My Career As A Practice At Brigham And Women 's Hospital For The Past 17 Years

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Practice management can be tough without the cooperation and support of employees, and leadership. I have worked at Brigham and Women’s Hospital for the past 17 years where I have held many different positions. I started my career as a practice secretary in the
Department of Dermatology and worked my way up into a supervisory role. I had a goal of becoming a practice manager, so transferred to the Department of Psychiatry where they offered better growth potential. Here I learned how critical thinking and good problem-solving skills are tantamount to failure or success.
A practice analysis is necessary to expose liabilities, uncover lost opportunities and measure staff productivity. During my first year, I tasked myself with learning the various roles of the staff in order to determine our strengths and weaknesses. It quickly became apparent there was a lot of work to do. Despite being part of a robust academic medical center the practice had no structure; they had been allowed to function in a private practice model for many years. After reviewing the front end check-in and check-out process as well as the clinician’s documentation and billing practice I found many patients did not have a scheduled appointment, which lead to a loss of revenue. This was a major cause for concern. I was not sure where the confusion was, so approached several clinicians asking to shadow their practice. After some initial resistance, I finally got a couple to agree. It is…

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