Leading an Academic Medical Practice

• Autore: Lu Lee B
• Pubblicazione: Cham : , : Springer International Publishing AG, , 2024; ©2023
• Edizione: 2nd ed.
• Descrizione fisica: 1 online resource (582 pages)
• Disciplina: 610.65
• Altri autori: FortunaRobert J NoronhaCraig F SobelHalle G TobinDaniel G
• Nota di contenuto: Intro -- Foreword -- Preface -- Contents -- Part I: Clinic Director and Faculty -- Chapter 1: Clinic Director Roles and Expectations -- Introduction -- Background -- Overview of the Clinic Director Role -- General Expectations -- Qualifications -- Principal Responsibilities -- Clinical Mission -- Academic Mission -- Quality Mission -- Administrative Mission -- Working with Health Care Administration -- Conclusion -- References -- Chapter 2: Supervising and Supporting Faculty -- Introduction -- Overview -- Management of Academic Clinic Faculty -- Outlining Expectations -- Clinical Time: Part-Time vs. Full-Time -- Compensation and Productivity Goals -- Scheduling -- Clinic Call Coverage -- Oversight of Teaching Activities -- Responsibilities -- Clinical Supervision -- Clinic Operations -- Clinical Coverage -- Qualifications and Teaching Skill Development -- Supervision and Support of Scholarly Activities -- Conclusion -- References -- Chapter 3: Faculty Recruitment and Retention -- Introduction -- Background -- Identifying the Challenges to Recruitment and Retention -- Successful Recruitment -- Contract Negotiation -- Onboarding -- Making Retention Possible -- Creating a Culture of Connection and Flexibility -- Optimize Clinical Work Environments -- Ensuring a Mission-Based Care Focus -- Factors to Overcome Barriers to Faculty Recruitment and Retention -- Value Teaching -- Career Development: Promotion and Tenure -- Faculty Development -- Faculty Mentoring -- Innovative Clinical Learning Models -- Develop Faculty Interests -- Nonfinancial Incentives -- Conclusion -- References -- Part II: Operational Management -- Chapter 4: Academic Scheduling Models: Challenges and Solutions -- Introduction -- Common Program Requirements -- Current Scheduling Models -- Traditional Scheduling -- Hybrid Models -- X + Y Model -- Ambulatory Long Block. ; Evidence of Impact -- Satisfaction -- Educational Outcomes -- Duty Hours and Resident Wellness -- Systems-Based Practice and Practice-Based Learning and Improvement -- Primary Care Interest or Ambulatory Specialty Interest of Graduate -- Clinical Outcomes -- Access -- Continuity -- Quality of Care -- Comparison of Scheduling Models in Care of Patients with Diabetes -- Ambulatory Long Block -- 50:50 Outpatient-Inpatient Model -- Opportunities Provided by Scheduling Models -- Nontraditional Clinic Experiences -- Specialty Clinics -- Conclusion -- References -- Chapter 5: Management of Refills and Electronic Medical Record in-Basket Messages -- Introduction -- Medication Refills -- In-Basket Messages -- Result Notification -- Triaging Patient Phone Calls -- Patient Portal Messages -- Conclusion -- References -- Chapter 6: Maximizing Continuity in Resident Clinic -- Introduction -- The Case for Continuity -- Types of Continuity -- Measuring Continuity -- Maximizing Continuity -- Conclusion -- References -- Part III: Resident Clinic Requirements and Expectations -- Chapter 7: Outpatient Billing and Coding and Center for Medicare & -- Medicaid Services Billing Rules -- Introduction -- History of Physician Reimbursement for Medical Services -- The COVID Pandemic and Public Health Emergency -- The Basics of Billing and Coding: Big Changes in 2021 -- New/Established Patient Billing and Coding -- Comparison of 1995/1997 with 2021 E/M Guideline Documentation -- Medical Decision-Making -- Time -- Split-Shared Visits in the Clinic -- E/M Visits with Residents or Students -- Clinical Examples -- Telemedicine Billing and Coding -- Telephone (Audio) Only [16] -- Audio and Video Telemedicine Visits [5, 17] -- Virtual Check In (for Established Patients Only) -- E-visits (Initiated by Established Patients Through Online Patient Portal) -- Preventive Visits [18]. ; Screening Visits [20] -- Prostate Cancer Screening -- Screening Pelvic Examinations -- Depression Screening -- Medicare Services -- The Annual Wellness Visit -- Care Management Codes -- Chronic Care Management Services -- Home Health Care (HHC) Oversight -- Coding and Billing for Counseling Services -- Advanced Directive Counseling [27, 28] -- Counseling to Prevent Tobacco Use [29] -- Alcohol Misuse Screening and Counseling [30] -- Intensive Behavioral Therapy for Cardiovascular Disease [31] -- Intensive Behavioral Therapy (Obesity) [32] -- Modifiers -- Coding Nuances to be Aware of in a General Internal Medicine Practice -- Modifier 25 [18, 33] -- Modifiers to Use When Supervising Resident Physicians [34, 35] -- Modifier GC -- Modifier GE for Primary Care Exception -- Relative Value Units for E/M Visits, Preventive Visits, and Services -- Maximizing Revenue -- A Cautionary Statement -- Conclusion -- References -- Chapter 8: ACGME Requirements and Accreditation Issues -- Introduction -- Background -- Residency Program Requirements -- Primary Care Clinic Site Requirements -- Faculty Requirements -- Resident Requirements -- Scheduling Requirements -- Assessment and Feedback -- Working and Learning Environment -- Common Opportunities and Challenges -- Population Health -- Continuity -- Conclusion -- References -- Chapter 9: Resident Clinic Orientation and Expectations -- Introduction -- Overview of Key Elements of Clinic Orientation -- Clinic Topics to Cover During Orientation -- Orientation Methods -- Clinic Processes and Practices -- Attending Orientation -- Conclusion -- References -- Chapter 10: Resident Milestones, Assessments, and Feedback -- Introduction -- Feedback, Assessment, and Milestones in the Continuity Clinic -- Feedback -- Barriers to Effective Feedback -- Ways to Overcome Barriers to Feedback -- What Makes Feedback Effective. ; Continuity Clinic Feedback Pearls (Styles and Methods) -- Feedback Focused Faculty Development -- Feedback Tools and Models -- Assessment -- Milestones Assessment -- Clinic Faculty Members' Roles in Assessment -- Assessment Tools -- Clinic-Specific Situations -- Asynchronous Care -- Outpatient Procedures -- The Struggling Learner -- Conclusion -- References -- Chapter 11: Academic Year-End Resident Panel Transfer: Models, Methods, and Best Practices -- Introduction -- Overview -- Existing Models for Panel Transfer -- Model 1: Panel Transfer to New Interns -- Model 2: Panel Transfer to Rising Second-Year Residents -- Model 3: Transfer of Individual Patients Based on Clinical Complexity -- Best Practices for End-of-Year Panel Transfer -- Conclusion -- References -- Part IV: Telehealth & -- Telemedicine -- Chapter 12: History and Overview of Telehealth -- Introduction -- History -- Types of Telemedicine and Telehealth -- Telehealth Requirements -- Benefits and Limitations of Telehealth -- Benefits of Telehealth -- Potential Limitations of Telehealth -- Legislation and Regulation Resources -- Disparities in Telehealth -- Conclusion -- References -- Chapter 13: Telemedicine Clinical Workflow -- Introduction -- The Virtual Medical Home: Workflow and Roles -- The Patient-Clinician Telemedicine Encounter -- Preparing for the Visit -- Documentation -- Optimizing the Telemedicine Workflow for Accessibility and Equity -- Webside Manner and Communication Best Practices -- Conclusion -- References -- Chapter 14: Telemedicine in Medical Education -- Introduction -- Competency-Based Medical Education -- AAMC Telehealth Competencies -- ACGME Telehealth Competencies -- ACGME Supervision Requirements -- Direct Supervision -- Indirect Supervision -- Teaching of Telemedicine -- Ensuring Faculty Buy-in -- Teaching the Delivery of Telemedicine. ; Tailoring the Undergraduate Medical Education Experience -- Tailoring the Graduate Medical Education Experience -- Scheduling Spectrum of Telemedicine Clinics -- Hybrid Schedule: Face-to-Face and Virtual Visits -- 100% Virtual Schedule -- Equitable and Inclusive Telemedicine -- Special Consideration: Trauma-Informed Care Telehealth Strategies -- Conclusion -- References -- Part V: Pain and Substance Use Disorders -- Chapter 15: Establishing an Integrative Chronic Pain Management Clinic Within an Academic Medical Practice -- Introduction -- Terminology -- Role of a Faculty Champion -- How Patients with Chronic Pain Impact an Academic Medical Practice -- Standardizing Education for Trainees -- Patient Engagement -- Nonpharmacologic Approaches to Chronic Non-cancer Pain -- Lifestyle Modifications -- Behavioral Health Interventions/Mind-Body Therapies -- Movement Therapies -- Manual Therapies -- Topical Pharmacologic Therapy -- Systemic Non-opioid Pharmacologic Therapy for Chronic Pain -- Financing and Affordability for Integrative Chronic Pain Therapies -- Practice-Level Solutions -- Case Reviews -- Role-Playing -- Templates -- Macros -- Treatment Options -- Patient Resources -- Patient Education Resources -- Apps -- Conclusion -- References -- Chapter 16: Safe Opioid Prescribing and Controlled Substance Policies -- Introduction -- Background -- Prevalence and Impact of Chronic Pain -- The Competing Epidemics of Pain and Addiction -- This Historical Impact of Overprescribing -- The Impact of Pain and Addiction on an Academic Medical Practice -- The Role of Opioids in the Management of Chronic Pain -- Mechanism, Efficacy, and Indications -- Treatment Goal Setting -- Informed Consent and Controlled Substance Agreements -- Before the First Prescription -- Principles of Safe Opioid Prescribing -- The First Prescription: Quantity. ; The First Prescription: Short Acting Only.
• Titolo autorizzato: Leading an Academic Medical Practice
• ISBN: 3-031-40273-1
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9910842298803321
• Lo trovi qui: Univ. Federico II