...Running head: LAW AND HEALTH CARE SYSTEM ADMINISTRATION Assignment #1 Jennifer Smith HSA 515 Dr. Mezu October 27, 2013 Justify your position about the importance of the physician-patient and hospital-patient relationships. The doctor–patient relationship has been and remains a keystone of care: the medium in which data are gathered, diagnoses and plans are made, compliance is accomplished, and healing, patient activation, and support are provided. To managed care organizations, its importance rests also on market savvy: satisfaction with the doctor–patient relationship is a critical factor in people's decisions to join and stay with a specific organization. A patient must have confidence in the competence of their physician and must feel that they can confide in him or her. For most physicians, the establishment of good rapport with a patient is important (Lipkin 2012). Some medical specialties, such as psychiatry and family medicine, emphasize the physician-patient relationship more than others, such as pathology or radiology. The quality of the patient-physician relationship is important to both parties. The better the relationship in terms of mutual respect, knowledge, trust, shared values and perspectives about disease and life, and time available, the better will be the amount and quality of information about the patient's disease transferred in both directions, enhancing accuracy of diagnosis and increasing the patient's knowledge about the disease...
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... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 J&J Approach to Enterprise Risk Management. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Governance & Oversight. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 . . 2 3 Introduction In order to deliver value to our consumers, patients, caregivers, employees, communities and shareholders, we at Johnson & Johnson (J&J) must understand and manage the risks faced across our entire organization. Risks are inherent in our business activities and can relate to strategic threats, operational issues, compliance with laws, and reporting obligations. This document provides an overview of our enterprise-wide approach to risk management (the “J&J Enterprise Risk Management Framework”) and illustrates examples of how this approach is implemented within the organization. The purpose of the J&J Enterprise Risk Management Framework is to describe Categorization of risk The common framework used to identify and manage potential events that may...
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...Greene The Joint Commission The Joint Commission continually seeks to improve health care for the public (The Joint Commission, 2013). The Joint Commission began in 1910 as an evaluation process called “the end result system of hospital standardization” to determine successful treatments of patients. Over the next 40 years, The Joint Commission evolved into a collaboration system. In 1951, several stakeholders, such as the ACP, the AMA, the AHA, and the CMA, join to create the Joint Commission on Accreditation of Hospitals (JCAH). This organization serves to provide voluntary accreditation for health care agencies. This accreditation system inspires health care organizations to “provide safe and effective health care of the highest quality and value” (The Joint Commission, 2013, para. 3). Therefore, by evaluation and accreditation of more than 20,000 health care organizations, JCAHO is the nation’s oldest and largest accrediting agency in health care. Thus, to earn and maintain JCAHO’s “Golden Seal” of approval, an organization must submit to an on-site survey every three years. Structure and Role The source of JCAHO’s authority comes from a government of 32 members on the Board of Commissioners. Among the members are administrators, physicians, nurses, quality experts, educators, and labor representatives. These members bring a diversity of experience in public policy, business, and health care. The Joint Commission’s scope of service includes the active monitoring of regulatory...
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...communication processes, and infection control protocols, among others. You are required to use and cite a minimum of two references to support your response. HLT-313v Week 3 Topic 3 Discussion 2 The Joint Commission launched the National Patient Safety Goals in 2003. Many years have now passed since the inception of these goals. How has the overall focus of the goals changed in the intervening years? What conditions in the health care marketplace have driven the need for change? You are required to use and cite a minimum of two references to support your response HLT-313v Week 3 Assignment – The Joint Commission Workplace Violation PowerPoint Perform an Internet search to identify and research and a situation where a health care organization or individual provider in your field of allied health was sanctioned by The Joint Commission or other regulatory body for a violation of one or more of The Joint Commission workplace safety, risk management, and quality care requirements. Taking the role of the Chief Safety or Risk Management Officer in the organization or a provider’s office who now must deliver an accounting of the incident to the board of directors, develop a slide presentation, containing a title slide, 12 slides of content, and a references slide, focusing on the chosen incident. Your presentation must incorporate the following: 1. A brief summary of the incident , including...
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...Risk management in the health care in the past risk management and quality improvement job was separate in the health care organization. Even though, the job function may have been different the goal was the same. As up today they have close the gap to provide a better, and safety quality patient care. Rationale What is risk management any way not everyone has the same meaning. It can be define as such Risk management is a process for identifying, assessing, and prioritizing risks of different kinds. Once the risks are identified, the risk manager will create a plan to minimize or eliminate the impact of negative events. A variety of strategies is available, depending on the type of risk and the type of business. Outline Risk Management and Patient Safety: The Synergy and the Tension Integrating Risk Management, Quality Management, and Patient Safety into the Organization Benchmarking in Risk Management Risk Management Strategic Planning for a Changing Health Care Delivery System Using Never Events to Reduce Risk and Advance Patient Safety Governance and Board Responsibility to Assure Safety in Health Care Organizations 1. Introduction What is the goal or the idea behind risk management one of their focus is to reduce the financial risk other areas that may seem not important is the regulation. One of the principal issues facing health care risk management is governmental regulation. Over the last few decades, there has been a growing public...
