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Healthcare KPIs List

Healthcare KPIs assist in evaluating nurses, pharmacists, paramedics, clinical team, and others involved in the healthcare industry. These helpful KPIs help you monitor, analyze, and optimize healthcare processes to improve patient satisfaction.

Healthcare KPIs Reporting Dashboard

Nurse Clinician Job Responsibilities

  • Communicate and collaborate with other clinical and administrative departments in order to coordinate appropriate patient care as needed.
  • Communicate with outside agencies and facilities as appropriate.

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  • Comply with existing policies and procedures related to patient care.
  • Coordinate services with other departments for follow-up based on patient needs.
  • Document all assessments in the patient’s record as appropriate.
  • Document all interventions in the patient’s medical record as appropriate – Ensure that all documentation is clear, complete and legible.
  • Ensure that patient calls are forwarded to appropriate departments.
  • Independently perform routine nursing duties including medication administration, measurement of vital signs, and preparation of lab specimens.
  • Initiate and coordinate patient education – Ensure patients understand educational materials.
  • Maintain consistent alertness to patient care needs and take a proactive approach to address/resolve issues.
  • Manage urgent/emergent medical situations as appropriate and in accordance with the practice’s protocols for medical emergencies.
  • Respond to patient requests for medication refills
  • Schedule patients from time to time with an appropriate care provider to address specific medical issues.
  • Serve as a resource for LPNs, medical technicians and office support staff.
  • Triage and prioritize incoming telephone calls using clinical assessment skills and service standards.

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Billing Specialist Job Responsibilities

  • Ability to work independently.
  • Adhere to all HIPPA guidelines and regulations while maintaining strictest confidentiality.

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  • Carry out medical billing and coding work efficiently.
  • Ensure accurate and timely billing of claims.
  • Evaluate patient’s financial status and establish budget payment plans.
  • Follow-up on open insurance claims and balances.
  • Identify and investigate claim formatting issues.
  • Initiate and answer correspondence for claims resolution with insurance carriers.
  • Maintain billing accuracy.
  • Monitor, research and resolve unpaid, rejected and denied claims.
  • Other duties as assigned by the Billing Manager.
  • Perform various collection actions, including contacting patients by phone, correcting and resubmitting claims to third-party payers.
  • Prepare daily reports.
  • Process payments.
  • Track all billing and monitor all collections and payments in order to keep AR running smoothly.
  • Update patient accounts as necessary.

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Medical Office Receptionist Job Responsibilities

  • Assure the patient is brought into the exam room in a timely manner – Assure the patient is brought into the exam room in a timely manner to meet with the physician. If necessary, some forms, with the exception of the New Patient Forms, may need to be completed after the physician visit. The physician-patient visit is always the priority.
  • Maintain patient accounts by obtaining, recording, and updating personal and financial information.

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  • Obtain external medical reports as required by medical professionals.
  • Register patients according to established protocol.

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Pharmacist in Charge Job Responsibilities

  • Compliance with all laws and regulations – Ensuring compliance with all laws and regulations governing the operation of the pharmacy.
  • Fill prescriptions effectively – Fills prescriptions for pharmaceutical, maintains accurate and detailed records of all prescription transactions, and submits appropriate claims for third-party reimbursement; consults with physicians and nurses regarding pharmaceutical questions; advises physicians on formulary medications and cost-effective and innovative therapies; answers pharmaceutical questions from patients and staff; monitors storage, distribution, and use of pharmaceuticals.

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  • General direction and functional supervision – General direction, ensure compliance with all applicable laws and regulations for a single pharmacy; compounds and dispense prescribed medications; provide functional supervision of professional, paraprofessional, and support staff; and perform related duties as required.
  • Maintain records, accurate control and legal operation – Maintains records of all transactions of the pharmacy necessary to ensure accurate control over and accountability for all drugs as required by applicable state and federal laws, rules, and regulations; ensures legal operation of the pharmacy, including meeting all inspection and other requirements of state and federal laws, rules, and regulations governing pharmacy operations.
  • Planning and directing the pharmacy – The PIC is responsible for planning and directing the pharmacy.
  • Provide functional supervision – Provide functional supervision to professional, paraprofessional, and support staff in their respective pharmacy, including training, assigning duties, and providing input for performance evaluations. Documents and reports medication errors to direct supervisor.

