...Healthcare Risk Control Risk and Quality Management Strategies 4 Executive Summary VOLUME 2 July 2009 Key Recommendations Assess current activities in risk management and quality improvement to evaluate their effectiveness in addressing overlap. Establish a structure to ensure that patient care activities are addressed in a coordinated manner involving risk management and quality improvement functions. Seek legal counsel to ensure that the structure for risk management and quality improvement activities maximizes legal protections granted by state and federal statutes while allowing for the flow of information. Align risk management and quality improvement plans with the strategic goals of the organization. Educate stakeholders on the role of risk management and quality improvement functions. Design systems to coordinate and streamline data collection, analysis, monitoring, and evaluation. Risk Management, Quality Improvement, and Patient Safety In the past, the risk management and quality improvement functions often operated separately in healthcare organizations and individuals responsible for each function had different lines of reporting—an organizational structure that further divided risk management and quality improvement. Today, risk management and quality improvement efforts in healthcare organizations are rallying behind patient safety and finding ways to work together more effectively and efficiently to ensure that their organizations deliver...
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...Gigi Rowe HCS{451} September 23, 2013 Tammy Czarnecki Risk/Quality Management There are different organizations that can be chosen to study the relationship between both risk and quality management. Risk management and quality management can be applied anywhere in the health care system. Risk management and quality management go hand in hand and have a complementary relationship. This relationship can be applied to the pharmacy organization. The pharmacy organization is the organization that definitely uses all that risk and quality management can offer. Pharmacy is the organization that was chosen using background knowledge and new information. Pharmacy is “the branch of the health sciences dealing with the preparation, dispensing, and proper utilization of drugs.” Pharmacies deal with prescription drugs and fulfilling out prescriptions to patients. Pharmacists employ the use of science and the knowledge they gained during their schooling. With this knowledge they perform tasks such as helping over physicians decide was is best for their client in terms of selection and compatibility with other prescriptions. However, they do not only help in providing information but gathering information as well though observation and communicating with the client. Through observation and communication, pharmacists can provide quality medication to clients and help them with their health in other ways. Pharmacists are not limited to just helping...
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...Risk and Quality Management Assessment Summary HCS/451 July 31, 2012 Introduction According to Sollecito and Johnson (2013), “Quality management is a systematic and continuous development that organizations use to deliver products, services, and to distribute merchandise that will meet or exceed consumer expectations. Quality management in healthcare has evolved over the years to address increased demands from consumers related to the quality of care as well as to address problems in patients’ outcomes.” Sometimes, the definition of quality is often elusive because it is perceived differently from person to another person. According to Shannon (2012), “Risk Management is the process of making and carrying out decisions that will assist in the prevention of adverse events and minimize the effects of those events. Historically, risk management in the health care setting and in health care organizations managed risks in a reactive manner which means each department worked independently to resolve its own issues.” The purpose of quality and risk management in health care organization in general and in the chosen organization in particular. The purpose of management of risk in a healthcare setting is first of all, according to Shannon (2012), “it was first previewed into the health care organization as an answer to the “malpractice crisis”. Health care organizations were faced with malpractice verdicts resulting in higher insurance rates. The...
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... | |Risk ,Quality and Performance Management | |Their role in Healthcare | | | |Linda Hyll | |8/5/2013 | | | The purpose of implementing a quality management program should focus on developing and communicating a customer-focused mission, strategies and action plans; listening and responding to the customers’ needs and expectations; encouraging employees to continuously improve and increase their overall job satisfaction, processes and environment and the gathering and analyzing key performance indicators to improve overall organizational and process results. A quality management system will help the organization to focus on prevention activities...
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...Risk and Quality Management Assessment Summary University of Phoenix HCS/451 August 19th, 2012 Risk and Quality Management Assessment Summary Aurora is an organization that offers many of different services for families. They are a human service agency that is committed to helping individual’s live fuller and richer lives. Aurora offers services such as counseling, healthcare, residential, Vocational. Aurora takes people that struggle and cannot live on their own. As an Aurora employee; I am glad to say that I am part of their team. I am a float staff there and I am trained at 21 different houses. Aurora staff are there to help make a difference and help people who have disabilities live a better life. Aurora is a very strong organization and they are one of the organizations who are strongly fighting for not having to close down. There is many organizations closing down due to the funding, But as a strong organization Aurora is still standing and fighting for what they believe and that is “Making difference in their life.” Risk management seeks to reduce potential negative impacts on patients, staff and the organization through the identification and reduction of potential dangers or threats (Authenticity Consulting, LLC., 2010). At the same time when they are using risk management they are also using quality management because they are ensuring that they are giving their patients the right quality of care that they deserve. In the Aurora organization they...
