Healthcare Access - Answers 1. Accurate and completed data collection.
2. Appropriate follow up to assure data integrity.
3. Integrates the data collection necessary for financial, clinical care and discharge planning.
4. Provides assurance and accuracy in statistical reporting.
5. Allows for management of confidential communication to eliminate repetetive questioning.
6. Encourages personalized care.
7. Values and respects all persons who support the provision of healthcare service while empowering
and motivating everyone.
Access Services - Answers Execution of a continuum of defined functional processes that support quality
care, efficiency, cost reduction and service improvements.
NAHAM Access Service Model - Answers Pre Encounter, Encounter, Future Development
Pre Encounter - Answers 1. Customer and Referral Services
2. Patient Assessment
3. Resource Scheduling
4. Pre Registration
5. Patient and Family Education
6. Clinical Pre-requisites
7. Financial pre-requisites
8. Payor Authorization
9. Verification of Benefits
10. Pre-encounter Communications
Customer and Referral Services - Answers Parts of the process by which patients are referred to a
healthcare provider.
Patient Access Services customers. - Answers Internal and External
Patient Assessment - Answers 1. Review of Patient's needs.
2. Includes clinical and financial.
, 3. Includes discussions about possible alternative options for care and aftercare.
Resource scheduling - Answers The receipt of a request to arrange a place, equipment or persons for a
defined date or time.
Pre- registration - Answers Collection, dissemination and storage of registration information prior to
patient's arrival. Includes demographic, financial and clinical data.
Patient and family education - Answers Education program planned utilizing the information obtained
during assessment. Plan includes determination of available materials, teaching tools and methods.
Patient feedback is sought to insure comprehension.
Clinical pre-requisites - Answers The determination of these is obtained from the physician orders.
Includes prep and testing. Procedures must be communicated to patient for completion.Collection and
review of previous test results are required prior to service being rendered.
Financial pre-requisites - Answers Assuring all possible payors have been identified, requirements have
been met and there has been communication with patient about finacial obligations prior to service.
Payor Authorization - Answers Approval from third party payors specified care in a particular setting.
Followed by electronic assurance services will be covered.
Verification of Benefits - Answers The process of confirming benefits for services.
Pre-Encounter Communications - Answers Oral or written information shared with patients,families and
care providers prior to arrival for services. Includes answering questions, scheduling,giving directions
and prep.
Impressions about a facility's service levels are the result of - Answers Staff behavior and attitude.
Attitude - Answers A state of mind or feeling that reflects a person's disposition.
Behavior - Answers Action/reaction or a role under specified circumstances. The way we conduct
ourselves.
Excellence in service - Answers An essential part of providing high quality healthcare.
Internal Customers - Answers Other departments within the healthcare facility. Fellow employees and
management.
Internal Customer Service - Answers This service meets expectations of internal customers. Provides
clear and accurate communication through verbal and written communication to ensure a clean claim is
processed.
Information Services - Answers Vital to internal customer and key to insuring adequate hardware and
software is available for access services.