...unambiguous (clearly identifiable and measurable), and usually preventable("AHRQ Patient Safety Network - Never Events," 2011). As of 2006 there are currently 28 “never events” which include unintended retention of a foreign object in a patient after surgery or other procedure, intra-operative or immediately post-operative death in an ASA Class I patient and surgery performed on the wrong body part ("AHRQ Patient Safety Network - Never Events," 2011). In most states there is no mandatory reporting of never events, event though some estimates put national incident rate as high 40 per week. This includes wrong patient and wrong site. Eight hospitals and ambulatory surgical centers in the United States recognized that never events are a critical part of patient safety issues a critical patient safety ("The Joint Commission Center for Transforming Healthcare |Newsroom," 2011). The healthcare facilities joined the Joint commission center for Transforming Healthcare to address the problem. There are currently 25 states and the District of Columbia have mandatory reporting, only a few of them publicly report never events ("Fact Sheet: Never Events," 2011). On January 1, 2007 SB 1301, Chapter 647 is an act to add Section 1279.1, 1279.2, 1279.3 and 1280.4 to, the Health and Safety Code, relating to health facilities. The law mandates hospitals to report adverse events the California Department of Health (DHS) within five days. However, of the...
Words: 444 - Pages: 2
...Health Law and Regulations Governmental Regulatory Agencies HCS/545 December 16, 2013 Governmental Regulatory Agencies A regulatory agency is a government body formed or mandated under the term of a legislative act to ensure compliance with the provisions of the act, and in carrying out its purpose. “The role of government regulator agencies in health care is to monitor health care practitioners and facilities, provide information about industry changes, promote safety and ensure a legal compliance and quality services” (2013). Health care industry rules and regulations are determined by regulatory agencies, local, federal and state with mandatory oversight. Accreditation agencies require participation that is voluntary because certification of quality provides important ranking. Large private organization and the government help develop and enforce health care regulations. Role Governmental regulatory agencies in health care are the “Food and Drug Administration (FDA), The Agency for Healthcare Research & Quality (AHRQ), The Centers for Medicare & Medicaid Services (CMS), The Centers for Disease Control and Prevention (CDC), and The...
Words: 1455 - Pages: 6
...: Compliance Laws One of the areas that are currently affecting the Health Care industry is Regulatory agencies. There is much dissatisfaction over the current state of healthcare in the U.S. Within all of our organizations, regulatory agency surveys are conducted to better the organizations as well as its employees. The purpose of the regulatory surveys is to focus on the areas that need improvement as well as promoting better health care access to the people in the community. Regulatory agencies serve as authority as well as enforcement to regulate laws from the government. Some examples of regulatory agencies are Food and Drug Administration (FDA), Agency for Healthcare Research and Quality (AHRQ), and Occupational Safety Health Administration (OSHA). There are many examples of laws and regulations that are currently being faced in health care. Analysis of health care laws and regulations help one understand their influences on the provider. There are many ways that laws and regulations affect our lives and community. The FDA is responsible for the oversight of drugs, medical devices, vaccines, blood products and biologics, establishing rules for testing, clinical trials and approval of new products. The AHRQ is a federal agency under Health & Human Services working to improve the quality, effectiveness and safety of health care. While the agency OSHA establishes and monitors safety regulations regarding all workers including health care workers. OSHA provides...
Words: 745 - Pages: 3
...Health Law and Regulations Federal regulations play a major role in the health care industry. Federal laws and regulations protect the American public from a number of health risks and administer programs for public welfare. Federal regulations also regulate the health insurance industry by implementing cost-containment measures. Through various regulatory bodies, Department of Health and Human Services (HHS) protects and regulates public health at every level. HHS is the United States principal federal agency for protecting the health of Americans and providing essential human services. HHS administers more grant dollars than all other federal agencies combined. Medicare program administered by HHS is nation’s largest health care insurance. HHS governs more than 300 programs administered by its 11 operating divisions (Department of Health & Human Services, 2011). In addition, Office of the Inspector General (OIG) is also part of the HHS. Description of each 300 programs is beyond the scope of this paper. However, it is imperative to understand the role of each operating agency and how it affects the health care industry. Role of Federal Regulatory Agencies Each operating division consists of sub-divisions making health care system a complex maze. Main 11 operating agencies are: Administration for Children and Families (ACF) The ACF provides funding for family assistance, child support, and childcare. The state, county, and city governments provide these services (Department...
