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OSP PROJECT GROUP ONE 1

OSP Project Group One

Shanda Christiansen, Rita Daniels, Mary Anne Gross, and Margaret Gerulski

Ferris State University


AbstractThe purpose of this paper is to fulfill an assignment for the Nursing 440 course, Leadership in

Nursing, in the RN-to BSN program at Ferris State University. To complete this paper group

participation in an Organizational Strategic Plan project was necessary to provide a hypothetical

healthcare service, the Good Samaritans Clinic. After an external and internal environmental

assessment, the group chose to present an indigent clinic in St. Louis, Missouri. This paper will

detail the elements involving creation of a mission and philosophy statement, developing

organizational goals, objectives, job descriptions, job advertisement, organizational charts and a

strategic plan including a budget proposal. A Power Point presentation will present the Good

Samaritans Clinic to the other students for evaluation.


OSP Project Group One

Step OneExternal Assessment

Good Samaritans Clinic will be a non-profit, non-denominational organization providing

high quality health care services for medically indigent adults and children in St. Louis,

Missouri. Like many other clinics in the surrounding area, this clinic offers basic medical

services along with very specialized services. According to the Centers for Disease Control and

Prevention, over 46 million Americans were without health insurance in 2009. Six point six

million of those Americans were children under the age of eighteen (Recent data on health

insurance, 2009, para. 1).

St. Louis has a population of 998,692 people, of which 23% of that is children under the

age of 18. St. Louis’ population consists of 71% white and 23.4 % black. The median household

income is $57,561 and 6.7% of families with related children under 18 have an income level that

is below the national poverty level. Approximately 7.1% of St. Louis’ population are

unemployed, there are 1,046 people in St. Louis that have graduated with a high school diploma

and 21,291 people that have a less than a 9th grade education (State & county quick facts, 2012).

According to the Centers for Disease Control and Prevention, 12.4 % of people in

Missouri delayed medical care due to cost, resulting in 9.4 % not getting prescription drugs and

14.1% not getting dental care (Health status and determinants, 2011, Table 81). The Good

Samaritans Clinic can help bridge this gap of delayed medical treatment by providing specialty

health care services for the people of St. Louis, Missouri. There are many clinics available in St.

Louis to help with the needs of the medically indigent or underinsured, but with St. Louis being

so heavily populated we needed to offer an additional clinic that could support all aspects of

health care. The Good Samaritans Clinic offers general medical care with sub-specialty services


that include prenatal care, breast feeding support, child birth classes and also pediatric services.

Same day sick appointments will be available for acute illnesses as the provisions for walk-in

appointments.

Internal Assessment

In development of the Good Samaritans Clinic, it is necessary to perform an internal

environmental assessment. Our development group determined through our external assessment

that there was a definite need for the proposed type of services. It was felt to secure the success

of this endeavor financing would be met through grants, private organizations, fundraising

efforts, donations, and services from local businesses. For this clinic to serve the indigent

population it will be necessary to be located in a heavily populated area, such as the chosen city

of St. Louis, MO. The Good Samaritans Clinic would provide its services as an outpatient

department of the hospital, thereby benefiting the hospital, the residency program and the

patients. The main goal of its location would be to be in close proximity of available services

like lab and x-ray to better serve the needs of the patients.

The clinic would have thirty exam rooms of which Internal Medicine would occupy

fifteen of them providing five ½ morning clinics, four urgent care ½ day afternoon clinics. Two-

faculty member would supervise three years of residents and each year having eight residents.

Pediatrics would occupy six exam rooms and have clinic five full days a week. There is would be

a full time Pediatrician, one full time Nurse Practitioner, and 1 resident. OB/GYN would occupy

eight exam rooms and provide five ½ day clinics, one– ½ day colposcopy clinic, one ½ day

afternoon Pap clinic. and one ½ day high risk OB clinic. One faculty member would staff the

OB clinic; supervising three years of residents with each year have eight residents. The

remaining exam room being divided into an eye exam room and the waiting room for the eye


room. In the afternoons, each area of OBGYN and Internal Medicine would have a specialty

clinic that volunteer physicians would come to offer their services to our patients only. It would

be necessary to staff the clinic with seven full time equivalents (FTE) RNs, six full-time

Medical Assistants, four full-time billers, seven full-time front desk and phone staff, three full

time Social Workers, one FTE Dietician, two full-time financial counselors, three full-time

interpreters, one full-time program coordinator, one full-time business supervisor, and 1 full-time

Nurse Manager.

The human resources department of this clinic would facilitate all employee relations,

including recruitment, education, and evaluation of staff; this department would also serve as the

information systems manager. The Missions Team and residency program director would

manage the research and development. It would be geared from the review of public demand

that would then be supported by the hospital and the clinic as deemed necessary. The

management team would facilitate and be responsible for all standards, policies, and guidelines

to maintain accreditation standards.

Step Two

Mission Statement

The Good Samaritans Clinic is a nonprofit organization that provides access to health

services in St. Louis, Missouri. Our services will include primary and specialty care including

dental, vision, mental health and outpatient services to persons in need.


Step Three

Philosophy

The philosophy of the Good Samaritans clinic is to integrate education and patient

centered care by cherishing each patient, seeking out and putting the needs of our patients and

their families first, and allowing access to excellent health care services to the underprivileged,

underinsured, and uninsured. We promise to provide quality, comprehensive, culturally sensitive,

professional medical care.

Step Four

Organizational Goals

Yoder-Wise (2011) states, “Goal-setting is the process of developing, negotiating, and

formalizing the targets or objectives of an organization” (p. 313). Goals must be specific and

have a deadline, show goal commitment by giving the employees instruction and support,

provide feedback and monitor performance (Yoder-Wise, 2011). The Good Samaritans Clinic

(GSC) goals are as follows:

Good Samaritan’s Clinic will deliver high standards of excellence in all programs and

services.

Good Samaritan’s Clinic will provide high quality healthcare services for

underprivileged, underinsured, and uninsured adults and children in St. Louis, Missouri.

Good Samaritans Clinic vows to value our patients, to understand patients’ experiences

from their perspective, and to provide an environment in which healing can occur.

Good Samaritans Clinic plans to support our staff, residents, and community, our greatest

resource for achieving excellence, to strive for excellence and continual improvement in

all that we do.


Good Samaritan Clinic will integrate quality education and patient centered care by

providing preventative, curative, supportive and palliative care to our patients and their

families.

Step Five

Organizational Objectives

According to Yoder-Wise (2011), objectives need to be specific, measurable, agreed on,

realistic, and provide a timeline to achieve the activity or improvement stated. Good Samaritans

Clinic has the following objectives:

To integrate quality patient and staff education to identify and reduce risk factors for

disease prevention, providing resources throughout the community to improve health and

wellness within the first year after opening GSC.

To support and increase community awareness about healthcare resources and needs to

improve quality of life immediately after opening GSC.

To serve as the primary care access center for healthcare needs in place of the emergency

department to decrease costs of healthcare and decreasing emergency room visits.

To create a positive work environment by displaying compassion to enhance patients

healthcare experience.

To implement current research and residency education to enhance the quality of

healthcare delivered.

To strive to maximize financial resources to enhance clinic operations by securing grants,

donations and charitable contributions to keep clinic open.


To increase customer satisfaction by providing multiple specialties within the clinic to

eliminate the need for going to several offices as evidenced by the positive patient

comments.

To respect others and support spiritual, ethnic and cultural diversities through our actions

and behaviors and provide ongoing staff training to maintain competence in these areas.

Step Six

Organizational Chart

With flat organizational structures, decentralized decision-making replaces the

centralized decision making typical of functional structures. Flat structures allow the delegation

of decision making to the professionals doing the work (Yoder-Wise, 2011, p. 147). Personnel

policies and programs, such as shared governance, the positive image of nursing, and

professional development within the structure of a flat structure provides an innovative

environment where strong practice prevails. Shared governance goes beyond participatory

management through the creation of organizational structures that facilitate nursing staff more

autonomy to govern their practice (Yoder-Wise, 2011, p. 150).

