2-3 page paper describe the metric(s) you will use to evaluate the organization’s productivity

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P hysician Care Services, Inc. (PCS), was founded as a for-profit corporation on January l, 2000. Three physicians each own 20 percent of the stock, and one physician owns 40 percent. PCS currently offers nonemergent care services in two locations-at the Alpha Center just outside the city limits of Middleboro in Mifflenville and at the Beta Center in Jasper, close whe Jasper industrial park and suburban neighborhoods. At these locations ambulatory medical care is provided on a walk-in basis. PCS centers do not offer emergency services. If a patient arrives needing emergency services, an ambulance is called to transport the patient to the nearest hospital emergen cy department. The Alpha Center opened in January 2000. Originally, it only treated occupational health clients. This policy was changed in 2004 when private patients were accepted. The Beta Center opened in January 2006 and has always treated private as well as occupational health clients. PCS specializes in providing services that are deemed convenient by the general public. Patient satisfaction remains its highest operational goal. At present, staff physicians employed by PCS do not provide continuing medical care. PCS physicians refer patients to area physicians as warranted for continuing and/or specialized medical care. Although patients often return to a PCS center, chronic illness management is not provided. 77 78 The Middleboro Casebook PATIENT SERVICES OCCUPATIONAL HEALTH CLIENTS Occupational health clients are sent to a PCS center by their employer for treatment of a work-related injury (which is usually covered by workers’ compensation insurance), for pre-employment or annual phys icals, and for health testing, which are paid for directly by the employer. Because of special work conditions, usually involving hazardous chemicals or materials, some local corporations contract with PCS to provide comprehensive physicals in accordance with Department of Transportation and ocher federal and state laws and regulations. Local corporations consider PCS a cost-effective and convenienr alternative to a hospital emergency department. These corporations use PCS in lieu of employing a phy­ sician. Corporate clients expect PCS to assist with all phases of case management involving worker injury. They hold PCS accountable that their workers receive timely, appropriate, I and cost-effective services. Physicals for Occupational Safety and Health Adminisrration compliance are cur­ rently priced between $300 and $500 each. Physicals for local police and fire include pulmonary function tests (PFn, laboratory tescs, and electrocardiograms (EKGs). 1h ey are currently priced between $250 and $350 per physical, depending on contractual vol­ ume. Pre-employment physicals are typically priced becween $60 and $95 and include a urine dip test. Services provided for occupational health clients are billed directly to the employer. PRIVATE (RETAIL) CLIENTS Private clients also seek medical care from PCS centers. AU aspects of general medical care are provided except 08/GYN. Private patients are attracted to PCS because they do not need an appointment. PCS accepts cash, checks, and credit cards at time of service. As of 2008, PCS directly bills the larger health insurance plans covering ics market area: + + + + Statewide Blue Shield American Health Plan Cumberland River Health Plan Central Scace Good Health Plan At time of service, retail clients covered by these plans are screened to verify eligibil­ ity and to determine whether they have satisfied any required deductibles. If deductibles have been met, patients will be required to pay just the copay amount, and a bilJ is sent electronically co the insurance plan for the account’s balance. If deductibles have not been met, then the insur. patient d, ro claim r A recent i approxim Ai vice is ref sive credi Pa stirute 80 ORGAN Each ceff services. in a smal building locations E: 9:00 a.m Day, Jul) furnishec excess sp: F

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