Read the \"Hospital: Regulatory Agencies Scenario\" located in the Allied Health

Question

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 Turnitin.

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 Turnitin.

HOSPITAL REGULATORY AGENCIES Scenario

Scenario

A local hospital, which serves a population of approximately 250,000 citizens, has 400 beds for various levels of patient acuity, along with an emergency room, testing labs, operating rooms, and the usual ancillary services for a typical hospital of this size. The hospital administrator has met with the hospital’s Vice President of Human Resources regarding some concerns regarding the recent Patient Protection and Affordable Care Act (ACA) and its impact on the hospital.

The Vice President of Human Resources has briefed you on the employee-related provisions of the new law. Although there are very few provisions that require the hospital to make significant changes to policies and procedures, there is a concern about the number of agencies that now have an added emphasis on the hospital providing high quality health care to the patients.

Vice President of Human Resources has also provided some additional information regarding how the Department of Health and Human Services, Medicare, and Medicaid have increased their oversight of all hospital operations, especially regarding the receipt of all due reimbursements. In fact, the hospital is now required to demonstrate, qualitatively and quantitatively, that the hospital is spending at least 80% of all reimbursements on patient treatments, etc., with the remaining 20% accounted for by administrative costs and profits, if any. In addition, the hospital must show it is increasing the quality of patient outcomes, along with demonstrating cost containment measures.

Considering the evolvement of the new government regulatory agency requirements for the hospital, the hospital administrator has decided to add the new role of Vice President of Risk Management to the Vice President of Human Resources’ existing job title and responsibilities.

As a result of this change, the Vice President of Human Resources now has to consider the following questions:

Questions:

1. How does the Vice President of Human Resources stay abreast of current and future government agency rulings that affect the hospital?

2. How are the medical coding and billing functions affected? What training and development are needed?

3. How and where does the Vice President of Human Resources find methodologies for remaining in compliance with the agencies?

4. Why did the hospital administrator choose the Vice President of Human Resources to perform these new duties? Why not the Vice President of Accounting?

Explanation / Answer

The vice president of human resource is responsible for directing the people in accordance with the laws, regulations and administrative rulings of governmental organizations and other regulatory and advisory authorities and organizations. He can do this by maintaining knowledge of international HR policies, programs, laws and issues. Understands the differences of domestic and international policies and programs and coordinates the integration of all such programs. Nuances and/or develops implements and enforces HR policies and procedures of the organization by way of systems that will improve the overall operation and effectiveness of the organization. In particular, manages the human resource information systems database and provides necessary reports for critical analyses of the HR function and the people resources of the organization. There will be transparency for consumers. They know the cost of all of the medical care ahead of time and can even comparison shop for the best price and care. There will be modifications in reimbursement rates and allowances for patients. Methodologies fro remaining in compliance with these agencies come through past records of working with the agencies and experience from competitors. Vice president of human resource is chosen for this role because he has the analytical skills to access risk and knows how to plan, organize, coordinate, direct, and control to meet the needs of the company and assure smooth and efficient operations. He has the necessary skills to coordinate human resource functions with Fiscal Services and Information Services to assure smooth and efficient delivery of services and interpret, explain, and apply laws, rules and regulations. While the vice president of accounting cannot do this efficiently with his calculative mind.

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