According to Yoder-Wise (2011), flat organizational structures are less formalized than

hierarchical organizations (p. 149). Good Samaritans Clinic recognizes decisions are being made

at unit level with a focus to improve patient safety. Shared governance vests the necessary levels

of authority and accountability for all aspects of the nursing practice in the nurses responsible for

the delivery of care (Yoder-Wise, 2011, p. 151). As shown in Table 1, the organizational chart

for Good Samaritans Clinic uses the flat organizational structure starting with the Chief

Operating Officer of Physicians Organization groups, moving down to the Vice President of

Adult Medicine and then the Nurse Manager of Good Samaritans Clinic. The Nurse Manager is


then responsible for the following branches in the organizational chart: Clinical Nurses,

Dieticians, Medical Assistants, Interpreters, Social Workers and Resident Coordinator, along

with being responsible for the Business Supervisor, who oversees the Medical Receptionists and

Financial Coordinator/Billers.

Step Seven

Job Descriptions

According to Yoder-Wise (2011), the position description provides written guidelines

detailing the roles and responsibilities of a specific position within the organizational context.

The job description reflects functions and obligations of a specific work position. It should

reflect current practice guidelines for individuals and may have competency-based requirements.

Clear and concise job descriptions are important because they provide the basis for roles within

an organization (p. 295).

A job description will inform the employee what the worker is responsible for

performing, how it is performed, and how it relates to other positions within and outside the unit.

The job description should accurately and completely describe the permanent duties and

responsibilities that are assigned and performed and establish performance standards and goals.

A review of a job description may be a good way to start a performance appraisal. See Appendix

A-J for a full job description of the positions held at Good Samaritans Clinic. Each job

description has a disclaimer that these job descriptions are not intended to be all-inclusive and

employees may perform other related duties as negotiated to meet the needs of the organizations.

The positions at the Good Samaritans Clinic include, but are not limited to, the following:

Chief Operating Officer of Physician Organization Group

Vice President of Adult Medicine

Nurse Manager (Appendix A)


Business Supervisor (Appendix B)

Medical Receptionist (Appendix C)

Financial Coordinators/Billers (Appendix D)

Clinical Nurses (Appendix E)

Social Workers (Appendix F)

Medical Assistants (Appendix G)

Dieticians (Appendix H)

Interpreters (Appendix I)

Resident Coordinator (Appendix J)

Step Eight

Job Advertisement

The Good Samaritans Clinic will advertise its open positions with postings through the

affiliated hospital. Circulation of advertisements to the outlying community through local

newspapers and professional nursing journals are also necessary. The position this group created

a job advertisement for is the Clinical Nurse (See Appendix J). This colorful advertisement will

catch the attention of interested Clinical Nurses who desire to provide quality medical care for

the indigent adults and children in the St. Louis, Missouri community. Pricing received from a

large local newspaper (Appendix K) and a professional nursing journal, The American Journal of

Nursing, (Appendix L) provides a proposed financial investment for advertising open positions.

Further plans include collaborating with local colleges and universities in an attempt to recruit

advanced practice nursing students and taking part in a job fair to advertise for all positions. A

community job fair in coordination with the local hospital would also be utilized to recruit

various disciplines to the clinic.


OSP Step 9

Budget Proposal

As noted in Yoder-Wise (2011), a budget is a detailed formal financial plan for carrying

out the activities an organization wants to accomplish for a certain period stated in terms of

dollars and includes proposed income and expenditures (p. 239). At the beginning of each fiscal

year, an organization finalizes their operating budget for the year going forward. It encompasses

the projected units of service that are expected and the revenue anticipated. Deducted from the

total operating revenue are the operating expenses, which consist of total salaries and fringe

benefits, total miscellaneous fees, total drugs, total medical supplies, and total other patient

supplies. The remaining deductions encompass total other supplies, like housekeeping supplies

and office supplies; total services, like courier services; and total overhead which includes things

like postage, phones and pagers, and community charitable expenses. In order to come up with

net income you also need to include deductions like building improvements, which all add up to

total expenses subtracted from total operating revenues

To operate the Good Samaritans Clinic and meet the Joint Commission and the

requirements of the Accreditation Council for Graduate Medical Education (ACGME) it will

take an average of 39.5 FTEs. The total salaries and contract wages will equal $1,955,251.00 for

the year; if you include fringe benefits, it will total $1,982,148.00. The staff mix will consist of

registered nurses, medical assistances, interpreters, dieticians, social workers, billers, triage

nurses, medical receptionists, business supervisor, nurse practitioner, pediatrician, and a nurse

manager. Because the Good Samaritans Clinic hours of operation are 8:00 a.m. to 4:30 p.m.

Monday through Friday, there is no need for any staff to be on call other than the pediatrician

who falls in a rotation with the pediatricians in the hospital.


The Good Samaritans Clinic’s operating revenue will come from Medicaid, Medicare,

self-pay patients generated from the care given by the residents both in the clinic and in the

hospital. Revenue will also come from the nurse practitioner, the pediatrician, support from the

hospitalists, and from private donations. Private donations come from local corporations that

support the mission of the clinic, from hospital fundraisers, and from private benefactors.

Total expenses for the Good Samaritans Clinic total $2,681,271.00. What is

encompasses this total includes medical supplies, patient supplies, other supplies like

laundry/housekeeping and printing. The total also includes total services like physician

purchased services (hospitalists), overhead expenses that include phones/pagers, mileage,

postage and community charitable expenses (outside interpreter services), and building

improvements.

After totaling the expenses then consideration for the total depreciation and amortization

will be necessary to get the total expenses for the clinic. With careful monitoring of the budget,

the expenses necessary to support the clinic will be less than the revenue earned equaling a

positive net income. The 2013 proposed operating budget is included in Appendix M.

Conclusion

The Organizational Strategic Plan (OSP) group created the Good Samaritan Clinic to be

located in St. Louis, Missouri after identifying the need for an indigent clinic in the community.

By forming this OSP, it has helped each of us recognize the workings of an organization. This

project investigated what it could really mean to be responsible for running the entire aspects of a

clinic. It has also allowed us to work together as a team and combine our ideas to run the clinic

into a fictitious situation that could actually be real to us in the future.


References

American Nurses Association. (2012). Products and rates: ANA nurses career center. Retrieved

from: http://jobs.nursescareercenter.com/rates.cfm

Health status and determinants. Table 81. (2011). Retrieved from:

http://www.cdc.gov/nchs/data/hus/2011/081.pdf

Recent data on health insurance. (2009). Retrieved

from: http://www.cdc.gov/features/dsinsurancecoverage/

State & county quick facts: St. Louis County, Missouri (2012).

Retrieved from: http://quickfacts.census.gov/qfd/states/29/29189.html

St. Louis Today. (2012). Retrieved from: http://www.stltoday.com/help/advertise-with-us/

Yoder-Wise, P. S. (2011). Leading and managing in nursing (5th ed.). St. Louis, MO: Mosby.

http://www.cdc.gov/features/dsinsurancecoverage/


Table 1

Good Samaritans Clinic Organizational Chart

Chief Operating Officer of Physician Organization Group

↓

Vice President of Adult Medicine

↓

Nurse Manager Of Good Samaritans Clinic

↓ ↓ ↓ ↓ ↓ ↓ ↓Business

SupervisorClinical Nurses

Social Workers

Medical Assistants Dieticians Interpreter

sResident

Coordinator

↓

Medical Receptionist

↓

Financial Coordinator/Biller


Appendix ANurse Manager

Job Title: Nurse Manager Job Code: 85165N

Department: 7500-Good Samaritans Clinic Job Grade: 1540H/95A

Revision Date: 10/22/12 Fair Labor Standards Act (FLSA): Exempt

Position Overview:

Responsible for Clinic development in conjunction with the Hospitals strategic and operational plans. Provides clinical and business leadership to ensure quality of care, effective and efficient operations. Ensures appropriate utilization of human resources through staffing, scheduling, training, and maintaining co-worker relations. Ensures fiscal efficiency through effective billing, budgeting, cost control and problem prevention and resolution. Ensures efficient clinic procedures through proactive communication and collaboration with physicians and outside resources; maintains appropriate knowledge bases. Communication and interpersonal skills must include demonstrated ability to communicate effectively and tactfully to internal and external contacts and physicians to present and obtain sensitive information. Enhances clinic reputation through positive customer relations, communication with other medical entities and public, and problem resolution. Responsible for the day-to-day operations to the clinic. Must have the ability to exercise sound business judgment within general company policies. Must possess highly effective time management and organizational skills to independently manage team to achieve multiple objectives according to high quality standards. Must be able to work effectively within a team environment. Performs duties and responsibilities in a manner consistent with Good Samaritans Clinic mission and values.

