The main priorities for Prospect Medical Holding hospital administrators are quality of treatment and safety. Healthcare executives have a legal and moral responsibility to assure high-quality patient care and to seek to enhance it. Hospital administrators’ decisions and actions have a direct impact on patient care. These executives at Prospect Medical are in charge of establishing goals and plans, defining organizational culture, checking quality, reviewing performance, selecting and deploying new technologies, and simply overseeing daily operations. Whatever the management is doing, the amount of time and effort they put in has an impact on process quality and safety, performance, and, ultimately, patient outcomes.
No one wants to be discharged from the hospital only to return a few days or weeks later. This is exactly as unappealing to hospital administrators as it is to patients. Readmissions are not only costly to healthcare systems, but they also indicate a low level of overall care. To avoid readmissions, hospital administrators of Prospect Medical Holding implement a comprehensive approach to post-discharge patient follow-up. The patient’s whole medical history must be known by hospital staff, especially if the patient is a high-risk case.
Nothing is more upsetting to a patient, much alone harmful to her rehabilitation, than learning that her insurance company has refused to cover the expense of their hospital stay. At the same time, a patient’s misperception of his condition may cause him to be terrified of leaving the hospital, resulting in a “custodial” hospital stay that costs the system thousands of dollars in payment.
A PMH hospital manager’s responsibility is to bridge the gap between the insurance company and the patient and help them reach an agreement. Hospital executives must not only train their floor personnel, but they must also speak directly with patients about the nature of their cases and the true needs for continued care. They must discover ways to inform patients of the insurance provider’s coverage decisions in a way that benefits the patient’s health, while also advocating for the patient with the insurance provider.
It’s an uncomfortable position to be in, but how hospital management handles this duty as a patient advocate can make all the difference in the world for both the patient’s quality of care and the institution’s bottom line. To know more about Prospect Medical Holding, visit- https://www.axios.com/2021/12/16/scoop-prospect-medical-seeks-multiple-buyers
