1、本科毕业论文（设计）外文翻译原文STRATEGIESFORSUCCESSHIGHPERFORMINGREVENUECYCLEHOSPITALSEXCELFORAVARIETYOFREASONSTWOKEYREASONSHIGHPERFORMANCEREVENUECYCLEHOSPITALSTAKEABIGPICTUREORGANIZATIONALAPPROACHWHILEREMAININGKEENLYATTUNEDTOTHEPARTICULARNEEDSANDSTRENGTHSOFTHEIRINSTITUTIONS,RATHERTHANATTEMPTINGTOAPPLYONESIZEFITSA
2、LLSOLUTIONSALTHOUGHHOSPITALSACROSSTHENATIONSHAREMANYOFTHESAMECHALLENGES,THEAPPROPRIATERESPONSETOTHOSECHALLENGESWILLVARYBASEDONTHEUNIQUECULTUREANDCIRCUMSTANCESOFEACHORGANIZATIONASNOTEDINARECENTHEALTHCAREFINANCIALMANAGEMENTASSOCIATIONHFMASPECIALREPORT,HIGHPERFORMINGORGANIZATIONSELEVATETHEIMPORTANCEOFT
3、HEREVENUECYCLE,ACCELERATEACTIONTOEXECUTESTRATEGIESTOACHIEVEGOALS,ANDTARGETANDMASTERELEMENTSMOSTCRUCIALTOTHEIRSUCCESSRATHERTHANFOCUSINGONTHESAMEELEMENTSASOTHERHOSPITALSSTILL,HIGHPERFORMINGORGANIZATIONSDOSHARESOMECOMMONTRAITS,ASOUTLINEDINTHEHFMASSPECIALREPORT,“STRATEGIESFORAHIGHPERFORMANCEREVENUECYCLE
4、,”WHICHISBASEDONRESEARCHINVOLVEDWITHTHEPATIENTFRIENDLYBILLINGPROJECTRESEARCHERSIDENTIFIEDSIXKEYAREASINWHICHHIGHPERFORMERSEXCELPEOPLE,PROCESSES,TECHNOLOGY,METRICS,COMMUNICATION,ANDCULTURESTRATEGIESANDBESTPRACTICESINTHEKEYAREASOFPEOPLE,PROCESSES,ANDTECHNOLOGYAREOUTLINEDINTHEFIRSTPARTOFTHISSERIESSEEHEA
5、LTHCAREREGISTRATION,OCTOBER2010,VOL20,NO1INTHISISSUE,WEHIGHLIGHTBESTPRACTICESIDENTIFIEDBYRESEARCHERSINTHEAREASOFMETRICS,COMMUNICATION,ANDCULTUREITISIMPORTANTTONOTE,HOWEVER,THATANELEMENTCRITICALTOSUCCESSSHAREDBYHIGHPERFORMINGORGANIZATIONSISAHIGHLEVELCOMMITMENTTOHIGHPERFORMANCEREVENUECYCLEMANAGEMENTTH
6、ISCOMMITMENTBEGINSWITHTOPEXECUTIVES,FINANCEANDOTHERWISE,ANDISSHAREDBYEMPLOYEESATALLLEVELSANDINALLAREASTHROUGHOUTTHEORGANIZATIONTHISHIGHLEVELCOMMITMENTFUELSBESTPRACTICESINTHESIXCOREAREASRESEARCHERSEXAMINEDAT14HIGHPERFORMINGORGANIZATIONSFEATUREDINTHESPECIALREPORTMETRICSHEALTHCAREPROVIDERORGANIZATIONST
7、HATSTRUGGLEWITHPOORREVENUECYCLEPERFORMANCECANTAKESOMESOLACEINKNOWINGTHATHIGHPERFORMINGCOUNTERPARTS,TOO,HAVEHITSUCHLOWSREGARDLESSOFHOWDIFFICULTASITUATIONMAYAPPEAR,IMPROVEMENTISPOSSIBLE,ANDDRAMATICIMPROVEMENTCANBEACHIEVEDWITHINARELATIVELYSHORTPERIODOFTIME,RESEARCHERSFOUNDCHARTINGACOURSEFORIMPROVEMENTA
