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Interpersonal Communications



         Brenda A. Potter, CPC
What Is Communication?
 Communication is sending of information from
 one place to another
Components of Communication
 Sender
 Receiver
 Message
 Feedback
Communication Guidelines
 Listen to the other person
 Be attentive
 Dont plan your response while patient is talking
 Speak clearly
 Speak loud enough for patient to hear (but not so
 loud that anyone else can overhear)
Communication Guidelines
 Pronounce words correctly
 Speak at an appropriate speed
 Watch the feeling your voice conveys
 Direct words to patient
 Clarify patients needs if necessary
 Dont interrupt
Special Communication Considerations in
a Medical Office
 Remember, you are a representative of the
  practice!
 Ask an appropriate amount of questions to help
  patient
 Never, ever diagnose or give medical advice!!!!!
 Do not use complicated medical terms unless
  patient fully understands them
Nonverbal Communication
 Body language
 Sign or signal given by the body
 Very often given subconsciously
Nonverbal Communication
Positive Body Language Habits
 Eye contact
 Arm position
 Smile!
 Posture
 Facial expressions
 Comfort zone
 Professional appearance
Personality Styles
 Not everyone is alike
 Be aware that personality differences can lead to
 conflict
Communication within the Healthcare
Team
 Respect and be tolerant of others
 Develop good working relationships
 Make physicians job easier if possible
Communicating with Your Supervisor
 Mutual respect is the key
 Be respectful of supervisors position
 Supervisor is responsible for office operations
Telephone Communication
 Telephone is indispensable in the medical office
 Most business is done using the phone
Proper Telephone Technique
 Develop a telephone personality
 Answering the phone in a medical office is a great
 responsibility
Guidelines for the Telephone
 Use a thoughtful and caring tone of voice
 Watch volume
 Be careful with the words you choose
 Use an appropriate rate of speech
Incoming Calls
 Consider telephone location
 Maintain confidentiality
 Keep conversations brief
 Dont ignore a ringing phone
 Answer in three rings or fewer
 Dont give medical advice
 Dont use office phone of personal business
Telephone Greeting
 Welcome
   Hello, good morning, and so on
 Identification of facility
 Identification of operator
   Your name
 Offer to help
 Example: Good afternoon, Parker Day Spa, This
  is Chris, How may I help you?
Telephone Protocol
 Guide for handling calls
 Protocol should be approved by practitioners
Telephone Protocol
 Find out:
   Reason for call (Priority #1)
   Name of caller
   Action to take (what the caller needs)
   Call confirmation
   Call close
Holding
 MUST ask if patient is able to hold
 Wait for patients response
 Never use Please hold
 Hold no longer than one minute
 Minimize holding if possible
 Two calls at same time  only one should hold,
 talk to other call
Transferring Calls
 Ask if you may transfer call
 Announce call
 Do not talk too loudly
 Do not breach confidentiality with speaker
Automated Messages
 If phone traffic is very heavy, a message may play
 giving the patient instructions
Calls After Hours
 Important to give patients information when office
 is closed
   Answering machines
   Voice mail
   Answering services
 Information should be given to caller about what
 to do when office is closed
Telephone Screening
 Obtain information to determine how to handle a
  call
 Reduce the number of calls to the physician;
  some calls can be handled elsewhere
 Practitioners need information, such as chart,
  before handling call
Identifying Emergencies over the Phone
 Be alert to common symptoms
 Do not diagnose a patient
 When in doubt, check it out!!! (Refer call to nurse
 or MD)
Physician out of Office
 Use Dr. Sanchez is out of the office
 Dont mention physician is on vacation unless
 he/she approves
Complaint Calls
 Acknowledge problem
 Ask what you can do to help
 Dont pass the buck
 Keep your cool
 Dont make excuses
 Do what you can to prevent future problems
Taking Messages
 May be written or electronic
 Message may become part of patients medical
 record
Vital Components of a Message
 Date and time of call
 Callers name
 Patients name
 Chart number
 Provider name (or person called)
 Operator
 Message narrative
 Telephone number
Communications Equipment
 Telephones
 Switchboard
 Pager
 Cell phone
 Headsets
 Facsimile
Telephone Services
 Caller ID
 Three-way calling
 Call forwarding
 Conference call
Outgoing Calls
 Be mindful of long-distance charges
Directories
 Printed telephone directory
   Contains much community information
 Web directory
   May save money compared with directory services
 Personal directory
   Keeps frequently called numbers
Leaving Messages for Patients
 Exercise caution
 Do not leave confidential information
 Office may ask patient to sign a telephone
 release
Written Communication
 Reference materials are a must
   Medical and English dictionaries
   Medical word books
   Pharmaceutical reference