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Primary Care Physician Objectives

  • Improve the efficient use of Electronic Medical Records (EMR) – This KPI tracks and measures the extent to which the primary care physician can improve the efficient use of Electronic Medical Records (EMR) over time. The higher this metric, the greater the primary care physician’s ability to use the Electronic Medical Records efficiently.
  • Improve the understanding of working with the Revenue Value Units (RVU) – Relative value units (RVUs) are a measure of the value used in the United States Medicare reimbursement formula for physician services. This KPI tracks and measures the primary care physician’s understanding of working with the Revenue Value Units (RVU). The higher this metric, the greater the physician’s ability.

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  • Improve the adherence to clinical guidelines – The adherence to clinical guidelines is integral to the primary care physician’s role. This KPI tracks and measures the extent to which the primary care physician is able to adhere to clinical guidelines over time. The higher this metric, the greater the physician’s ability to adhere to these guidelines.
  • Improve the medical staff appraisals – One of the primary care physician’s core competencies is to conduct medical staff appraisals. This KPI tracks and measures the primary care physician’s ability to manage medical staff appraisals. The higher this metric, the greater the extent to which the physician can conduct medical staff apprasials.
  • Improve the average processing time per patient from start to finish – The average processing time per patient from start to finish is an important metric to measure for it tracks the primary care physician’s work ethic and operational efficiencies. This KPI tracks and measures the overall average processing time per patient. The higher this metric, the greater the physician’s expertise.
  • Improve the communication between primary care physician, proceduralist, and patient – Communication between the primary care physician, proceduralist, and the patient is critical to ensure that the patient is treated correctly, efficiently, and professionally. This KPI tracks and measures the primary care physician’s ability to facilitate communications between all parties. The higher this metric, the greater the physician’s operational efficiencies.
  • Follows HIPPA regulations and patient confidentiality – The HIPAA regulations protect individuals’ medical records and other personal health information and apply to health care providers that conduct certain health care transactions electronically. This KPI tracks and measures the primary care physician’s ability to adhere to the HIPPA regulations and keep patient confidentiality over time.
  • Improve (decrease) the number of medical errors – A medical error is a preventable adverse effect of care whether or not it is evident or harmful to the patient. This KPI tracks and measures the extent to which the primary care physician reduces the number of medical errors over time.

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Lead Compounding Pharmacy Technician

  • Customer service – Provide customer service to clients (Doctors and Doctor’s staff).
  • Effectively use equipment – Use all equipment in the lab that is necessary to make both sterile and non-sterile compounds, follow all safety and USP guidelines for the preparation of compounded medications.

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  • Formulas and combine chemicals – Use a computerized compounding system, weigh and record the chemicals included in the formulas; Combine the chemicals into the appropriate dosage form as requested by the prescription.
  • Instructions and orders – Follow pharmacist instructions and orders with minimal supervision compound medication according to prescription with the standards of state pharmacy board and federal laws; check labels, compound documents, and prescriptions for content.
  • Interaction with patients – Interact professional and efficient with patients while upholding HIPAA standards.
  • Negotiation – Negotiate pricing for bulk items with vendors.
  • Procedures, rules, and regulations – Maintain a safe, clean, and organize pharmacy by complying with procedures, rules, and regulations; follow cleanroom protocol, testing, and documentation.
  • Technician role – Cover for regular pharmacy technician role. Script filling entry, patient assistance, and overall clerical duties.

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Compounding Pharmacy Technician Job Responsibilities

  • Effectively use equipment – Use all equipment in the lab that is necessary to make both sterile and non-sterile compounds, follow all safety and USP guidelines for the preparation of compound medications.
  • Formulas and combine chemicals – Use computerize compounding system, weigh and record the chemicals included in the formulas; Combine the chemicals into the appropriate dosage form as requested by the prescription.

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  • Interaction with patients – Interact professional and efficient with patients while upholding HIPAA standards.
  • Keep Maintain – Maintain pharmacy inventory, supplies, and order from wholesalers.