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10、REARLYIDENTIFICATIONOFISSUESOFCONCERNSOTHEINTERVENTIONCANOCCURBEFORETHEISSUESMANIFESTASSIGNIFICANTPROBLEMSALTHOUGHTHEPRECISEMETRICSANDPERFORMANCEREPORTFORMATSANDDETAILSMAYVARY,THEREARETHREECOMMONALITIESINTHEREALMOFMETRICSSHAREDBYHIGHPERFORMINGORGANIZATIONSHIGHPERFORMINGREVENUECYCLEHOSPITALSEVALUATEP
11、ERFORMANCEFREQUENTLY,AREWILLINGTOLOOKBEYONDTRADITIONALMETRICSASNEEDED,ANDHIGHLYVALUEANDINCORPORATECONSUMERPERSPECTIVESMONITORINGANDREPORTINGFREQUENCYHIGHPERFORMINGREVENUECYCLEHOSPITALSSHAREACOMPULSIONTOMEASUREANDMONITORPERFORMANCE,ANDTHEYDOSOFREQUENTLYBASEDONMETRICSTHATALSOAREFREQUENTLYREVIEWEDTHEME
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20、REDAFTERTHEPATIENTSVISITTOTHEFACILITYBUTBEFORETHEPATIENTACRITICALCOMPONENTFORSUCCESSINANYENDEAVORISEFFECTIVECOMMUNICATIONHIGHPERFORMINGREVENUECYCLEHOSPITALSRECOGNIZETHECRITICALROLEOFCOMMUNICATIONANDPLACEAGREATEMPHASISONEFFECTIVECOMMUNICATIONSWITHPATIENTSANDTHEIRFAMILIESOFPARTICULARNOTEFORPATIENTACCE
21、SSPROFESSIONALSISTHATRESEARCHERSFOUNDTHATHIGHPERFORMINGREVENUECYCLEHOSPITALSFOCUSONENSURINGEFFECTIVEPATIENTCOMMUNICATIONSBEGINUPFRONT,ATPATIENTACCESS,ANDCONTINUETHROUGHTHEBILLINGANDCOLLECTIONSPROCESSSPECIFICALLY,HIGHPERFORMINGORGANIZATIONSFOCUSONCOMMUNICATIONSTHATSUPPORTAPOSITIVESCHEDULINGANDREGISTR
22、ATIONEXPERIENCE,PROVIDEPATIENTSWITHANESTIMATEOFTHEIRFINANCIALOBLIGATIONS,PUBLICIZEFINANCIALASSISTANCEOPTIONS,PROVIDECLEARANDSIMPLEBILLINGANDCOLLECTIONSMATERIALS,ANDESTABLISHCONSISTENTEXTERNALCOMMUNICATIONSHIGHPERFORMINGREVENUECYCLEORGANIZATIONSRECOGNIZETHATAKEYTOSUPPORTINGAPOSITIVESCHEDULINGANDREGIS
23、TRATIONEXPERIENCEFORPATIENTSISTOMINIMIZEREDUNDANTINTERACTIONSAMONGTHEPATIENTACCESSBESTPRACTICESCITEDBYHIGHPERFORMINGORGANIZATIONSTOCURBREGISTRATIONREDUNDANCIESARE1ASTREAMLINEDREGISTRATIONPROCESSFORALLAREASPROVIDEDTHROUGHCENTRALIZEDSCHEDULINGAHIGHPERFORMINGHOSPITALTHATRELIESONACENTRALIZEDCALLCENTERFO
24、RSCHEDULINGSETSAGOALTOANSWER80PERCENTOFCALLSWITHIN20SECONDSANDTOKEEPTHECALLABANDONMENTRATETOLESSTHAN5PERCENTTHEFREQUENCYWITHWHICHTHESEMETRICSAREMONITOREDANDREPORTEDCONTINUOUSLYANDREALTIMEALTHOUGHITMAYSEEMSUCHANAGGRESSIVEUSEOFMETRICSMAYBEVIEWEDASHEAVYHANDEDOREVENEXTREME,THEORGANIZATIONSREPORTSTHATITI
