Set the minimum documentation for health insurer contracting that is genuinely necessary, and stop there.
Managing Contracts with Health Insurers and Guarantee Funds
Learn to design, measure and defend your organisation's approach to health insurer contracting.
Course Overview
In healthcare, a weakness in health insurer contracting is eventually paid for by a patient. Accreditation bodies assess this area of health and pharmaceutical services on documented evidence of consistent practice. It is appropriate for those preparing to take on wider responsibility for the practice within health and pharmaceutical services. The difficulty is not agreeing that health insurer contracting matters — it is deciding what to stop doing to make room for it. Mature organisations treat this area of health and pharmaceutical services as a standing capability rather than a project that finishes. Participants take away a working set of documents supporting the health and pharmaceutical services discipline, ready to be adapted internally. This programme builds health insurer contracting from first principles, without padding and without omitting what matters. Sessions alternate between guided analysis of this aspect of health and pharmaceutical services and supervised application. Work concludes with a self-assessment of this area of health and pharmaceutical services that participants can repeat annually.
Expected Learning Outcomes
Design escalation for clinical deterioration detected through health insurer contracting.
Establish incident and near-miss reporting on health insurer contracting that staff trust.
Adapt recognised practice on health insurer contracting to local constraints without hollowing it out.
Protect patient confidentiality and data within health insurer contracting.
Build the quality indicators for health insurer contracting that reflect patient outcome, not activity.
Anticipate the objections that health insurer contracting will attract internally and answer them in advance.
Who Should Attend
Managers of multi-site operations seeking consistency in health insurer contracting.
Infection prevention and control practitioners covering health insurer contracting.
Hospital and health facility managers accountable for health insurer contracting.
Newly appointed managers taking on health insurer contracting for the first time.
Clinical department heads responsible for health insurer contracting.
Accreditation and compliance officers preparing evidence on health insurer contracting.
Course Modules
Health insurer contracting: staffing, capacity and demand
2 sessions · 8 pointsSession 1Matching staffing on health insurer contracting to real demand
- Collect evidence on the present handling of health insurer contracting before proposing changes.
- Name a single owner for each element of health insurer contracting.
- Identify where judgement in health insurer contracting is legitimate and where it is not.
- Set out how exceptions to health insurer contracting are requested and approved.
Session 2Reading the current state of health insurer contracting honestly
- Close out actions on health insurer contracting rather than leaving them open indefinitely.
- Cost health insurer contracting per episode and identify avoidable waste.
- Confirm competence and continuing development for staff delivering health insurer contracting.
- Assemble the accreditation evidence pack for health insurer contracting.
Health insurer contracting: cost, efficiency and sustainability of the service
2 sessions · 8 pointsSession 1What patients actually experience during health insurer contracting
- Identify single points of dependency in health insurer contracting and reduce them.
- Anticipate the objections health insurer contracting will raise and prepare the answers.
- Identify infection transmission risks created by health insurer contracting and control them.
- Arrange the handover of health insurer contracting so capability survives staff changes.
Session 2Investigating an adverse event involving health insurer contracting
- Apply structured root cause analysis to the last adverse event involving health insurer contracting.
- Define acceptance criteria for health insurer contracting in advance.
- Set out the decisions in health insurer contracting that require sign-off and by whom.
- Set escalation thresholds for health insurer contracting that work out of hours.
Health insurer contracting: clinical process design and workflow
2 sessions · 8 pointsSession 1Building lasting competence in health insurer contracting
- Select quality indicators for health insurer contracting that measure outcome rather than activity.
- Confirm licensing and regulatory requirements applying to health insurer contracting are met.
- Audit health insurer contracting by observing practice, not by reading policy.
- Check that consent processes within health insurer contracting are genuinely informed.
Session 2Infection risk created by health insurer contracting
- Decide what will be stopped to create capacity for health insurer contracting.
- Build medication safety checks into health insurer contracting at the point of highest risk.
- Confirm that contractual obligations around health insurer contracting are understood.
- Map the clinical workflow for health insurer contracting as it is actually performed.
Health insurer contracting: supply, cold chain and availability
2 sessions · 8 pointsSession 1Keeping health insurer contracting alive after the initial push
- Measure patient experience of health insurer contracting and feed it back to the team.
- Verify cold chain and storage conditions for materials used in health insurer contracting.
- Reduce unwarranted variation in health insurer contracting between shifts and sites.
- Remove steps in health insurer contracting that add effort without adding assurance.
Session 2Choosing indicators for health insurer contracting that reflect outcome
- Match staffing levels on health insurer contracting to measured demand across the week.
- Build the competence framework that supports health insurer contracting.
- Benchmark the organisation's health insurer contracting against comparable operations.
- Confirm the incident reporting route for health insurer contracting is quick and non-punitive.
Choose the package that suits you
Silver Package
At least 3 people
- Workshop or Program Participation
- Airport Transfers
- Customized Badge
- Expert Mentorship (Private Sessions)
- Supervision & Secretarial Services
- Accredited Certificate of Participation
- Complete Training Kit
- Coffee Break
- Closing Ceremony
Gold Package
At least 3 people
- 5-night stay in a 5-star hotel
- Workshop or Program Participation
- Airport Transfers
- Customized Badge
- Expert Mentorship (Private Sessions)
- Supervision & Secretarial Services
- Accredited Certificate of Participation
- Complete Training Kit
- Coffee Break
- Closing Ceremony
Complete your registration
We will contact you within one business day to confirm.