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Pharmacy Technician Job Responsibilities

  • Organize medications effectively – Organize medications for pharmacist to dispense by reading medication orders and prescriptions; prepare labels; calculate quantities; assemble intravenous solutions and other pharmaceutical therapies.
  • Pharmacy inventory – Maintain pharmacy inventory by checking pharmaceutical stock to determine inventory level; anticipating needed medications and supplies; place and expedite orders; verify receipt; remove outdated drugs.

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  • Record maintenance – Maintain records by recording and filing physicians’ orders and prescriptions.
  • Reports & contribution – Prepare reports by collecting and summarizing information. Contribute to team effort by accomplishing related results as needed.

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Healthcare Leadership

  • Earns and maintains the respect of employees, volunteers, the medical staff, and the Board.
  • Assumes responsibility for adverse outcomes.

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  • Clearly articulates and models the organization’s values and mission to the staff, board, funders, consumers, and the community.
  • Committed to continuously improving personal leadership performance.
  • Consistently displays integrity and models the organization’s values.
  • Deals effectively with demanding situations and designs and implement effective interventions.
  • Demonstrates initiative and creativity in identifying and addressing strategic issues facing the organization.
  • Demonstrates self-discipline.
  • Develops leadership skills in staff through delegation and sharing management and decision-making responsibilities.
  • Earns and maintains respect for employees, volunteers, the medical staff, and the Board.
  • Effectively articulates and communicates the vision and goals for the district.
  • Embeds the importance of the consumer experience throughout the organization.
  • Empowers the board and staff through sharing information and authority.
  • Encourages all to capitalize on opportunities to improve productivity, quality, and patient satisfaction.
  • Ensures the right people are in place to carry out the organization’s strategic direction
  • Ensures the right people are in place to carry out the organization’s strategic direction.
  • Identifies and analyzes problems and issues confronting the institution and recommends and implements appropriate changes and directions.
  • Identifies develops and maintains the key relationships in the community necessary to support an effective organization.
  • Leads staff in maintaining a climate of excellence, accountability, and respect.
  • Maintain a collaborative, democratic management style.
  • Oversee the management of all staff, premises, financial, and other assets of the Society.
  • Perseveres through challenges.
  • Provides focused and effective leadership that ensures commitment to the organization’s mission and vision.
  • Seeks, evaluates, and acts upon opportunities for innovation to change, grow, and improve.
  • Sets an organizational tone that attracts, retains, motivates, and develops a highly qualified workforce.
  • Sets and achieves clear and measurable goals and reasonable deadlines.
  • Shares her/his vision for the organization and inspire visionary thinking and action in others consistent with the mission.
  • Anticipating risks and changes in market conditions and other factors affecting the Organization’s sustainability and fulfillment of its mission.
  • Creating a high performing culture in the organization including strong employee morale, accountability, and cohesiveness.
  • Performing as the leading role model in the organization setting high professional work standards and pursuing goals with honesty, respect, determination and energy.

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EMT or EMT/Paramedic Job Responsibilities

  • Ability to transfer verbal information into written form.
  • Ability to transfer thought, information, observation into simple written sentences.

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  • Advise and direct the response of other public safety entities (police, fire, helicopter, mutual aid E.M.S., etc.) when required in response to a medical emergency.
  • Answer ambulance and rescue calls, calmly, efficiently and promptly. Must use diplomacy and tact at all times and be courteous and polite to patients, relatives and friends.
  • Assist other public safety agencies as required.
  • Assist with various public relations events as required.
  • Assure vehicles are in good working condition – Assure vehicles are in good working condition at all times and assure vehicles are stocked properly and equipment is in good working order at all times. Truck checks are completed on all trucks daily. Responsibility for this is shared with the shift’s crew.
  • Complete patient care forms, insurance forms, and evaluation forms on all routine and emergency calls in a competent and timely fashion.
  • Handle telephone communications professionally and efficiently with careful regard to the divulgence of information.
  • Maintain order at scenes. This may include dispersing crowds and restraining family and/or friends if necessary.
  • Perform other related duties as may be assigned or required to meet emergency situations.
  • Required to complete basic base duties which include, but are not limited to washing, drying, and putting away dishes, washing base laundry, and general straightening and cleaning of the base area.
  • Rescue and extricate victims of crashes, sudden illness, or physical entrapment using proper rescue and medical techniques.