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27、EDATTHEFACILITIESTHUS,ALTHOUGHTHEMETRICSBASEDGOALSANDMONITORINGPROCESSESUSEDINTHISSCHEDULINGCALLCENTERSETTINGARERIGOROUS,EMPLOYEEBUYINEXISTSAMONGTHEREASONSTHEPERFORMANCEMONITORINGANDMEASURINGPROCESSANDEXPECTATIONSARECLEARANDFAIR,AND,IMPORTANTLY,EMPLOYEESRECEIVETHENEEDEDTRAININGANDSUPPORTSOTHATPERFOR
28、MANCEEXCELLENCECANBEACHIEVEDPUBLICIZINGFINANCIALASSISTANCEBESTPRACTICEINPATIENTCOMMUNICATIONSINCLUDESENSURINGTHATPATIENTSTHEINSURED,UNDERINSURED,ANDUNINSUREDALIKEAREAWAREOFFINANCIALASSISTANCEAVAILABLETOASSISTTHEMINMANAGINGTHEIRHEALTHCARECOSTSSUCHFINANCIALASSISTANCETAKESSEVERALFORMS,SUCHASCHARITYCARE
29、LOCAL,STATE,ORFEDERALMEDICALASSISTANCEPROGRAMSOREARLYPAYDISCOUNTSOROTHERFINANCIALARRANGEMENTSHIGHPERFORMINGREVENUECYCLEHOSPITALSENSURETHATEFFECTIVEPATIENTCOMMUNICATIONSINCLUDESPUBLICIZINGFINANCIALASSISTANCEOPTIONSUNDERREQUIREMENTSOFTHEPATIENTPROTECTIONSANDAFFORDABLECAREASHIGHPERFORMINGORGANIZATIONSP
30、LACEAPRIORITYONINITIATINGDIALOGUESATPATIENTACCESSTOBESTCOMMUNICATETOPATIENTSINFORMATIONABOUTTHECOSTOFCAREANDPATIENTSPAYMENTANDFINANCIALASSISTANCEOPTIONS,SODOHIGHPERFORMERSFOCUSONENSURINGTHATTHISINFORMATIONREMAINSCLEARANDSIMPLETHROUGHOUTTHEBILLINGANDCOLLECTIONSPROCESSPATIENTSAPPRECIATEKNOWINGUPFRONTW
31、HATTHEYWILLOWE,ANDHOWTHEYWILLBEABLETOMANAGEWHATTHEYOWEITISIMPORTANTHEALTHCAREPROVIDERORGANIZATIONSARECAREFULNOTTOUNDOTHEGOODCOMMUNICATIONSWORKINITIATEDONTHEFRONTENDBYSENDINGOUTCOMPLEXANDCONFUSINGBILLSRATHER,BESTPRACTICEINCOMMUNICATIONSINCLUDESSIMPLIFYINGBILLSTOTHEGREATESTEXTENTPOSSIBLEINADDITION,HIG
32、HPERFORMINGORGANIZATIONSPROVIDEPATIENTADVOCATESTOASSISTPATIENTSWITHBILLINGANDCOLLECTIONSQUERIES,INCLUDINGBEINGABLETOWORKWITHORONBEHALFOFPATIENTSWHOENCOUNTERPROBLEMSWITHPAYERSTHATNEGATIVELYAFFECTPATIENTSFINANCIALOBLIGATIONSEXTERNALCOMMUNICATIONSTHEEXTERNALCOMMUNICATIONSAREACOVERSINFORMATIONPATIENTSRE
33、CEIVEONLINETHROUGHTHEFACILITYSWEBSITEORINHARDCOPYTHROUGHPRINTEDBROCHURESDISTRIBUTEDWITHINTHEFACILITYANDINTHEGREATERCOMMUNITYITSERVESATHIGHPERFORMINGORGANIZATIONS,MARKETINGANDREVENUECYCLEMANAGEMENTSTAFFMEMBERSCOLLABORATETOENSUREALLINFORMATION,WHETHERONLINEORPRINTEDSUCHASABROCHUREORWEBPAGETHATEXPLAINS
