Summary - Health Care - ثالث ثانوي

عناية الته ليد inistry of Education CHAPTER 5 SUMMARY • Business and accounting skills are used in many health care careers. Many of the skills can be used in the personal life of the health care provider. Proper use of the telephone, composing professional business letters, and completing insurance forms, are essential skills for those who work in medical or dental offices, private health care facilities, or business offices of major health care providers. • Proper filing techniques and proper scheduling of appointments can help a health care facility function efficiently. • Maintaining patient records, such as patient information forms and medical histories, is an important aspect of patient care. Accuracy is essential because medical records are considered legal documents. • Bookkeeping systems are used to maintain financial records for health care facilities, including records of services rendered, payments made, and balances due on accounts. By learning business and accounting skills, the health care team member can choose from a variety of health care careers. Mini Case 5:1 A Question of Priority The physician is due at the office at 10 a.m. Abdullah has just arrived at work and finds several messages waiting: a. Mona calls at 8:30 a.m. Her daughter has a fever of 39°C. She wants the physician to see the child or to call in a prescription. No other signs or symptoms are given in the message. She can't bring the child in until 4 p.m. b. Mohammed, a hospital consultant, calls at 9:15 a.m. He has seen Ruba, a patient the physician referred to him for consultation. Mohammed would like to tell the physician his findings. Mohammed will be in his office from 1 to 4 p.m. From 4 to 6 p.m., he will be at the hospital. After 7 p.m., he will be at home. c. An Ace Medical Supply salesperson calls at 9:30 a.m. He is calling in regard to the ECG paper the physician ordered. Paper Model 524 is no longer available. He can send the substitute, Model 529, but it is more expensive. He can also try to locate some old stock of Model 524. He believes that both are of equal quality. d. The hospital calls at 9:45 a.m. in regard to Younis. Younis started vomiting bright red blood at 9:40 a.m. after his surgery. The nurse calling is on Ward 5B, extension 5566. They want the physician to call immediately. analysis 1. How should Abdullah decide which is the most important message that the physician needs to respond to first? What questions will help Abdullah to prioritize these messages? 2. Should Abdullah deal with any of the messages himself? Why? 3. The physician has asked Abdullah to find out more about the condition of Mona's daughter. What questions should he ask Mona? GE45.PATHWAYS.G03.S1-2.HC.ENG.SB.indb 251 BUSINESS AND ACCOUNTING SKILLS 251 | 14/06/2023 10:30

ليد Mini Case 5:2 A Worried Patient Mira has been asked by her supervisor to take a medical history from Noor, who is coming into hospital for a gall bladder operation, and complete a medical record form for her. Noor is 56 years of age and is married with three children. Noor is worried about coming into hospital and seems stressed. Her husband has come with her to the appointment. Mira also needs to take and record Noor's vital signs on the medical history form. analysis 1. What questions does Mira need to ask Noor? 2. How can Mira put Noor at her ease so she can answer her questions fully? 3. Should Mira attempt to take Noor's vital signs at this appointment? Justify your answer. Mini Case 5:3 An Angry Patient Fatima is acting as receptionist at your local clinic this morning. She answers the telephone with her usual greeting. A man's voice shouts, "I need to speak to the doctor now!" Fatima needs to screen the call to determine whether the call is important and should be put through to the doctor or dealt with by a nurse or other health professional in the clinic. The man refuses to give Fatima any information but just keeps repeating his request. analysis 1. How should Fatima respond to the caller? 2. What information does Fatima need to obtain from the caller? 3. If Fatima is unable to obtain any further information, how should she proceed? Why? 252 CHAPTER 5 GE45.PATHWAYS.G03.S1-2.HC.ENG.SB.indb 252 14/06/2023 10:30

عناية الته ليد inistry of Education REVIEW QUESTIONS 1. What is the purpose of a telephone triage procedure? 2. List five sections on a medical history form. Briefly describe the type of information in each section. 3. Differentiate between a modified block style and a block-style letter. 4. What is an ICD-10-AM code? GE45.PATHWAYS.G03.S1-2.HC.ENG.SB.indb 253 BUSINESS AND ACCOUNTING SKILLS 253 | 14/06/2023 10:30

ليد 5. What safeguards are needed when using electronic billing systems? 6. What is a statement-receipt record used for? 7. If the patient is a dependent, who should sign an insurance document? 8. What is a mailmerge feature used for? 254 CHAPTER 5 GE45.PATHWAYS.G03.S1-2.HC.ENG.SB.indb 254 14/06/2023 10:30

عناية الته ليد inistry of Education CRITICAL THINKING 1. Research and obtain blank patient medical history forms from a hospital and a medical office. Interview another student in class and fill out each form based on the information they tell you. Write a paragraph detailing the differences in the forms. Why did each type of facility choose the type of form they used? GE45.PATHWAYS.G03.S1-2.HC.ENG.SB.indb 255 BUSINESS AND ACCOUNTING SKILLS 255 | 14/06/2023 10:30

ليد 2. Research specific insurance companies, health maintenance organizations, and preferred provider organizations to determine their requirements for processing claims. 256 CHAPTER 5 GE45.PATHWAYS.G03.S1-2.HC.ENG.SB.indb 256 14/06/2023 10:30

عناية الته ليد inistry of Education 3. You work in a medical office for four different doctors. Create a list of triage questions that you can use to determine whether a patient needs an immediate appointment. ACTIVITIES 1. Complete the patient information form and medical history form in Figures 2-8 and 2-10 based on the following case: Salem and Nawal came into the doctor's practice for the first time today. They are late for their appointment. They are both retired and have health insurance, but only Nawal had her card and could tell them her number, which was is 0112345678. They share an e-mail. Nawal has a history of headaches, blurry vision, coughing, and asthma, and has just recovered from a urinary tract infection. She does not take any medication except for paracetamol when she gets a headache. Salem has a history of shortness of breath, chest pain, and heartburn. He takes antacids and valsartan 350 mg for high blood pressure. Neither one has ever had cancer or sought psychiatric treatment. 2. Create a sample business letter for each of these purposes: a. recall letter b. consultation letter 3. Practice the following situations with a partner. Assume the roles of both the caller and the receptionist receiving the call. a. A patient calls to make an appointment. b. Another doctor calls to discuss his findings on a referred patient. c. A mother calls. Her child is ill. d. A salesperson calls. She has some new equipment she wants to demonstrate and discuss. e. A man calls. He states that his wife just fell to the floor unconscious. GE45.PATHWAYS.G03.S1-2.HC.ENG.SB.indb 257 BUSINESS AND ACCOUNTING SKILLS 257 | 14/06/2023 10:30