Write a 3-4 page risk management policy and procedure for a health care organization. Analyze a specific issue that occurred in a health care organization and apply risk management best practices to it for the purpose of early risk identification and risk reduction or elimination in the future.

Health care organizations have always searched for ways to identify and reduce risks. An organization’s ability to identify and analyze its risk exposure is a determining factor in the effectiveness of its risk management program (Hoarle, 2015). Early identification and analysis are essential.

Current health care risk management practices developed in the mid-1970s as a result of a surge in malpractice suits. These suits caused rapid increases in claims costs for the industry and later in insurance premiums. Today, health care delivery systems and organizations realize the value of risk management and have developed formalized programs (Hoarle, 2015). In addition, organizations have established mechanisms to review potential incidents of risk and safety concerns (Pelletier & Beaudin, 2018). While risk management programs are responsible for daily management and risk operations, all health care stakeholders are responsible to participate in activities that will reduce unnecessary risks and improve safety and quality (Hoarle, 2015).

This second course assessment consists of two parts. You are to assume the role of a new risk manager within your organization’s risk management department. According to your director, employees lack awareness of the organization’s risk management program. Likewise, departments inconsistently apply risk management principles. As a result of these deficiencies, your director has given you your first assignment.

Part One: Risk Management Policy and Procedure

Your director has asked you to write a formal risk management policy and procedure for the organization.

Part Two: Application of Risk Management Principles to a Specific Incident

In addition to the policy and procedure, your director has asked you to apply your knowledge of risk management principles to a specific organizational risk that has occurred. Based on Vila Health: Patient Safety media piece from Assessment 1 for HIPAA/privacy violation.

Your director believes that the organization’s newly written risk management policy and procedure, coupled with your analysis from a risk management standpoint of a recent, specific incident that occurred, will help employees (and the organization) recognize how the hospital’s risk management program contributes to the overall organization’s safety and quality improvement efforts.

References

Hoarle, K. (2015). Risk management poised to grow as healthcare evolves. Biomedical Instrumentation & Technology, 49(6), 433–435.

Pelletier, L. R., & Beaudin, C. L. (2018). HQ solutions: Resource for the healthcare quality professional (4th ed.). Philadelphia, PA: Wolters Kluwer.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• Competency 1: Analyze the quality and performance improvement activities within the health care organization.
  • Propose evidence-based risk management strategies and techniques to identify and eliminate or reduce a particular risk.
• Competency 2: Explain the risk management function in the health care organization.
  • Explain the importance of a risk management program to health care organizations.
  • Define key risk management terms.
  • Describe the major risk categories in a health care organization, along with their corresponding risk identification techniques.
• Competency 4: Apply leadership strategies to quality improvement in a health care organization.
  • Analyze the risk manager’s role in effective management of the organization’s risk management program.
• Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals.
  • Write a clear, organized risk management policy and procedure that is generally free of errors and is reflective of professional communication in the health care field.
  • Provide citations and title and reference pages that conform to APA style and format.

Preparation

To help prepare for successfully completing this assessment:

• Conduct independent research on policy templates. You will find multiple policy templates from which to choose as you write your risk policy and procedure.
• Based on  Vila Health: Patient Safety simulation from Assessment 1 on HIPAA/privacy violation. For Part Two of your assessment you will conduct an in-depth analysis of the organizational risk you selected.

Instructions

Part One: Risk Management Policy and Procedure (3–4 pages)

As the new risk manager in your health care organization, your director has assigned you responsibility for drafting the organization’s risk management policy and procedure. This assignment stemmed from your director’s perception that employees lacked knowledge and awareness of risk management’s contribution to furthering the organization’s safety and quality improvement efforts. Likewise, your director also saw evidence that departments within the organization were inconsistently applying risk management principles to their daily work practices.

The guidance you have received from your director about writing this policy and procedure is that it needs to include all of the following headings. It also needs to answer all of the questions underneath each heading:

• Purpose Statement:
  • How can a risk management program help this organization advance its strategic safety and quality goals?
• Key Risk Management Terms:
  • What is the definition for each of these risk management terms?
    • Risk prevention.
    • Risk reduction.
    • Regulatory compliance.
    • Patient safety.
    • Adverse event.
    • Near miss.
• Risk Categories and Risk Identification Techniques:
  • What are the major risk categories in health care? In your answer, be sure to explain each risk category and to provide relevant examples from the literature to illustrate your points.
  • What risk management strategies will the organization use to identify potential organizational risks? Be sure your narrative identifies and describes such risk identification techniques as concurrent, retrospective, incident reporting, and previous trends. ‹Note: These are only a few of the risk identification techniques to address in your policy and procedure. Be sure to include other examples you are aware of from your professional experience or from reviewing your suggested resources.
  • What are examples of risk categories and their appropriate corresponding risk identification techniques? For example, coding errors are a type of financial risk. Retrospective auditing is the risk identification technique used to identify this risk type.
• Risk Manager’s Role in Program Implementation and Compliance:
  • What is the risk manager’s role in risk management program implementation and compliance?
  • How can a risk manager impact effective management of the organization’s risk management program?
  • What is one example from the literature that shows how the risk manager role can positively impact a health care organization’s management of its risk management program?