Manages a staff of 50+ multi-disciplinary co-workers. Responsible for oversight of a billing function responsible for annual gross charges of $4 million in professional revenue. Responsible for managing an annual expense budget of $2.7 million. Oversees an operation providing 31,000 annual patient visits, in 22 specialty areas, to patients who speak 15+ languages.

Essential Job Functions:

Responsible for oversight of business and operations of 3 primary care clinics and 15+ subspecialty clinics many of which include resident services. Oversees the day-to-day Clinic operations, maintains a positive working environment with physician program directors, physicians and coworkers.

Uses practice management knowledge to ensure continuity and efficiency. Initiates and supports continuous workflow improvement Effective provider scheduling/accurate patient registration


Appendix A (continued)

Appropriate visit preparation in both clinical (exam rooms, patient care records) and non-clinical areas

Timely and accurate patient rooming Physician care support Follow-up care such as test scheduling/resulting and referrals management, patient

messaging Proactive insurance and patient billing activity Timely and accurate handling of release of information requests Accurate end-of-day close and effective internal controls Selects and supervises professional and support staff, counsels, and conducts annual

performance reviews. Investigates problems and complaints relating to staff, initiates and monitors corrective

actions. Assures communication of co-worker relations issues to Human Resources to insure

equitable handling Trains co-workers to ensure competencies and schedules professional and support staff to

ensure maximum output and coverage Coordinates PTO schedules to maintain productivity standards and assures complete and

timely payroll processing. Develops professional and support staff to supervisory Provides leadership and organization to the work of a multifaceted care team by

coordinating the broad array of services required for a population with complex medical and socio-economic needs.

Develops capital and operating budgets; manages operations to budget. Monitors expenditures to maintain cost control. Performs cost/benefit analysis and feasibility studies as warranted for new or existing

services. Manages purchasing, office and medical supply and equipment expenses as needed. Interacts with vendors to provide optimal cost control. Provides leadership to the practice component of physician billing and use agreed upon

metrics to monitor and provide communication to physicians and organizational leadership.

Collaborates with Clinic Billing Office and Finance to ensure effective billing activities. Interacts with physicians and Physician Billing personnel to improve communications to

resolve root causes of accounts receivable issues Ensures continued training, focusing on business office processes, insurance

knowledge/understanding, and charge entry. Utilizes key performance indicators to manage Clinic revenue cycle results Designs, organizes, communicates and applies clinic/hospital policies, assuring

compliance. Recommends and/or drafts changes to policies when needed. Assures compliance with appropriate governmental regulations and accreditation

guidelines. Appendix A (continued)


Files appropriate and timely paperwork Participates in process improvement activities to enhance operations and quality patient

care. Demonstrates knowledge of managing the practice to promote patient safety and

satisfaction, with a focus on creating and sustaining a positive patient experience. Manages patient relations and effectively addresses patient concerns. Plans and coordinates specialty service provision with Hospital, Clinic and physician

leadership. Maintain knowledge of physician agreements/contracts related to Clinic responsibilities. Coordinates physician schedules for all specialty clinics and proactively collaborates with

Program Directors of GME programs to schedule resident office hours Ensures appropriate and timely payor credentialing for all physicians participating in

GSC services Provides leadership to patient eligibility process, ensuring adherence to Clinic policies. Promotes fair and effective selection process for GSC applicants. Identifies access issues

and recommends solutions. Oversees philanthropic activities related to GSC: Proactively identifies appropriate

services and items for philanthropic requests. Completes applications for funding, as well as required reporting. Serves as liaison to Foundation as requested. In conjunction with Hospital/Clinic VPs, is

responsible for appropriate use of donated funds. Demonstrates working knowledge of EHR, including daily functions and reporting

related to Clinic operations Represent the Good Samaritans Clinic to the public, assuring professional approach and

appropriate communication flow. Ensures facility meets requirements for safety, accreditation, and overall patient

experience, and that equipment is in good working order. Maintains regular and effective communications with Clinic physicians regarding

operations, clinical initiatives, and business performance.

Requirements: Minimum Required

Education: o Requires Bachelor’s Degree in Business Administration field, Health Care, or

equivalent experience. Experience:

o Requires 5 to 7 years previous experience in areas of clinic or practice operations (or equivalent health care field). Previous supervisory experience required.

Other Skills/Abilities:

Must have strong communication, organizational, and analytical skills. Must have familiarity with use of various software packages, such as MS Office, etc. Knowledge of Electronic Health Record.


Appendix BBusiness Supervisor

Job Title: Business Supervisor Job Code: 84026N

Department: 7500-Good Samaritans Clinic Job Grade: 1540H/90


Position Overview:

Assists department manager(s) with day-to-day operations. Coordinates and supervises coworkers and activities. Assists managers with departmental process improvements. Effectively coordinates changes in the departments. Works closely with Managers to ensure management continuity and consistency. Requires independent thinking, problem-solving abilities and supervisory skills. Requires proactive identification of trends, issues and problems as well as identification of possible solutions. Performs duties and responsibilities in a manner consistent with Good Samaritans Clinic mission and values.


Coordination of Services Ensures quality and optimum workflow through training and supervision of

coworkers in customer service, registration, and patient financial services areas. Assesses workload and plans staff assignments to accomplish objectives. Coordinates activities across departments to ensure maximum efficiency, to ensure

excellent customer satisfaction, and to maximize collection of accounts receivable. Monitors workflow in each area and schedules co-workers to accommodate workflow

needs. Assists department managers with day-to-day operations of the department. Acts as

an agent of the management team. Resolves patient or customer issues without escalating to managers. Builds and

maintains positive relationships with people. Listens effectively to understand others thoughts and concerns. Recognizes and

appreciates differences in style, approach, and background. Assists managers to ensure management continuity and consistency among

departments. Assists the managers in establishing performance goals and in holding co-workers accountable. Serves as a resource for managers, co-workers and customers to identify procedural discrepancies or opportunities.

Primary Aspects Contributes to the budget process and maintains staff hours within budget parameters. Minimizes errors and maintains high quality by checking and monitoring data and work,

and by developing and maintaining systems for organizing work and information.

Appendix B (continued)


Identifies issues and trends to take proactive steps responding to the changing environment

Monitors workflows and makes adjustments in processes to meet changing needs. Collaborates with Senior PAR(s) and Analyst(s) to monitor processes and productivity. Coordinates department audits, analyzes audit data, and identifies opportunities based on

audit findings. Makes decisions in a timely manner Performs all job functions in supervised area as necessary to provide continuous

workflow. Identifies staff development needs and encourages individual growth and development of

co-workers. Monitors and evaluates employees both formally and informally, recognizing and

rewarding performance accordingly. Supervises billing/business office staff and conducts annual performance reviews.

Manages the entire accounts receivable process that is the responsibility of the practice (clinic) office.

Ensures accurate coding and charge entry, as well as appropriate denial and claim follow-up action (e.g. weekly denial follow-up, over and under $25 balance reports, bad address reports, collection account reports, etc.) works collaboratively with Physician Billing Administration (PBA).