34、WHATPATIENTSCANEXPECTATREGISTRATIONANDINTHEBILLINGANDCOLLECTIONPROCESSCORRESPONDSWITHMESSAGINGTHATOCCURSTHROUGHPATIENTACCESSSCRIPTSANDOTHERLIVECOMMUNICATIONSWITHPATIENTSANDPATIENTFAMILIESHIGHPERFORMINGORGANIZATIONSALSOENSURETHATWEBCONTENTISCOMPREHENSIVEFORINSTANCE,CHARGEAND/ORCOSTINFORMATIONFORSPECI
35、FIC,MORECOMMONPROCEDURESMAYBENOTED,ORPATIENTPORTALSMAYBEAVAILABLEFORPATIENTSTOCHECKONTHEIRBILLSTATUSORTOMAKEONLINEPAYMENTSTHEMOSTCRITICALELEMENTSOFEFFECTIVECOMMUNICATIONSCONSISTENCYANDCLARITYREGARDLESSOFTHEFORMATINWHICHAMESSAGEISCOMMUNICATEDTOPATIENTSDURINGACONVERSATIONWHENSCHEDULINGAPROCEDURE,INABR
36、OCHURE,ORONLINEPATIENTSAREBESTSERVEDWHENTHEMESSAGEREMAINSTHESAMEREGARDLESSOFFORMATCONSISTENCYANDWHENTHEMESSAGEISEASILYUNDERSTOODCLARITYCULTUREANORGANIZATIONSCULTUREISCOMPRISEDOFSHAREDATTITUDES,VALUES,ANDGOALSTHATAREPUTINTOPRACTICETHESEINTANGIBLEASPECTSARECRITICALINDEVELOPINGASENSEOFMISSIONANDVISIONT
37、HATCANDRAMATICALLYASNOTEDBYONEEXECUTIVEWITHAHIGHPERFORMINGREVENUECYCLEORGANIZATION“WHENYOUDONTHAVETHERIGHTCULTURE,YOUCANONLYTINKERAROUNDTHEEDGES”AMONGHIGHPERFORMINGORGANIZATIONS,THERIGHTCULTURESPRINGSNOTFROMESTABLISHINGTHEORGANIZATIONSSHAREDVALUES,BUTINGAININGEMPLOYEEBUYINTOAPPLYTHEVALUESTOIMPROVEPE
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40、ANIZATIONMAKETHEREVENUECYCLEANORGANIZATIONALPRIORITY,HIGHPERFORMANCEISATTAINABLEAPPRECIATIONFROMNONFINANCESTAFFHIGHPERFORMINGREVENUECYCLEORGANIZATIONSACHIEVEEXCELLENCEBYINVOLVINGTHEENTIREORGANIZATIONFINANCECANNOTANDDOESNOTGOITALONEFOREMPLOYEESFROMTHROUGHOUTTHEORGANIZATIONTOSUPPORTAHIGHPERFORMANCEREV
41、ENUECYCLE,EDUCATIONISKEYWHETHERSUCHEDUCATIONISPROVIDEDTHROUGHACLASS,TRAININGMANUALS,ORSHADOWOPPORTUNITIES,HIGHPERFORMINGHOSPITALSUNDERSTANDTHEVALUEOFENSURINGTHATNONFINANCEEMPLOYEES,TOO,UNDERSTANDTHEREVENUECYCLEANDTHEIRROLEINSUPPORTINGREVENUECYCLEFUNCTIONSSOURCELAURAJMERISALO,2010“STRATEGIESFORSUCCES
42、S”THENEWSLETTERFORHEALTHCAREREGISTRATIONPROFESSIONALS,VOL20,NO2,NOVEMBER,PP112译文成功策略医院想要取得高绩效的原因多种多样。两个关键原因高性能收入的医院会采取一个收入周期，而其余的组织的实用性,特别需要实行根据自己的机构的独特的环境，和每个部门当时的情况进行财务高绩效的政策，而不是尝试使用的千篇一律的解决方案，医院在全国范围内面临许多同样的挑战，适当的回应那些挑战。正如在最近的医疗保健财务管理协会的特别报告中提到，高绩效的组织提高收入的重要性，加快行动周期执行策略来实现目标，目标和掌握他们成功的最重要的元素不是与其他
