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Solutions (Prescription Strength Treatments)
Consultative Solutions
These are consulting areas of expertise Dr. Dunaway provides a variety of healthcare dot organizations.As a physician consultant, Dr. Dunaway asks organizations "what hurts?" and then starts a diagnostic workup. When a diagnosis is made, a customized prescription treatment is started. From developing strategic plans with a leadership team to entire corporations or even one-on-one doc2doc or doc2dot interaction, Dr. Dunaway is a versatile consultant and can help your organization to not only learn the “how’s” but the “why’s” to solutions for growth.
Click here for our 1 Day Turbo-Consultation Program
Documentation Solutions
It’s hard to win when you don’t create or know the rules of
the game. By understanding the rules and learning techniques to succeed,
physicians can improve and streamline clinical documentation and free
their time for what they enjoy and do best, treating patients. Healthcare
quality today is graded. The grades are based on clinical data points
and statistics, derived exclusively from physician documentation in the
medical record. The presence or absence of this critical documentation
directly affects the grade received, and the winner of the game. The same
documentation also determines both physician and hospital severity of
illness and acuity of care calculations.
Improving care of the patient remains most important but with increasing
pressure from outside entities, patient care is shadowed by regulatory
issues. Excellent patient care alone is not enough. Physicians now must
effectively document their clinical care to succeed in the practice management
arena. By partnering and improving communication between physicians and
hospital, improved clinical documentation will represent the true picture
of the patient population they together treat. Healthcare Value, Inc.
wants to help physicians understand how this data is collected and how
to use the rules of the game to their best advantage to thrive. By helping
caregivers improve clinical documentation, the rewards of improved compliance,
diminished audit exposure, legitimate reimbursement opportunities, and
accurate severity of illness profiles are gained, directly benefiting
both physicians and hospitals.
Medical Practice Development
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E&M codes account for 50 to 85 percent of all billed codes and represent
substantive revenue streams to a medical practice. The documentation that
supports these billed codes is vital. In the “business world of medicine”
we now practice, unfavorable third party payer audits can result in not
only loss of practice income, but with the passage of the Kennedy-Kassebaum
Bill, all third party payers can levy criminal charges against physicians
with E&M documentation guidelines variances for “fraud and abuse.”
Although the possibility of jail time is grossly overestimated in regard
to unintentional fraud, the civil monetary penalties are not. Furthermore,
the CMS Quality Initiatives are not impacting individual medical practices
and physicians are all derived by documentation. Documentation is therefore
critical in terms of reimbursement as well as credit and recognition.
By application of an office wide documentation program using a compliance
correct, systematic approach, documentation requirements can be streamlined
and medical office personnel can assist physicians to free physician time
for patient care, not paperwork. From on site training to Dr. Dunaway’s
Documentation System, (Dr. Dunaway in a box!), Healthcare Value, Inc.
will provide a workable, sustainable, easily implemented solution to current
documentation requirements.
Hospital Facility Development
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The same documentation that drives E&M codes for physicians drives
DRG hospital payment. Rather than existing as two disconnected coding
systems, the single point of commonality between E&M coding and DRG
coding, documentation of multiple medical diagnoses, bridges the gap between
E&M and DRG codes, and correspondingly between physician and hospital.
Leveraging this relationship is the key to motivating physicians to improve
documentation, not from “hospital benefits,” but rather physician
benefit. When physicians understand the pivotal nature of documentation
for hospital and physician benefit, documentation becomes a win-win issue.
Furthermore, when physicians partner effectively and profitably with Hospitals
and other medical facilities through documentation, it facilitates other
mutually beneficial collaborative efforts.
Through a hospital wide application of Dr. Dunaway’s Documentation
System, effective linkage between E&M and DRG coding is established.
By involving all hospital personnel involved with patient documentation,
or the outcome of patient documentation, all benefit. When physicians
understand the role of DRG Coordinators, Utilization Review, Discharge
Planners, HIM, Compliance, and Hospital Administration, rather than repelling
physicians, polarity can be reversed, and attraction results. Physicians
will come to recognize the “resident experts” that are not simply
hospital employees working for hospital profit, but as resources who will
help physicians survive in an increasingly hostile healthcare ecosystem.
Connecting Dots of Healthcare Solutions
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Evolutionary pressures on the “dots” of healthcare, (physicians;
patients and patient families; hospitals, including administrators, board
of trustees, and employees; businesses of healthcare; payers; government;
hospital/office staff; pharmaceutical companies; medical/surgical equipment
suppliers; ad infinitum) causes change. Changes in and to healthcare
is a constant and in turn changes incentives, motivation, and behavior
of the “dots of healthcare.” How this change is managed, leveraged,
and embraced determines outcomes. Unfortunately, healthcare “dots”
have become increasingly fragmented and collectively weakened. By re-introducing
mutuality, we all are strengthened. But one of the most fragmented, indeed
even subdivided, dots is physicians and subsequently all the dots physicians
interact with.
Physicians are critical elements in the dot-matrix in the healthcare ecosystem.
Dots of healthcare bring different data, perspectives and purposes to
patient care – and they are upset because they seem to disagree on
so much. It’s not so much disagreement, but more of a failure to
understand different perspectives and purposes of other dots. By a better
mutual understanding of “dot” behaviors, better alignment of
purposes will bring in a rising economic tide that will float all healthcare
dots to a higher level.
