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  Office Operations
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• Documentation and record keeping (62)
• Health information and technology systems (118)
• Practice administration (223)
• HIPAA compliance (141)
• OSHA compliance (7)
• Emergency/disaster preparedness and response (13)
• Vaccines (162)

Keeping a pediatric office running smoothly can be a challenge. Deciding on a system for record keeping and documentation, complying with HIPAA regulations, and managing patient flow are just a few factors that can either enhance or hinder a pediatric practice. The Office Operations section of Practice Management Online provides tools and resources to support pediatricians making decisions about the administrative aspects of their offices.

Office Operations

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1.Coding for Pediatric Preventive Care (2009)
American Academy of Pediatrics
This resource contains a comprehensive listing of codes that may not be utilized by your practice on a regular basis.
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2.Coverage and Referrals (2009)
American Academy of Pediatrics
This section provides tips on finding after-hours coverage and referrals. (From the Launching Your Career in Pediatrics Handbook.)
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3.Creating Customized Schedules (2009)
American Academy of Pediatrics
Practices often consider physician preferences and seasonal variations in scheduling. This section provides additional tips. (From the Launching Your Career in Pediatrics Handbook.)
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4.Documenting Parental Refusal to Have Their Children Vaccinated (2009)
Immunization Initiatives Newsletter
This resource includes a cover memo from the Section on Infectious Diseases, which provides background information regarding the Refusal to Vaccinate form; as well as a template Refusal to Vaccinate form that can be modified to suit a practice's needs. Additional resources for pediatricians and parents are also listed.
5.Launching Your Career in Pediatrics: Practice Work Flow and Policies (2009)
American Academy of Pediatrics
There are many things to consider when designing the infrastructure of your pediatric practice. This section will provide tips on the following: selecting an office location and space, setting office hours, making the best use of your office hours, creating customized schedules, using patient flow patterns, creating office policies, the employee handbook, Health Insurance Portability and Accountability Act policies and procedures, red flag rules, occupational safety and health administration, other policies, purchasing techniques, controlling purchase costs of supplies and vaccines, vaccines, telephone triage, after-hours phone care, coverage and referrals. (From the Launching Your Career in Pediatrics Handbook.)
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6.Making the Best Use of Your Office Hours (2009)
American Academy of Pediatrics
This section provides an overview of scheduling methodologies; fixed, open access, and wave scheduling are included. (From the Launching Your Career in Pediatrics Handbook.)
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7.Occupational Safety and Health Administration (2009)
American Academy of Pediatrics
Occupational Safety and Health Administration (OSHA) regulations were created to provide a safe and healthful workplace to employees. All medical offices are required to be in compliance with OSHA standards. (From the Launching Your Career in Pediatrics Handbook.)
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8.Telephone Triage (2009)
American Academy of Pediatrics
An essential function of a pediatrician is to provide advice and guidance to parents. This section provides tips for a pediatric practice to provide advice to parents over the telephone. (From the Launching Your Career in Pediatrics Handbook.)
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9.Using Patient Flow Patterns (2009)
American Academy of Pediatrics
This section provides tips to ensure efficient patient flow. (From the Launching Your Career in Pediatrics Handbook.)
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10.Vaccine Purchasing Groups (2009)
American Academy of Pediatrics
Group purchasing organizations (GPOs) are able to combine orders from practices, hospitals, nursing homes, and other medical facilities to receive volume discounts from specific vendors. Vaccine purchasing programs are one type of GPO. This document provides some of the GPOs that AAP members are using.
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11.Vaccines: How to Keep Your Patients Well and Your Practice Financially Healthy (2009)
Lynn Cramer, RN
Pediatricians and pediatric practice managers know that after salaries, vaccines are the second largest practice expense. Vaccine products are purchased by a practice, stored and managed, administered, and frequently payments are not received for weeks. Additionally, payers often pay for vaccines below recommended pricing or delay payments due to coverage or coding problems. This article describes how to reduce costs, track inventory, obtaining proper payment and additional resources.
12.A Disaster Preparedness Plan for Pediatricians (2008)
Scott Needle, MD, FAAP
This document provides practicing pediatricians with the information they need to prepare for a disaster, handle an evacuation, and more.
13.AAP Health Information Technology Resources (2008)
American Academy of Pediatrics
The American Academy of Pediatrics (AAP) has several resources available to help you implement health information technology in your practice. This article provides you with an overview.
14.Finding an After Hours Call Center (2008)
American Academy of Pediatrics
Features information about a list of after-hours call centers, sorted by State, which provides contact and other basic information regarding their services.
15.Occupational Safety and Health Administration Compliance (2008)
American Academy of Pediatrics
This article provides resources from the Occupational Safety and Health Administration (OSHA) for small business employers to establish policies for their offices aimed at fixing hazards and preventing workplace injuries and illnesses.
16.Safe Storage of Vaccines (2008)
American Academy of Pediatrics
This resource provides tips on storing vaccines safely.
17.When Is It Appropriate to Report 99211 During Immunization Administration? (2008)
American Academy of Pediatrics Committee on Coding and Nomenclature
Features information on the reporting of current procedural terminology (CPT) code 99211, specifically the services included in the immunization administration codes, additional services required to appropriately report a 99211, and documentation requirements for a 99211.
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18.Lessons Learned From Hurricane Katrina: Ensuring Proper Vaccine Management Handling and Administration During a Disaster (2007)
American Academy of Pediatrics Childhood Immunization Support Program
Disasters can have a devastating effect on the delivery of health care. The management, handling, and administration of vaccines are aspects of health care that can be successful if proper procedures are in place to prevent any possible challenges. Therefore, it is important for all pediatricians (regardless of location) to be prepared with a comprehensive vaccine management protocol to ensure that vaccines are handled properly before disaster strikes.
19.Medical Record Retention (2007)
American Academy of Pediatrics
This article provides resources that can help you determine when it is acceptable to dispose of medical records.
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20.Preparation for Emergencies in the Offices of Pediatricians and Pediatric Primary Care Providers: A Summary of AAP Policy For Your Practice (2007)
American Academy of Pediatrics
In July 2007, the American Academy of Pediatrics published a policy statement, "Preparation for Emergencies in the Offices of Pediatricians and Pediatric Primary Care Providers," written by the Committee on Pediatric Emergency Medicine. This document provides an overview of the recommendations.
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