Managing Health Insurance Operations in Medical Facilities

Build a working method for health insurance operations 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

Cost pressure and quality expectations on health insurance operations are rising at the same time. Clinical staff will work around a process for this area of health and pharmaceutical services that obstructs care, and they will be right to. The programme works equally well for those formalising the health and pharmaceutical services discipline for the first time and those improving an existing approach. The outcome is a practitioner who can hold a position on health insurance operations and revise it on evidence. It treats this area of health and pharmaceutical services as an operating discipline and equips participants to run it as one. Moving this part of health and pharmaceutical services from written policy into daily practice is not achieved by a single decision. Every module pairs a short input on health insurance operations with structured practice on the participant's own material. Applied research in health and pharmaceutical services consistently shows that early structure around the practice within health and pharmaceutical services reduces downstream rework. The programme closes with an action plan for this aspect of health and pharmaceutical services that each participant writes for their own organisation.

Expected Learning Outcomes

01

Establish incident and near-miss reporting on health insurance operations that staff trust.

02

Build continuing professional development sustaining competence in health insurance operations.

03

Translate policy on health insurance operations into procedures that hold up under day-to-day pressure.

04

Plan the handover of health insurance operations so that capability is not lost when key staff move on.

05

Identify the failure points in health insurance operations most likely to cause loss, and control them first.

06

Protect patient confidentiality and data within health insurance operations.

07

Design medication and treatment safety controls within health insurance operations.

Who Should Attend

01

Business partners who must understand health insurance operations well enough to challenge it.

02

Clinical department heads responsible for health insurance operations.

03

Specialists advising senior management on health insurance operations.

04

Hospital and health facility managers accountable for health insurance operations.

05

Health information and records staff supporting health insurance operations.

06

Quality and patient safety officers monitoring health insurance operations.

Course Modules

01

Health insurance operations: supply, cold chain and availability

2 sessions · 8 points

Session 1Designing health insurance operations so it helps rather than obstructs care

  • Audit health insurance operations by observing practice, not by reading policy.
  • Confirm that those complying with health insurance operations understand why it exists.
  • Establish what evidence demonstrates health insurance operations is under control.
  • Reduce the variation in how health insurance operations is carried out between teams.

Session 2Making incident reporting on health insurance operations safe for staff

  • Identify infection transmission risks created by health insurance operations and control them.
  • Establish who is informed, consulted and accountable in health insurance operations.
  • Reduce unwarranted variation in health insurance operations between shifts and sites.
  • Confirm patient data handled within health insurance operations meets confidentiality obligations.
02

Health insurance operations: incident reporting, investigation and learning

2 sessions · 8 points

Session 1Medication safety checkpoints inside health insurance operations

  • Cost health insurance operations per episode and identify avoidable waste.
  • Distinguish symptoms from causes when health insurance operations underperforms.
  • Confirm competence and continuing development for staff delivering health insurance operations.
  • Map the clinical workflow for health insurance operations as it is actually performed.

Session 2Infection risk created by health insurance operations

  • Match staffing levels on health insurance operations to measured demand across the week.
  • Verify cold chain and storage conditions for materials used in health insurance operations.
  • Select quality indicators for health insurance operations that measure outcome rather than activity.
  • Verify six months later that changes to health insurance operations have held.
03

Health insurance operations: confidentiality, consent and ethics

2 sessions · 8 points

Session 1Investigating an adverse event involving health insurance operations

  • Remove steps in health insurance operations that add effort without adding assurance.
  • Estimate the resource health insurance operations requires to run as designed.
  • Confirm licensing and regulatory requirements applying to health insurance operations are met.
  • Arrange the handover of health insurance operations so capability survives staff changes.

Session 2The hard cases in health insurance operations and how to reason about them

  • Build medication safety checks into health insurance operations at the point of highest risk.
  • Draft the minimum viable clinical protocol for health insurance operations.
  • Plan continuity of health insurance operations during surge and outbreak conditions.
  • Compare the cost of health insurance operations with the cost of its absence.
04

Health insurance operations: quality indicators and patient outcome

2 sessions · 8 points

Session 1Closing out health insurance operations and capturing what was learned

  • Confirm the incident reporting route for health insurance operations is quick and non-punitive.
  • Anticipate the objections health insurance operations will raise and prepare the answers.
  • Assemble the accreditation evidence pack for health insurance operations.
  • Confirm that contractual obligations around health insurance operations are understood.

Session 2The paperwork for health insurance operations that is actually needed

  • Benchmark the organisation's health insurance operations against comparable operations.
  • Write down the assumptions underpinning the approach to health insurance operations.
  • Apply structured root cause analysis to the last adverse event involving health insurance operations.
  • Record the rationale for each significant choice made about health insurance operations.

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.