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General Responsibilities for Paramedic

  • Adhere to and follow all Policies and Procedures concerning safety and contamination by bloodborne pathogens.
  • Administering basic and advanced life support – Administering basic and advanced life support to patients at the scene, en route to the hospital, and in a pre-hospital setting, in accordance with federal, state, and local laws, regulations, and standards, and in accordance with Company policies and guidelines.

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  • Assessing the nature and extent of injury or illness to establish and prioritize medical procedures to be followed.
  • Completing patient care forms, insurance forms, evaluation forms, and all other forms in a competent and timely fashion.
  • Educate and /or train squad personnel, EMS trainees, and the public.
  • Educate and /or train squad personnel, EMS trainees, and the public.
  • Effectively communicating with professional medical personnel – Effectively communicating with professional medical personnel and treatment facilities to obtain instructions regarding further treatment and/or to arrange reception of patients to the appropriate center.
  • Maintaining order at scenes, including crowd disbursement and restraint of family and friends.
  • Responding to an emergency efficiently and promptly.
  • Treating patients – Treating patients at the scene, en route to the hospital, and in a pre-hospital setting, in accordance with federal, state, and local laws, regulations, and standards, and in accordance with Company policies, rules, and guidelines.

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General Responsibilities for Paramedic

  • Adhere to and follow all Policies and Procedures concerning safety and contamination by bloodborne pathogens.
  • Administering basic and advanced life support – Administering basic and advanced life support to patients at the scene, en route to the hospital, and in a pre-hospital setting, in accordance with federal, state, and local laws, regulations, and standards, and in accordance with Company policies and guidelines.

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  • Assessing the nature and extent of injury or illness to establish and prioritize medical procedures to be followed.
  • Completing patient care forms, insurance forms, evaluation forms, and all other forms in a competent and timely fashion.
  • Educate and /or train squad personnel, EMS trainees and the public.
  • Educate and /or train squad personnel, EMS trainees and the public.
  • Effectively communicating with professional medical personnel – Effectively communicating with professional medical personnel and treatment facilities to obtain instructions regarding further treatment and/or to arrange reception of patients to the appropriate center.
  • Maintaining order at scenes, including crowd dispersement and restraint of family and friends.
  • Responding to an emergency efficiently and promptly.
  • Treating patients – Treating patients at the scene, en route to the hospital, and in a pre-hospital setting, in accordance with federal, state, and local laws, regulations, and standards, and in accordance with Company policies, rules, and guidelines.

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Job Responsibilities for Nurses

  • Obtains patient history.
  • Performs medical record management.

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  • Takes Vital signs, gives injections.
  • Treat medical emergencies.
  • Resolve or report on patients’ needs or problems.
  • Nurture a compassionate environment by providing psychological support.

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Clinical Team Responsibilities

  • Communicate and collaborate with other clinical and administrative teams in order to coordinate appropriate patient care as needed.
  • Communicate with outside agencies and facilities as appropriate.

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  • Comply with existing policies and procedures related to patient care.
  • Coordinate services with other departments and teams for follow-up based on patient needs.
  • Document all assessments in the patient’s record as appropriate.
  • Document all interventions in the patient’s medical record as appropriate.
  • Independently perform routine nursing duties including medication administration, measurement of vital signs, and preparation of lab specimens.
  • Initiate, coordinate and document patient education.
  • Manage urgent/emergent medical situations as appropriate and in accordance with the practice’s protocols for medical emergencies.
  • Serve as a resource for other team members and support staff.
  • Triage and prioritize incoming telephone calls using clinical assessment skills and service standards.

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Healthcare sector employee Key Performance Indicators are crucial to ensuring that all staff involved in the Healthcare industry aim to act based on the fact that their work ethic has the potential to save, or cost, lives. Real-time tracking makes sure that any negative, destructive trends do not gain traction. By monitoring KPIs, senior management can make sure that employees act within their prescribed job roles.

The healthcare sector has a broad scope of job roles, and some of the relevant KPIs include clinical team responsibilities like ensuring adequate care for patients, following up on patient needs, and communicating with family.

Benefits of AssessTEAM cloud-based employee evaluation form for your healthcare team.

  • Use on all smart devices
  • Include custom KPIs
  • Keep historic trends
  • Include eSignatures
  • 360-degree feedback
  • Unlimited customization
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