Radiation Oncology Administration Flashcards
What are some of the roles that a radiation Oncologist has? (7 answers)
Treating Phyisician, Tumor Board Review, Clinical Trials, Consults, Treatment Planning and Approval, Imaging approval, Follow-ups
What are the two billing subcategories?
Professional and Technical
Who is included in the professional billing portion?
Physicians
Who is included in the technical billing portion?
Hospital
What are things that are included in finances and the revenue cycle? (3 answers)
Financial forecasting, Budgeting, revenue and expenses
What is financial forecasting?
the forecasting of future patient inflow along with finances that be brought to the hospital but also how much things will cost during that time period
what is budgeting?
calculating the spending budget and portioning that to be utilized in the most efficient way
what are revenue and expenses?
how much money is the hospital producing while how much is the hospital having to spend
What are some things included in capital planning?
Machines, Physics equipment and selecting machines to fit the center
Explain capital planning for machines, physics equipment.
basically planning for the purchase of new parts and/or equipment. This is an essential portion of obtaining these pieces of equipment cause you need to understand the need for it in your department and also the worth of that equipment. (Ex. Will this piece of equipment help us to be better? Will this equipment last us for what its worth?)
Explain capital planning for machine selection
Planning for what machines are needed for your unique department. Also includes trying to have corporate financial advisor buy into your idea of why you need those machines and what they will provide for your department. (Ex. A center treating prostate cancers might look to invest in MRI Linac for higher precision or a center for pediatrics would invest in a Proton therapy for a more predictable fall-off path)
What are the two main information technologies found in radiation oncology departments?
Aria and Mosaiq
What are some of the Physics and dosimetry platforms? (3 answers)
Velocity, Eclipse, Clear-Check
What’s an essential component to have in the information technologies division? (2 answers)
- Interoperability, the need for technologies to be able to exchange information with each other (ex. Aria/Mosaiq and EMR interfaces)
- IT support and infrastructure
What are some of the roles of the secretarial division? (6 answers)
New patient consult, record collections, insurance registration/verification, check-in, scheduling, Follow-up
What are some of the roles of the nursing and nurse navigation division? (7 answers)
New patient work-up, Treatment decision-making process, new consult assessment, screening, XRT expectations, OTV, Follow-up
What are some things that can be expected during XRT? (3 answers)
- Skin reaction
- Toxicity
- Side effect management
Who are the three unsung heroes within the radiation oncology department?
Physicist, Dosimetrists and Engineers
What is used to determine key performance indicators?
Operational Metrics, which is a departmental scorecard
What are some of the things included in the operational metrics scorecard? (4 answers)
- the time from sim to treat
- simulation preparation
- time to new patient consult appointment
- Plan completion 48 hours in advance
What is the standard for a culture of safety?
Non-punitive response to a culture of safety
What is tracking and trending RO-ILS mean?
- Determine where concentration should be put on incident learn ing
- Making sure patient safety is always revisited
- Reinforce things that drive operational improvements
What are the four key aspects for radiation oncology administration in utilizing the RO-ILS?
Identify, Communicate, Educate, and Monitor Progress
What is one of the most important aspects of capital planning?
DATA incorporation to support your plan
What are things that are included in reimbursement changes? (4 answers)
Prior authorization, Medical necessity, Alternative Payment Mode, Quality over quantity
What’s an essential part of healthcare workers’ jobs in order to make the reimbursement process easier?
Documentation. Documentation of everything will make the process of verifying the need and understanding the situation easier
What are the 9 touchpoints for a cancer patient?
- Screening
- Diagnostics
- Cancer Diagnosis
- Tumor Board review
- Treatment plan determined
- Multi-disciplinary team
- Treatment
- Supportive services
- Follow-up/survivorship
What are aspects included in a healthcare workers role owed to the patient? (5 answers)
- Team work
- Patient Advocate
- Be their voice
- Know your patient population and demographics
- Understand your resources as an academic or community hospital
What are barriers to care for patients? (4 answers)
- Transportation
- Caretaker/Support Network
- Multiple Appointments
- Navigating a complex diagnosis
