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.
It provides statistics on volume as well as financial costs of such errors. It investigates the possible contributing factors that lead to medical errors. The report attempts to simplify steps that can be done in order to reduce errors and improve quality in healthcare. It concludes by providing information on approaches all ready being considered in order to fulfill the goal or reducing medical errors. The Institute of Medicine functions under a congressional organization through the National Academy of Sciences.
Oops Is Not an Option – Case for Chapter 16 Background Statement Bill Salamander works as a consultant for a healthcare facility in the medical records department. As a vendor Bill’s company, must signed an agreement to abide by the hospital’s compliance and Health Insurance Portability and Accountability Act (HIPAA). Anna Anywaican, an injury attorney, and has recently recruited Bill to issue her private hospital documents to increase her clientele. When Bill is not able to provide all the information that Anna needs, he attempts to recruit Micah Makaliving in hopes that he will provide information regarding trauma injury patients that are admitted in the Emergency Room. Bill tells Micah for every patient Anna receives as a new client, he will pay him 50% of what he makes.
Which main factor was responsible for transforming almshouses into hospitals in which medical services became available? Elaborate your answer by giving some examples. 12. What role did the prospective payment system play on the downsizing of U.S. hospitals? 13.
Risk Management Assessment Summary NAME HCS 451 Date INstructor Risk Management Assessment Summary It is important for a healthcare organization to promote and develop secure and successful patient care practices; the conservation of financial resources and the upholding of safe working environments are crucial to its name. Hospitals today face a wide range of risk factors that can determine success or failure, including: * Competitive responses both from other hospitals and physician groups. * Changes in government rules and regulations. * Razor-thin profit margins. * Community relations as expressed through zoning and permitting resistance.
1.1 Legislation: Health and Social Care Act; The Medicines Act and The Misuse of Drugs Act Guidelines could include the Nursing Midwifery Guidelines for the management of medicine administration - registered nurses have to abide by this set of guidelines and for paid carers, the General Social Care Council's Code of Conduct will have something which could relate to medication. Policy - for example - consider the Government's drive to ensure people with dementia are not over medicated - so their policy is currently designed to 'push' the professionals responsible for prescribing to bear in mind the effect of drugs on frail elderly people and to consider alternative treatments such as activities and therapies. Other examples of policy might be the Goverment's drive to limit the prescribing of antibiotics to reduce the incidence of resistant strains of bacteria. Protocols - a protocol is a procedure and you could outline your company's procedure (protocol) for disposing of controlled drugs or medication in general 2.1 Pick 3 medications - these could be taken from a copy of the British National Formulary (BNF) - any workplace which is administering medication ought to have a copy (relatively up to date!) on the premises.
HCAHPS scores are public information, meaning people can look up the results of hospitals and make decisions of where they want to receive care. They are able to see the score of the hospital and how it compares to the state average and national average (Hospital compare quality, n.d.). The scores are also being used for reimbursement. CMS has come up with a reimbursement plan for Medicare patients. The reimbursement is based on the scores of the hospitals HCAHPS (Grellner, 2012).
IRS Sec. 213(d)(1)(A) rules that the medical care used to find out the purpose of affecting any structure or function of the body could be considered as medical care. IRS Sec 213(d)(2)(A) rules that the medical care should be offered by a physician in a licensed hospital. Thus, the expense of medical care that is not provided by physician should not be included in medical care
Introduction With quality, being a big factor in healthcare, patient safety has proven to be one of most pressing health care challenges for hospitals and providers. The Affordable Care Act, which includes policies to help physicians, hospitals, and other caregivers improve safety and quality of patient care, is also intended to make health care more affordable. According to healthcare.gov, Medicare will begin to reward hospitals that provide high quality care for their patients through the new Hospital Value-Based Purchasing Program. This means that Medicare will pay hospitals for inpatient acute care services based on care quality, not just the quantity of the services they provide. Changing how payments are made to hospitals for services, there is an expectation that there will be higher quality care for all hospital patients.
The compiled data should be composed of specific measurements, input from employees as to suggestions for improvement and concerns as well as patient care results and input. The eminence and accessibility of the company’s resources must be evaluated first. Quality improvement (QI) measures the delivery of medical services and the outcomes like patient health status, mortality, and patient satisfaction (Hughes, 2012). Total Quality Management (TQM) is a model, which includes the organization’s management, staff working together as a team, outlines procedures, and policies, promotes methods of intellectual rational, and a modification to produce an atmosphere for excellence (Hughes, 2012). The construction of Continuous Quality Improvement (CQI) benefits the process of TQM; with the attitude that every chance an organization has should be an opening for improvement (Hughes,