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Home > Industries > Health Insurance > Policy and Procedure Management

Policy and Procedure Management

Policies and procedures form the bedrock of a health organization's success. Sometimes, they can make all the difference to an organization's survival. Physicians, stakeholders and staff depend on policies and procedures to establish standards on how various processes must be conducted – from processing payments, to protecting patient information, to meeting healthcare compliance regulations, to admitting patients, to conducting surgical procedures.

Auditors, regulators and attorneys also rely on an organization's policies and procedures to determine if services delivered were in line with company norms. If not, the organization runs the risk of encountering noncompliance penalties or, worse, lawsuits stemming from the occurrence of fatal medical errors. Policies and procedures are becoming increasingly more important as healthcare organizations grow larger, more diverse and more complex. To ensure consistency in operations, reduce medical errors and ensure patient safety, organizations need to ensure that they have a well-defined and well-implemented set of policies and procedures in place.

MetricStream provides a flexible framework to streamline the creation and management of a healthcare organization's policies. The solution enables organizations to adopt an electronic and automated approach to the development, maintenance, and communication of policies and procedures across the enterprise. The web-based system contains a central repository to store and organize policy and procedure documents. Integrated collaboration and workflow tools can be used to access, create, modify, review, and approve these policy and procedure documents globally in a controlled manner. Built-in tools support policy implementation, acceptance, exception tracking, mapping of policies to compliance requirements and event based notifications. In addition, a powerful analytics and reporting capability tracks each policy from origin to obsolescence, giving managers complete visibility into the system.

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Recorded Webinar:
Best Practices in Implementing a Compliance Program

Expert Speaker: Judith Nelson
Vice President and Chief Compliance Officer, BCBS Tennessee
Analyst Research

Access a complimentary copy of Gartner Magic Quadrant for Enterprise Governance, Risk & Compliance Platforms, 2011 to get an up-to-date view of the GRC platform landscape.
July 2011 | Read Report
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