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Course Code Class Code Assignment Title Total Points
HLT-308V HLT-308V-O500 Benchmark – Risk Management Program Analysis – Part Two 150.0
Criteria Percentage 1: Unsatisfactory (0.00%) 2: Less Than Satisfactory (65.00%) 3: Satisfactory (75.00%) 4: Good (85.00%) 5: Excellent (100.00%) Comments Points Earned
% Scaling 100.0%
Role of the MIPPA-Approved Accreditation Body in Evaluation of the Quality Improvement and Risk Management Processes of an Organization 15.0% An explanation of the role that the MIPPA-approved accreditation body plays in the evaluation of the quality improvement and risk management processes of an organization is not included. An explanation of the role that the MIPPA-approved accreditation body plays in the evaluation of the quality improvement and risk management processes of an organization is incomplete, inaccurate, or otherwise deficient. An explanation of the role that the MIPPA-approved accreditation body plays in the evaluation of the quality improvement and risk management processes of an organization is incorporated, but minimal detail or support is provided for one or more components. An explanation of the role that the MIPPA-approved accreditation body plays in the evaluation of the quality improvement and risk management processes of an organization is present and incorporated in full. The submission encompasses essential details and provides appropriate support. An explanation of the role that the MIPPA-approved accreditation body plays in the evaluation of the quality improvement and risk management processes of an organization is comprehensive. The submission further incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.
Administrative Roles Relevant to Employer-Employee-Focused Risk Management Strategies and Operational Policies 15.0% A description of the roles administrative personnel play relevant to employer-employee-focused risk management strategies and operational policies is not included. A description of the roles administrative personnel play relevant to employer-employee-focused risk management strategies and operational policies is partially incorporated, but the information provided is incomplete, inaccurate, or otherwise deficient. A description of the roles administrative personnel play relevant to employer-employee-focused risk management strategies and operational policies is incorporated, but minimal detail or support is provided for one or more components. A description of the roles administrative personnel play relevant to employer-employee-focused risk management strategies and operational policies is incorporated in full. The submission encompasses essential details and provides appropriate support. A description of the roles administrative personnel play relevant to employer-employee-focused risk management strategies and operational policies is comprehensive. The submission incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.
Support of Patient Rights and Responsibilities by Risk Management Programs and Quality Improvement Processes 15.0% An illustration of how the rights and responsibilities of a patient are supported by risk management programs and quality improvement processes is not included. An illustration of how the rights and responsibilities of a patient are supported by risk management programs and quality improvement processes is partially incorporated, but the information provided is incomplete, inaccurate, or otherwise deficient. An illustration of how the rights and responsibilities of a patient are supported by risk management programs and quality improvement processes is incorporated, but minimal detail or support is provided for one or more components. An illustration of how the rights and responsibilities of a patient are supported by risk management programs and quality improvement processes is incorporated in full. The submission encompasses essential details and provides appropriate support. An illustration of how the rights and responsibilities of a patient are supported by risk management programs and quality improvement processes is comprehensive. The submission incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.
Legal and Ethical Responsibilities of Health Care Professionals to Uphold Risk Management Policies and Administer Safe Health Care (C3.3) 15.0% An explanation of the legal and ethical responsibilities of health care professionals to uphold risk management policies and administer safe health care is not included. An explanation of the legal and ethical responsibilities of health care professionals to uphold risk management policies and administer safe health care is partially incorporated, but the information provided is incomplete, inaccurate, or otherwise deficient. An explanation of the legal and ethical responsibilities of health care professionals to uphold risk management policies and administer safe health care is incorporated, but minimal detail or support is provided for one or more components. An explanation of the legal and ethical responsibilities of health care professionals to uphold risk management policies and administer safe health care is incorporated in full. The submission encompasses essential details and provides appropriate support. An explanation of the legal and ethical responsibilities of health care professionals to uphold risk management policies and administer safe health care is comprehensive. The submission incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.
How Quality Improvement Processes in a Health Care Organization Support Its Journey to Excellence 15.0% Evidence of how the quality improvement processes of a health care organization support its journey to excellence is not included. Evidence of how the quality improvement processes of a health care organization support its Journey to Excellence is incomplete, inaccurate, or otherwise deficient. Evidence of how the quality improvement processes of a health care organization support its Journey to Excellence is incorporated, but minimal detail or support is provided for one or more components. Evidence of how the quality improvement processes of a health care organization support its Journey to Excellence is incorporated in full. The submission encompasses essential details and provides appropriate support. Evidence of how the quality improvement processes of a health care organization support its Journey to Excellence is comprehensive. The submission further incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.
Thesis Development and Purpose 5.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction 5.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Writer is clearly in command of standard, written, academic English.
Paper Format (use of appropriate style for the major and assignment) 5.0% Template is not used appropriately, or documentation format is rarely followed correctly. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Appropriate template is used. Formatting is correct, although some minor errors may be present. Appropriate template is fully used. There are virtually no errors in formatting style. All format elements are correct.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style 5.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Total Weightage 100%