Communication Management Collaborates with and maintains constructive relationships with internal and external

parties. Develops and prepares monthly reports to document department progress and status. May serve as department head in absence of manager. Develops and updates Policies and Procedures. Interfaces with others and serves as a resource concerning department issues. Keeps managers informed of issues, problems, or situations requiring attention or

follow-up. Attends and actively participates in meetings related to duties and functions, making

suggestions and recommendations for process improvement.

Technology Reviews and analyzes routine reports prepared for managers. Reviews and analyzes data from automated and non-automated systems to monitor

quality and productivity in all departments. Uses data to support decision-making. Epic knowledge Must be familiar with and proficient in relevant software applications used in

billing/collections department.

Appendix B (continued)


Requirements

Education: Bachelor’s Degree in business, accounting preferred. Experience: OR equivalent experience required. Four to five years’ experience required.

Other skills & knowledge:

Must possess superior analytical, oral and written communication and problem solving skills. Must have experience in establishing goals and the effective direction of employees. Must be

able to maintain positive relationships with departments and resolve department and intradepartmental problems relating to receivables management goals while maintaining

expenses within budgetary constraints. Must be familiar with Medicare/Medicaid regulatory guidelines. Familiarity with home care billing practices.


Appendix C

Medical Receptionist

Job Title: Medical Receptionist Job Code: 50276N


Revision Date: 10/22/2012 Fair Labor Standards Act (FLSA): Non-Exempt

Position Overview:

Greets and appropriately directs patients via phone calls or direct contact. Maintains waiting room. Performs general clerical duties as needed. Performs duties and responsibilities in a manner consistent with Good Samaritans Clinic mission and values.


Safety Risk Management Adheres to Medical Center wide safety regulations Assesses safety needs and provides for a safe and clean environment in reception area Observes changes or unusual occurrences in patient condition and reports them

immediately to the appropriate personnel Follows policy/procedure for completion of incident reports Follows confidentiality policy/procedure Complies with patient rights/regulations

Coordination of Services Schedules and verifies appointments accurately in a timely manner Triages calls according to departmental requirements Takes complete and accurate messages according to departmental requirements Assists in the orientation of new personnel Prioritizes appropriately and utilizes good judgment in use of time Utilizes appropriate resources in completing work assignments Participates in QI activities that ensure and enhance departmental operations and quality

of patient care

Primary Aspects Performs general clerical duties: processes mail, filing, makes copies, chart

maintenance, etc. Takes or updates all required patient information, i.e.; demographics, insurance

information, referrals, medical history, etc. Discharges patient according to departmental procedures i.e.; collects co-pay,

schedules next appointment, makes financial arrangement, etc.

Appendix C (continued)


Communication Management Promptly answers and screens telephone calls in a professional customer friendly

manner Greets patients promptly, courteously and in a professional customer friendly manner Accepts delegation of tasks Communicates with other staff members to optimize departmental efficiencies and

care of the patient.

Technology Performs department specific computer functions. Demonstrates appropriate knowledge and use of equipment including computer,

typewriter, copier, calculator, fax, etc.

Requirements:

High school diploma or equivalent required Minimum of 1 year medical receptionist experience

Other Skills/Abilities

Types 35 to 40 wpm


Appendix DFinancial Coordinator/Biller

Job Title: Financial Coordinator/Biller Job Code: 50345N


Revision Date: 10/22/12 Fair Labor Standards Act (FLSA): Non Exempt

Position Overview:

Responsible for insurance related and patient account activities. Ensures efficient proceduresthrough appropriate communication and collaboration with Good Samaritans Clinic and outside resources; maintains appropriate knowledge bases. Enhances practice reputation through proper customer relations, communication with other medical entities and public, and problem resolution. Meets financial goals relating to insurance and patient balances. Performs duties and responsibilities in a manner consistent with Good Samaritans Clinic mission and values.


Safety Risk Management Adheres to Medical Center wide safety regulations Observes changes or unusual occurrences in patient condition and reports them

immediately to the appropriate personnel Follows proper policy and procedure guidelines for Infection Control and completion of

incident reports Follows confidentiality policy and procedure Complies with patient rights and regulations

Primary Aspects Excellent knowledge of insurance plans policies, procedures and requirements to

ensuring proper/accurate reimbursement Problem solving abilities aligned with understanding the information with good

adjustments and the ability to rapidly identify and initiate corrective actions when problems arise

Attention to detail Alerts supervisor to insurance problems, assisting in finding solutions Analyze that the financial documents submitted are appropriate, or if additional financial

documents are needed to support their reported yearly income Calculates financial information provided to determine if the patient is eligible for charity

consideration, using the Federal Poverty Guidelines Knowledge and identify accurate codes with regard to CPT and ICD-9 for patient charges

for services performed Post professional and hospital charges for all physicians services performed for the clinic

in Epic Post payments and calculate and make the proper charity percentage adjustments

Appendix D (continued)


Work the various WQ's for Professional and Hospital charges Self-pay & insurance collections, makes patient financial arrangements, claims appeals,

recommends accounts for collection agency assignment Shares responsibility for end-of-day procedures Utilizes appropriate resources in completing work assignments Prioritizes appropriately and utilizes good judgment in use of time Ability to work independently Coordinates new clinic application with the Review Committee Notify the patients of acceptance or non-acceptance to the Clinic Calculate financial information provided to determine the patient eligibility for charity

consideration, using the Federal Poverty Guidelines Orientate new patients for services that GSC provides and their financial responsibility Demonstrates flexibility in view of many interruptions without interference in quality of

work, and responds to changes in the work schedule as necessary

Communication Management Communicates changes in insurance requirements and coding regulations in a prompt

manner to all necessary personnel Greets patients promptly, courteously and in a professional customer friendly manner Maintains a dignified manner in handling problems or complaints Accepts delegation of tasks Demonstrates ability to communicate effectively with other professionals, patients, and

family members

Technology Maintains current knowledge and performs office specific technological functions (i.e.,

computer, fax, copier, etc.) Intermediate compute skills necessary

Requirements:

Education: o High school diploma or equivalent required

Experience: o Two years physician billing

Certification/Registration: o CPT and ICD-9 preferred


Appendix EClinical Nurse

Job Title: Clinical Nurse Job Code: 10029U

Department: 7500-Good Samaritans Clinic Job Grade: 1540H/RK1


Position Overview:

Utilizes nursing process to provide patient care. Maintains professional accountability for provision of patient care for the assigned patients. Coordinates the patient care in conjunction with other departments. Maintains patient rights and confidentiality of patient information. Performs duties and responsibilities in a manner consistent with Good Samaritans Clinic mission and values.


Safety Risk Management Follows Confidentiality Policy/Procedure. Complies with Infection Control Guidelines. Creates a Safe Environment by adhering to safety goal programs and policies Utilization of Patient I.D. identifiers Read back of telephone and verbal orders; sign off of daily orders Communication hand offs Medication safety practices; barcode compliance and medication reconciliation Respects patient/guests personal property Adheres to hospital wide and specific department safety regulations: Fire and Tornado

Environmental Safety Performs equipment safety checks Complies with patients’ rights/regulations

Coordination of Services Supports family centered care philosophy as demonstrated by the following behaviors:

o demonstrates initiative to include family input into work processes and routine to meet patient/family needs

o recognizes the patient and family according to patient preferences, as important members of the health care team

o collaborates with the patient and family according to patient preferences, in planning implementing and evaluating care

o demonstrates ability to work with and will seek out resources to assist when necessary with culturally diverse populations

Appendix E (continued)


o Communicates effectively and provides information to patients and families in ways that are useful and that build on their capacity to manage care and promote their health and well-being

Coordinates workflow by communicating to appropriate personnel in a timely manner. Demonstrates ability to direct and/or assist with the work activities of department

consistent with patient needs and staff capabilities Transcribes physicians orders accurately, seeking clarification as necessary Demonstrates proper time management skills and ability to prioritize Demonstrates flexibility regarding workload and assignments Demonstrates accountability for tasks/work which has been delegated to unlicensed

personnel or to peers

Primary Aspects Demonstrates caring practices in interactions with patients, families and other coworkers,

including, but not limited to: o Vigilanceo Engagemento Responsiveness to the patient and family

