Process organization

Quality management aims to avoid critical errors and improve your organization’s economic profitability. Therefore the process by which a new medical center is bought has to be planned and organized carefully. All procedures must be adapted to the spatial and temporal sequences to ensure that all operations are coordinated as efficiently as possible.

Retirement provision

As a professionally oriented self-employee, you draw your retirement income from the pension fund of our trust. By being a member of this pensions scheme, you are well protected, and your pensions are well secured and comparable with statutory pension insurance.

Capital-forming life insurance and classical annuity insurance are the ideal complement to the benefits of your pension plan,

which optimizes your pension plans. In addition, you can also use government funding called “Riester Rente” (pension insurance) and the “Rürü”; (basic pension insurance). As a healthcare professional, you benefit from a retirement provision with low contributions.

Medical center for quality in Medicine /ÄZQ

The ÄZQ was founded in 1955 for quality assurance and is a joint institution of the German Medical Association and the National Association of Statutory Health Insurance. The ÄZQ aims to promote

quality assurance in medical care and the coordination of medical quality assurance measures in medical care. It does so through coordinating medical quality assurance in accordance with professional law and health insurance to promote doctors’ rights.

Accreditation

This is a recognition of the competence of an institution or examination work carried out by an individual. The aim is to ensure that a certificate meets the accrediting organization’s standards.

If a qualified doctor wishes to have his medical center certified, although he is not obligated to do so, he should pay attention to the accreditation of the certifying institute. Currently, there is no specific recommendation for the accreditation of an institute. In case of complaint, procedures, and behavior should always be considered self-critically.

While brainstorming, doctors work with medical assistants, under the guidance of a moderator, to find solutions to a given problem. If there are no more ideas, the proposals are sorted and evaluated jointly by the group.

The following rules should be observed when brainstorming: – Correct and exact formulations of questions
– No time pressure in the idea-finding phase
– No criticism or assessment of newly founded ideas

– Production of as many ideas as possible – first talk, then think – Further development of extraordinary ideas
– Take note of ideas and results

Checklist

A checklist should be used to ensure that all vulnerabilities of a current state are detected. For recurring processes and suspected vulnerabilities, the practice of a checklist “standard” helps to execute activities, such as content emergency suitcases, fully. The checklists must be marked continuously and completed as a form in the quality management manual.

Deming Cycle

The American W.E. Deming is considered to be the father of quality management. He was the first to write about the continuous improvement of services and products through cyclical repetition of planning, execution, review, and improvement.

The DIN EN ISO 9000 family is a series of internationally applicable standards developed in the late 1980s. It contains recommendations and standards for quality management. The DIN EN ISO 9000 has been designed particularly for medical center quality management.

Documentation is a written record of objectives, actions, and events. Writing adequately and precisely is an essential part of quality management. Therefore, all critical processes of a medical center are described in flowcharts containing instructions and procedures. Objectives should be defined in written form in the quality management manual, and changes to these objectives should be documented accordingly. Flowcharts are exceedingly advantageous for the quality management of a medical center. They document the processes and their interrelationships. While developing these diagrams, you can also see possible errors in your management system, which forces your

employees (contract bounded doctors) to participate in your quality assurance system. Through this, your quality management is constantly being improved and developed.

According to the rules of DIN EN ISO 9001:2000 an institute may only be certified by an accredited institute after two years of work and a cost in the five-digit range. If you only aim to meet the legislation requirements, an introductory seminar is enough. This would result in a cost of around 300€. This model is created in cooperation with the KV Westfahlen-Lippe Quality Service, enabling a cost-effective opportunity for doctors to become self-employed. The medical center quality management system of the private medical office Rhine-Ruhr/Belin-Brandenburg QM system enables doctors to enter the quality management system cost-effectively.

The basics of QM for a medical practitioner are taught in a one-and-half-day workshop. It is broken down in such a way that examples from the fields of accounting and marketing, additional private costs, medical center design, and seminar materials, including a sample manual, are immediately translated into one’s doctoral center.

Medical centers or medical center community?

Cooperation models such as the medical center community are of great economic and organizational value. The same applies to the apparatus or laboratory community, where some tax considerations must be considered.

Clarity and organization are fundamental prerequisites for an economically successful medical center. This benefits not only you or your employees but also your clients. A coherently, professionally managed medical center with a comprehensible concept is highly recommended.

