HCA460 Operations and
Risk Management in Health Care
Week 1 Discussion
DQ1 Where you can locate legislative materials, white
papers, etc. to help implement legislation into an organization, and assess the
level of difficulty associated with the implementation process?
DQ2 Where you can locate legislative materials, white
papers, etc. to help implement legislation into an organization, and assess the
level of difficulty associated with the implementation process?
HCA460 Operations and
Risk Management in Health Care
Week 2 Discussion
DQ1 Identify the main accrediting bodies for health care
that govern all health care organizations. What oversight do these regulatory
agencies provide? How does this protect organizations, health care workers and
patients?
DQ2 Select one agency and describe how your department or
group is directly impacted by the mandates. Provide an example of how an
organization complies with the mandates and the impacts to an organization.
HCA460 Operations and
Risk Management in Health Care
Week 3 Discussion
DQ1 You are responsible for leading an accreditation team.
How would you manage the project and what steps would you include to achieve
accreditation?
DQ2 What are the benefits and challenges if you use in-house
resources to manage accreditation versus obtaining an external consultant with
specialization in health care accreditation?
HCA460 Operations and
Risk Management in Health Care
Week 4 Discussion
DQ1 What are the penalties associated with noncompliance?
What happens to an organization that fails to comply with legislation? What
happens if an organization loses accreditation?
DQ2 Research current events and identify an issue with a
health care organization that failed to remain in compliance. How does the
situation impact the organization? What are the potential conflicts between
federal and state legislation?
HCA460 Operations and
Risk Management in Health Care
Week 5 Discussion
DQ1 Explain the relationship between risk management and
health care legislation. How does one impact the other?
DQ2 Describe how a health care organization can reduce risk
for HIPAA compliance when transmitting patient information (via fax, e-mail,
paper).
HCA460 Operations and
Risk Management in Health Care
Week 8 Discussion
DQ1 You are asked to lead a quality improvement team to
reduce the number of inaccurate ICD-10 code entries. What steps would you take
to begin evaluation and who should you include in the project?
DQ2 In current literature, identify what are two of the top
10 safety concerns for hospitals. What steps can the health care facility take
to reduce risk for their organization?
HCA460 Operations and
Risk Management in Health Care
Week 9 Discussion
DQ1 Identify the top two litigious areas for your selected
health care organization and provide examples on how risk can be managed for
those areas.
DQ2 You are managing a health care organization's
operational unit and a major HIPAA compliance issue occurred in which outbound
faxes have been sent to 200 incorrect numbers. Who should you involve on your
team? Explain the level of concern for this violation.
HCA460 Operations and
Risk Management in Health Care
Week 10 Discussion
DQ1 Identify stakeholders impacted by health care reform and
describe two pros and two cons of health care reform related to impacted
stakeholders.
DQ2 Your health care office is considering enrolling as a
provider for individuals covered under the Affordable Health Care Act (ACA),
what are the top three considerations your leaders must consider when making
this decision?
HCA460 Operations and
Risk Management in Health Care
Week 1 Assignment
Risk Management in Health Care
Trends are heavily informed by local, state, and federal
health care legislation.
Write a 750-1,000 word paper that evaluates the effect of
local, state, and federal health care legislation within organizations by
identifying trends. Be sure to address the following:
Describe general trends in health care legislation over the
past 5 years.
Describe a specific piece of legislation occurring within
this timeframe across the United States. Discuss how it governs a long trending
health care concern. What have been the motivating factors that have influenced
this particular legislation?
Discuss the effects of the trending legislation on health care
overall in the United States.
Describe how the selected legislation effects one type of
health care setting (transitional care, hospital, primary care, home care,
primary care).
Identify changes in your selected health care setting that
have occurred during this time in order to meet the requirements or needs of
this legislative trend.
Discuss how stakeholders (patients, underserved populations,
health care providers, staff, etc.) have been affected by the trending
legislation.
Support your paper using three to five 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.
Please refer to the directions in the Student Success Center.
