As a team,?create?an 5- to 6-slide Microsoft? PowerPoint? presentation (not counting the title or reference slides) with detai
As a team, create an 5- to 6-slide Microsoft® PowerPoint® presentation (not counting the title or reference slides) with detailed speaker notes of at least 100 words per slide in which you compare and contrast the organizations selected by each learning team member. Attached are the different organizations to help compare.
- Describe ways each organization will communicate with leadership to ensure alignment of organizational goals and gain buy-in from staff to achieve compliance with the standards and requirements issued by regulatory and accreditation bodies.
- Propose how each organization will monitor performance, achieve regulatory and accreditation compliance, and improve overall organizational performance.
Include each team member’s completed table as an appendix to your presentation.
Cite at least 3 peer-reviewed, scholarly, or similar references and your textbook to support your assignment.
Format your presentation according to APA guidelines.
HCS/456 v5
Organizational Performance Management Table
HCS/456 v5
Page 2 of 2
Organizational Performance Management Table
Choose a health care organization and research it to complete this table, and then share it with your learning team as you collaborate to complete your presentation. Include your tables as appendices in your presentation.
1. Provide a name of or link to a specific health care organization. Summarize the key products or services provided by the organization and identify the primary customers it serves.
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Memorial Hermann Health System. I am going with Memorial Hermann Health System as my choice for a health care organization. Not only do I work for them, but my family and I get our health care with them as well. Memorial Hermann Health System is the largest not-for-profit health system in southeast Texas. It has 14 hospitals, 27 sports medicine and rehabilitation centers, 3 heart & vascular institutes, 8 cancer centers and 34 free standing clinics around the Houston area. The hospital located in the Texas Medical Center is known as one of the nation’s busiest Level I trauma centers. That same location is also the primary teaching hospital for McGovern Medical School at UTHealth. It is also known for its outstanding Children’s Hospital which I had a true connection with back in 2016, on a personal level. Their TIRR programs, Cardiac Centers, IRONMAN, Neuro Center and Red Duke Trauma Institute are a few of their award winning centers. It has 5 Convenient Care Centers that provides emergency health care without the big ER wait. Memorial Hermann is an award-winning and nationally acclaimed Accountable Care Organization, it has been listed in U.S. News for many of its services and named as one of the Nations top hospitals to work over seven times. |
2. Outline the overall content of the major regulations, accreditation requirements, and other standards that affect the organization. Provide the title, section, parts, or subparts, or the numbering system, etc. of the specific regulations or accreditation requirements. Responses should be at least 100 words.
For example: Use of electronic signatures in electronic medical records is equivalent to handwritten signatures on paper; FDA regulation; Title 21 CFR Part 11, Subpart C, § 11.200 Electronic Signature
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Organization Regulations, Accreditation, and Standards |
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This Joint Notice applies to the privacy practices of the Affiliated Entities and the entities participating in the Organized Health Care Arrangement described below for the sole purpose of complying with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), HIPAA Privacy and Security Rules, The Health Information Technology for Economic and Clinical Health of 2009 (HITECH), and with the Texas Medical Privacy Act, Tex Health & Safety Code § 181. These entities are viewed as participating in a joint arrangement for the sole purpose of using and disclosing your health information created within or received by any one or more Affiliated Entities for your treatment, entity payment and entity operations. These Affiliated Entities include: Memorial Hermann Health System (MHHS) and each of the hospitals owned or operated by MHHS, MHS Physicians of Texas, Memorial Hermann Medical Group, Memorial Hermann Community Benefits Corp. Memorial Hermann . (2022). https://www.memorialhermann.org/legal/introduction-privacy/joint-notice-privacy |
3. Highlight the effect the organization’s regulations, accreditation requirements, and other standards have on risk management functions and activities. Responses should be at least 100 words.