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...behind risk management one of their focus is to reduce the financial risk other areas that may seem not important is the regulation. One of the principal issues facing health care risk management is governmental regulation. Over the last few decades, there has been a growing public demand for accountability in health care delivery. The consequent tightening of governmental regulation has led to a greater allocation of an organization's resources to regulatory compliance. Some states, including New York, enacted stringent incident reporting requirements for hospitals, requiring additional staff to investigate and prepare such reports. Additionally, competition among hospitals has also fostered a greater concern over the community's perception of quality of care. Many hospitals have had to compete harder for patients as inpatient lengths of stay decrease and more procedures are performed on an outpatient basis. Risk management in the health care In the past risk management and quality improvement job was separate in the health care organization. Even though, the job function may have been different the goal was the same. Managing risks is the quality of services provided & the safety of patients, their careers & visitors. To manage risks to staff & subsequent risks to service quality. To manage risk of failing to meet national & local priority targets to manage risks to the efficiency of services. To manage risks to the reputation of the hospital...
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...collection is an important activity in every sector including the health sector. The basic principles of data collection include the acquisition of public health data and its legitimate use or disclosure. The data collection programs should also involve collecting minimal personal information to be applied in the surveys. The data collection programs should use strong and effective policies to ensure that privacy and confidentiality of personal data are not infringed (Cdc.gov, 2015). The data collection activity should also ensure that they respect the rights of patients, individuals or even communities involved in the data collection. The data collection activity should ensure that the whole process upholds the desired level of quality. The period of reporting and presenting the results should also be predetermined in advance. Data collection should also ensure that the data is legitimately used and that it entails the creation of data-use agreements. The collected data should be kept securely and analyzed efficiently. The end users of the data should also ensure that the data is analyzed and recommendations made (Cdc.gov, 2015). In the health sector, it is crucial to measure the performance of patient care and their services using the best methods and tools. It helps in establishing the effects of healthcare on the expected outcomes. The processes also assist in determining the level to which the health care aligns to the methods being applied. The tools and measures also...
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...Effects of Health Care Legislation Presentation The University of Phoenix Misty Oglesby HCS/578: Ethical, Legal, and Regulatory Issues in Health Care Instructor: Qiana Amos November 7, 2011 Effects of Health Care Legislation Presentation How has it or will it affect health care? The purpose of managed care is for administration to have access, control, and quality over health care services within a particular population of enrollees that are covered (University of Washington, 1998). The method of managed care involves a group of skills which persuades the clinical behavior of patients and or providers, done by bringing together the delivery and payment of health care. By using managed care, healthcare administrators are able to develop ways to effectively run healthcare systems by allocating money for departments that are in dire need of funds. Also by implementing measurements that monitor employees work habits, such as how often a nurse should check on patients, how many times a day medications are given, how often bedding is changed, updating charts, and etc. Changing the quality of care, based on customer service, the collaboration of other staff employees, and improved work ethics among staff all has and will continue to affect healthcare. Managed care organizations and doctors use managed care contracts to create the broadest applications possible within the healthcare industry (AMA, 2005). Physician networks, professional corporations, group practices, and...
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... | | |Health Care Consumer: Trends and Marketing | Copyright © 2010, 2007 by University of Phoenix. All rights reserved. Course Description In this course, students will have the opportunity to examine the traits, trends, and needs of today's health care consumer. Students will examine current consumer information for readability, implications for the selection of products and services, and differentiation of health care web sources. Policies Faculty and students/learners will be held responsible for understanding and adhering to all policies contained within the following two documents: • University policies: You must be logged into the student website to view this document. • Instructor policies: This document is posted in the Course Materials forum. University policies are subject to change. Be sure to read the policies at the beginning of each class. Policies may be slightly different depending on the modality in which you attend class. If you have recently changed modalities, read the policies governing your current class modality. Course Materials Kotler, P., Shalowitz, J., & Stevens, R. J. (2008). Strategic marketing for health care organizations: Building a customer-driven health system. San Francisco, CA: Jossey-Bass. All electronic materials are available on the student website....
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...Risk and Quality Management Assessment Summary HCS/451 Barbara Smith 11/16/15 Alanna Vanderpool The organization selected to review is Milestones Management Group. Milestones is a management company that contracts with various long term care facilities and provides general oversight from a corporate level. Their primary focus and target type of facilities are Assisted Living and Memory Cares. The offer nursing and clinical oversight, operations management, growth and development support, quality and risk management support as well as other valuable services to communities in the Pacific Northwest. Milestones is a locally owned company that generally provides contracted services however they do own a few of the properties that they currently manage. Quality and risk management in health care are extremely important not only for an organizations level of success but also for the general wellbeing of its employees and the patients that it serves. To begin, the definition of quality management is “structured organizational process for involving personnel in planning and executing a continuous flow of improvements to provide quality health care that meets or exceeds expectations” (Sollectto & Johnson, 2013, Chapter 1). Most health care organizations, including Milestones, have quality management teams in place that review and evaluate the level of service that the organization provides to its patients. There are several ways for a quality management team to go about determining...