HCA460 Operations and
Risk Management in Health Care
Week 2 Assignment
Regulatory Agencies
Regulatory agencies are physical manifestation of health
care legislation. Each agency has specific mission that is carried out under
the authority of Congress.
Choose a health care organization of interest to you. Write
a 1,000-1,250 word paper that addresses the following:
Describe the purpose, mission, and goals of this health care
organization. Provide an overview of the type of health care organization and
the community it serves. Discuss the population, or stakeholders, that this
organization is committed to serving.
Identify the regulating agencies that oversee the
organization. Why is the role of a regulatory agency important in health care?
What are the specific responsibilities assigned to regulating agencies? How do
regulation agencies support heath care and the stakeholders in health care?
Identify a health care issue/topic relevant for this
organization (workplace safety, patient safety, quality, fraud and abuse,
injury, etc.). Discuss the relevance of this issue or topic for the
organization.
Evaluate the organization's ability to meet the legal and
ethical requirements based on agency regulations.
Support your paper using three to five 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.
Please refer to the directions in the Student Success Center.
HCA460 Operations and
Risk Management in Health Care
Week 2 Assignment
Hospital Application: Regulatory Agencies
Read the "Hospital: Regulatory Agencies Scenario"
located in the Allied Health Community. Be sure to review the Instructions and
Legend information.
In a total of 250-500 words, respond to the questions
located in the Hospital Scenario.
Prepare this assignment according to the guidelines 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.
HCA460 Operations and
Risk Management in Health Care
Week 3 Assignment
Health Care Accreditation
Using the same health care organization from the last
assignment, write a 750-1,000 word analysis of licensing and accreditation
governing the organization to assess the impact in the organization's function
and operations. Include the following:
Accreditation
Identify two types of accreditation governing the
organization, or a branch of the organization.
Identify whether or not the accreditation is mandatory.
Explain the purpose for the accreditation and how it supports the organization.
Discuss why this accreditation is important to the patient,
to the organization, to the community, and to health care.
Identify accreditation requirements for the organization,
and resources needed to maintain accreditation.
Describe the consequences for the organization if they were
to lose the accreditation.
Evaluate which type of accreditation and licensures your health
care organization requires.
Licensure
Identify two types of licensing the organization has
received.
Identify whether or not the licensure is mandatory. Explain
the purpose for the licensure.
Discuss why this licensure is important to the patient, to
the organization, to the community, and to health care.
Identify licensure requirements for the organization, and
resources needed to maintain licensure.
Describe the consequences for the organization if they were
to lose the licensure.
Evaluate the consequences associated with both the
accreditation process and licensing.
General Requirements
Include three to five references, to in your analysis.
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.
Please refer to the directions in the Student Success Center.
HCA460 Operations and
Risk Management in Health Care
Week 3 Assignment
Home Care Application: Accreditation
Read the "Home Care: Accreditation Scenario"
located in the Allied Health Community. Be sure to review the Instructions and
Legend information.
In a total of 250-500 words, respond to the questions
located in the Home Care Scenario.
Prepare this assignment according to the guidelines 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.
HCA460 Operations and
Risk Management in Health Care
Week 4 Assignment
Benchmark- Health Care Legislation Enforcement Matrix
Using the same health care organization from the last
assignment complete the "Legislation and Enforcement Matrix Template"
for eight applicable legislations. This matrix will provide foundations
information for future assignments in the course. Consider using this as a
reference for future course assignments.
This assignment uses a rubric. Please review the rubric
prior to beginning the assignment to become familiar with the expectations for
successful completion.
Legislation and
Enforcement Matrix Template
Enforcement
Agency
|
Legislation
Name/Date Enacted
|
Brief Overview of
Regulation/Legislation (Regulatory and Legislative Expectations) (5.5)
|
Penalties of
Legislation
|
(Example) HHS Office for Civil Rights (OCR) enforces the Privacy
and Security Standards of HIPAA (Health and Human Services, 2010).
|
Health Insurance Portability and Accountability Act (1986)
|
|
The Enforcement Rule…
|
(Example)
|
False Claims Act (1863)
|
Also known as the Lincoln Law, the False Claims Act is a
federal law…
|
Violations of the FCA: Treble damages between $5,500 and
$11,000.
|
|
|
|
|
|
|
|
|
References
Health and Human Services. (2010). HIPAA Enforcement.