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Effects on Risk Management |
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Patient Safety – Proper tools and training are provided to the employees and medical staff so safe care can be provided. Standards – Memorial Hermann compares and measures their performance measures against other hospitals to make sure they are providing the best clinical care to their patients. Memorial Hermann executives track data that demonstrates ongoing process reliability every day, in real time. This is done so they can continue to provide a safe atmosphere for the patients and financial stability for the organization. “At Memorial Hermann, we work continuously to improve upon the quality and safety of the care we deliver by finding the critical interventions that protect patients from harm. Memorial Hermann employees and affiliated physicians undergo extensive training in methods and behaviors proven to improve safety and prevent harm. We are also catching and preventing critical omissions and errors before they can harm a patient by incorporating evidence-based medicine and nationally recognized risk-prevention processes.” Memorial Hermann. (2022). https://www.memorialhermann.org/about-us/our-organization/quality-reporting |
4. Identify specific components of performance-management systems—policies and procedures, self-audits, benchmarking, complaint management, corrective or preventive action, education and training, communication, and other mechanisms—to be used by the organization. Responses should be at least 100 words.
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Organizational Performance Management Systems |
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Memorial Hermann has their own set of policies and procedures that employees, medical staff, contractors, and vendors need to follow. They also follow all applicable laws, regulations, and standards. According to "Memorial Hermann" (2022) “At Memorial Hermann, safety is everyone's responsibility. To recognize high-reliability behavior, we created the Memorial Hermann High Reliability Certified Zero Award for hospitals that go 12 consecutive months or longer without preventable adverse events in federally defined categories. We call the award "certified" because these results are formally certified in monthly reports to the Centers for Medicare & Medicaid Services. Since the program started in 2011, Memorial Hermann hospitals have earned more than 339 Certified Zero Awards for avoiding hospital-acquired infections and other conditions.” (Cultural Reinforcement and Transformation) |
5. Provide several links to relevant sources that will be useful as your learning team completes the paper.
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Additional Links |
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https://www.causeiq.com/organizations/memorial-hermann-health-system,741152597/ https://www.memorialhermann.org/about-us/our-organization/quality-reporting |
Copyright 2020 by University of Phoenix. All rights reserved.
Copyright 2020 by University of Phoenix. All rights reserved.
,
HCS/456 v5
Organizational Performance Management Table
HCS/456 v5
Page 2 of 2
Organizational Performance Management Table
Choose a health care organization and research it to complete this table, and then share it with your learning team as you collaborate to complete your presentation. Include your tables as appendices in your presentation.
1. Provide a name of or link to a specific health care organization. Summarize the key products or services provided by the organization and identify the primary customers it serves.
|
Anderson Institute Orthopaedics & Sport Medicine I have chosen Anderson Institute Orthopaedics & Sport Medicine for my choice of health care organization. I chose this organization because people fly from all over the country to come to this institution. This institution helps patient from world-class athletes, weekend warriors, youth athletes and everyday people. These patients from all over and levels of society all have equal access to state-of-the-art health care services. This institute includes specialties available on-site include: orthopaedics, physical medicine and rehabilitation pain management, neurosurgery non-surgical sport management, radiology, physical therapy and occupational therapy, total joint center, vascular interventions, hand and wrist center, and orthopaedic trauma that was founded in Gulf Breeze, Florida location under the leadership and reputation of international renowned orthopaedic sport surgeon Dr. James Andrews (Anderson Institute Orthopaedics & Sport Medicine, 1996-2022). The Anderson Institute Orthopaedics & Sport Medicine has opened over 14 location including rehabilitation between 2004-2020. The institute has 30 plus affiliated physicians to provide an all-inclusive continuum of care. Institute services are Andrews Institute Ambulatory Surgery Center, Diagnostic Imaging and MRI, Andrews Institute Rehabilitation, Sports Medicine Outreach (Athletic Training Services), EXOS (Sport Performance), and Andrews Research & Education Foundation (Anderson Institute Orthopaedics & Sport Medicine, 1996-2022). I personally have an experience with this institution as I am under one of the Neurosurgery Non-Surgical Sport Medicine physicians at this time and attending one of the rehabilitation facilities. Anderson Institute Orthopaedics & Sport Medicine. (1996-2022). Anderson Institute Orthopaedics & Sport Medicine. https://www.andrewsinstitute.com/ |
2. Outline the overall content of the major regulations, accreditation requirements, and other standards that affect the organization. Provide the title, section, parts, or subparts, or the numbering system, etc. of the specific regulations or accreditation requirements. Responses should be at least 100 words.