   Style reference
Business Letters
 Letterhead usually used
 Copies of letters placed in patients chart
Components of a Letter
 Date  October 15, 2008
 Inside address
    Ms. Lydia Marten
    607 Sweet Avenue
    Harvester, MN 55555
 Salutation  Dear Ms. Marten:
 Body of letter
   Includes subject line containing patients name and
   medical record number
 Closing  Sincerely or Cordially
 Sender or authors name
 Reference initials
 File name notation
 Enclosure notation  TM/bp
 Copy notation
Block-style Letter
Modified Block-style Letter
Modified Block-style Letter with Indented
Paragraphs
Envelopes
 #10 business envelopes used for business
  correspondence
 U.S. Postal Service guidelines for addressing
  envelopes
   All caps, no punctuation
   Black ink on white or light-colored envelopes
   Easy-to-read font
   Left justify address
   One space between city and state, two spaces
   between state and ZIP
Address Format for Envelope
Inserting a Letter in an Envelope
Letter Portfolio
 Keep samples for examples
 Remove confidential information from samples
Memos
 For internal office communication
Components of a Memo
 Heading
   To
   From
   Date
   Subject
 Body
 Signature on bottom or next to from heading
 Reference
E-mail
 E-mail is a quick way to communicate
 It is not for confidential information
E-mail Etiquette
 Never type messages in capital letters
 Acceptable to use lowercase for casual
  conversation
 Be brief
 Emoticons can convey feeling 
 Avoid sensitive or serious subjects
U.S. Postal Delivery Services
 City delivery  Mail delivered directly to office
 Post office delivery  Mail delivered to box
  located in a postal station
Processing Incoming Mail
 Open every piece of mail unless marked confidential
 Confidential mail opened only by intended recipient
 Mail stamped with date received
 Envelope stapled to letter
 Patients medical record number written on
  correspondence
 Correspondence given to physician along with
  patients medical record
 Correspondence initialed and dated by physician to
  indicate it was reviewed
Processing Outgoing Mail
 First Class
   Letters, postcards
 Express Mail
   Overnight delivery, costly
 Priority Mail
   Fast service for packages up to 70 lbs.
 Certified with return receipt
   Provides proof of delivery
Processing Outgoing Mail
 Postage machine
   Saves time by weighing and stamping at office
 Presort mail
   Discounts for large amounts of mail to specific ZIP
   codes
 Private courier services
   Alternatives for packages or overnight delivery

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K interpersonal communication

  • 1. Interpersonal Communications Brenda A. Potter, CPC
  • 2. What Is Communication? Communication is sending of information from one place to another
  • 3. Components of Communication Sender Receiver Message Feedback
  • 4. Communication Guidelines Listen to the other person Be attentive Dont plan your response while patient is talking Speak clearly Speak loud enough for patient to hear (but not so loud that anyone else can overhear)
  • 5. Communication Guidelines Pronounce words correctly Speak at an appropriate speed Watch the feeling your voice conveys Direct words to patient Clarify patients needs if necessary Dont interrupt
  • 6. Special Communication Considerations in a Medical Office Remember, you are a representative of the practice! Ask an appropriate amount of questions to help patient Never, ever diagnose or give medical advice!!!!! Do not use complicated medical terms unless patient fully understands them
  • 7. Nonverbal Communication Body language Sign or signal given by the body Very often given subconsciously
  • 9. Positive Body Language Habits Eye contact Arm position Smile! Posture Facial expressions Comfort zone Professional appearance
  • 10. Personality Styles Not everyone is alike Be aware that personality differences can lead to conflict
  • 11. Communication within the Healthcare Team Respect and be tolerant of others Develop good working relationships Make physicians job easier if possible
  • 12. Communicating with Your Supervisor Mutual respect is the key Be respectful of supervisors position Supervisor is responsible for office operations
  • 13. Telephone Communication Telephone is indispensable in the medical office Most business is done using the phone
  • 14. Proper Telephone Technique Develop a telephone personality Answering the phone in a medical office is a great responsibility
  • 15. Guidelines for the Telephone Use a thoughtful and caring tone of voice Watch volume Be careful with the words you choose Use an appropriate rate of speech
  • 16. Incoming Calls Consider telephone location Maintain confidentiality Keep conversations brief Dont ignore a ringing phone Answer in three rings or fewer Dont give medical advice Dont use office phone of personal business
  • 17. Telephone Greeting Welcome Hello, good morning, and so on Identification of facility Identification of operator Your name Offer to help Example: Good afternoon, Parker Day Spa, This is Chris, How may I help you?