Retrieved July 30, 2010, from
http://www.hhs.gov/ocr/privacy/hipaa/enforcement/index.html
HCA460 Operations and
Risk Management in Health Care
Week 5 Assignment
Health Assessment Evaluation
For this assignment, you will use the same health care
organization that was established in previous individual assignments. Health
care administrators evaluate risk in a health care organization in order to
identify operational impact and develop action plans. This is accomplished
through assessment tools and application of methods.
Review "Different Types of Health Assessments,"
located on the Centers for Disease Control and Prevention (CDC) website at
http://www.cdc.gov/healthyplaces/types_health_assessments.htm.
Identify one type of assessment that would be used within
your organization. In an essay of 750-1,000 words, explain three areas that the
assessment evaluates and the role each area plays in risk management.
Incorporate a minimum of three references in the essay.
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.
Please refer to the directions in the Student Success Center.
HCA460 Operations and
Risk Management in Health Care
Week 5 Assignment
Benchmark - Hospital Application: Risk Management
Read the "Hospital: Risk Management Scenario"
located in the Allied Health Community. Be sure to review the Instructions and
Legend information.
In a total of 250-500 words, respond to the questions
located in the Hospital Care Scenario.
Prepare this assignment according to the guidelines 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.
HCA460 Operations and
Risk Management in Health Care
Week 8 Assignment
CLC - Root Cause Analysis
This is a Collaborative Learning Community (CLC) assignment.
Write a 750-1,000 word paper that explains the root cause
analysis process that the health care organization would use and perform a root
cause analysis. Quality improvement requires multiple perspectives to identify
root causes and develop optimal solutions for success. Root cause analysis is
most effective when performed collaboratively.
As a team, select a health care organization that is
currently having a severe adverse occurrence reported. Select an area within
your organization to perform a root cause analysis that includes but is not
limited to the following:
Medication errors. (drug reactions)
Surgery/Treatment errors
Patient falls
Patient elopements
Security breaches in secured areas
Prior to creating the root cause analysis consider the
following in a collaborative setting that allows for dialogue.
What are the major root causes and the impact of the adverse
occurrence?
Which stakeholders are relevant to your adverse effect? Why?
What information is needed to perform a root cause analysis?
Which tool would you use to create a root cause analysis?
Why?
After the root cause analysis is complete address the
following questions:
What other kinds of information would be helpful? Why?
What approach did the team take?
What information did you use in your root cause analysis?
Be sure to address all of the previous questions posed above
in the paper in order to explain the root cause analysis process. Include the
root cause analysis as an appendix.
Include three to five references, to in your analysis.
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.
Please refer to the directions in the Student Success Center.
HCA460 Operations and
Risk Management in Health Care
Week 9 Assignment
Home Care Application Quality Improvement
Through Risk Management
Read the "Home Care Scenario: Quality Improvement
Through Risk Management," located in the Allied Health Community. Be sure
to review the Instructions and Legend information.
In a total of 250-500 words, respond to the questions
located in the Home Care Scenario.
Prepare this assignment according to the guidelines 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.
HCA460 Operations and
Risk Management in Health Care
Week 10 Assignment
Primary Care Application
Read the "Primary Care Scenario" located in the
Allied Health Community. Be sure to review the Instructions and Legend
information.
In a total of 250-500 words, respond to the questions
located in the Primary Care Scenario.
Prepare this assignment according to the guidelines 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.
HCA460 Operations and
Risk Management in Health Care
Week 10 Assignment
Current and Future State of Health Care Legislation Analysis
Write a 1,500-word paper on the following:
Describe the current health care environment in the United
States from both the health care administrator and the patient perspective.
What are some recent changes in legislation and how does
this change influence the way that an administrator would operate within the
health care system?
What are current trends emerging in health care? Using the
current trends, speculate on future of health care risk management from both
the perspective of the health care administrator and patient.
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.
Please refer to the directions in the Student Success Center.