Running head: HEALTHCARE ORGANIZATION RISK MANAGEMENT PROGRAM

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PAGE

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HEALTHCARE ORGANIZATION RISK MANAGEMENT PROGRAM

Healthcare Organization Risk Management Program

Healthcare Organization Risk Management Program

Introduction

In the current healthcare environment, there is a crucial need for implementing valid patient communication since the process generates productive treatment management and holistic care. Healthcare delivery requires structured management of patients to ensure they conform to all physician directions while hospitalized and even after leaving hospital premises. Cleveland Clinic ensured proper patient outcomes by implementing a productive method called the “Communicate with H.E.A.R.T. ®” that offers proper patient experience while at the hospital (Kerbauy et al., 2019). There is a strong possibility of enhancing validity of patient treatments based on their ability to understand directions.

Thesis: This paper shall analyze how patient communication is a risk management program directed at improving patient outcomes for all kinds of illnesses.

Summary of Risk Management Plan

Implementation of an effective culture to meaningful patient outcomes is the best process to ensure they get provided with valid outcomes at all times. It is possible to generate structured approach to patient outcomes by ensuring a healthcare organization develops a culture of change and service improvements at all times during patient care. Patient experience is very important since it ensure an entire healthcare organization develops structure methods for physicians to interact with patients. There would be an effective method of promoting feedback collection from patients based on their capacities to promote change and holistic healing. Acceptance of physicians’ treatment methods is the basis method to ensure all medical staff generate proper patient outcomes.

The role of patient experience in treatment is crucial since a patient’s mental status control their acceptance of any treatment technique. It is possible to generate valid outcomes by connecting diverse ideas involved in patient care to the types of healthcare activities since the method would validate proper outcomes and a clinical treatment process directed at valid patient improvement (Kerbauy et al., 2019). Communication is an effective risk management technique since it facilitates development of ideas directed at patients’ needs. Patients would develop absolute trust in their physicians and this is a crucial component of validating their care improvement procedures. Healthcare providers can use their vast skills to develop proper patient outcomes without creating a barrier for any treatment method required.

Administrative Steps for a Healthcare Organization

The Cleveland Clinic performed change management at its facilities to ensure patient improvement got performed based on patients’ needs for better care. Using the “Communicate with H.E.A.R.T.®” program, the hospital ensured major patient and physician interaction which is the basis method of promoting patients’ trust in the hospital’s activities (Cleveland Clinic, n.d.). Since the healthcare organization getting studied is the Cleveland Clinic, there is a strong possibility of ensuring structured change improvement since the hospital already possesses a large market share in the healthcare environment. The fact that patient needs are crucial results in the need to perform research to determine how their care would get improved at all times.

The program involves the word H.E.A.R.T. that stands for hear, empathize, apologize, respond, and thank. Healthcare employee training is important since it ensures valid health improvement that is crucial in facilitating productive patient care enhancement. Directing healthcare providers to hear patients’ issues is important since it offers a basis of finding how patients require improvement. Development of trust between clinicians and patients is important since the process generates holistic healthcare management (Asan et al., 2021). Ensuring employees empathize with patients is very important based on the need to facilitate patient communication and development of valid change improvements based on their mental capacity to heal.