  • 18. Telephone Protocol Guide for handling calls Protocol should be approved by practitioners
  • 19. Telephone Protocol Find out: Reason for call (Priority #1) Name of caller Action to take (what the caller needs) Call confirmation Call close
  • 20. Holding MUST ask if patient is able to hold Wait for patients response Never use Please hold Hold no longer than one minute Minimize holding if possible Two calls at same time only one should hold, talk to other call
  • 21. Transferring Calls Ask if you may transfer call Announce call Do not talk too loudly Do not breach confidentiality with speaker
  • 22. Automated Messages If phone traffic is very heavy, a message may play giving the patient instructions
  • 23. Calls After Hours Important to give patients information when office is closed Answering machines Voice mail Answering services Information should be given to caller about what to do when office is closed
  • 24. Telephone Screening Obtain information to determine how to handle a call Reduce the number of calls to the physician; some calls can be handled elsewhere Practitioners need information, such as chart, before handling call
  • 25. Identifying Emergencies over the Phone Be alert to common symptoms Do not diagnose a patient When in doubt, check it out!!! (Refer call to nurse or MD)
  • 26. Physician out of Office Use Dr. Sanchez is out of the office Dont mention physician is on vacation unless he/she approves
  • 27. Complaint Calls Acknowledge problem Ask what you can do to help Dont pass the buck Keep your cool Dont make excuses Do what you can to prevent future problems
  • 28. Taking Messages May be written or electronic Message may become part of patients medical record
  • 29. Vital Components of a Message Date and time of call Callers name Patients name Chart number Provider name (or person called) Operator Message narrative Telephone number
  • 30. Communications Equipment Telephones Switchboard Pager Cell phone Headsets Facsimile
  • 31. Telephone Services Caller ID Three-way calling Call forwarding Conference call
  • 32. Outgoing Calls Be mindful of long-distance charges
  • 33. Directories Printed telephone directory Contains much community information Web directory May save money compared with directory services Personal directory Keeps frequently called numbers
  • 34. Leaving Messages for Patients Exercise caution Do not leave confidential information Office may ask patient to sign a telephone release
  • 35. Written Communication Reference materials are a must Medical and English dictionaries Medical word books Pharmaceutical reference Style reference
  • 36. Business Letters Letterhead usually used Copies of letters placed in patients chart
  • 37. Components of a Letter Date October 15, 2008 Inside address Ms. Lydia Marten 607 Sweet Avenue Harvester, MN 55555 Salutation Dear Ms. Marten: Body of letter Includes subject line containing patients name and medical record number
  • 38. Closing Sincerely or Cordially Sender or authors name Reference initials File name notation Enclosure notation TM/bp Copy notation
  • 41. Modified Block-style Letter with Indented Paragraphs
  • 42. Envelopes #10 business envelopes used for business correspondence U.S. Postal Service guidelines for addressing envelopes All caps, no punctuation Black ink on white or light-colored envelopes Easy-to-read font Left justify address One space between city and state, two spaces between state and ZIP
  • 43. Address Format for Envelope
  • 44. Inserting a Letter in an Envelope
  • 45. Letter Portfolio Keep samples for examples Remove confidential information from samples
  • 46. Memos For internal office communication
  • 47. Components of a Memo Heading To From Date Subject Body Signature on bottom or next to from heading Reference
  • 48. E-mail E-mail is a quick way to communicate It is not for confidential information
  • 49. E-mail Etiquette Never type messages in capital letters Acceptable to use lowercase for casual conversation Be brief Emoticons can convey feeling Avoid sensitive or serious subjects
  • 50. U.S. Postal Delivery Services City delivery Mail delivered directly to office Post office delivery Mail delivered to box located in a postal station
  • 51. Processing Incoming Mail Open every piece of mail unless marked confidential Confidential mail opened only by intended recipient Mail stamped with date received Envelope stapled to letter Patients medical record number written on correspondence Correspondence given to physician along with patients medical record Correspondence initialed and dated by physician to indicate it was reviewed
  • 52. Processing Outgoing Mail First Class Letters, postcards Express Mail Overnight delivery, costly Priority Mail Fast service for packages up to 70 lbs. Certified with return receipt Provides proof of delivery
  • 53. Processing Outgoing Mail Postage machine Saves time by weighing and stamping at office Presort mail Discounts for large amounts of mail to specific ZIP codes Private courier services Alternatives for packages or overnight delivery