Words: 1992 - Pages: 8
...Assignment 3: Agency’s Laws and Ethics of Hiring a Diverse Workforce Rodney Freeman Strayer University PAD 530: Public Personnel Management Professor: Danette O’Neal November 21, 2014 In this assignment, I will be continuing my consulting for the Office of Population Affairs. My continuation of writing will analyze at least (2) laws or court decision that has implications of the agency’s personnel management. I will analyze (3) three major factors why the agency should address and (3) major factors why agency should not address Lesbian, Gay, Bisexual and Transgender in their recruitment and hiring practices. As a consultant I will evaluate agency’s approach to ethics and diversity training programs provided action the agency could take to improve in the areas of recruiting and training a diverse workforce. Laws Affecting the Agency: The two (2) laws that I have researched are both dealing with the Title X Family Planning and The Federal Employment Discrimination Law. The Title X family planning program was enacted in 1970 as Title X of The Public Health Service Act (Public Law 91-572) Population Research and Voluntary Family Planning Program. The Family Planning concern with the compliance with State reporting laws. That reads; “Notwithstanding any other provisions of laws, no provider of services under Title X of the Public Health Services Act shall be exempt from any state law requiring notification...
Words: 1763 - Pages: 8
...Health Care Law and Regulations University of Phoenix Louise Underhahl HCS 545 Health Care Law and Ethics 2012 Health Care Law and Regulations One of the areas that are currently affecting the Health Care industry is Regulatory agencies. There is much dissatisfaction over the current state of healthcare in the U.S. Within all of our organizations, regulatory agency surveys are conducted to better the organizations as well as its employees. The purpose of the regulatory surveys is to focus on the areas that need improvement as well as promoting better health care access to the people in the community. Regulatory agencies serve as authority as well as enforcement to regulate laws from the government. Some examples of regulatory agencies are Food and Drug Administration (FDA), Agency for Healthcare Research and Quality (AHRQ), and Occupational Safety Health Administration (OSHA). There are many examples of laws and regulations that are currently being faced in health care. Analysis of health care laws and regulations help one understand their influences on the provider. There are many ways that laws and regulations affect our lives and community. The FDA is responsible for the oversight of drugs, medical devices, vaccines, blood products and biologics, establishing rules for testing, clinical trials and approval of new products. The AHRQ is a federal agency under Health & Human Services working to improve the quality, effectiveness and safety of health care...
Words: 2054 - Pages: 9
...Health Law and Regulations Overview This paper discusses the design of regulation agencies and the roles that they play in health care. There will also be a discussion on the current laws that health care face today, and an analysis on how these laws affect the hospital, clinic or insurer. This paper also includes how the population has little access to health care and an understanding of how HIPPA works and the role that it plays in the health care field. Healthcare The purpose of regulations is the constant need to balance the objectives of enhancing the quality, expanding access, and controlling costs in healthcare. Regulation plays a major role in the healthcare industry and healthcare insurance coverage. Through various regulatory bodies, the Department of Health and Human Services (HHS) protects the public from a number of health risks and provides programs for public health and welfare. Together, these regulatory agencies protect and regulate public health at every level ( Fierce Healthcare, 2014, para. 1). When it comes to health care there are many agencies that play a role in the management of the health care industry such as, Centers for Medicare and Medicaid (CMS) which deals with most of the regulations that deal directly to the healthcare system, they also “provides government subsidized medical coverage through a number of programs: Medicare, Medicaid, and State Children’s Health Insurance program (SCHIP)” (Fierce Healthcare, 2014, para. 2). Health...
Words: 1457 - Pages: 6
...QUALITY ASSURANCE IN HOSPITALS/HEALTHCARE ORGANIZATIONS The Joint Commission accreditation standards are the basis of an objective evaluation process that can help health care organizations measure, assess and improve performance. The standards concentrate on important patient, individual, or resident care and organization functions that are essential to providing safe, high quality care. The standards set expectations for organization performance that are reasonable, achievable and rational. Each standard is developed with input from healthcare professionals, providers, employers, consumers, and government agencies like the Centers for Medicare & Medicaid Services. New standards are added only if they are in relation to patient safety or quality of care, have a positive impact on health outcomes, meet or surpass law and regulation, and can be accurately and readily measured. The National Patient Safety Goals (NPSGs) have become a critical vocal point by which The Joint Commission promotes and enforces major changes in patient safety and quality of care. The criteria used for determining the value of these goals, and required revisions to them, are based on the merit of their impact, cost, and effectiveness (AHRQ, 2013). Recent changes have focused on preventing hospital-acquired infections and medication errors, in addition to existing goals promoting surgical safety, correct patient identification, communication between staff, and identifying patients...