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...There are many various management styles for both organizations. An effective manager should know when the right management style needs to be used in an organization. Understanding how managers collaborate with individuals or groups in an organization in everyday situation can be the main key for assisting managers in becoming more efficient and effective in directing both their activities and working well with others within the organization. Management in health care plays a vital role when it comes to helping with change without patient care disruption. Both St. Jude Children’s Research Hospital and the Veterans Health Administration managers handle various tasks from technology decisions, oversight of staff, and government relations, and patient care. Since the role of management may affect quality of care for patients at all levels, it is therefore important to use management styles. Both organizations utilize an evidence based management style. This style in health care management enables managers to meet on a regular basis to thoroughly discuss what type of interventions work the best for patients. St. Jude Children’s Research Hospital and the Veterans Health Administration managers analyze the evidence received from patients. Decisions and a set of policies are then implemented. Health care managers can then improve quality of care for all patients. However, the most effective management style of choice will be participatory style. With this style of management, each employee...
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...Electronic Health Records By Kerri Robinson Hitt 1311 An Electronic Health Record (EHR) is an electronic version of a patient’s medical history, that is maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care under a particular provider, including demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports. The EHR automates access to information and has the potential to streamline the clinician’s workflow. The EHR also has the ability to support other care related activities directly or indirectly through various interfaces, including evidence-based decision support, quality management, and outcomes reporting. EHRs are the next step in continued progress of healthcare that can strengthen the relationship between patient care and clinicians. The data and the timeliness and availability of it, will enable providers to make better decision and provide better care. For example, the EHR can improve patient care by: * Reducing the incidence of medical error by improving the accuracy and clarity of medical records. * Making the health information available, reducing duplications of tests, reducing delays in treatment, and patients will be better informed to make decisions. * Reducing medical errors by improving the accuracy and clarity of medical records. Electronic information can be accessed from anywhere and...
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...in an organization. Performance measures quantitatively tell us something important about services, and the processes that produce them. Measurements are tools to help providers understand, manage, and improve in areas they are lacking. The text states that organizations measure performance to meet multiple internal and external needs and demands. Internally they measure current performance that identifies the strengths and weaknesses of the current process giving insight of areas that needs improvement. When measuring the external performance objectives you are assessing healthcare provider accountability, decision-making, public reporting, organizational evaluation and supporting national improvement goals and activities. The framework for measurement is support by leadership commitment, staff understanding and participation, partnership with key stakeholders, performance improvement oversight, use of a performance improvement method, development of performance improvement protocol, the identification and response to performance improvement resources, recognition and acknowledgement of performance improvement efforts and continuous assessment of improvement efforts. Control charts and comparison charts are tools used to track performance measurement data. Control charts mange process stability and control, it is a graph with a central line used to study how process changes over time within an organizations norms, they are able to tell a healthcare organization whether...
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...Organization and Management of a Health Care Policy HSA 515 – Health Care Policy, Law, and Ethics August 13, 2015 With lives in their hands, hospitals have to function very precisely, executing high-quality services every hour of every day. Organizations that have this sort of requirement usually take on a vertical organizational structure that is having many layers of management, with most of the organization’s staff working in very specific, narrow, low authority roles. The numerous layers of management are designed to make sure that no one person can throw the system off too much. This structure also ensures that tasks are being done exactly and correctly. Organizational structure of a hospital refers to the levels of management within a hospital. Levels allow efficient management of hospital departments. The structure also helps one to understand the hospital’s chain of command. Organizational structure varies from hospital to hospital. Large hospitals have complex organizational structures while smaller hospitals tend to have much simpler organizational structure. A typical organizational structure of a hospital would usually be a combination of a hierarchical and divisional structure, since there is a chain of command where some levels are under another level, but employees are organized in departments or divisions that have their own roles. At the top of the structure would be the administrators, followed by the information services and therapeutic services. Both...
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...February 17, 2013 Karris Moses Prof. Armstrong LEG 500 February 17, 2013 Dr. DoRight has recently been hired as the President of the “Universal Human Care Hospital”, where he oversees all departments with over 5,000 employees and over 20,000 patients at the medical facility. He has been provided with a broad set of duties and oversight of numerous departments, including business development, customer services, human resources, legal, patient advocacy, to name a few. He has managers in each department that he supervises and who work with him to address the needs of the various internal and external stakeholders of the hospital. Dr. DoRight discovers that some patients within the hospital have been dying as a result of a variety of illegal procedures by doctors and nurses, and negligent supervision and oversight on their part. This was brought to his attention in a few meetings and he told his Regional Director Compliance Manager and Executive Committee in January 2009. He was told by them that the matter would be investigated and they would report any findings to him as soon as possible. After two (2) years, there have been no results from the investigation and some patients are still passing away due to the negligent activities. He also answers to a board of trustees and interfaces with numerous community organizations and corporations who have various reasons for doing business with the hospital. Dr. DoRight continues to win awards for his leadership of the hospital and...
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