Application of apologies is important since it maintains positive relationship between patients and healthcare providers. There would be limited occurrence of conflict which is highly detrimental to patient needs. Another productive method is use of response that is the best method of ensuring patients receive care tailored to their concerns. Positive communication is crucial for patient care since it facilitates productive management of all patient care improvements. There can be productive psychosocial management of all patient needs in methods that allow them to have mental acceptance of all treatment techniques (Howick et al., 2018). It is possible to develop valid solutions for patient problems by implementing the program and involving all crucial steps. Influencing healthcare providers to thank patients is a great client service procedure since it promotes patients’ faith in the healthcare environment as a place that focuses on their positive outcome.

Analysis of Agencies Involved in Regulation of Safe Health Care

The process of managing patient care gets effectively improved using agencies like the Occupational Safety and Health Administration (OSHA) and the Food and Drug Administration (FDA) that all play unique roles in patient requirements. There would be a structured approach of handling patient outcomes at times using their treatment methods to implement productive care improvements at all times. Involving structured methods of generating care and the OSHA’s strict rules can ensure all patients receive better care any time they visit healthcare environments. The FDA’s guidelines are crucial in improving patient outcomes since it is possible to facilitate proper care at all times and providing patients with suitable medication. Improvement of patient outcomes is very important since it allows correlation of diverse treatment methods which are crucial during patient hospitalization and even after they get discharged.

Evaluation of Risk Management Plan

The risk management plan discussed above is productive since there is a strong possibility of ensuring all patients get provided with treatment improvement. Development of positive relationships among healthcare providers becomes possible at all times without generating any issues during patient treatment. The best process of reducing negative outcomes for patients is by caring about their mental health even in situations where their treatment does not require mental management. Using a focused culture of healthcare improvement is very impactful since it allows the entire healthcare environment to operate in proper standards that build skills of healthcare providers and work collaboratively to handle patient outcomes. Patient experience gets properly improved at all times during skill management since it is possible for all key stakeholders to handle their treatment processes.

Recommendations

It is imperative to development a training and development program that possesses a strong impact on healthcare providers’ activities. The best process of generating change would develop in a structured method without limiting patient outcomes at any time during their care management. Healthcare providers’ activities are crucial since they offer proper change management directed at handling patient needs at all times. It is imperative to improvement patient outcomes since they would build trust in hospital services and this initial process generates better healthcare outcomes. After improving healthcare provides’ expertise, it is possible to promote productive change improvement at all times during patient sessions.

References

Asan, O., Yu, Z., & Crotty, B.H. (2021). How clinician-patient communication affects trust in health information sources: Temporal trends from a national cross-sectional survey. PLoS ONE 16(2): e0247583. https://doi.org/10.1371/journal.pone.0247583

Cleveland Clinic (n.d.). Communicate with H.E.A.R.T. Retrieved 27 October 2021 from https://my.clevelandclinic.org/departments/patient-experience/depts/experience-partners/licensed-programs/communicate-with-heart.

Howick, J., Moscrop, A., Mebius, A., Fanshawe, T., Lewith, G., & Bishop, F. et al. (2018). Effects of empathic and positive communication in healthcare consultations: a systematic review and meta-analysis. Journal Of The Royal Society Of Medicine, 111(7), 240-252. doi: 10.1177/0141076818769477

Kerbauy, D., Santalucia, C., Caldana, R., Sweet, J., Tsutsui, J., Rizzatti, E., & Mercer, M. (2019). Communicating with HEART around the globe—does empathy transcend culture? Journal Of Hospital Management and Health Policy, 3, 30-30. doi: 10.21037/jhmhp.2019.10.01

Instructors Comments: Good work! Please see rubric. Please know this is written in the friendly tone to help you for next work only. Do not label the thesis as THESIS: THESIS What is your argument? Be sure to have one in your thesis that you will prove in your paper. The thesis is not the purpose of the essay- it is an argument/opinion. Why should any person care about this topic? Tip: Go back to the directions for the paper and purpose of paper to create your argument/thesis for the paper. However, the purpose is not the same thing as the thesis. The writing center has some great tools for this. Good headers! Be sure to support each paragraph. More than one source per paragraph would be best. Recommendations is not the conclusion. Conclusion is missing, support Recommendations. Paragraph Organization: We need to have developed paragraphs. Topic sentence, research, critical thinking and conclusion all relating to prove the thesis argument. Why might this make a difference? Overall good start! You have some great points.