Words: 1209 - Pages: 5
...Human Resource Presentation Outline • State and federal statutory and regulatory enactments related to patients’ rights and responsibilities o Patients’ Responsibilities (slide title) Present a complete medical history Your needs why being attended Follow treatment plan Follow organization’s rules Speaker Notes As a patient you have the responsibility to inform the organization treating you with a complete medical history. This is so that the organization can be aware of what problems might arise while treating you and so that they will know what the best way to treat you is. As a patient you also have the responsibility to tell the organization treating you what your needs are while they are treating you. The patient also has the responsibility to follow the treatment plan set by the organization treating them. The organization has given them this plan so that they will continue to get better. Another responsibility of the patient is to follow the rules of the organization that is treating them. New York- Presbyterian. (2012). Patient Rights and Responsibilities. Retrieved from http://nyp.org/patients/patient-rights.html o Patients’ Rights (slide title) Consent Right to Treatment Advance Medical Directives Privacy and Confidentiality Speaker Notes There are certain rights all patients have at both a federal and state level. The right to consent; “Consent, particularly informed consent, is the cornerstone of patients’ rights. Consent is...
Words: 1548 - Pages: 7
...individuals involved with different views. These individuals with different views are stakeholders. “AHRQ, Agency for Healthcare Research and Quality, has defined stakeholders as persons or groups that have invested interest in a clinical decision and the evidence that supports that decision.”(The Effective Health Care Program Stakeholder Guide, 2014). The stakeholders that make up healthcare (includes internal and external stakeholders) but are not limited to providers, payers, employers, employees, and patients. They care about the behavior and financial performance of the healthcare facilities. The primary stakeholders are those that are involved with economic transactions in healthcare. These stakeholders are customers, employers, etc. Secondary stakeholders are those that are indirectly engaged in economic transactions, but those that can be affected by or can be affected. These stakeholders are community members, the media, the public, etc. Each stakeholder has a different view in how and what they want when pertaining to healthcare. Stakeholders are a valuable source of information about what can and will not work in the system of care. Providers view the quality of healthcare. They are also known as the “frontline” workers. Providers show an interest in better providing care to patients and accurately diagnosing them so they can be in better health. Payers focus on cost effectiveness. An employer focuses on keeping costs down and keeping their employees...
Words: 867 - Pages: 4
...Introduction In Health care, quality and utilization management have been forced into the spotlight by an insatiable demand for technologically advancing services, a legal system that compels physician to order unnecessary services, and the costs that are soaring higher than ever. The inconsistent use, overuse, misuse or even under used healthcare services has created inefficiencies and value concerns that demand oversight to ensure the best care is received while utilizing resources in the most efficient manner. "The knowledgeable health reporter for the Boston Globe, Betsy Lehman, died from an overdose during chemotherapy. Willie King had the wrong leg amputated. Ben Kolb was eight years old when he died during "minor" surgery due to a drug mix-up."[i] The Institute of Medicine Committee on Quality of Health Care in America identified strategies for quality improvement through two historic reports: To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century[ii]. The IOM published the "To Err is Human" study which showed that these horrible examples (commonly referred to as "Never Events") were only the tip of the iceberg. The study found that adverse events occurred in 2.9 to 3.7 percent of every hospitalization and that over half of all adverse events had resulted from medical errors that could have been prevented. To apply these numbers across American's nearly 34 million hospital admissions in 1997...
