A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation. Thus, I will discuss the impact of inadequate nursing documentation that leads to malpractice lawsuits. Purpose of Medical Record Documentation Understanding the purpose of medical documentation was the first step in teaching how to prevent inadequate documentations that leads to liability and malpractice lawsuits. Monarch (2007) supports the purpose of Medical Record Documentation as the following: • Substantiating the health condition or illness or presented concern for the patient. • Effective communication among health care staff.
According to American College of Medical Quality (2010), risk management involves identifying conditions that might put patients or a healthcare organization at the danger of undesirable outcome. In addition, the practice involves putting in place measures of avoiding, preventing, and controlling the risks. Quality management in healthcare organization is useful in managing, reducing, and alleviating risks. Risk management is an essential component of making sure that patients are safe, and that the care they get does not endanger their health or wellbeing. Process improvement is a quality management concept that involves the identification of weak areas in order to come up with ways to improve processes at the medical facility.
Using patient satisfaction surveys the health care organization can collect the data. This information can help the quality management team understand the patient’s perspective on the care they are being provided and their overall experience. The design of the survey is a key issue for the quality team. Health care organizations can take advantage in purchasing patient satisfaction surveys. Hiring an outside agency to collect the data can be more valid in the sense that it is more reliable and relevant information for the health care organization.
Discuss the importance of research in health and social care To support care information gathered from research can be used by health care proffesionals so they can give the best possible care and treatment. It is important to ensure that the right people have access to the right information at the right time so they can provide you with the right care. To improve health and social care services for everyone Information is used for purposes beyond your direct care: Commissioning The people who plan health and care services (commissioners) need good information about the types of illnesses people have and the treatments they receive, as well as the result of that care or treatment. They can then check to make sure that people are getting the services that are right for them. Public health Some information is used for public health.
| Monitoring and evaluation | 2010 Healthcare United recruitment and selection policy is better. Because the training need to be monitored and follow the policies all the time. | Vacant position analysis | I think 2010 Healthcare United recruitment and selection policy is good.because the plan needs to be acted and monitored to make sure it is be done on time. | Position description | I like Healthcare united – 2000 Recruitment and selection guidelines more. Because HR should support this function not just a position.
As Nurses, it is important to wash our hands before and after patient contact. Hand hygiene is the single most important practice when reducing the spread of infection during patient care (Folan, Baillie, 2009). The CVB (Care Value Base) is an ethical code which governs how caregivers need to act in certain situations within a health and social care setting. They must not be discriminating, violating people’s rights or providing poor care for their patients. The caregivers must however protect patients from harm, maintain confidentiality and respect patients’ privacy.
To avoid errors and mistakes it is very important to keep up with new and deleted codes. Another implication that can occur in incorrect medical coding is audits; having staff members look over claims and verify the information is correct would help a medical facility avoid audits. To ensure compliance in coding is done correctly it is important to understand the use of codes and be aware of billing and coding practices. It is important that medical staff is well trained and understand all aspects of coding and billing to guarantee that documentation and claims are filed
Ensuring that they have good hand hygeine techniques is also very important when it comes to the prevention and control of infection. Proper cleaning and decontamintation of equipment and the environment is essential. Employee's may also ensure that they attend all relevant infection control training, and inform their employer if they notice that infection control policies are being ignored, or if relevant equipment or PPE needs to be updated/restocked. 1.2 Employers have legal, organisational and personal responsibilites when it comes to the control and prevention of infection. It is the employers responsibilty to assess the risk of infection or the spread of infection and they must also ensure that all relevant procedures are in place and adhered to by their staff, as well as providing the relevant training for their staff to attend.
Therefore, doctors, physician assistants, nurses, pharmacists, and the individual themselves are in fact what makes up the the health care industry that needs to reduce the risks from using medicines and to get the most benefit out of them. In order to make medicine use safer, one must speak up about their past and present because the more information a health care organization knows about them, the better they can plan the care that’s right for them. Another important factor that FDA effects in the health care industry is finding the correct facts. Before the health care organization can decide on a prescription or OTC medicine, one must know understand as much about it as possible. The most important factors to identify are brand and generic names, active ingredients, inactive ingredients, uses, warnings, possible interactions, side effects, possible tolerance, dependence, or addiction, overdose, directions, storage instructions, and expiration
| The COSHH regulation has influence health and social care settings because they now ensure that risk assessments are carried out so that hazardous substances are noticed quicker to minimise the risk of people becoming wounded. Another influence that COSHH has had on health and social care environments is to have a better quality of staff training. Furthermore health surveillance has been influence in health and social care settings to ensure people’s health is protected. Lastly plans have been put into place so that if accidents do occur then they can be dealt with quickly and effectively. | The COSSH regulation promotes the safety of individuals with in a health and social care setting through abiding to the regulations.