Week 1 essay and Week 3 essay coincide as they will be the same topic.

Week 2 and week 5 coincide as they are the same topic.

Week 2- Use an alpha numeric outline. Be detailed. Use bullet points with full sentences. Do not create an outline that is paragraph form as you will not get the same amount of detail you need for your ppt. Week 2 coincides with week 5 ppt. The outline should be detailed as it is the framework for your detailed ppt. More time spent on this will make your week 5 MUCH easier. Trust me.

Week 4- For your interviews- select health care employees that works in risk management. RM is the key part. So not just a nurse but someone who has knowledge. So I would suggest you both call and email several people this week to get this set up. Do no rely on one person and wait until the last minute. Unfortunately, people cancel out etc. Learn how to document an APA interivew. If I can’t tell what is your interview, many points will be lost. I also want to read what you learned from the interview in a reflection after.

How do I: Citing a hospital policy

 

You will need this information for most of your work:

 

Need to cite a hospital policy or some other document internal to a hospital or medical organization? Here are a few tips on how to do it.

Is it posted on the organization’s web site?

· Author. (date). Title. Retrieved from URL.

· Name of organization. (date.). Title. Retrieved from URL.

Is it an unpublished internal document?

· Author. (date). Title. Unpublished internal document, Name of organization.

· Name of organization. (date). Title. Unpublished internal document.

Notes:

· If there is no author or authors listed that’s when you use the second option with the Name of the organization before the date.

· No date? No problem – just put n.d. (that stands for no date) in the place for the date.

http://researchguides.clcillinois.edu/c.php?g=274554&p=1831715

 

For week 4:

Very important:

You will also want to view how to cite an interview in APA format.

 

Some important things:

 

Topic Approval:

Submit your group’s proposed topic as early as possible after your group members have been selected, but no later than Day 7 of week 1 for full assignment credit. (Note: Work submitted on an unapproved topic will receive zero credit.)

Did one person for the group do this? Did you get approval? If not, don’t start on it until you do.

 

 

 

 

 

 

What kind of outline should we make for week 2?

 

Alphanumeric Outlines

This is the most common type of outline and usually instantly recognizable to most people. The formatting follows these characters, in this order:

· Roman Numerals

· Capitalized Letters

· Arabic Numerals

· Lowercase Letters


https://owl.purdue.edu/owl/general_writing/the_writing_process/developing_an_outline/types_of_outlines.html

Cite in the body of the work. Each part needs this. Label your thesis.

Thesis:

In this class, you will create an

Argumentative Thesis Statement for all work. This is not the same as the purpose. (Why is this topic important?)

So create your purpose statement and then add the

Argumentative Thesis Statement.

https://penandthepad.com/different-types-thesis-statements-2593.html

 

TOPIC:

 

You are to choose one of the categories of risk. Ex- Falls. After choosing this as a group, you are to use three of the eight minimal components of a risk management program as defined by the ASHRM. (these eight elements can be found on pages 9 and 10 in the textbook). You then have to write about the three elements and apply them to the category of risk of our choice. (ie- Fire safety). I hope this is a little more understandable! :)}

 

Are we talking about only one Risk topic then use three of the eight components of that RM Program by the ASHRM?

 

Yes, that’s correct. Your topic is specific. falls, TBinfections, HIPPA, fire, etc.

 

And then apply it to the 8. I hope that helps.

 

 

Description

Hi class, please see the bolded and underlined portions below as this is the most FAQ I get this week.

