Evaluating Compliance Strategies HCR/220 February 24, 2013 Angela Colbert Evaluating Compliance Strategies This essay will evaluate the medical billing and coding compliance strategies. There are many mistakes that are made during the medical billing and coding process that could possibly be minimized with the proper strategies. In this paper the following questions will be addressed: What is the importance of correctly linking procedures and diagnoses? What are the implications of incorrect medical coding? How are medical coding, physician, and payer fees related to the compliance process?
Root Cause Analysis of a Case Study Alice Holliday Western Governors University Organizational Systems and Quality Leadership RTT1 Root Cause Analysis of a Case Study Healthcare presents numerous opportunities for patients to be helped by healthcare personnel. Unfortunately, there are also numerous opportunities for patients to be failed by healthcare personnel. When patients are failed by healthcare personnel, it is required by the Joint Commission for hospitals to carry out a Root Cause Analysis in order to understand the systems within the organization that failed so that improvements can be made and the failures can be prevented from happening in the future. (Cherry & Jacob, 2011) This paper will describe how a Root Cause Analysis (RCA) can be used following the death of a patient, and how Change Theory and Failure Mode and Effects Analysis (FMEA) can be utilized to come up with ways to prevent the failure from being repeated. A. Root Cause Analysis A Root Cause Analysis is an organized process used to determine the processes that lead to sentinel events.
Decision making based on a thorough review of information from existing management and operational systems is viewed as an intervening mechanism between a pharmacy’s context and its effectiveness. The strategic plan for automation examines this assertion by developing a model through testing the extent to which the importance of information decision making assists in translating uncertainties and strategies into operational effectiveness. In developing the theoretical framework for the plan, several potential links between
Refer to chapter 7, “Techniques for Managing Safety,” in Risk Management in Healthcare Institutions: Limiting Liability and Enhancing Care. 2. Identify two major categories of risk in your health care organization. 3. Explain how you would apply the three elements of risk management that you selected in the “Elements of a Risk Management Program” assignment.
(Sultz & Young pg. 228). All of these factors have contributed to the increased costs of the health care system put on the public and has also influenced some of the barriers that have led to the access of healthcare I spoke about above. The AMA (American Medical Association) also attributes the high cost of health care from the rising toll of preventable illness & inefficiencies in the health care system. They have identified four strategies to contain health care cost, they consist of reduce the burden of preventable disease, make health care delivery more efficient, reduce nonclinical health system costs that do not contribute to patient care and promote value-based decision making at all levels.(http://www.ama-assn.org).
Management and certain workers should acquire education on drug seeking behavior among patients and workers (Harldorsson 2007). Clinicians need to be taught about the regulations concerning control use of substances and the ethical rules and regulations that follow them. It is essential for doctors to understand their moral duty to their patients and to their employers. Cases concerning ethical violation tend to destroy the reputation of the employers (hospitals), ruining the name of the hospital. It is the work of the health practitioner to acquire knowledge on how to help a patient who gets control drugs from online pharmacies.
With this being the case, antipsychotic medications often have side effects that need to be monitored regularly by the health professionals (Young et al, 2011). Compliance is often a challenge with patients either because of the unmanageable side effects they experience or through limited insight. It is a role of the health professionals involved in the care to closely monitor this behaviour, as the effectiveness of the treatment may be affected (Young et al, 2011). Keller, Drexler &Lichtenberg (2009) discuss the benefits of treating paranoid schizophrenia with atypical antipsychotic medication clozapine and Electroconvulsive Therapy (ECT). However both forms of treatment are linked with harsh side effects.
This new study would require cooperation of others and data analysis from several facilities. How can nurses minimize the contact of patients with contaminated water? The feasibility of this issue includes the assistance of others, facilities and equipment, researcher experience, and ethical considerations. This question would require the combined efforts of nurses, quality improvement, physicians, and facility management. Facilities and equipment need to monitor the water for contamination.
Introduction Health experts face the challenge of rapid response to disaster, which is becoming very common not only in this country, but also in other parts of the world. Terrorism, natural disasters, major accidents are some of the possible cases that may require rapid response among the health experts as they struggle to save lives and relieve the victims of their pain. Rapid response to disaster is not a responsibility of a specific institution. All the healthcare institutions, both public and private, must come together in order to coordinate closely in responding to such disasters. According to Edberg (2006), regional health information organizations (RHIO) have become the common platforms for sharing relevant data in such cases.
Administration of medicines by any method other than by mouth or external application. Moving and handling using a mechanical device First aid Emergency procedures 1.5 Explain how to access additional support and information relating to health and safety. Appointed person responsible for health and safety Company office or line manager Health and safety executive 2.1 Explain why it is important to assess health and safety hazards posed by the work setting or by particular activities. To comply with legislation In order to prevent risk of injury to oneself, colleagues and service users 2.2 Explain how and when to report potential health and safety risks that have been identified. I would report any potential health and safety risks that have been identified as soon as possible to my line manager by calling the office and by written report if necessary 2.3 Explain how risk assessment can help address dilemmas between rights and health and safety concerns A risk assessment is in place to reduce the risk.