Risk Management and Health Care regulations

Question 1: 

Explain the role of accreditation in mitigating risk compliance issues. Provide an example of a health care organization that was placed on probation or lost its accreditation by the Centers for Medicare and Medicaid Services (CMS) or by another accrediting body within the last 3 years for a risk compliance issue. What caused the probation or loss of accreditation and how could it have been prevented?

Question 2: 

Briefly describe how the risk management program at the organization where you work (or at that of a typical health care organization) addresses social media and patient information privacy. Provide three examples of risk management steps your health care organization (or another health care organization) could take to further protect patient information.

Question 3:

What is the purpose of reporting and collecting data from incident reports? What are the common types of incidents found in the hospital? How do incident reports improve patient and family safety practices? Are hospitals allowed to document details from an incident report on the patient’s medical record?

Question 4:

Research the role of an administrator versus that of a nonmanagement staff member in dealing with a workers’ compensation incident in a typical health care organization. What are the minimal responsibilities and reporting duties for each? What recommendations would you suggest for improving organizational compliance with regulatory requirements at the staff level?

Question 5:

The Patient Self-Determination Act (PSDA) was implemented to allow patients to state “Do Not Resuscitate” (DNR) or to assign a surrogate decision-maker in the event that the individual is unable to make the decision. What relationship does an ethics committee have in enforcing the advance directives of the patients in their care? What cultural and religious beliefs affect the administration of providing care to the patient?

Question 6: 

The Centers for Medicare and Medicaid Services (CMS) publishes a list of health care-acquired conditions (HACs) that reasonably could have been prevented through the application of risk management strategies. What actions has your health care organization (or have health care organizations in general) implemented to manage or prevent these “never events” from happening within their health care facilities?

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