Demonstrates ability to assess and identify actual physical, psychosocial and spiritual needs of patient and families, and documents in the medical record

Demonstrates appropriate knowledge base related to medications and adheres to hospital policies regarding their administration

Identifies patient education needs and utilizes appropriate resources to meet those needs, documenting patient/S.O. response to teaching

Demonstrates clinical reasoning skills, which includes decision-making, critical thinking and a global grasp of the situation, coupled with implementing appropriate nursing interventions in routine situations

Documents the evaluation of their effectiveness in relation to patient goals Follows policies and procedures on documentation requirements which meet

regulatory/accreditation standards Demonstrates evidence of implemented changes as a result of evidence based nursing Demonstrates evidence of seeking additional knowledge and skills appropriate to the

practice setting by participating in educational programs and activities, conferences, workshops, interdisciplinary professional meetings, and self-directed learning

Functions in role of preceptor by maximizing the performance of new co-workers, promoting high standards of patient care, increasing nurse retention, and promoting a spirit of unit teamwork

Supports and mentors unit experienced nurses so they can assume the role of effective preceptors

Communication Management Communicates patient goals, objectives and changes in status to other health care

team members and utilizes input to revise care plan for optimum patient benefitAppendix E (continued)


Hand off report is factual, accurate, organized, complete, current, and confidential Assures all patient charges/credits are appropriate and complete Demonstrates ability to collaborate with inter and intra-disciplinary colleagues and

community Attends 80% of all General Unit meetings

Technology Demonstrates competence in initiating and maintaining use of routine equipment and

procedures Demonstrates competence in assisting physicians with diagnostic and therapeutic

interventions Performs technical skills relative to area of nursing practice Assists in evaluation of new products, equipment, policies, procedures and standards

Non-essential Job Functions:

(Use 5% if RN functions as preceptor and reduce % in Primary Aspects of Job to 35% instead of 40%)

Functions in role of preceptor by maximizing the performance of new co-workers, promoting high standards of patient care, increasing nurse retention, and promoting a spirit of unit teamwork

Supports and mentors unit experienced nurses so they can assume the role of effective preceptors

Requirements

Education: RN-BSN Licensure: Must have either a current RN Temporary Permit/RN license in the State of

Missouri Experience: 2-5 years Certification/Registration: CPR required


Appendix FSocial Worker

Job Title: Social Worker Job Code: 26021N

Department: 7500-Good Samaritans Clinic Job Grade: 1540H/N


Position Overview:

Provides social work services for patients and families to enhance their psychosocial functioning. Performs duties and responsibilities in a manner consistent with Good Samaritans Clinic mission and values.


Follows confidentiality policy with regards to patient information spoken, written or exchanged with others

Serves as advocated for the patient/family to the Interdisciplinary Team and encourages patient/family participation in the plan of treatment and the discharge plan

Provide in-services to staff to keep them informed of social work issues and shared relevant information obtained from conferences and other sources

Provides support and education to patients and families to facilitate adaptation to illness or disability and compliance with recommended treatment

Complies with Infection Control guidelines Complies with Patient Rights and Responsibilities


Adheres to clinic and department safety regulations Makes sure arrangements for patient discharge are appropriately and safely carried out Demonstrates flexibility regarding workload, assignment and change Meets deadlines, completes paperwork, and statistical information on time

Requirements:

Master’s Degree in Social Work required Current, valid license for State of Missouri


Must be able to communicate orally and in writing Must be able to listen and to understand and explain complex situations Must have working knowledge of EPIC and Microsoft Office products


Appendix GMedical Assistant

Job Title: Medical Assistant Job Code: 28089N



Position Overview:

Works under the direct supervision of a registered nurse to perform specific duties and procedures in providing nursing care for patients of the department. Performs duties and responsibilities in a manner consistent with Good Samaritans Clinic mission and vision.


Safety Risk Management Demonstrates knowledge of and practices sound infection control techniques. Assesses safety needs and provides for a safe environment: Fall Precautions Restraint Management Patient Identification Unit/Departmental Specific Policies Adheres to hospital wide safety regulations Performs equipment safety checks and reports faulty equipment/initiates repair Follows policy/procedure for completion of incident reports Follows confidentiality policy/procedure. Complies with patient rights/regulations

Coordination of Services Coordinates the clinical orientation of Medical Assistants. Assists in the orientation of new/float personnel. Maintains work area

o Procures necessary supplies as neededo Maintains accurate census information

Coordinates workflow by communicating to appropriate personnel in a timely manner Prioritizes appropriately and utilizes good judgment in use of time Participates in QI activities that ensure and enhance

Primary Aspects: Obtains appropriate patient information and data records accurately Prepares patients and assists with examinations Observes changes or unusual occurrences in patient condition and reports them

immediately to the appropriate personnelAppendix G (continued)


Provides patients and their families with explanation of care and psychological under the direction of the nurse

Prepares exam rooms for patient exams and maintains necessary supplies Identifies cost containment issues or procedural inefficiencies Assures all patient charges/credits are entered appropriately Demonstrates flexibility regarding workload, assignments and change Maintains, stock rooms, and order supplies as necessary Relieves clerical personnel when necessary Participates in department activities (staff meetings, reports, etc.) in a positive manner Demonstrates knowledge of medical terminology to accurately process physician orders Schedules rotations of the Medical Assistants Communicates to Clinic Manager the performance issues of the Medical Assistants Orders all medical supplies for clinic through PMM

Communication Management Accepts delegation of tasks Communicates with other members of the HCT and guests to optimize the care of the

patient Utilizes telephone/pager system and nurse call system efficiently Functions as the primary resource to all Medical Assistants Trains staff on new medical equipment

Technology Demonstrates knowledge of computer functions Utilizes and troubleshoots fax machine, copier, tube system Responsible for maintenance and repair of medical equipment Gathers data for potential purchase of new medical equipment

Requirements

Education: o High school diploma or equivalent.o Graduation from an accredited medical assistant program or prior experience as a

medical assistant Missouri state certification


Must be able to cope with daily fluctuations in workload by being able to increase amount of work when heavy and by assuming other departmental tasks when light. Must assume assignments of other Medical Assistants in their absence. Must assume other office and secretarial duties after being properly trained and verified for performance.


Appendix HDietician

Job Title: Dietician Job Code: 26009N

Department: 7500-Good Samaritans Clinic Job Grade: 1540H/N


Position Overview:

Coordinate all phases of nutrition care including nutrition assessment, care planning, monitoring, education, and counseling of patients and clinical staff. Performs duties and responsibilities in accordance with Good Samaritans Clinic mission and values.


Provide nutrition services and medical nutrition therapy according to patient health goals Identifies patient educational needs and utilizes appropriate resources to meet those needs Demonstrates appropriate knowledge related to nutrition Initiates, updates, and maintains nutrition care plans Identify and provide age-specific nutrition counseling to meet the cultural needs of

patients and their families Develop, review, update, and implement educational materials to meet the needs of

patients and staff Maintains registered dietician status and adheres to continuing education policies


Maintains a safe working environment Communicates with patient/family and clinical staff in a timely manner Maintains patient confidentiality

Requirements:

Bachelor or Master Degree preferred Current dietician license for the State of Missouri One to two years of clinical dietician experience Must be registered with the ADA or eligible within one year of hire

Other Skills/Abilities

Strong communication and listening skills Strong critical and analytical thinking skills Flexible and open to change


Appendix IInterpreter

Job Title: Interpreter – Spanish Language Job Code: 55080N



Position Overview:Provides interpretation services for Spanish speaking patients/families for the Good Samaritans Clinic. Performs duties and responsibilities in a manner consistent with Good Samaritans Clinic’s mission, values, and services standards.

