HLT308 Risks Management and Health Care Regulations
Week 1 Discussion
DQ1 Explain
the role of accreditation in mitigating risk compliance issues. Provide an example of a health care
organization that was placed on probation by its accrediting body or by CMS
within the last 3 years for a risk compliance issue. What caused the probation
or loss of accreditation and how could it have been prevented?
DQ2 Briefly
describe how the risk management program at the organization where you work (or
at that of a typical health care organization) addresses social media and
patient information privacy. Provide three examples of risk management steps
your health care organization (or another health care organization) could take
to further protect patient information. Support your analysis with a minimum of
one peer-reviewed reference.
HLT308 Risks Management and Health Care Regulations
Week 2 Discussion
DQ1 With
the growing importance of increasing wage rates for employees, many health care
organizations are implementing technology such as self-help kiosks to reduce
staffing. Describe both an advantage and a disadvantage to this practice and
discuss how patients may perceive reductions in dedicated staffing.
DQ2 Research
the role of an administrator versus that of a nonmanagement staff member in
dealing with a workers' compensation incident in a typical health care
organization. What are the minimal responsibilities and reporting duties for
each? What recommendations would you suggest for improving organizational compliance
with regulatory requirements at the staff level? Support your analysis with a
minimum of one peer-reviewed reference.
HLT308 Risks Management and Health Care Regulations
Week 3 Discussion
DQ1 The
Patient Self-Determination Act (PSDA) was implemented to allow patients to
state "Do Not Resuscitate" (DNS), or to assign a surrogate decision
maker in the event that the individual is unable to make the decision. What
relationship does an ethics committee have in enforcing the advance directives
of the patients in their care? Support your analysis with a minimum of one
peer-reviewed article.
DQ2 The
Center for Medicare and Medicaid Services (CMS) publishes a list of health
care-acquired conditions (HACs) that reasonably could have been prevented
through the application of risk management strategies. What actions has your
health care organization (or have health care organizations in general)
implemented to manage or prevent these "never events" from happening
within their health care facilities? Support your response with a minimum two
peer-reviewed articles.
HLT308 Risks Management and Health Care Regulations
Week 4 Discussion
DQ1 Describe
one of the safety committees your organization uses and how it reduces risk
within your organization. Who are the general members of the group, how often
do they meet, and is there a regulatory requirement that they report or publish
notes? Is this a good use of the staff's time or would another method that
still addresses the safety goal of this group be more efficient?
DQ2 The
Occupational Safety and Health Administration (OSHA), the Centers for Medicaid
and Medicare Services (CMS), and the Joint Commission (JC) require that health
care organizations maintain risk management programs to address infection
control. Detail three measures that your health care organization (or any
health care organization) could implement, beyond what is currently in
practice, to support the delivery of safe health care services and avoid the
spread of infection (e.g., placing hand washing devices at all of the public
entrances of the health care facility). Support your response with a minimum of
two peer-reviewed references.
HLT308 Risks Management and Health Care Regulations
Week 5 Discussion
DQ1 Health
care organizations continually face challenges from various regulatory and
government agencies while also being bound by Managed Care Organization (MCO)
standards. View the video located in the study materials entitled "College
of Nursing and Health Care Professions: Do We Know What Our Future Is?"
for insight into the challenges of health care reform. Based on the video,
describe two key reform factors that you believe will need to be addressed by
future health care workers or leaders and explain why. (Note: You can download
slides from this video for ease of review in developing your forum response).
Additionally, what role does adherence to MCO standards play in your future
health care vision?
DQ2 The
Affordable Care Act (ACA) identifies requirements related to provider
compliance with fraud, waste, and abuse laws that have been enacted to protect
consumers. Research three of these requirements and describe the corresponding
measures that your health care organization has initiated, or could initiate,
to comply with the ACA. Support your analysis with a minimum of two
peer-reviewed articles.
HLT308 Risks Management and Health Care Regulations
Week 1 Assignment
Benchmark -
Risk Management Program Analysis - Part One
The purpose
of this assignment is to analyze a health care risk management program.
Conduct
research on approaches to risk management processes, policies, and concerns in
your current or anticipated professional arena to find an example of a risk
management plan. Look for a plan with sufficient content to be able to complete
this assignment successfully. In a 1,000?1,250-word paper, provide an analysis
of the risk management plan that includes the following:
Summary of
the type of risk management plan you selected (new employee, specific audience,
community?focused, etc.) and your rationale for selecting that example.
