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

GCU HLT308 All Weeks Assignments 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

GCU HLT308 All Weeks Assignments 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

GCU HLT308 All Weeks Assignments 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

GCU HLT308 All Weeks Assignments 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. GCU HLT308 All Weeks Assignments

 

MORE INFO 

Risks Management and Health Care Regulations

Introduction

It is important to understand the regulations that apply to the industry. Health care providers, health care agencies and other businesses involved in providing health services will need to comply with many different regulations.

Health care technology and data requirements.

Health care technology is evolving rapidly, and new technologies can help improve patient outcomes. Data is increasingly important to the health care industry. Health care providers and payers must be able to share data for better patient outcomes, but privacy concerns have created a challenge for implementing such sharing of information between organizations with different business models, mission statements, cultures and regulatory environments.

• Data security: The integrity of data must be maintained at all times. A breach could lead to identity theft or other criminal activity; loss of trust between patients; lost revenue from declining services due to changes in reimbursement rates (due primarily because patients no longer have access); liability exposure due either directly or indirectly; legal issues such as civil litigation against an organization involved in an incident involving its own network infrastructure (i..e., hackers).

Patient safety, hospital safety and patient privacy concerns.

Patient safety and hospital safety are the top priorities for all employees. As a patient care team, you have a responsibility to ensure that patients receive quality care from your facility. This includes taking steps to prevent medical errors and injuries, preventing infections in hospitals and reducing risk factors associated with hospital use (such as falls).

It’s important to remember that patient safety is not just about preventing medical errors; it’s also about treating patients with dignity and respect while they’re in your care. This means being sensitive when communicating information about their health condition or treatment plan—for example, asking if there are any questions before discussing changes made during an operation so they can ask questions if needed later on down the line – because at some point down their road they may need assistance remembering what happened during their time here at this hospital!

Health care practitioners and their licensure.

Health care practitioners and their licensure.

Health care practitioners are required to meet certain requirements in order to practice safely and effectively. These requirements vary by state, but they may include:

• A license issued by the state board of nursing (nursing licenses) or other state agencies that oversee nursing practice, such as the board of osteopathic medicine (dentists). In some cases, individuals with degrees from accredited colleges and universities can apply directly for these licenses without first obtaining any training or experience as a nurse; other states require them first go through an internship program before being eligible for licensing. The length of time required differs from state-to-state, depending on what’s required by law at any given time—but most states require applicants who want a license from those agencies must complete five years of post-high school education courses that focus on prerequisites for entry into graduate programs at universities.* A national criminal background check.* An examination showing knowledge of standards set forth by each individual’s chosen profession/discipline within its field(s), including basic medical terminology/ definitions along with knowledge related to diseases common among patients covered under federal law such as HIV/AIDS infection; hepatitis B virus infection; tuberculosis transmission risk factors (i); human papillomavirus infection status

Staffing and employment of health care employees.

The regulations require that a hospital meet certain standards in order to ensure the safety and well-being of its employees. These include:

• Employee benefits. Hospitals must provide their employees with benefits such as health insurance, retirement plans, disability insurance and life insurance. A hospital may not refuse coverage or claim it is too expensive if an employee qualifies for Medicaid or Medicare coverage through their employer plan (i.e., Medicare).

• Employee training programs. In addition to providing regular training modules on topics like infection control, medication management and patient safety practices at different stages during your career at the hospital; you will also receive specialized training related specifically towards caring for patients with specific conditions or conditions requiring special attention such as cancer treatment centers like those found throughout New York City where we work closely together as part of our collaboration efforts between healthcare providers here locally here locally outside NYC but within certain areas which can include Long Island Times Square Central Park West Madison Square Park Rockefeller Center Times Square Herald Tribune Metropolitan Museum Radio City Music Hall Lincoln Center Bryant Park Zoo Central Park South Bronx Harlem River North Shore Harlem East Side Staten Island South Shore Nassau County Queens Brooklyn Queens Long Island Sound

Conditions of participation in insurance programs under Medicare and Medicaid.

Conditions of participation in insurance programs under Medicare and Medicaid.

Under the conditions of participation, health care providers are required to meet certain requirements before they can participate in these programs. The most important requirement is that providers must have a certificate of need (CON). A CON is issued by an administrative body that determines whether or not it is in the best interests of patient care for a hospital or other health care facility to receive federal funding for specific services. If you want your organization to be able to receive CONs, then there are several things that you will need:

• A plan for how your organization will meet all requirements for each type of CON;

• Information about any previous violations; and

• Evidence showing how well-equipped your facility is for providing quality services

Managed-care contracts including exclusive provider organizations (EPOs), health maintenance organizations (HMOs) and integrated delivery systems.

• Managed care contracts with EPOs, HMOs and integrated delivery systems. These include not-for-profit organizations that provide health care services to members.

• Pre-existing conditions exclusions. In most cases, these exclusions apply only to new enrollees or those who have been discharged from hospital or another healthcare facility within 30 days of enrollment in the plan (or after the effective date of an individual’s membership). This means that if you have a pre-existing condition when you join your managed care plan but it becomes known after you join then they will cover treatment for it as long as no other medical problems are found during their review process

Accountable care organizations (ACOs).

Accountable care organizations (ACOs) are groups of doctors, hospitals, and other health care providers who come together voluntarily to give coordinated, high-quality care to their Medicare patients. They must meet certain quality and financial targets in order to share in the savings they achieve for the Medicare program.

There are many regulations for health care to comply with, including but not limited to those mentioned above.

• There are many regulations for health care to comply with, including but not limited to those mentioned above.

• Compliance with these regulations is critical to ensure the safety and well-being of your patients.

• There are several ways you can follow these rules:

• You can ask your doctor for guidance or advice on how to comply with the law, if you have questions about what specific regulations apply in your situation.

• You can also check out this website from The Centers for Disease Control (CDC), which provides information about each state’s laws related to health care facilities and patient safety practices: https://www.cdc.gov/prevention/healthcare/safety/.

Conclusion

The U.S. has a long history of providing high-quality health care services to all Americans, but the complex nature of these regulations makes it difficult for businesses to operate in this market. Health care providers have a responsibility to comply with these regulations and ensure their patients have access to quality care regardless of who pays for it or where they live. In order for this system to continue working well, everyone needs to pay attention today because tomorrow may not be as bright!