For example: Use of electronic signatures in electronic medical records is equivalent to handwritten signatures on paper; FDA regulation; Title 21 CFR Part 11, Subpart C, § 11.200 Electronic Signature
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Organization Regulations, Accreditation, and Standards |
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Andrews Sport Medicine & Orthopaedic Center follows the same guidelines that the Health Insurance Portability and Accountability Act of 1996 (HIPAA) as put in place as a federal law required of national standards of protecting both online and in person health information. This HIPAA law has also provided the regulations that are followed that the Andrews Institutes will not share or sale private health information without the patients consent and knowledge (Andrews Sport Medicine & Orthopaedic Center, 2022). The Andrews Institute has joined teams with Baptist Health Care, and they pride themselves in not discriminating patients for any reason. Color, gender, age, or financial ability to pay in regard to the section 1557 of the Affordable Care Act. Andrews Sport Medicine & Orthopaedic Center. (2022). Anderson Website Privacy Policy. https://www.andrewssportsmedicine.com/andrews-website-privacy-policy Anderson Institute Orthopaedics & Sport Medicine. (1996-2022). Anderson Institute Orthopaedics & Sport Medicine. https://www.andrewsinstitute.com/ |
3. Highlight the effect the organization’s regulations, accreditation requirements, and other standards have on risk management functions and activities. Responses should be at least 100 words.
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Effects on Risk Management |
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Quality Care – Andrews Institute is focused on quality care no matter who you are or how you can pay. The standards that Andrews Institute compile on is education and research. Andrews Institute works hard at providing public service programs, techniques, technology, and methodologies that can change and improve lives. Andrews Institute stated “Our primary focus is prevention of injuries in youth sports, our community and our active-duty military and veterans. Established to develop sports and musculoskeletal medicine programs to prevent, and treat injury, AREF is committed to improving the quality of life of people of all ages while increasing human performance and wellness through our research and education initiatives.” Anderson Institute Orthopaedics & Sport Medicine. (1996-2022). Anderson Institute Orthopaedics & Sport Medicine. https://www.andrewsinstitute.com/ |
4. Identify specific components of performance-management systems—policies and procedures, self-audits, benchmarking, complaint management, corrective or preventive action, education and training, communication, and other mechanisms—to be used by the organization. Responses should be at least 100 words.
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Organizational Performance Management Systems |
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Andrews Institute Orthopaedics & Sport Medicine is able to keep staff training and up to date with HIPAA guidelines in patient confidentiality. The safety of the patient is the number one goal of the Andrews Institute Orthopaedics & Sport Medicine. Having the proper software in place to protect electronic files. Continuing the research and education for all physicians through out the 14 different facilities in Florida. Andrews Institute is dedicated to developing “musculoskeletal medicine programs to prevent and treat injury in patient of all ages (Anderson Institute Orthopaedics & Sport Medicine, 1996-2022).” The Andrews Institute Orthopaedics & Sport Medicine is able to provide this service through the continuance of the research and education. Anderson Institute Orthopaedics & Sport Medicine. (1996-2022). Anderson Institute Orthopaedics & Sport Medicine. https://www.andrewsinstitute.com/ |
5. Provide several links to relevant sources that will be useful as your learning team completes the paper.
|
Additional Links |
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https://www.andrewsinstitute.com/ https://www.andrewssportsmedicine.com/andrews-website-privacy-policy https://www.cdc.gov/phlp/publications/topic/hipaa.html https://www.cms.gov/Regulations-and-Guidance/Guidance/CMSStandardPostingRequirements https://www.ebaptisthealthcare.org/non-discrimination-notice |
Copyright 2020 by University of Phoenix. All rights reserved.
Copyright 2020 by University of Phoenix. All rights reserved.
