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19
The Private Practice
Autumn 2013
REDUCING RISK
Overthepastfewmonths,changes
to policies and procedures relating
to secure messaging, clinical coding
and PCEHR Rule 25 (pertaining to
healthcare provider organisation
policies) mean practices must comply
in order to receive Practice Incentive
Program payments.
Practices keen to embrace the
paperless office are enthusiastic
adopters of new technology. The
increased use of offsite, cloud-based
technology has created a need for
practice principals to be aware of the
relevant privacy legislation affecting
data storage, and the National
Privacy Principle No. 9, which relates
to trans-border data flow. Policies
and procedures defining a practice's
management and handling of data
and privacy are key to ensuring
staff understand the importance of
complying and minimising risk.
The increased use of the Internet
and social media has created a
need for usage policies that clearly
define acceptable and unacceptable
activity, and the consequences of the
unacceptable activity. Practices taking
a proactive approach by being clear and
transparent about expectations are less
likely to have unacceptable activity.
Policies and procedures relating
to staff involvement in new online
activities, such as the maintenance of
a practice Facebook page, can be easily
incorporated into the manual.
More practices are employing
nurse practitioners and medical
assistants who are required to have an
understanding of the legal limitations
of their roles, the potential risks and
the liability of the practitioner.
Clear position descriptions and clinical
management policies assist in creating
role clarity and minimising risk.
There is also an increased move
to have qualified practice staff, such
as practice managers, who hold
AAPM certification. Clear selection
and recruitment guidelines enable
the practice to consider the skills,
education and experience requirements
for the role to be filled, and to assess
applicants objectively.
A future challenge for practices
will be the increased outsourcing of
practice-management services, such
as medical typing and bookkeeping.
Similar to the use of cloud technology
for data storage, practices will need
to ensure the supplier/outsourcing
organisation they choose complies with
Australian laws and requirements.
PROVIDING ACCESSIBILITY
As an effective, integral and dynamic
part of a practice, a procedures manual
must be accessible, relevant and current.
Accessibility is best achieved through
the use of secure methods that allow
all practice personnel access from their
main computer terminal. In this era of
search engines and widespread Internet
access, staff expect to be able to search
for and access information online.
MyPracticeManual facilitates this
by incorporating a communication
function, allowing users to easily
communicate their feedback and
suggestions via direct links to the
relevant section. The communication
loop is completed with a function that
enables the manual administrator
­ usually the practice manager ­ to
highlight new or changed policies and
procedures to practice personnel when
they access the manual.
The ability to access previous
versions of the practice's policies and
procedures at any given point is critical
for medico-legal risk management, as
well as providing excellent backup.
In addition, procedures have been
written in plain English so users can
quickly determine relevance.
With the exponential increase of
external information necessary to the
running of a practice, incorporating
hyperlinks to appropriate organisations
allows a practice to easily access the
current information necessary to
support practice policymaking. Practice
personnel can easily access information
such as accreditation standards, which
assist in their understanding of the
background behind the practice's
policies and procedures.
Maintaining currency involves
constantly scanning the medical-
practice environment and being able
to filter and distil the overload of
information into practical content that
keeps practice personnel informed.
Meeting the extreme challenge
of keeping a practice's policies and
procedures is an essential task for the
practice-managementteam.Optimising
the use of technology, including web-
based resources, as well as outsourcing
part of the task, are options for
practices to consider.
Being able to partner with
organisations that understand the
medical environment and business
operations that can support your
practice makes the challenge less
daunting, and will provide a manual that
will serve as an important tool in the
management of a successful business.