Part Two: Application of Risk Management Principles to a Specific Incident (3–4 pages)

To further help employees and the organization at large see risk management’s contribution to helping the organization achieve its safety and quality goals, your director has asked you to analyze and apply risk management principles to a recent incident that occurred in the organization. Your director has asked you to include all of the following headings in your analysis and to address all of the questions underneath each heading.

• Risk Description:
  • Which potential risk to your organization from the Vila Health: Patient Safety simulation are you analyzing? These included patient identification error, medication error, and a HIPAA/privacy violation.
• Risk Implications:
  • What are the risks to patients, employees, and to the organization if this particular risk is not addressed? In other words, what could happen if the organization chooses to do nothing?
• Risk Identification:
  • What risk management strategies and techniques will the organization employ to identify this type of risk in the future? For example, will the organization identify this type of risk by analyzing incident report data? What other strategies might the organization employ to identify the risk? Be sure to include your rationale for choosing the particular strategy(ies).
• Risk Reduction/Elimination:
  • What risk management best practices could the organization employ to eliminate or reduce the risk in the future? For example, if you plan to identify the risk by analyzing incident report data, would you conduct a drill down to determine what is causing the risk? What other best practices might you employ? Consult your suggested resources for guidance on best practices for eliminating and reducing  risk.
  • What steps would you take to implement your plan to eliminate or reduce your selected risk?

Additional Requirements

• Length: Your risk management policy and procedure assessment will be 6–8 double-spaced pages, not including title and reference pages.
• Font: Times New Roman, 12-point.
• APA Format: In the health care environment, typically a policy and procedure and analysis document would not be written according to APA style and format. To make this assessment as authentic as possible to what you might actually encounter in the workplace, the body of your assessment does not need to conform to APA guidelines. Do make sure that it is clear, persuasive, organized, and well written without grammatical, punctuation, or spelling errors. At the same time, health care is an evidence-based field. As such, your title and reference pages need to conform to APA format and style guidelines. Likewise, you also must cite your sources according to APA guidelines. Your leaders may question you about the sources of the information you are providing them.
• Scoring Guide: Please review this assessment’s scoring guide to ensure you understand how your faculty member will evaluate your work.

You as the advanced practice nurse are working in a community health center. Your next patient is Mrs. Richards, a 39 year-old Caucasian female, presenting to the clinic with a history of Hypothyroidism, Depression, and recent history of Substance Abuse (Heroine Use). During the initial interview, it is revealed that her husband and two children were killed in a traffic accident 8 months ago and she reports using illicit drugs since their death.

Based on your knowledge of the Health Promotion Model, make a chart and/or diagram that outlines all components of the theory and how the theory can be applied to this case study to formulate a plan of care for this patient. Also, list one scholarly, practice-based resource (article and/or clinical guideline) that supports the application of the Health Promotion Model in clinical practice.

Image result for health promotion model

Details

Points: 100

Complete the “Article Critique.”

use this article found in The New York Times: https://drc.bmj.com/content/6/1/e000496

APA format is not required, but solid academic writing is expected.

You are not required to submit this assignment to Turnitin.

4HLT515.v1ArticleCritique.doc

                                             Article Critique

Directions: For this assignment, you will select and critique one article from a popular media source (e.g., newspaper, magazine, news journal, etc.) that provides information regarding a health disparity within a population group and complete the questions below. Please make sure to use complete sentences when answering each question. Make sure the health disparity is different from your research assignment. In addition, the article must have been published within the last 2 years.

1) Provide the article reference and link. (1point)

2) What health disparity is the article highlighting? (1point)

3) Why is this information newsworthy? How would it benefit the public health community? (3 points)

4) What causes and factors contributed to the health disparity? (2 points)

5) How does the health disparity affect health outcomes? (3 points)

6) Does the article make any recommendations or suggest resources that could benefit the public? If not, what suggestions or recommendations would you suggest? (2 points)

7) Was the article well-written? Justify your rationale? (3 points)

8) Did it include all pertinent information? Justify your rationale? (2 points)

9) Was there information or a perspective that the article should have included? If so, what? What else would you have like to have seen? (3 points)

Score calculation: Total earned  / 20 x 10 =

Discussion: HITECH and Meaningful Use—A Real-World Debate

Though electronic health records (EHRs) may provide an abundance of information at faster speeds than paper-based records ever could, the cost and challenges related to implementation have prevented many organizations from adopting EHRs. The Health Information Technology for Economic and Clinical Health (HITECH) Act aims to increase the adoption rate by providing financial incentives for health care organizations that demonstrate “meaningful use” of EHRs. In order to receive these funds, settings must meet a specific set of requirements identified by the HITECH legislation.

The adoption of an EHR can often be a frenzied process because of the incentives provided by the HITECH Act. In addition, the saturation of the technology market provides settings with an overwhelming amount of options from which to choose.

In this Discussion, you debate the effectiveness of the HITECH Act and Meaningful Use mandates.

To prepare:

· Consider the ways HITECH and Meaningful Use mandates have impacted a health care setting with which you are familiar.