 

Assume that the sample risk management program you analyzed in Topic 1 was implemented and is now currently in use by your health care employer/organization. Further assume that your supervisor has asked you to create a high‐level summary brief  (This is  just an APA formatted essay for our purposes) of this new risk management program to share with a group of administrative personnel from a newly created community health organization in your state who has enlisted your organization’s assistance in developing their own risk management policies and procedures.

Compose a 1,250‐1,500 word summary brief that expands upon the elements you first addressed in the Topic 1 assignment. (You will expand on, meaning you will add to, you will not repeat information)

 

Use headers as bolded below for each section:

In this summary brief, address the following points regarding your health care organization and its risk management program:

1. Explain the role of your organization’s MIPPA-approved accreditation body (e.g., JC, ACR, IAC) in the evaluation of your institution’s quality improvement and risk management processes.

2. Describe the roles that different levels of administrative personnel play in healthcare ethics and establishing or sustaining employer/employee-focused organizational risk management strategies and operational policies.

3. Illustrate how your organization’s risk management and compliance programs support ethical standards, patient consent, and patient rights and responsibilities.

4. Explain the legal and ethical responsibilities health care professionals face in upholding risk management policies and administering safe health care at your organization.

5. Relate how your organization’s quality improvement processes support and contribute to its overall journey to excellence.


 

THESIS Creation:

 

One trick is to go back to the purpose of the paper as you did- The purpose of this assignment is to analyze how an organization’s quality and improvement processes contribute to its risk management program.

and then explain why it’s important. So

An organization’s quality and improvement processes is vital to its risk management program.

 

This is a simple version and it can be more elaborate and even specific. But at least you have some position you are taking. I hope that helps.

A note about discussion research:

 

The discussions in this course are factually based so GCU wants you to look for peer sources in the library. The text does not count toward this minimum.

 

 

https://www.gcu.edu/future-students/campus-experience/library.php

 

What is a peer source? Get help – Use your library! This is a very much a research class so don’t lose out on points each week because of low quality sources.

Also- this is a good explanation.

 

http://www.angelo.edu/services/library/handouts/peerrev.php

 

 

Go to the class policies to find out about discussion requirements. Thanks!

 

Call the library for help- do not email them.

Welcome! Important Information- Please Read!

Hi Class,

Please read all announcements. These are for you and expectations you will need to know.

This class is not difficult but will require accurate information from quality sources- what are peer reviewed sources?

Also, Risk management covers many areas of an organization’s operations.

I have a lot of feedback about this course over the last years. I would encourage you to really look at this question so you are familiar with all that RM entails. It seems to help later on if you understand the big picture of RM now in week one. I know that most of you would not be familiar with all of the components.

 

If you really look at this question and overview carefully, it will be easier to understand the week one and 3 assignment. We dive right in with week one essay.

All discussion main posts require support from sources and responses need examples or support. (avoid generalized posts but rather progress the discussion forward).

Every week, we will do a weekly wrap up. Posting a reply to this will count toward a post. It is optional of course.

NOTE: if you do not currently work in healthcare, please post me in the individual forum.

Resources for you:

Developing a Risk Management Plan-Read “Developing a Risk Management Plan” on the USAID.gov website.
https://www.usaid.gov/sites/default/files/documents/1864/Developing-a-Risk-Management-Plan.pdf

Conducting a Health Center Risk Assessment- Read “Conducting a Health Center Risk Assessment” from the website below


https://www.healthcentercompliance.com/sites/default/files/e-library-file-downloads/rm-22-08.pdf

Resources:

CINHAL, Cochrane Library, PubMed Databases- Helpful! Call the library if you need help.

BIG PICTURE of RM:

American Society of Healthcare Risk Management (ASHRM) has outlined the minimal components of a risk management these include:

https://www.ashrm.org/

1. Operational- day to day clinical care of patients.

2. Financial- available assets for compliance and insurance.

3. Technology- reliable information and communication related to computer programs

4. Strategy- identifying risks in the company

5. Legal- compliance with accrediting agencies

6. Leadership team/Human resources

 

 Here are some sites that may be of interested when searching for professional malpractice insurance are:

·
Affordable Medical Malpractice Program (aMMP)
.