Describe the health care organization to which the plan applies and the role
risk management plays in that setting.
Description
of the standard administrative steps and processes in a typical health care
organization's risk management program compared to the administrative steps and
processes you identify in your selected example plan. (Note: For standard risk
management policies and procedures, look up the MIPPA-approved accrediting body
that regulates the risk management standards in your chosen health care sector,
and consider federal, state, and local statutes as well.)
Analysis of
the key agencies and organizations that regulate the administration of safe
health care in your area of concentration and an evaluation of the roles each
one plays in the risk management oversight process.
Evaluation
of your selected risk management plan's compliance with the standards of its
corresponding MIPPA-approved accrediting body relevant to privacy, health care
worker safety, and patient safety.
Proposed
recommendations or changes you would implement in your risk management program
example to enhance, improve, or secure the aforementioned compliance standards.
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.
You are
required to submit this assignment to LopesWrite. Refer to the LopesWrite
Technical Support articles for assistance.
Benchmark
Information
This
benchmark assignment assesses the following programmatic competency:
BS Health
Sciences
3.2 Discuss
compliance with risk management protocol.
HLT308 Risks Management and Health Care Regulations
Week 2 Assignment
Educational
Program on Risk Management - Part One: Outline of Topic
The purpose
of this assignment is to create an educational program that supports the
implementation of risk management strategies in a health care organization.
In this
assignment, you will develop an outline for an "in?service"?style
educational risk management program for employees of a particular health care
organization that will then form the basis for a PowerPoint presentation in Topic
5. Select your topic for this educational session from one of the proposed
recommendations or changes you suggested in the Risk Management Program
Analysis – Part One assignment to enhance, improve, or secure compliance
standards in your chosen risk management plan example.
Create a
500?750-word comprehensive outline that communicates the following about your
chosen topic:
Introduction:
Identify the risk management topic you have chosen to address and why it is
important within your health care sector.
Rationale:
Illustrate how this risk management strategy is lacking within your selected
organization's current risk management plan and explain how its implementation
will better meet local, state, and federal compliance standards.
Support:
Provide data that indicate the need for this proposed risk management
initiative and demonstrate how it falls under the organization's legal
responsibility to provide a safe health care facility and work environment.
Implementation:
Describe the steps to implement the proposed strategy in your selected health
care organization.
Challenges:
Predict obstacles the health care organization may face in executing this risk
management strategy and propose solutions to navigate or preempt these
potentially difficult outcomes.
Evaluation:
Outline your plan to evaluate the success of the proposed risk management
program and how well it meets the organization's short-term, long-term, and end
goals.
Opportunities:
Recommend additional risk management improvements in adjacent areas of
influence that the organization could or should address moving forward.
You are
required to incorporate all instructor feedback from this assignment into
Educational Program on Risk Management Part Two ? Slide Presentation assignment
in Topic 5. To save time later in the course, consider addressing any feedback
soon after this assignment has been graded and returned to you. It may be
helpful to preview the requirements for the Topic 5 assignment to ensure that
your outline addresses all required elements for submission of the final
presentation.
You are
required to support your statements with a minimum of six citations from
appropriate credible sources.
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.
You are
required to submit this assignment to LopesWrite. Refer to the LopesWrite
Technical Support articles for assistance.
HLT308 Risks Management and Health Care Regulations
Week 3 Assignment
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:
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.
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.
Illustrate
how your organization's risk management and compliance programs support ethical
standards, patient consent, and patient rights and responsibilities.
Explain the
legal and ethical responsibilities health care professionals face in upholding
risk management policies and administering safe health care at your
organization.
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.
You are
required to submit this assignment to LopesWrite. Refer to the LopesWrite
Technical Support articles for assistance.
Benchmark
Information
This
benchmark assignment assesses the following programmatic competencies:
BS Health
Sciences
3.3 Explain
the ethical and legal responsibilities of health care professionals related to
risk management assessment and policies.
HLT308 Risks Management and Health Care Regulations
Week 4 Assignment
Organizational
Risk Management Interview
The purpose
of this assignment is to gain real-world insight into how risk management
programs operate within health care organizations.