· Conduct research in the Walden Library and through credible nursing organizations to assess how the nursing informatics community is addressing these mandates.

· Create a list that documents the pros and cons that mandates such as these have on health care settings. Reflect upon your list, and determine whether you believe these mandates are beneficial or harmful to health care organizations and nursing practice.

By Day 3

Post a brief scholarly commentary that describes your stance on issues related to HITECH and meaningful use.

Include in your commentary your personal beliefs on the issue, your experiences in a health care organization, and/or the pros and cons surrounding these initiatives.

Select at least one of the following to underscore your stance:

· Mandating change. Do the HITECH Act and Meaningful Use mandates help to drive and equalize change across all health care settings, or do they lead to rapid and sloppy implementations?

· The benefits or ramifications that stem from the use of incentives and disincentives.

· The influence of across-the-board mandates on patient safety, ethics, and quality of care. (I select this one)

· The allocation of funds specifically earmarked for HITECH and Meaningful Use. Is it worth it or wasted?

***APA style with reference, 600 characters minimum*** Due date 3/28/2017 6:00pm E.T***

Required Readings

Saba, V. K., & McCormick, K. A. (2015). Essentials of nursing informatics (6th ed.). New York, NY: McGraw-Hill.

• Chapter 5, “Open Source and Free Software”

This chapter introduces the role that open source and free software plays in informatics. The disruptive and beneficial effects of such software are also described.

• Chapter 16, “Nursing Informatics and Healthcare Policy”

Much debate has revolved around the health care policies of the Obama administration. This chapter highlights the impact these policies could have on health care and the nursing informatics discipline in particular.

• Chapter 18, “Establishing Nursing Informatics in Public      Policy”

Chapter 18 emphasizes the responsibility that nurse informaticists have in voicing their needs and concerns to public health care policy drivers. The chapter also stresses why informatics leaders need equal parts education, advisement, competencies, and support.

• Chapter 27, “Computerized Provider Order Entry”

In this chapter, the authors explore the intricacies of electronic health record vendor applications. The chapter examines integration of electronic health records (EHRs) in the practice setting, the possible impacts EHRs can have on medical errors, and how nurses can support successful EHR adoption.

• Chapter 43, “The TIGER Initiative”

This chapter assesses the TIGER initiative and its impact in the clinical setting. The chapter details how TIGER aims to integrate evidence and technology informatics into daily use to make health care safer and more effective.

Bolla, Y. (2011). Meaningful use 101. Nursing Management, 42(8), 18–22.

Retrieved from the Walden Library databases.

Meaningful use has the potential to impact all facets of the health care setting. This article defines meaningful use in its most basic terms and describes its stages in detail.

Hersh, W., Jacko, J. A., Greenes, R., Tan, J., Janies, D., Embiand, P. J., & Payne, P. R. O. (2011). Health-care hit or miss? Nature (London), 470(7334), 327–329.

Retrieved from the Walden Library databases.

This article explains the HITECH Act and its origins and benefits. The article also details how the HITECH Act presents an opportunity to expedite the adoption of EHRs in the United States.

**Based off the question “What impact does predictive modeling have on creating successful treatment plans for patients with a diagnosis of Alzheimer’s disease?”**

Literature review: State of current industry knowledge

Previous research: as currently available in peer-reviewed journals, government reports, accreditation agency research, etc.
Identify what specifics have been confirmed or denied by these previous studies, as they relate to your topic for this study
Assess what in the current industry (last 3-5 years), including laws and regulations, have changed since these previous studies were completed
Evaluate what updates or new components could possibly be addressed (unresolved or remaining questions) by your proposed research study

Assignment details:

The purpose of the literature review is to position your proposed research in the context of what is already known in the industry about this topic. This review does not need to be exhaustive, however it must be recent (within the last 3-5 years), so you can illustrate how this proposed study will benefit the whole; the facility, the sub-sector of the industry, and the health care system overall. It should provide the theoretical basis for your work, show what has been done in the area by others, and set the stage for your work.

In this literature review, you should give the reader a sufficient number of connections to existing, legitimate literature so that the reader can have confidence that you have found, read, and assimilated the current literature in the field. It is recommended that you include a paragraph that summarizes each article’s contribution to this topic area, along with your interpretation of the relevance to your study.

Unresolved or remaining questions: This is where you present the missing or outdated points in the knowledge that need to be plugged, and by doing so, establish the benefits of your proposed study’s results. This is the section of this proposal where you can establish that this study fits in and can potentially provide significance to the industry.

NOTE: Legitimate literature must be determined to be a valid credible source, including but not limited to websites from the US federal government [,gov], higher educational institutions [.edu], certain industry related non-profit organizations [.org]. Be cautious about using commercial websites [.com] and do not accept information without establishing the credibility of the author(s). Healthcare websites from systems and facilities in another country should be used very cautiously because they do not have the same health care systems nor the same laws and regulations governing these services. For example: .ca = Canada; .uk = United Kingdom, .au = Australia.

Submit your original work on a Microsoft Word document. Estimated length: three-to-five pages plus References page, as per APA formatting. A minimum of three (3) legitimate sources cited.