REFERENCE
Textbook: Carroll, R. L. (Ed.). (2009). Risk management handbook for health care organizations (Student ed.). San Francisco, CA: Jossey-Bass.
Please write up 150 to 200 word count for Question 1 to 8; try and relate the material to real-life applications and also to the textbook and health care risk management. Cite and Reference all work!
1. Consider a health care organization that is unable to meet all of its relevant regulatory requirements. Answer the following questions about this organization:
· What short- and long-term actions should they use to come into regulatory compliance?
· Is one regulation more important than another? Explain your answer.
· What criteria could the organization use to prioritize its efforts?
2. Pay for performance is an important term to understand as it relates to reimbursement for patient care and as it has expanded to employee compensation and raises.
"Pay for performance compensation schemes initially gained popularity in health insurance, rewarding different medical entities for reaching targets in quality and efficiency. It was widely held that the implementation of this system would improve the quality of care administered and bring the United States' healthcare system on par with some of the more venerable international systems."
Has anyone else come across pay for performance with their organization?
3. Which components of performance-management systems do you think are most important and least important? Why?
Explain which components link most closely to risk-management and quality management systems and provide specific examples to support your answer.
4. RMF- What core elements of performance-management systems are in place in your organization? What elements are missing?
5. Summary- What components of performance-management systems are in place? How do these contribute to accountability of employees, teams, departments, and the organization in achieving goals? As an employee in the health care industry, what has been your involvement in regulatory compliance or accreditation surveys?
6. Chap 5- Present a conceptual framework for measuring the quality of health care. Provide a definition of quality that focuses on the outcomes of care.
7. Read and discuss this article: A Guideline for Quality Accreditation in Hospitals
http://m.qualitydigest.com/?ref=http%3A%2F%2Fwww.apollolibrary.com%2FERRNew%2FElectronicReserveReadings.aspx&url=http%3A%2F%2Fwww.qualitydigest.com%2Finside%2Fhealth-care-article%2Fguideline-quality-accreditation-hospitals.html&width=601
8. Read and discuss this article:Standards: A Big Difference for Small Businesses
http://m.qualitydigest.com/?ref=http%3A%2F%2Fwww.apollolibrary.com%2FERRNew%2FElectronicReserveReadings.aspx&url=http%3A%2F%2Fwww.qualitydigest.com%2Finside%2Fquality-insider-article%2Fstandards-big-difference-small-businesses.html
For Question# 9 please submit separate as an Essay
Risk and quality management provide different methods, tools, and techniques to health care organizations to ensure that they provide quality health care. Leaders in a health care organization have hired you as a consultant to help assess the organization’s current status and define a future plan for providing quality health care.
Select an organization type in the health care industry as the basis for this assignment. The organization may be your employer or a health care organization of particular interest to you. Types of health care organizations include, but are not limited to, the following:
· Hospital
· Nursing facility
· Physician office
· Emergency medical services
· Managed care organization
· Home health care
· Community health department or provider
· Pharmacy
· Laboratory
· Drug manufacturer
· Medical device manufacturer
· Durable medical equipment supplier
· Electronic medical records software suppliers
Research the key concepts of risk and quality management in health care and the factors that influence risk and quality management for your chosen type of organization.
Research the relationship between risk management and quality management.
Write a 1,750- to 2,450-word executive summary in which you complete the following:
· Describe your chosen organization.
· Describe the purpose of risk and quality management in health care organizations in general and in your chosen organization.
· Describe the key concepts of risk and quality management in your chosen organization.
· Explain steps the organization may take to identify and manage their risks.
· Identify at least three typical or actual risks in the organization. Describe how the risks might negatively affect the quality.
· Identify at least three internal and external factors that influence quality outcomes in the organization. Describe how these factors might negatively affect quality outcomes for the organization.
· Outline at least three of the organization’s long-term goals and at least three short-term goals.
· Identify at least three fundamental risks and quality management policies that should be implemented and how they will influence health outcomes.
· Explain the relationship between risk management and quality management in the organization and how these two disciplines complement each other.
Include at least four sources, two from the University Library and two from either the course textbooks or peer-reviewed source. Prepare a reference list of all resources and websites used in your research.
Format the executive summary and reference list consistent with APA guidelines.