IMPROVEMENT IN THE PROCEEDINGS FOR MEDICARE BILLING OF INTENSIVE CARE UNIT ADULT

MISSION
Serve with quality and be friends with IPS users, their families and the community.

VISION
Chia Clinic SA will be a Lending Institution Health Services accredited to serve the community, for the 2,015 will maintain its standards of QUALITY, SAFETY AND HOSPITAL COMFORT with a trained and committed talent, growing through identifying and meeting the needs of new populations of northern savannah and the opening of outpatient services nationwide. Being an efficient institution that positively impacts its stakeholders.

DESCRIPTION OF AREAS INVOLVED

The people directly involved in the development of the activities were the Director of Billing and Admissions and the Director of Nursing for the support of them were not accessible to the new tools, the head nurses of the intensive care unit for adults who were responsible for delivering the media returns to billing, nutritionist because her whole format control enteral feedings and personal reference and counter was designed, who were responsible for monitoring fill formats patient transfers.

THEORETICAL CONTRIBUTION

Initially a format was designed to control the delivery of drugs not pos by the pharmacy to the intensive care unit for adults.
Every morning passed by the pharmacy to check and which no amount of drugs after he had been handed over to the nurse manager of the intensive care unit adult information in a form that the staff of the pharmacy filled it took to each patient when requesting a non pos medication so you can keep track of them. This format was implemented for about two months, a period during which a problem was evident , the pharmacy staff recorded only delivering drugs , but not recorded , which received as reimbursement by the head nurses of the unit, therefore , it was not a true and reliable information.

Nor could trust the upload that appeared in the system, because sometimes by failure of needed nurses to return to ordering medications and supplies being loaded double time, and the system does not have an option to me will uncover the amount of drugs actually dispensed by the pharmacy.

When a patient will change your medication and need to make a return thereof to the pharmacy, the department issued a written order that reflects the patient's name , the medication , the amount and the date the payment is done , this support is attached to the medical record so that when settled the bill returned drugs are discounted , seeking thereby that there are no missing or surplus , but the drawback above, does not, without , that are not always complete returns, because sometimes mislaid for various reasons , it is appended to another history or delivery is delayed.

Name of patient:
Identity:
Join Date:
Name of medication:
DATE OF APPLICATION	DURATION OF TREATMENT	QUANTITY DELIVERED	DATE AND UNITS REG.	RETURNS	SIGNATURE OF CHIEF

 
Figure 1 . First format that was implemented to control drugs not pos


Because of this possibility of improvement sought , the format was changed , so that returns and innovations, such as medications parameterized in the system, would be delivered by the head nurses directly to billing , where they would record the novelty date , patient name , observation and signature of the person receiving the delivery and support.

Although ideally the head nurses handed me personally returns or new, is not always done well, because when they leave weekend papers under the door of the office and so is not possible to show who perform this procedure.

 Figure 2. Format for recording returns and disadvantages that arise in the ICU Adult

EXPECTED RESULTS

By implementing these new formats and ideas what is sought is to reduce the glosses or returns by the health promoting entities with respect to the collection of medicines, and optimize and streamline the billing process with minimal errors.

Similarly to involve caregivers become aware of the importance of meeting the requirements demanded by the EPS for the payment of accounts and obviously to perform the procedure in a proper and orderly manner may show double bills on time by of audifarma clinic