Select a
local health care organization where you can conduct an interview with an
employee who is involved in risk management processes. This organization can be
your current employer or a different health care facility in your community.
Acute care, urgent care, large multi?provider private medical clinics, assisted
living facilities, and community/public health clinical facilities are all
ideal options to complete the requirements of this assignment. Select an
individual who can provide sufficient information regarding how their
organization manages risk within its facility to answer the questions below.
In your
interview, address the following:
Risk
management strategies used in the organization's risk control program, along
with specific examples.
How the
facility's educational risk management program addresses key professional,
legal, and ethical issues, such as prevention of negligence, malpractice
litigation, and vicarious liability.
Policies
the facility has implemented that address how to manage emergency triage in
high?risk areas of health care service delivery (e.g., narcotics inventories,
declared pregnancy policies, blood-borne disease sector, etc.).
Challenges
the organization faces in managing and controlling high-risk health care (e.g.,
infectious diseases, nuclear medicine, abortion, class 4 narcotics/opioids,
etc.).
Strategies
the facility utilizes to monitor, evaluate, and maintain compliance within its
risk management program.
After
conducting the interview, compose a 750?1,000 word summary analysis of the
interview that includes the questions above, in conjunction with the
interviewee's responses. In addition, include the following elements in your
response:
An assessment
of the organization's risk management program, including how it attends to
high-risk health care and legal concerns.
Action
steps you would take to improve one area of the organization's risk management
program, along with your rationale for doing so.
Cite
appropriate references as needed to support your statements and rationale.
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.
You are
required to submit this assignment to LopesWrite. Refer to the LopesWrite
Technical Support articles for assistance.
HLT308 Risks Management and Health Care Regulations
Week 5 Assignment
Educational
Program on Risk Management Part Two - Slide Presentation
The purpose
of this assignment is to create an educational risk management presentation.
Building
upon the outline for an educational session you created in the Educational
Program on Risk Management Part One: Outline of Topic 2 assignment, develop a
12-15 slide PowerPoint presentation that expands in greater detail on how and
why your organization should implement your proposed risk management strategy.
Incorporate any instructor feedback from the Topic 2 assignment into this
presentation and include talking points in the speaker notes section of each
slide.
Keep in
mind that the PowerPoint is meant to serve as a visual aide to bolster your
presentation and is intended to highlight main ideas and key points. Do not use
dense blocks of text or more than 7 bullet points of text per slide. However, you may include supplementary images,
graphs, and data where relevant.
To
successfully complete this assignment, include the following sections as per
your outline from Topic 2, though you may include any additional sections as
needed:
Introduction
Rationale
Support
Implementation
Challenges
Evaluation
Opportunities
You are required
to support your statements with a minimum of six citations from appropriate
credible sources.
Refer to
the resource, "Creating Effective PowerPoint Presentations," located
in the Student Success Center, for additional guidance on completing this assignment
in the appropriate style.
While APA
style is not required for the body of this assignment, solid academic writing
is expected, and documentation of sources should be presented using APA
formatting guidelines, which can be found in the APA Style Guide, located in
the Student Success Center.
This
assignment uses a rubric. Please review the rubric prior to beginning the
assignment to become familiar with the expectations for successful completion.
You are not
required to submit this assignment to LopesWrite.
HLT308 Risks Management and Health Care Regulations
Week 5 Assignment
Reflective
Analysis: Risk Management and the Role of Managed Care
The purpose
of this assignment is to analyze the role of managed care organizations within
health care and risk management programs.
Reflect on
and evaluate the role that the managed care organization (MCO) plays in today's
health care environment by developing a 250?500-word response that addresses
the following:
What is a
health care organization's administrative role in executing risk management
policies and ensuring compliance with managed care organization (MCO)
standards?
What value
do the regulatory statutes of a typical MCO provide to a health care
organization? Consider how strategies pertaining to policies such as conflict
resolution and risk management affect patients as well as employees and
employers.
What MCO
responsibilities relevant to the Patient Protection and Affordable Care Act
(ACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud,
waste, and abuse laws?
In addition
to your textbook, you are required to support your analysis with a minimum of
two 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.
You are
required to submit this assignment to LopesWrite. Refer to the LopesWrite
Technical Support articles for assistance.