1. The emergence of service lines has substantially changed the accountability of Clinical Support Services (CSS) personnel. Many professionals have dual reporting—to the service line and to the CSS (e.g., respiratory therapists assigned to a cardiovascular service line). How should the organization resolve the following issues?
· How the HCO establishes functional protocols for the CSS services
· When the CSS associate feels a specific patient’s order is inappropriate
· When caregiving team members are concerned about the CSS service to a specific patient
· When caregiving team members are concerned about the CSS service in general
2. Under the dual reporting described in Question 1, how should the organization resolve the following issues?
· Who reviews the credentials of new CSS associates
· How a CSS associate assigned to a service line can get promoted
· When caregiving team members are concerned about the service of a specific CSS associate
· When CSS associates are concerned that caregiving teams are ordering services inappropriately (i.e., the wrong services, too many, or too few)
· How the CSS associate’s bonus is determined (Is it based on the service line team alone, or on the goals achieved by the CSS as well?)