win\/win situations where improving things clinically, while also having a financial gain, is the best part of what I have done for the [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":3233,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[29,35],"tags":[],"class_list":["post-3230","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-behavioral-health","category-finance"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u201cDoing the Right Thing\u201d \u2013 Clinical, Regulatory &amp; Financial Implications - hX.Design<\/title>\n<meta name=\"description\" content=\"[btx_quote author=&quot;\u2013Mark Twain&quot; style=&quot;border&quot;]Always do what is right.\u00a0 It will gratify half of mankind and astound the other [\/btx_quote]\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hx.design\/doing-the-right-thing-clinical-regulatory-financial-implications\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u201cDoing the Right Thing\u201d \u2013 Clinical, Regulatory &amp; 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