Essential Job Functions: Interprets for physicians, RN or other healthcare providers to ensure understanding Ensures patient/family understanding of all paperwork and clinical services Attends clinic staff meetings and any additional training for Good Samaritans Clinic Serves as an advocate for patient/family Assists patient/family with making appointments and follow-up visits Responsible for Spanish phone triage Relays information between patient/family and healthcare workers to ensure

understanding of exams, treatments, and test results Identifies social needs of patient/family and coordinates services with social worker Schedules and coordinates additional interpreters as needed

Non-essential Job Functions: Maintains a safe working environment Communicates with patient/family and clinical staff in a timely manner Maintains patient confidentiality Proficient with Microsoft Office and Excel

Requirements: Bachelor’s degree in Education or health-related field preferred 1 year experience in healthcare setting Fluent in both English and Spanish CPR certification Successful completion of a minimum of 40 hours interpreter training course Cultural competency and ability to work among people of diverse cultures Strong knowledge of medical terminology

Other Skills/Abilities: Strong communication and listening skills Strong critical and analytical thinking skills Flexible and open to change


Appendix KCost for Job Advertisement in Local Newspaper

(St. Louis Today, 2012)


Appendix LCost for Job Advertisement for Professional Nursing Journal

American Journal of Nursing jobs are posted through Nursing Jobs Plus. Below is the cost.Single Job Posting *All Online Rates are net. Edit, remove, or renew your ad anytime!Listing includes a hyperlink to your email or website.There is no text limit for online-only job posting --so you can be descriptive without going overbudget!30 day $400http://nursingjobs.careers.adicio.com/careers/mediaKit/vert

For American Nursing Association the cost is

Job Type - Discipline (Includes ANA posting)

Nursing Support $250.00 $250.00

Operations $450.00 $250.00

Advanced Practice Nurses / Physician Assistants $450.00 $250.00

General Nursing $450.00 $250.00

Academic / Research $550.00 $250.00

Executive $550.00 $250.00

Additional Job Options

ANA 30-day Online Job Posting Package Includes access to ANA resume database. $250.00

Single Job Posting

*All Online Rates are net. Edit, remove, or renew your ad anytime!Listing includes a hyperlink to your email or website.There is no text limit for online-only job posting --so you can be descriptive without going overbudget! (American Nurses Association, 2012)


Appendix MGood Samaritans Clinic Budget Proposal

BUDGET 2013 UOS MONTHLY VALUES WITH HISTORY

Statistic Category July August September October NovemberDecember January February March April May June Total

Department 7500 GOOD SAMARITANS CLINIC

SubAccount 7000000000 STAFF PRODUCTIVE SALARYProductive Manhours - Staff 5,329.96 5,481.46 5,039.92 6,198.53 5,123.38 5,570.04 5,277.76 5,147.69 6,000.30 5,499.39 5,816.87 5,347.84 65,833.14StaffTotal SubAccount 7000000000 5,329.96 5,481.46 5,039.92 6,198.53 5,123.38 5,570.04 5,277.76 5,147.69 6,000.30 5,499.39 5,816.87 5,347.84 65,833.14STAFF PRODUCTIVE SALARY

SubAccount 7000100000 STAFF OVERTIME SALARY Productive Manhours - Staff 7.34 7.17 16.06 14.26 13.28 19.25 17.18 4.41 16.70 11.96 22.53 16.68 166.82StaffTotal SubAccount 7000100000 7.34 7.17 16.06 14.26 13.28 19.25 17.18 4.41 16.70 11.96 22.53 16.68 166.82STAFF OVERTIME SALARY

SubAccount 7000200000 STAFF NON PRODUCTIVE SALARYNonproductive Manhours - Staff 122.17 167.22 223.06 78.19 76.19 161.23 257.59 (63.45) 409.53 214.57 286.50 370.85 2,303.65

Total SubAccount 7000200000 122.17 167.22 223.06 78.19 76.19 161.23 257.59 (63.45) 409.53 214.57 286.50 370.85 2,303.65STAFF NON PRODUCTIVE

SubAccount 7000300000 STAFF PTO TAKENNonproductive Manhours - Staff 954.43 933.43 860.99 224.05 1,079.03 777.17 800.26 582.74 373.75 796.92 498.68 705.31 8,586.76

Total SubAccount 7000300000 954.43 933.43 860.99 224.05 1,079.03 777.17 800.26 582.74 373.75 796.92 498.68 705.31 8,586.76STAFF PTO TAKEN

SubAccount 7030000000 HSP BASED PHYS SALARYPhysician Manhours 244.40 244.40 244.40 244.40 244.40 244.40 279.06 279.06 279.06 279.06 279.06 279.06 3,140.76

Total SubAccount 7030000000 244.40 244.40 244.40 244.40 244.40 244.40 279.06 279.06 279.06 279.06 279.06 279.06 3,140.76HSP BASED PHYS SALARY

SubAccount 9156000000 VISITSOther Primary Statistics 2,265.00 2,684.00 2,439.00 2,842.00 3,092.00 3,166.00 2,658.00 2,427.00 3,036.00 2,695.00 2,746.00 2,859.00 32,909.00

Total SubAccount 9156000000 2,265.00 2,684.00 2,439.00 2,842.00 3,092.00 3,166.00 2,658.00 2,427.00 3,036.00 2,695.00 2,746.00 2,859.00 32,909.00VISITS

SubAccount 9315500000 PHYSICIAN FTESNonprimary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.55 1.55 1.55 4.65REQUIRED Departmental StatsTotal SubAccount 9315500000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.55 1.55 1.55 4.65PHYSICIAN FTES

SubAccount 9315620000 PHYSICIAN YTD FTENonprimary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.39 1.40 1.42 4.21REQUIRED Departmental StatsTotal SubAccount 9315620000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.39 1.40 1.42 4.21PHYSICIAN YTD FTETotal Year ACTUAL2011 8,923.30 9,517.68 8,823.43 9,601.43 9,628.28 9,938.09 9,289.85 8,377.45 10,115.34 9,499.84 9,652.59 9,581.71 112,948.99

Year ACTUAL2012SubAccount 7000000000 STAFF PRODUCTIVE SALARY

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rptMonthlyStatisticValues.rpx 08/09/2011


Appendix M (continued)Good Samaritans Clinic Budget Proposal


Statistic Category July August September October NovemberDecember January February March April May June TotalProductive Manhours - Staff 5,541.03 5,736.60 5,059.57 5,924.49 5,006.35 5,792.81 5,125.17 5,280.98 5,495.87 5,401.38 5,529.95 5,070.81 64,965.01

Total SubAccount 7000000000 5,541.03 5,736.60 5,059.57 5,924.49 5,006.35 5,792.81 5,125.17 5,280.98 5,495.87 5,401.38 5,529.95 5,070.81 64,965.01STAFF PRODUCTIVE SALARY

SubAccount 7000100000 STAFF OVERTIME SALARYProductive Manhours - Staff 19.85 18.62 9.59 19.85 10.63 8.37 10.64 10.67 22.07 2.76 15.70 16.62 165.37

Total SubAccount 7000100000 19.85 18.62 9.59 19.85 10.63 8.37 10.64 10.67 22.07 2.76 15.70 16.62 165.37STAFF OVERTIME SALARY

SubAccount 7000200000 STAFF NON PRODUCTIVE SALARYNonproductive Manhours - Staff 122.24 (11.89) 194.30 247.64 110.65 35.58 169.40 218.17 52.81 39.92 116.88 164.19 1,459.89

Total SubAccount 7000200000 122.24 (11.89) 194.30 247.64 110.65 35.58 169.40 218.17 52.81 39.92 116.88 164.19 1,459.89STAFF NON PRODUCTIVE

SubAccount 7000300000 STAFF PTO TAKENNonproductive Manhours - Staff 967.91 973.33 865.23 419.70 1,168.78 477.19 987.07 178.41 683.80 660.68 555.21 764.58 8,701.89