·
American Nurses Association

·
Nurses Service Organization
, B0980

These sites can help in answering question you might have and how to find the best one for yourself.

The American Nurses Association  has Myths and Facts about malpractice insurance and why nurses may need this type of insurance.

https://www.americannursetoday.com/need-malpractice-insurance/

https://www.graceybacker.com/

Have you considered this?

Joining a specialty organization or the American Nurses Association can provide for partners to reduce costs associated with additional insurance costs to supplement insurance provided by the employer (Yoder-Wise, 2015, p. 562). Nurses today can be brought up in suits in which they had no wrongdoing specifically.

Yoder-Wise, P. (2015). Leading and managing in nursing, (6th ed.). St. Louis, Missouri: Elsevier Mosby. ISBN: 978-0-323-18577-6

**** Please read ***************BIG PICTURE of RM:

Welcome! Important Information- Please Read!

Hi Class,

Please read all announcements. These are for you and expectations you will need to know.

This class is not difficult but will require accurate information from quality sources- what are peer reviewed sources?

Also, Risk management covers many areas of an organization’s operations.

I have a lot of feedback about this course over the last years. I would encourage you to really look at this question so you are familiar with all that RM entails. It seems to help later on if you understand the big picture of RM now in week one. I know that most of you would not be familiar with all of the components.

 

If you really look at this question and overview carefully, it will be easier to understand the week one and 3 assignment. We dive right in with week one essay.

All discussion main posts require support from sources and responses need examples or support. (avoid generalized posts but rather progress the discussion forward).

Every week, we will do a weekly wrap up. Posting a reply to this will count toward a post. It is optional of course.

NOTE: if you do not currently work in healthcare, please post me in the individual forum.

Resources for you:

Developing a Risk Management Plan-Read “Developing a Risk Management Plan” on the USAID.gov website.
https://www.usaid.gov/sites/default/files/documents/1864/Developing-a-Risk-Management-Plan.pdf

Conducting a Health Center Risk Assessment- Read “Conducting a Health Center Risk Assessment” from the website below


https://www.healthcentercompliance.com/sites/default/files/e-library-file-downloads/rm-22-08.pdf

Resources:

CINHAL, Cochrane Library, PubMed Databases- Helpful! Call the library if you need help.

BIG PICTURE of RM:

American Society of Healthcare Risk Management (ASHRM) has outlined the minimal components of a risk management these include:

https://www.ashrm.org/

1. Operational- day to day clinical care of patients.

2. Financial- available assets for compliance and insurance.

3. Technology- reliable information and communication related to computer programs

4. Strategy- identifying risks in the company

5. Legal- compliance with accrediting agencies

6. Leadership team/Human resources

 

Benchmark – Risk Management Program Analysis – Part Two

 

The purpose of this assignment is to analyze how an organization’s quality and improvement processes contribute to its risk management program.

This assignment builds on the Risk Management Program Analysis – Part One assignment you completed in Topic 1 of this course.

Assume that the sample risk management program you analyzed in Topic 1 was implemented and is now currently in use by your health care employer/organization. Further assume that your supervisor has asked you to create a high‐level summary brief of this new risk management program to share with a group of administrative personnel from a newly created community health organization in your state who has enlisted your organization’s assistance in developing their own risk management policies and procedures.

Compose a 1,250‐1,500 word summary brief that expands upon the elements you first addressed in the Topic 1 assignment. In this summary brief, address the following points regarding your health care organization and its risk management program:

1. Explain the role of your organization’s MIPPA-approved accreditation body (e.g., JC, ACR, IAC) in the evaluation of your institution’s quality improvement and risk management processes.

2. Describe the roles that different levels of administrative personnel play in healthcare ethics and establishing or sustaining employer/employee-focused organizational risk management strategies and operational policies.

3. Illustrate how your organization’s risk management and compliance programs support ethical standards, patient consent, and patient rights and responsibilities.

