Read the \"Hospital: Risk Management Scenario\" located in the Allied Health Com

Question

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

Scenario:

A rural country hospital facility provides health care services to over 35,000 citizens, with a high percentage being older Americans who have retired to this area of the country. The hospital administrator has asked the Vice President of Risk Management to attend a meeting with the senior staff next week in the Board Room. The hospital administrator has asked Vice President of Risk Management to present areas of opportunity for increasing the hospital’s risk management strategies to ensure a litigation-free environment for the facility, its patients, and its employees. During the meeting, the Vice President of Risk Management reports that all the continuous quality improvement (CQI) minutes for the past 3 months of meetings have been reviewed. Although most areas are being adequately resolved, there are some that need more attention, especially from the senior staff. Before specifically addressing those points, the Vice President of Risk Management briefs the staff on the major areas of risk for the hospital. They are: 1. Employee-driven adverse actions against the facility 2. Medication errors 3. Surgery/Treatment errors 4. Patient falls 5. Patient elopements 6. Security breaches in secured areas 7. Inaccurate coding and billing for government/insurer reimbursements Now that the senior staff is aware of the major areas of risk concern, you, as the administrator in charge of all hospital business operations, assign each of these areas of concern to the respective director, such as the Directors of Human Resources, Nursing, Medical, Social Services, and Facility Security. Their reports of assessment, along with recommendations for achieving full compliance and reducing the hospital’s litigation exposure, are due at the end of the month.

1. While this situation has many areas of risk that are considered a top priority, focus on patient privacy and information disclosure (HIPAA violations). Which department is responsible for leading the initiative? As the administrator, describe your approach for managing this directive. Do you create a special projects team? How do you gather pertinent data for a category? What tools would you use?

2. How do you determine if you are meeting the industry standards for this area of risk?

3. Would you change any current policies or procedures? How and why?

4. How would you train the affected staff with regard to this area of risk?

5. What are the sanctions, penalties, or government investigations that could present a worst-case scenario if not addressed?

Explanation / Answer

1. The facility security and the nursing staff is responsible for ensuring the privacy and safety of the pateints. Though privacy cuts across all the functions, it is crucial that it is defined as a KPI for a group and one single function is made accountable to avoid any misses and having a centralised control. The data for the patients entering and leaving the premises is available with security, also the condition and symptoms are available with nursing staff. Hence data can be consolidated from the two sources and a holistic database can be established.

2. An industry benchmarking on the parameters like safety, security, number of mis reporting, errors and misses etc. especially that cover across the six areas as mentioned in the case, will enable identification of the fact where the standing is with respect to the other players in the industry.

3. The current policies and procedures after study with industry standards and best practices if required should be made proactively. The change management would be a crucial task during the introduction of any new procedures and policies. Effective training of the identified audience would be crucial and effective pilot and testing of the new business process would be crucial.

4. The training could be broken down into two aspects.. The first being conducting classroom training sessions to enable and enhance an understanding of the businessand the change of the process. In addition, it is also crucial that the second aspect which is the on job learnong be enhanced with live prototyping and pilot testing in the initial phases. Complete end to end dry runs would be highly effective in strengthening the understanding of the revised or new process.

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