Total SubAccount 7000300000 967.91 973.33 865.23 419.70 1,168.78 477.19 987.07 178.41 683.80 660.68 555.21 764.58 8,701.89STAFF PTO TAKEN

SubAccount 7000750000 STAFF TEMPORARY AGENCIES3MHR140 Contract Manhours 0.00 0.00 126.35 56.00 130.00 0.00 0.00 0.00 108.51 0.00 95.01 145.86 661.73

Total SubAccount 7000750000 0.00 0.00 126.35 56.00 130.00 0.00 0.00 0.00 108.51 0.00 95.01 145.86 661.73STAFF TEMPORARY AGENCIES

SubAccount 7030000000 HSP BASED PHYS SALARY3MHR150 Physician Manhours 166.40 166.40 166.40 166.40 166.40 166.40 166.40 166.40 166.40 166.40 166.40 166.40 1,996.80


SubAccount 9125790000 RVU-PHYSICIAN WORK OP5STAT100 Nonprimary 1,267.00 1,249.00 1,493.00 1,142.00 1,388.00 1,047.00 1,121.00 1,405.00 1,341.00 1,345.00 1,258.00 1,433.00 15,489.00REQUIRED Departmental StatsTotal SubAccount 9125790000 1,267.00 1,249.00 1,493.00 1,142.00 1,388.00 1,047.00 1,121.00 1,405.00 1,341.00 1,345.00 1,258.00 1,433.00 15,489.00RVU-PHYSICIAN WORK OP

SubAccount 9125950000 MID-LEVEL VISITS-OFFICE5STAT100 Nonprimary 598.00 17.00 381.00 350.00 319.00 309.00 377.00 316.00 293.00 305.00 295.00 226.00 3,786.00REQUIRED Departmental StatsTotal SubAccount 9125950000 598.00 17.00 381.00 350.00 319.00 309.00 377.00 316.00 293.00 305.00 295.00 226.00 3,786.00MID-LEVEL VISITS-OFFICE

SubAccount 9125970000 RVU-MIDLEVEL WORK OP5STAT100 Nonprimary 247.00 278.00 332.00 301.00 278.00 256.00 393.00 324.00 305.00 330.00 316.00 247.00 3,607.00REQUIRED Departmental StatsTotal SubAccount 9125970000 247.00 278.00 332.00 301.00 278.00 256.00 393.00 324.00 305.00 330.00 316.00 247.00 3,607.00RVU-MIDLEVEL WORK OP

SubAccount 9133000000 NUMBER OF ENCOUNTERS5STAT100 Nonprimary 2,476.00 2,795.00 3,008.00 2,752.00 2,725.00 2,570.00 2,569.00 2,793.00 2,670.00 2,459.00 2,516.00 2,297.00 31,630.00REQUIRED Departmental StatsTotal SubAccount 9133000000 2,476.00 2,795.00 3,008.00 2,752.00 2,725.00 2,570.00 2,569.00 2,793.00 2,670.00 2,459.00 2,516.00 2,297.00 31,630.00NUMBER OF ENCOUNTERS

SubAccount 9145500000 PHYSICIAN VISITS - OFFICE5STAT100 Nonprimary 1,510.00 657.00 1,246.00 1,105.00 1,131.00 945.00 999.00 1,166.00 1,114.00 1,095.00 1,034.00 1,060.00 13,062.00REQUIRED Departmental Stats






Statistic Category July August September October NovemberDecember January February March April May June TotalTotal SubAccount 9145500000 1,510.00 657.00 1,246.00 1,105.00 1,131.00 945.00 999.00 1,166.00 1,114.00 1,095.00 1,034.00 1,060.00 13,062.00PHYSICIAN VISITS - OFFICE

SubAccount 9156000000 VISITS4UOS140 Other Primary Statistics 2,476.00 2,795.00 3,008.00 2,752.00 2,725.00 2,570.00 2,569.00 2,793.00 2,670.00 2,459.00 2,516.00 2,297.00 31,630.00

Total SubAccount 9156000000 2,476.00 2,795.00 3,008.00 2,752.00 2,725.00 2,570.00 2,569.00 2,793.00 2,670.00 2,459.00 2,516.00 2,297.00 31,630.00VISITS

SubAccount 9315500000 PHYSICIAN FTES5STAT100 Nonprimary 0.90 0.90 0.90 0.90 0.90 0.90 0.90 0.90 0.90 0.90 0.90 0.90 10.80REQUIRED Departmental StatsTotal SubAccount 9315500000 0.90 0.90 0.90 0.90 0.90 0.90 0.90 0.90 0.90 0.90 0.90 0.90 10.80PHYSICIAN FTES

SubAccount 9315620000 PHYSICIAN YTD FTE5STAT100 Nonprimary 0.90 0.90 0.90 0.90 0.90 0.90 0.90 0.90 0.90 0.90 0.90 0.90 10.80REQUIRED Departmental StatsTotal SubAccount 9315620000 0.90 0.90 0.90 0.90 0.90 0.90 0.90 0.90 0.90 0.90 0.90 0.90 10.80PHYSICIAN YTD FTETotal Year ACTUAL2012 15,393.23 14,675.86 15,891.24 15,237.88 15,160.61 14,179.15 14,488.48 14,653.43 14,924.26 14,265.94 14,415.95 13,890.26 177,176.29

Year BUDGET2012SubAccount 7000000000 STAFF PRODUCTIVE SALARY

3MHR110 Productive Manhours - 5,582.80 6,219.55 5,856.57 6,679.64 6,982.10 6,261.75 6,312.91 5,985.79 6,721.69 6,095.71 6,327.58 6,099.19 75,125.28StaffTotal SubAccount 7000000000 5,582.80 6,219.55 5,856.57 6,679.64 6,982.10 6,261.75 6,312.91 5,985.79 6,721.69 6,095.71 6,327.58 6,099.19 75,125.28STAFF PRODUCTIVE SALARY

SubAccount 7000100000 STAFF OVERTIME SALARY3MHR110 Productive Manhours - 13.47 13.47 13.04 13.47 13.04 13.47 13.47 12.60 13.47 13.04 13.47 13.04 159.03StaffTotal SubAccount 7000100000 13.47 13.47 13.04 13.47 13.04 13.47 13.47 12.60 13.47 13.04 13.47 13.04 159.03STAFF OVERTIME SALARY

SubAccount 7000200000 STAFF NON PRODUCTIVE SALARY3MHR130 Nonproductive 105.13 105.13 101.74 105.13 101.74 105.13 105.13 98.35 105.13 101.74 105.13 101.74 1,241.21Manhours - StaffTotal SubAccount 7000200000 105.13 105.13 101.74 105.13 101.74 105.13 105.13 98.35 105.13 101.74 105.13 101.74 1,241.21STAFF NON PRODUCTIVE

SubAccount 7000300000 STAFF PTO TAKEN3MHR130 Nonproductive 693.54 772.01 727.10 828.71 865.80 777.21 783.51 742.84 833.89 756.57 785.32 757.00 9,323.50Manhours - StaffTotal SubAccount 7000300000 693.54 772.01 727.10 828.71 865.80 777.21 783.51 742.84 833.89 756.57 785.32 757.00 9,323.50STAFF PTO TAKEN


Total SubAccount 9156000000 2,378.00 2,818.00 2,560.00 2,984.00 3,246.00 2,706.00 2,815.00 2,652.00 3,031.00 2,706.00 2,815.00 2,707.00 33,418.00VISITSTotal Year BUDGET2012 8,772.94 9,928.16 9,258.44 10,610.95 11,208.67 9,863.56 10,030.03 9,491.58 10,705.18 9,673.05 10,046.50 9,677.96 119,267.02

Year BUDGET2013SubAccount 7000000000 STAFF PRODUCTIVE SALARY

3MHR110 Productive Manhours - 4,923.00 5,835.00 5,303.00 6,179.00 6,719.00 6,880.00 5,776.00 5,275.00 6,598.00 5,858.00 5,968.00 6,206.00 71,520.00Staff