4. Explain the legal and ethical responsibilities health care professionals face in upholding risk management policies and administering safe health care at your organization.

5. Relate how your organization’s quality improvement processes support and contribute to its overall journey to excellence.

In addition to your textbook, you are required to support your analysis with a minimum of three peer‐reviewed references.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

2

Risk Management Program Analysis Part Two

HLT308V Risk Management and Health Care Regulations

Running head: ASSIGNMENT TITLE HERE

1

SAMPLE

Risk Management Program Analysis Part Two

Risk management is critical for all types of businesses, but it is especially critical in the health-care industry since human lives are at stake. A strong health care risk management plan helps reduce patient health hazards, as well as financial and liability concerns (Moskowitz, 2020). Our objective is to deliver high-quality care to our patients while also ensuring that we are practicing and treating them appropriately. As our business expands and additional employees and patients join us, we must adjust to changes and guarantee that we are fulfilling state and federal compliance requirements. Fall risk has been identified as a risk factor in our organization. In the United States, falls are the greatest cause of injury death and disability among those aged 65 and up. More than 812 000 older persons are hospitalized each year as a result of major fall injuries, the most common of which are hip fractures and head injuries. Falls in a hospital setting are the most among the elderly (CDC, 2020). While statistics show that senior patients are more likely to sustain injuries from falls, we must also identify all risk factors for all patients, regardless of age or abilities. Our company has worked hard to put in place comprehensive fall risk prevention and management program that includes employees, both non-clinical and clinical, as well as patient participation.

MIPPA-Approved Accreditation Body

For more than 60 years, the Joint Commission has been ensuring the quality of health treatment. Nearly 21,000 health care organizations and programs were accredited or approved since 1951. The Joint Commission’s accreditation process is intended to improve patient safety and quality of care. The Joint Commission’s objective is to consistently enhance the delivery for the public by reviewing health care organizations and challenging them to improve in delivering safe and effective treatment of the highest quality and value, in conjunction with other stakeholders. (The Joint Commission, 2019). To help our organization in maintaining valuable accreditation, The Joint Commission provides a framework based on standards that hospitals can use to create an integrated patient safety system in which staff and leaders collaborate to eliminate complacency, promote collective mindfulness, treat one another with respect and compassion, and learn from patient safety events (The Joint Commission, 2019). These materials have helped us in identifying and reducing risks inside our organization, ranging from inadequate participation and training to environmental dangers.

Administrative Personnel Roles in Healthcare Ethics

Doctors, nurses, surgeons, and technicians all interact with healthcare administrators regularly. They oversee the operations of healthcare organizations and only visit with patients in the institution on a rare occasion. Their job is to help shape the facility’s policies and improve the patient experience. Administrators are critical to the performance and efficiency of healthcare facilities. They must be familiar with both state and federal legislation, as well as ensuring that HIPAA regulations are followed in their field of specialization. Behind the scenes, healthcare administrators make large-scale choices for the healthcare facility or institutions (Parand et al., 2014). To improve patient experiences and protect the safety of guests and staff, they work directly with policy and budgets. Healthcare administrators are well-versed in the regulatory framework that governs patient care. Prior to the effective date of a new or changed policy, the organization must notify all impacted personnel. Failure to do so may lead to a staff member following an out-of-date policy, jeopardizing patient care and potentially exposing the company to liability claims. To safeguard the organization against corporate malpractice liability, documentation proving that all affected individuals, such as, part-time, per-diem and traveling personnel, have seen the new or revised policy prior to its effective date should be collected and kept on file. A disclaimer statement is included in each policy to remind employees that they must use their judgment to assess if all sections of the policy and procedure apply to each case or if some form of change is required (Parand et al., 2014). Facilitate conformity to accepted professional standards and assure that regulations, statutes, and accrediting standards are followed. Our mission is to deliver a degree of care to our patients while also ensuring that our workers uphold ethical standards.

Organization’s programs that support ethical standards, patient consent, and patient rights and responsibilities.

