Audit health insurer contracts in practice, not only in policy.
Managing Financial Contracts with Health Insurance Companies
Build a working method for health insurer contracts that stands up to scrutiny and survives daily pressure.
📍 Tunis🗓️ 5 training days📚 4 modules🎓 Accredited certificate
5intensive training days
4scientific modules
8training sessions
32detailed points
Course Overview
In healthcare, a weakness in health insurer contracts is eventually paid for by a patient. Clinical staff will work around a process for the wider health and pharmaceutical services agenda that obstructs care, and they will be right to. The course sets out a working method for the health and pharmaceutical services discipline that participants can apply the week they return. Every module pairs a short input on health insurer contracts with structured practice on the participant's own material. Most organisations already have a policy on this aspect of health and pharmaceutical services; far fewer can show it working. They acquire practical criteria for judging when this strand of health and pharmaceutical services is working and when it is only appearing to. The content is relevant to those who own health insurer contracts and to those who are held accountable for its results. Field experience suggests that the barrier to better the health and pharmaceutical services discipline is rarely technical. The final module sets out how progress on the wider health and pharmaceutical services agenda will be evidenced six months later.
Expected Learning Outcomes
Design escalation for clinical deterioration detected through health insurer contracts.
Test the organisation's response to health insurer contracts under conditions that are less than ideal.
Plan continuity of health insurer contracts during surge, outbreak and emergency.
Design a practical operating method for health insurer contracts that fits the organisation's size and maturity.
Apply a repeatable review cycle to health insurer contracts and act on what it produces.
Manage the supply chain and cold chain supporting health insurer contracts.
Who Should Attend
Procurement and contracting staff whose agreements set obligations around health insurer contracts.
Clinical department heads responsible for health insurer contracts.
Operations staff who encounter the consequences of health insurer contracts directly.
Medical directors overseeing clinical governance of health insurer contracts.
Nursing managers and clinical supervisors delivering health insurer contracts.
Infection prevention and control practitioners covering health insurer contracts.
Course Modules
Health insurer contracts: medication and treatment safety
2 sessions · 8 pointsSession 1Designing health insurer contracts so it helps rather than obstructs care
- Confirm the incident reporting route for health insurer contracts is quick and non-punitive.
- Confirm patient data handled within health insurer contracts meets confidentiality obligations.
- Agree what will be standardised in health insurer contracts and what will not.
- Close the loop: confirm changes to health insurer contracts improved the indicator they targeted.
Session 2Matching staffing on health insurer contracts to real demand
- Cost health insurer contracts per episode and identify avoidable waste.
- Set out the decisions in health insurer contracts that require sign-off and by whom.
- Assemble the accreditation evidence pack for health insurer contracts.
- Audit health insurer contracts by observing practice, not by reading policy.
Health insurer contracts: confidentiality, consent and ethics
2 sessions · 8 pointsSession 1Consent, confidentiality and ethics in health insurer contracts
- Establish what evidence demonstrates health insurer contracts is under control.
- Verify six months later that changes to health insurer contracts have held.
- Map the handovers in health insurer contracts between functions and secure them.
- Estimate the resource health insurer contracts requires to run as designed.
Session 2Comparing health insurer contracts with recognised practice
- Prepare the response for the most likely failure in health insurer contracts.
- Set out how exceptions to health insurer contracts are requested and approved.
- Plan continuity of health insurer contracts during surge and outbreak conditions.
- Measure patient experience of health insurer contracts and feed it back to the team.
Health insurer contracts: incident reporting, investigation and learning
2 sessions · 8 pointsSession 1Reading the current state of health insurer contracts honestly
- Verify cold chain and storage conditions for materials used in health insurer contracts.
- Identify infection transmission risks created by health insurer contracts and control them.
- Select quality indicators for health insurer contracts that measure outcome rather than activity.
- Build medication safety checks into health insurer contracts at the point of highest risk.
Session 2Keeping supply and cold chain reliable for health insurer contracts
- Assign responsibility for keeping documentation of health insurer contracts current.
- Confirm competence and continuing development for staff delivering health insurer contracts.
- Set the review interval for health insurer contracts and who attends.
- Establish who is informed, consulted and accountable in health insurer contracts.
Health insurer contracts: clinical process design and workflow
2 sessions · 8 pointsSession 1Making incident reporting on health insurer contracts safe for staff
- Review whether health insurer contracts is aligned with the objectives of the clinical service.
- Draft the minimum viable clinical protocol for health insurer contracts.
- Build the internal briefing that explains health insurer contracts to those affected.
- Benchmark the organisation's health insurer contracts against comparable operations.
Session 2Building lasting competence in health insurer contracts
- Map the clinical workflow for health insurer contracts as it is actually performed.
- Confirm licensing and regulatory requirements applying to health insurer contracts are met.
- Collect evidence on the present handling of health insurer contracts before proposing changes.
- Check that consent processes within health insurer contracts are genuinely informed.
Choose the package that suits you
Silver Package
At least 3 people
USD1,250
- 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
USD1,850
- 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.