Statistic Category July August September October NovemberDecember January February March April May June TotalTotal SubAccount 7000000000 4,923.00 5,835.00 5,303.00 6,179.00 6,719.00 6,880.00 5,776.00 5,275.00 6,598.00 5,858.00 5,968.00 6,206.00 71,520.00STAFF PRODUCTIVE SALARY

SubAccount 7000100000 STAFF OVERTIME SALARY3MHR110 Productive Manhours - 13.00 16.00 14.00 17.00 18.00 19.00 16.00 14.00 18.00 16.00 16.00 16.00 193.00StaffTotal SubAccount 7000100000 13.00 16.00 14.00 17.00 18.00 19.00 16.00 14.00 18.00 16.00 16.00 16.00 193.00STAFF OVERTIME SALARY

SubAccount 7000200000 STAFF NON PRODUCTIVE SALARY3MHR130 Nonproductive 73.00 100.00 133.00 46.00 45.00 97.00 154.00 (38.00) 245.00 129.00 172.00 224.00 1,380.00Manhours - StaffTotal SubAccount 7000200000 73.00 100.00 133.00 46.00 45.00 97.00 154.00 (38.00) 245.00 129.00 172.00 224.00 1,380.00STAFF NON PRODUCTIVE

SubAccount 7000300000 STAFF PTO TAKEN3MHR130 Nonproductive 1,033.00 1,010.00 932.00 242.00 1,168.00 841.00 866.00 631.00 405.00 862.00 540.00 764.00 9,294.00Manhours - StaffTotal SubAccount 7000300000 1,033.00 1,010.00 932.00 242.00 1,168.00 841.00 866.00 631.00 405.00 862.00 540.00 764.00 9,294.00STAFF PTO TAKEN

SubAccount 7030000000 HSP BASED PHYS SALARY3MHR150 Physician Manhours 165.50 165.50 165.50 165.50 165.50 165.50 165.50 165.50 165.50 165.50 165.50 165.50 1,985.95



Total SubAccount 9156000000 2,516.00 2,982.00 2,710.00 3,158.00 3,434.00 3,516.00 2,952.00 2,696.00 3,372.00 2,994.00 3,050.00 3,172.00 36,552.00VISITSTotal Year BUDGET2013 8,723.50 10,108.50 9,257.50 9,807.50 11,549.50 11,518.50 9,929.50 8,743.50 10,803.50 10,024.50 9,911.50 10,547.50 120,924.95

Total Cost Center 407500 MERCY41,812.97 44,230.19 43,230.60 45,257.76 47,547.06 45,499.29 43,737.85 41,265.96 46,548.28 43,463.33 44,026.54 43,697.43 530,317.25J FK CLINICCost Center 409232 AP-RES MERCY CLINIC - J FK

Year ACTUAL2011SubAccount 9317000000 WORKED DAYS

4UOS140 Other Primary Statistics 22.00 22.00 22.00 21.00 22.00 23.00 21.00 20.00 23.00 21.00 22.00 22.00 261.00

Total SubAccount 9317000000 22.00 22.00 22.00 21.00 22.00 23.00 21.00 20.00 23.00 21.00 22.00 22.00 261.00WORKED DAYSTotal Year ACTUAL2011 22.00 22.00 22.00 21.00 22.00 23.00 21.00 20.00 23.00 21.00 22.00 22.00 261.00

Year ACTUAL2012SubAccount 9317000000 WORKED DAYS


Total SubAccount 9317000000 21.00 23.00 22.00 21.00 22.00 22.00 22.00 21.00 22.00 21.00 23.00 21.00 261.00WORKED DAYSTotal Year ACTUAL2012 21.00 23.00 22.00 21.00 22.00 22.00 22.00 21.00 22.00 21.00 23.00 21.00 261.00

Year BUDGET2012SubAccount 9317000000 WORKED DAYS

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( ([Year] = ACTUAL2011 Or [Year] = ACTUAL2012 Or [Year] = BUDGET2012 Or [Year] = BUDGET2013 ) And ([Statistic Category] >= 4UOS100 Or [Statistic Category] <= 4UOS140 ) ) And UserID = grosmm




Statistic Category July August September October NovemberDecember January February March April May June Total4UOS140 Other Primary Statistics 21.00 23.00 22.00 21.00 22.00 22.00 22.00 21.00 22.00 21.00 23.00 21.00 261.00

Total SubAccount 9317000000 21.00 23.00 22.00 21.00 22.00 22.00 22.00 21.00 22.00 21.00 23.00 21.00 261.00WORKED DAYSTotal Year BUDGET2012 21.00 23.00 22.00 21.00 22.00 22.00 22.00 21.00 22.00 21.00 23.00 21.00 261.00

Year BUDGET2013SubAccount 9317000000 WORKED DAYS


Total SubAccount 9317000000 22.00 23.00 20.00 23.00 22.00 21.00 23.00 20.00 21.00 22.00 23.00 20.00 260.00WORKED DAYSTotal Year BUDGET2013 22.00 23.00 20.00 23.00 22.00 21.00 23.00 20.00 21.00 22.00 23.00 20.00 260.00

Total Cost Center 409232 86.00 91.00 86.00 86.00 88.00 88.00 88.00 82.00 88.00 85.00 91.00 84.00 1,043.00AP-RES MERCY CLINIC - J FKTotal Facility 1540 MERCY 41,898.97 44,321.19 43,316.60 45,343.76 47,635.06 45,587.29 43,825.85 41,347.96 46,636.28 43,548.33 44,117.54 43,781.43 531,360.25HOSPITAL ST LOUISGrand Total 41,898.97 44,321.19 43,316.60 45,343.76 47,635.06 45,587.29 43,825.85 41,347.96 46,636.28 43,548.33 44,117.54 43,781.43 531,360.25

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rptMonthlyStatisticValues.rpx 08/09/2011( ([Year] = ACTUAL2011 Or [Year] = ACTUAL2012 Or [Year] = BUDGET2012 Or [Year] = BUDGET2013 ) And ([Statistic Category] >= 4UOS100 Or [Statistic Category] <= 4UOS140 ) ) And UserID = grosmm


OSP Grades

Step One:

GROUP:

BRAVO! Excellent presentation and research on step 1 of the OSP project. You have clearly demonstrated as a group your understanding of the requirements and presented your work in an organized fashion that provided clarity and flow. Keep up the great job! I look forward to your next step.

Eppie

Step Two and Three

Group:

Another great job on your OSP assignment. The mission and philosophy was presented with organization and clarity.

Step Four and Five

Group:I can clearly recognize the hard work put into this particular assignment. Excellent job! In reviewing the philosophy, consider stepping back for a moment then read again. Sometimes we can write something two different ways and mean the same thing. I say this because the rule of thumb (no particular author) when writing objectives is not to go pass 5 objectives (same for the goals...which by the way looks great!). Why? Generally, when more than 5 goals/objectives are written, it is easy to lose the stakeholder; makes achieving more difficult; and most importantly, the goals/objectives become less hardwired. In the business world, the less the better...no need to change anything on your project...just food for thought for the real world service lines.

Thanks,Eppie

Step Six and Seven

Group:BRAVO! Another excellent job on the content of the assignment. Your efforts as a group is clearly recognized and I appreciate each one of you. The content was well presented, easy to follow and enjoyable from the beginning...what a project!

An additional kudos for a great group discussion board...keep up the great job; we are almost there.Eppie


Step 8

Group:What can I say but excellent job (again)! I thoroughly enjoyed reading your work from the beginning to almost the end. You ad was both colorful and attractive. Thank you for all the work you have put into the assignments. I realize that it can be challenging to work in teams but at the end of the day...there is a certain flow and group perspective.Again, thank you!Eppie

Step 9

Group:What can I say but stand up and take a bow....YOU DID IT! What an excellent project. I was quite intrigued as I read your work from beginning to end. It is quite evident of the hard work that was put into this assignment; again thank you.

Eppie