Our organization’s fall risk prevention and management program upholds ethical principles as well as patient rights and duties by forming a collaborative alliance with healthcare professionals to give respect and responsiveness to patient care and needs. The most common interventions and programs include fall risk assessment, environment/equipment modifications, patient/family education on fall prevention interventions, staff education on fall reporting and prevention, fall risk alerts, medication management, patient physical fitness, help with transfer and toileting, and effective team communication and leadership (AMA, 2021). Nurses, other health-care workers, and the entire hospital system must ultimately devise effective measures to reduce falls among hospitalized patients. Both the law and ethics need informed consent to medical treatment. Patients have the right to ask questions and get information about suggested therapies so that they can make well-informed decisions about their care. Effective communication builds trust and allows collaborative decision-making in the patient-physician relationship. (AMA, 2021). Our personnel are trained to handle patient needs and be promptly available to help patients during moments of mobilization in order to sustain good compliance efforts for our Fall Risk Prevention Program.

Legal and Ethical Responsibilities Health Care Professionals Face

Fall Risk Prevention and Management focuses on the ethical and legal ramifications of falls and poor safety standards (Kadivar et al., 2017). The declared goal of the program is to keep patients and employees safe while also encouraging humanity and integrity. As professionals, our organization focuses on the moral criteria of patient safety while still providing medical care to our patients. The duty of care principle states that you have a responsibility to avoid acts or omissions that could reasonably be expected to injure or harm others (Kadivar et al., 2017). This implies you must anticipate threats to your clients and take precautions to keep them safe. Because of the effectiveness of our Fall Risk Prevention and Management Program, our company has received long-term training in the ethical and legal elements of healthcare.

Journey to Excellence

We will strive to improve the care services provided to our patient population as we continue to identify hazards in our facility and organization. Our organization will attain even greater excellence as a result of employee contributions and involvement in suitable training methods and adequate care in connection with fall risk prevention. Collaborate with colleagues to create work environments where people hold themselves and others accountable for professional standards of conduct. Follow through until you’ve found viable answers. Adopt and implement these guidelines as a must-have for everyone. Incorporate these standards’ concepts into unbreakable behavioral and professional expectations for everyone (AHRQ, 2013). Establish the organizational procedures and structures necessary for successful standard education, implementation, and evaluation. Demonstrate behaviors at all levels of the organization by leading by example. Recognize, promote, and distribute achievements that contribute to a healthy workplace. Falls can be avoided and prevented in our workplace with the right training, information, and execution (AHRQ, 2013).

References

Centers for Disease Control and Prevention. (2020, December 16). Keep on Your Feet Preventing Older Adult Falls. Centers for Disease Control and Prevention. https://www.cdc.gov/injury/features/older-adult-falls/index.html#:~:text=Every %20second%20of%20every%20day,particularly%20among%20the%20aging %20population.

Code of Medical Ethics Opinion. American Medical Association. (2021). https://www.amaassn.org/delivering-care/ethics/ethics-committees-health-care-institutions.

Kadivar, M., Manookian, A., Asghari, F., Niknafs, N., Okazi, A., & Zarvani, A. (2017). Ethical and legal aspects of patient’s safety: a clinical case report. Journal of medical ethics and history of medicine, 10, 15.

Lyons, M. (2019, July 25). The Joint Commission launches educational campaign on preventing falls. The Joint Commission. https://www.jointcommission.org/resources/news-andmultimedia/news/2019/07/the-joint-commission-launches-educational-campaign-onpreventing-falls/.

Module 4. Approaches to Quality Improvement. Content last reviewed May 2013. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/ncepcr/tools/pf-handbook/mod4.html

Moskowitz, D. (2020, October 4). The Importance of Health Care Risk Management. Retrieved from https://www.investopedia.com/articles/personal-finance/072315/importance-healthcare risk-management.asp

Parand, A., Dopson, S., Renz, A., & Vincent, C. (2014). The role of hospital managers in quality and patient safety: a systematic review. BMJ open, 4(9), e005055. https://doi.org/10.1136/bmjopen-2014-005055