Mutual Value Integration
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MVI is Dr. Dunaway’s model for connecting the dots of healthcare.
By improving communication, honoring the individual and unique contribution
of healthcare dots, and finding and nurturing the chemistry between dots
in meaningful business relationships, we can all succeed. MVI has been
used to improve connections between any healthcare dot with another
dot, dot2dot. From a unique physician insider’s perspective
on business of medicine issues, Dr. Dunaway successfully connects dots
of healthcare.
MVI is strong medicine to make medicine strong.
Doc2dot connectivity is improved through the application of the
MVI model and lends itself to adaptability for any healthcare dot and
a wide variety of venues. MVI has been used as a sales model to companies
whose survival depends on the signature of a physician, dotsales2doc.
MVI builds more meaningful and better connected relationships between
physicians and hospital administration and boards. MVI also has application
to improving physician/patient interactions. Medical office efficiency
and profitability is enhanced and better intra-office relationships are
developed. Physicians and payers can connect with, (or perhaps despite
of ), compliance and regulatory issues in ways that honor the contribution
of the financial elements of healthcare when they both learn to bridge
this widening, and increasingly hostile, gap.
Doc2doc, the MVI model allows physicians to connect productively
with other physicians. This improved connectivity can curb the self, and
hospital, destructive practice of retaliatory referral patterns. It’s
bad enough that there are slings and arrows flying at physicians from
this hostile healthcare ecosystem we’re practicing in, but do physicians
need to contribute to the assault of each other from within their own
dot? Using MVI, physicians can recognize the often neglected value of
collegiality and learn to overcome typically self-imposed barriers. Simple
easy changes can convert petty passive-aggressive behavioral patterns
into productive and profitable mutual successes and improved patient care.
Thanks and Praise Solutions
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As an integral element of MVI, honoring the contribution made by any and
all dots of healthcare, is often overlooked in large and progressively
more complex “healthcare delivery systems.” The common thread
of caring for others shouldn’t be limited to patients, but who has
time with clinical demands? Recruitment and retention of healthcare dots
is unquestionably multi-factorial, but omitting recognition of the devotion
and sacrifice healthcare workers continually give dishonors all of healthcare.
The resulting penalty is paid in terms of dollars from the bottom line
of healthcare organizations and in terms of quantitative and qualitative
patient satisfaction and care. With inimitable style, Dr. Dunaway, provides
a solution for giving heartfelt thanks and praise as he honors the contribution
by healthcare professionals.
>>
Medical Practice Development
>> Hospital Facility Development
>> Connecting
Dots of Healthcare Solutions
>>
Mutual Value Integration
>> Thanks and Praise Solutions
>> Speech Topics
What they are saying:
“The program was a huge success! We will recoup the cost of this program in no time at all.”
Debbie Cooper, CPC, Coding and Reimbursement Specialist, Health Network of Madison County, Anderson, IN
“Your presentation was both transforming and entertaining. We had physicians who were paged out of the meeting and we overheard them talking on the telephone saying, “ I am sorry I can’t talk any longer. I have to get back to my meeting.” As you well know, most physicians want to get paged out of meetings, not back into them. I use the term transforming because the very next day certain physicians who assiduously avoided our Documentation Nurse Specialist volunteered additional complications and co-morbidities and asked our Coding Specialist for help. These are physicians who usually ran the other way whenever they saw a Coding Specialist.”
Gregory R. Wise, MD, FACP, CPE, VP, Med. Affairs, Kettering Med.Ctr, OH.
"Great to see a doctor take control of the "New Healthcare Enviroment."
Larry Lough, MD, Columbia, SC
What had been dreaded as another boring (read “waste my time”) training session that was mandated by medical center administration became the most talked about training session among our clinicians. It was amazing to see older clinicians, who normally feel they don’t need to stay for an educational session and leave in the middle of a program, remain for the whole presentation. This will be one of the most beneficial programs our hospital presents this year.
Nancy P. Dougherty, M.S.L.S., Chief, Learning Resources Service, Department of Veterans Affairs
“What was dreaded as another “lecture” mandated by the bylaws of the Medical Staff turned out to be the most talked about Seminar ever presented.”
James A. Cruickshank, CEO, University Hospital & Medical Center, Ft. Lauderdale, FL
“In all my years of attending medical staff meetings, your presentation was the most effective we’ve ever had. The physician comments were raving and that says it all.”
Becky Harding, RHIT, Administrative Assistant, Longview Regional Medical Center, Longview, TX
“Being a surgeon you know the frustrations that our physicians are feeling and they could relate to you. Thank you for the exceptional and educational presentations.”
Anne Adams, JD, MS, Chief Compliance Officer, Emory Healthcare
“Your presentation to our medical staff was exactly what they needed to hear and at exactly the right time.”
Susan Phelps, Chair, Corporate Compliance Committee
High Point Regional Health System, High Point, NC
“Everyone commented on how relevant the information was, in addition to the face that it was so entertaining.”
Gary Beck, Director, Sierra Heart Institute
“Incredible, touching experience to finally hear that one physician really knows the value of homecare and what we really do. I liked best his message of understanding what we really do…also the songs!”
Amor Gango, Syracuse, NY
“I laughed, I cried, it became part of me. Excellent, excellent, excellent! I loved every second!”
Lyn Holstein, Syracuse, NY
“Wow, you really connected to the real world of homecare. Your presentation was worth the cost of the entire conference.”
Pamela Taylor, Lyons, NY