,
HCS/456 v5
Organizational Performance Management Table
HCS/456 v5
Page 2 of 3
Organizational Performance Management Table
Choose a health care organization and research it to complete this table, and then share it with your learning team as you collaborate to complete your presentation. Include your tables as appendices in your presentation.
1. Provide a name of or link to a specific health care organization. Summarize the key products or services provided by the organization and identify the primary customers it serves.
|
Universal Health Services, Inc is among the largest healthcare organization in America. Universal Health Service functions two hundred and twenty-six acute care facilities ambulatory surgical centers through its companies. UHS serves more than sixty-thousand people annually. In addition to its focus on acute care services, Universal Health Service also operates a behavioral health section that serves the civilian populace and America’s military community. The behavioral health section provides support service to one hundred and sixty military installations and Veterans Health Administration healthcare facilities across America and internationally. In 2016 alone, the Behavioral Health Division rendered its services to more than four thousand seven hundred veterans and their family members (Universal Health Service). |
2. Outline the overall content of the major regulations, accreditation requirements, and other standards that affect the organization. Provide the title, section, parts, or subparts, or the numbering system, etc. of the specific regulations or accreditation requirements. Responses should be at least 100 words.
For example: Use of electronic signatures in electronic medical records is equivalent to handwritten signatures on paper; FDA regulation; Title 21 CFR Part 11, Subpart C, § 11.200 Electronic Signature
|
Organization Regulations, Accreditation, and Standards |
|
HIPAA regulations impact the safeguards of UHS data and ensure that this information is not disclosed without the client’s consent. The healthcare data of students which are maintained by UHS is protected by Family Educational Rights and Privacy Act. HIPAA and FEPRA ensure that UHS maintains the safety of clients’ data and only makes disclosures when informed consent is provided. These regulations enable UHS to avoid lawsuits which are usually associated with excessive penalties. Universal Health service is accredited by AAAHC, which stands for Accreditation Association for Ambulatory Healthcare, Inc . These accreditations ensure that Universal Health Service delivers quality care and service and also ensures that UHS employs best practices that promote compliance on the part of UHS. |
3. Highlight the effect the organization’s regulations, accreditation requirements, and other standards have on risk management functions and activities. Responses should be at least 100 words.
|
Effects on Risk Management |
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Risk management functions involve: · Identification of risks. · Assessment of them. · Predicting their future severity. · Mitigating risks. · Recommending solutions, among others. HIPAA regulations ensure that UHS mitigates the risk associated with data breaches by providing guidelines for sharing personal information, which entails getting client consent. Data breaches can result in the loss of data, including personal information, financial data, and health information. Intruders can use this information to steal funds and cyberbully the victims. The adverse effect of data is that it can lead to lawsuits that increase the involved entity's reputation risk (Symbol, 2018). The involved entities may also be penalized as a result of a data breach. As such, regulations and accreditation requirements ensure that UHS deliver functions effectively, thus minimizing the various risks associated with healthcare delivery. |
4. Identify specific components of performance-management systems—policies and procedures, self-audits, benchmarking, complaint management, corrective or preventive action, education and training, communication, and other mechanisms—to be used by the organization. Responses should be at least 100 words.
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Organizational Performance Management Systems |
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Universal Health Service can avert data breaches by implementing appropriate safeguard mechanisms. Such safeguards include encrypting sensitive PII employing access control within the firewall and on PCs containing sensitive data. Universal Health Service can also train its staff on detecting phishing activities. For instance, employees can be trained never to use their smartphone to access the organization's critical data and also discipline themselves to switch computers, especially during lunch break, to reduce the possible execution of lunch break attacks by hackers (Symbol, 2018). In regards to data disclosure, Universal Health Service must ensure that informed consent is obtained before disclosure. |
5. Provide several links to relevant sources that will be useful as your learning team completes the paper.
|
Additional Links |
References
Universal Health Service (n.d). https://uhs.com/?redirect=www.uhsinc.com
Symbol, U. H. S. (2018). UNIVERSAL HEALTH SERVICES INC.
Copyright 2020 by University of Phoenix. All rights reserved.
Copyright 2020 by University of Phoenix. All rights reserved.
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