Motivation

It is essential that all employees have a positive attitude towards quality and are committed to it. The attitude towards quality work can be influenced and promoted through quality bonuses, additional money, additional holidays, or information on sources of error.

Employees should be able to distinguish between bad and good work through training. Feedback should be considered by all means, and the employee should provide a testing tool such as a checklist.

MVZ/MCC- Medical Care Centre

A look at the two large groups of doctors, the inpatient, and the outpatient, reveals different positions on certain topics.

The inpatient doctors rate the MVZ positively. The self-employed doctors remain skeptical about the MVZ. Opinions on electronic health cards also remain divided.

Two-thirds of inpatient doctors rate the increase in MVZs as positive, especially senior, chief doctors, and also those surveyed in the 45-49 age group.

On 1 January 2004, the government introduced a new, cross-disciplinary, and cross-professional element into the outpatients medical center.

MVZs can therefore set up and operate in hospitals or with the participation of hospitals. Self- employed doctors are primarily distant from this new approach. Only one in three gives a positive rating.

The self-employed doctors see the MVZ as competition to their own medical center. On the other hand, the established dentist is less critical. Many dentists see the MVZ as an alternative to their own medical center.

The eGK – electronic health card is to replace the health insurance card in the future to make the transfer of patient data between service providers, payers, pharmacies and patients more cost- effective and rapid. The eKG is supposed to make the work of clinicians easier. In the event of an emergency, doctors can treat the patient in a more targeted manner, as a data profile is provided.

Only one in five can gain something positive from the eGK. Two-thirds of self-employed doctors have a very negative view of this. 70% of doctors, excluding dentists, reject the eGK.

Respondents from the stationary sector point to different construction sites than their self- employed colleagues. Nine out of ten doctors from the stationary sector are dissatisfied with their working environment and salaries.

The above-mentioned facts are taken from a study carried out in hospitals and clinics.

Medical center website

Studies show that a pleasant and competent webpage is the key to a successful business. Through an enhanced web design, you are able to compete with big firms as your website stands out, increasing your online presence.

Quality management is a systemic effort in which the overall quality of your business is improved. Since 2004, medical centers have also been obliged to introduce internal quality management. Learning is the prior argument for quality management, requiring awareness of potential hazards. This can be achieved through self-criticism. However, self-criticism only works if work is assessed critically, analyzed in good time and suggestions for improvements are drawn up as quickly as possible.

Quality management is not only important for demanding patients but also creates satisfaction for your employees. This promotes self-initiative and strengthens the responsibility of employees. As a result from this, clients, employees, and doctors are satisfied.

A clear objective is a basis for quality management because quality must be measurable. If there is no target, there is no measurement. Quality objectives of a medical center are, for example, to avoid waiting times for patients or double examinations.

Total Quality Management (TQM)

TQM is a comprehensive quality control. It covers all areas, from patients, and employees to suppliers. TQM stands for partnership and communication with clients, involvement of all employees, quality of the entire company, quality of all processes, quality of all work, quality of every service, quality of leadership, clear quality policy, team, and learning ability of all participants.

Team meeting

Through team meetings, the quality of all medical centers increases enormously as they are used to resolve critical issues in a medical center. Such team meetings between doctors and staff on procedures should occur at least once a month. These meetings should be documented according to a predefined format.

Procedural instructions (PA) are essential to quality management and define the procedure.

The VA clearly describes for whom the instruction is intended and whom it affects. To minimize the error rate in a medical center, the owner should never review the process of his institution. For this reason, it makes sense to select a quality management representative for the medical center who checks and approves the work instructions given by the doctor.

Insurance

Finding the right insurance concepts that support you in given scenarios is difficult. Theo Kadas and his competent team will help you as an independent financial and asset advisor to create an individual insurance concept. We will provide you with transparency on the insurance market and which insurance company offers the best price-performance ratio in your personal and professional situation.

Certificates have a limited validity (usually three years) and have to be re-acquired after that period. According to the government, you are not obligated to be certified. Nevertheless, many companies specializing in certifications try to address them to doctors. Certificates are important in industry and

commerce but are less efficient in the general self-employed medical center. Those who wish to have their medical center quality management certified as a doctor should note which accreditation the institute/auditor has.