Words: 3804 - Pages: 16
...Institute for Health Technology Transformation Population Health Management A Roadmap for Provider-Based Automation in a New Era of Healthcare Acknowledgements Alide Chase, MS Senior Vice President for Quality and Service Kaiser Foundation Health Plan, Inc. & Kaiser Foundation Hospitals Connie White Delaney, PhD, RN, FAAN, FACMI School of Nursing Professor & Dean Academic Health Center Director, Biomedical Health Informatics (BMHI) Acting Director of the Institute for Health Informatics (IHI) University of Minnesota Don Fetterolf, MD, MBA Principal Fetterolf Healthcare Consulting Robert Fortini VP & Chief Clinical Officer Bon Secours Health System Paul Grundy, MD, MPH Global Director of Healthcare Transformation IBM President Patient-Centered Primary Care Collaborative Richard Hodach, MD, PHD, MPH Chief Medical Officer Phytel Michael B. Matthews Chief Executive Officer Central Virginia Health Network Margaret O’Kane President National Committee for Quality Assurance Andy Steele, MD, MPH, MSC Director, Medical Informatics Denver Health 2 Dear Colleagues, Population health management has been around for a while, but only recently has it gained serious attention from mainstream healthcare organizations. The reason is simple: healthcare reimbursement is changing, and hospitals, healthcare systems, and physician groups must adapt to a new world in which providers are rewarded for meeting quality objectives for their entire patient panel, and not just those actively...
Words: 8702 - Pages: 35
...analysis of health insurance in Australia Due Date: 22/5/13 Class: Wednesday 11pm tute Jeremy Fung 3897865 Kwin Trieu 3795138 Tamimuddin Saadzadah 3854247 Zaker Hussaini 3887002 Executive Summary The aim of this report is to analysis and review the Australian Health Care System, We have had a look at the history of the healthcare system in Australia and how it started out in 1901 after the formation of the commonwealth government and the Constitution and the power sharing of the responsibilities and control of the health sector between the federal and state government. The report also analyses the dual private and public health care system, which is the Medicare and the Private Health Insurance (PHI) options for Australian Citizen. The other are that we have reviewed is the legislations related to the health Insurance sector and why is the government so keen in keeping the Private Health Insurance capacity high and what are the benefits of the PHI for the government and the health industry finance. Table of Contents Introduction 1 Australian Health Care System 2 1.1Health Insurance (History) AND Recent Changes in Private Health Insurance 2 1.2 Medicare and the Decline of Private Health Insurance (PHI) Challenge for the Government 3 1.3The role of Private Health Insurance in Australian Healthcare 4 1.4 Economic impacts on Health Insurance 7 Risks of Health Insurance...
Words: 4816 - Pages: 20
...Future for Health TO ERR IS HUMAN: BUILDING A SAFER HEALTH SYSTEM H ealth care in the United States is not as safe as it should be--and can be. At least 44,000 people, and perhaps as many as 98,000 people, die in hospitals each year as a result of medical errors that could have been prevented, according to estimates from two major studies. Even using the lower estimate, preventable medical errors in hospitals exceed attributable deaths to such feared threats as motor-vehicle wrecks, breast cancer, and AIDS. Medical errors can be defined as the failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim. Among the problems that commonly occur during the course of providing health care are adverse drug events and improper transfusions, surgical injuries and wrong-site surgery, suicides, restraint-related injuries or death, falls, burns, pressure ulcers, and mistaken patient identities. High error rates with serious consequences are most likely to occur in intensive care units, operating rooms, and emergency departments. Beyond their cost in human lives, preventable medical errors exact other significant tolls. They have been estimated to result in total costs (in cluding the expense of additional care necessitated by the errors, lost income and household productivity, and disability) of between $17 billion and $29 billion per year in hospitals nationwide. Errors also are costly in terms of loss of trust in the health care system...
Words: 3171 - Pages: 13
...Health Care Organizational Ethics Plan Amanda Paschal Ethics and Decision Making in Health Care June 6, 2016 Contents Introduction 3 Theoretical aspects of organizational policy 3 Ethical Decisions and Judgment 5 Informed Consent 6 Regulatory issues and policies of informed consent are addressed. 7 Finance issues 8 Patient care issues 9 Human resources issues 9 Legal issues 10 Regulatory issues 11 Protocols to address patient safety issues 12 Protocols to address patient access issues 14 Ethical responsibility for transparency in health care 15 End of life and quality of life issues 17 Alternatives in decision-making for health care administrators to resolve ethical dilemmas within the organization 19 Conclusion 20 References 22 Introduction Healthcare is the treatment of health related issues such as prevention, diagnosis, treatment and prevention. Healthcare is provided by Doctors, nurses and other licensed healthcare professionals. Who work at an office or a facility which would be a healthcare organization. By definition “An organization, by its most basic definition, is an assembly of people working together to achieve common objectives through a division of labor, people form organizations because individuals have limited abilities. An organization provides a means of using individual strengths within a group to achieve more than can be accomplished by the aggregate efforts of group members working individually. Business organizations (in market economies)...
Words: 8018 - Pages: 33