43、医院专注于同样的元素，而是要根据自身情况制定。然而,高绩效的组织都有一些共同的特点，按照医疗保健财务管理协会的特别报告，一个高性能的策略收入周期，的基础上,研究的范围涉及到病人友好的帐单项目。研究人员确认六个关键的领域中员工、工艺、技术、计量、通讯、文化。策略和最佳做法重点地区的人、过程和技术。这个系列的第一部见关注健康2010年10月,20卷记载。在这个问题上,我们强调确定最佳实践领域的研究人员的度量标准、通讯、文化。不过需要注意的是，成功的关键元素是共享高绩效的组织是一种高层次的承诺高性能收入周期管理。这种承诺始于高层管理人员、金融和其他方面,就员工共享的各地区的各级整个组织。最佳实践的核
44、心领域研究人员们出现在高绩效的组织在特别报告度量卫生保健中心的组织性能差的斗争收入周期可以带来一些安慰,因为你知道高绩效医院的同行，也会有这样的低点。不管有多困难的情况可能会出现，情况是有可能得以改善的，可以达到惊人的进步在相对较短的时间里，研究人员发现图表可以清楚地表示持续改进的一门课程收益，可以看出需要判断的能力和需要改进的地方、以及有能力继续实施过程的监控和性能用相关的收入周期绩效指标。这些标准是来测量和监控收入周期的必要，根据性能设定适当的目标和必要时可适当地进行调整来实现目标。度量的类型,或措施,高绩效的变化周期，在医院范围，可以运用一些措施,然而,注意有意义的进展报告援助工作人员的
45、活动要求确定改进之处。此外，报告里有下划线的文字有着很强的重要性，考虑到我们所关注的问题的早期鉴定之前发生的干预并不能因此问题表现为严重的问题。但具体的度量标准和执行报告的格式和细节可能会有所不同，有三种类型的度量标准领域的共享的高绩效的组织。高绩效评估业绩收入周期医院频繁，愿意看超越了传统的度量标准,需要,并且非常重视并将消费者的观点。监测和报告频率。他们这样做经常基于度量标准，也经常研究进展进行了综述。及时审核和报告的性能度量非常重要。重要的是，信息和见解行为报告来源于员工共享反映在他们的工作报告。值得注意的是，该方法的不同是在医院进行应用。在病人的访问，测量也可能包括登记误差跟踪系统或叫
46、长度和叫放弃优先的利率。非传统的度量标准。愿意接受非传统的度量标准是一种可以共享高品质高绩效的医院，进而导致为设计和制作标准的自然差异，这是在需求的基础上的各自的组织不同的地方。这并不是说传统的方法具有抛弃了。相反,传统的标准是非传统措施以允许差异的竞争对手医院，了解起源和对更确定改进机会能够具体到他们的组织。在非传统的度量标准,高绩效的医院有那些底线,不是财务数据推动的。例如，病人满意度措施度量使用最终会影响财务业绩。尽管测量病人的满意度不是什么新事物，显然是一种传统的测量的整体性能,高绩效的医院仅依赖这些度量在非传统的方式,因为它在金融领域中所取得的成绩。非传统的又一个例子说明这种影响有效
47、的收入周期效益的员工离职率。因此，高绩效的组织经常查看的利率营业额的度量，因为这是一种元素，它影响财务结果，因此是一种重要的虽然非传统的度量，而用于制造业务的项目则需要改进。病人的观点。高绩效的组织正在收集消费方面通过调查方法，对病人的满意度，寻求新层次的具体满意度的提高和一定时间内使用收集病人满意度的数据。传统上，病人的满意度数据的成功关键因素在努力做有效的沟通。设置一个重视有效的沟通和病人和他们的家属特别值得注意的专业人员对病人访问的专业人员，是高绩效医院的一个好方法。具体地说,高绩效的组织关注通信，支持一个积极的调度和登记的经验,提供例患者，使他们清晰的财政义务，为医院财务人员提供清晰、
48、简单帐单和收集材料。高绩效的收入周期的企业意识到一个关键的支持很必须，而一个积极的调度和注册经验会减少病人。使病人进入最佳做法被高绩效的组织来抑制登记冗余流线的注册过程中,各个领域提供了集中调度高绩效的医院,依靠一个集中的电话服务中心调度设置一个目标回答，80于二十秒内的电话呼叫放弃并保持利率则不到5。这些度量的频率进行监测和报告是连续的。虽然它似乎使用这样咄咄逼人的度量标准被认为是沉重的甚至是极端,组织报告说,它是所蕴涵的员工,因为他们提供所需的训练和其它支持,需要让他们成功。提供员工的技能和知识的信息，包括成功计划系统，脚本和质量标准，以及医学术语和人体解剖学，为新员工入职资料、跟踪观察,
49、以确保新员工不同与对手员工的优势。宣传财政援助。实现最佳病人通讯的人员应该了解，被保险的或是为参加保险的病人，财务援助可以怎样帮助他们解决住院费用。这样的经济援助有几种形式，免费的个人护理用品，地方性的援助计划或是早付折扣等等。高绩效医院确保病人能够了解和选择财务援助。此外,高绩效的组织提供财务人员协助患者,包括帐单和收藏查询或能代表遇到什么问题的患者与纳税人带来负面影响,患者的财务责任。高级收入周期支持。支持收入周期需要同时存在,而不仅仅是执行标准从财务管理人员领导人在临床的区域,例如,也必须理解和欣赏,财务业绩扮演的关键角色。高层非财务人员认可。高绩效的收入周期是追求卓越的组织。从在整个组织员工支持高性能的收入周期,教育是关键。高绩效医院还是需要员工了解收入周期和自己在提高医院财务收入中所要扮演的重要角色。出处美劳拉麦瑞斯卡，成功的战略，关注健康期刊，第20卷,2010（3）112