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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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...Risk and Quality Management Assessment Summary Xxxxxxx Xxxx HCS451 September 24, 2012 Instructor Executive Summary Resolve, The National Infertility Association has been assisting and helping out individuals with infertility issues since 1974. Risk and quality management improvements in the organization have rallied behind the patient’s safety, while finding new ways in working as a team that is more effective and efficient when ensuring that the organization can deliver high quality and safe patient care. There have been issues regarding cost of visits and procedures with no insurance coverage while having to pay out of pocket for services that can cost hundreds or even thousands of dollars. The organization offers assistance in providing financial assistance for those in need and assist in finding the health care coverage that would best suit them. Infertility coverage is not a mandated health issue in many states that needs insurance coverage. Out of all the states only 15 are mandated to cover some sort of infertility. 1.1 Key Concepts The main problem was to determine what insurance provider would have some sort of infertility coverage that could assist their patients and avoid out of pocket expenses. The risk analysis will provide information that will help the risk manager realign the activities when dealing with quality care and improvement with the main focus on patient needs. * Review of the current functions of quality improvement and risk...
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...LP8 Journal The concepts during the establishment can be: Is this a good idea or a bad idea? Is this belief defensible or indefensible? Is my position on this issue reasonable and rational or not? Am I willing to deal with complexity or do I retreat into simple stereotypes to avoid it? If I can't tell if my idea or belief is reasonable or defensible, how can I have confidence in my thinking, or in myself? Is it appropriate and wise to assume that my ideas and beliefs are accurate, clear, and reasonable, when I haven't really tested them? Do I think deeply or only on the surface of things? Do I ever enter sympathetically into points of view that are very different from my own, or do I just assume that I am right? Do I know how to question my own ideas and to test them? And do I know what I am aiming for? Should I? Finding from research compounds all the others and makes it harder to change practice Avoidance thought-provoking work and activities and stick to predictable routines Being caught in a vicious circle of mediocre practice modelled after mediocre practice, of trivialized knowledge begetting more trivialized knowledge That there are appropriate standards for the assessment of thinking and there are specific ways to cultivate the learning of them. The research into critical thinking establishes tools that can help us evaluate our own thinking and the thinking of others, if we see their potential benefit and are willing to discipline our minds in ways that may...
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...Risk and Quality Management Assessment Summary The organization for this summary is a Skilled Nursing Facility. The facility, Park Regency Care Center is located in La Habra, California. The skilled nursing facility provides nursing care in services for speech therapy, wound care, IV therapy, nutritional support, and medication and disease management. As well as rehabilitation in services for occupational therapy. The primary customers they serve are men and women around 55 years and older in age. The organizations care focuses on their customers who are in need of 24 hour care in support in transferring back home at prior level functions. The "Park Regency Care Center" (2013) website at Park Regency Care Center, under a physician’s directed treatment plan, we work with our residents and their family members to develop comprehensive individualized care plans for our residents to promote their recovery with goal of achieving the medically optimal result. Risk and Quality Management The purpose of risk management and quality management in health care organizations in general are to reduce the risk and implement changes for improvement and standards of the organization. Risk management improves management the proper way. According to Parker, Smith & Feek, Inc (2015), “Risk management is typically a hybrid function bridging a number of disciplines to reduce the incidence of organizational loss” (para. 2). In quality management it works side by side with risk management in improving...
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...Risk and Quality Management Assessment Summary Beverly L. Rivera HCS/451 April 1, 2015 Kevin Stevens Risk and Quality Management Assessment Summary The healthcare industry is growing rapidly with significant changes directing new trends and advance technology for the future. Within recent years, the shift from manual medical records to electronic medical records allows individuals to be an active participant in direct control of their health care. As these changes continue to increase, the risk and quality departments within health care organizations has an enormous duty to enhance the quality of care for its internal and external customers. Gwinnett Medical Center is one of many healthcare organizations that embraces change along with enhancing the quality of care their patients receive. The executive summary assessment will describe details of Gwinnett Medical Center, the risk, and quality management department policies, and how the risk and quality management determines the quality outcome for the goals the hospitals. Gwinnett Medical Center Gwinnett Medical Center (GMC), also known as Gwinnett Hospital System, Inc. (GHS), was established in the early 70s and is a not-for-profit health care network. The hospital is a 553-bed facility, which includes 464-inpatient and 89-skilled licensed nursing and long-term facility. Gwinnett Medical Center has two acute-care hospitals, and facilities in different cities and the metro Atlanta area. The facility in Lawrenceville...
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...Risk and Quality Management Executive Summary Yakima Valley Memorial Hospital (YVMH) opened their door to patients on June 20, 1950 with 146 beds, 155 employees and over 200 auxiliary members. Today, Yakima Valley Memorial Hospital is a 225-bed acute care inpatient facility with a host of outpatient ancillary services and specialty clinics with over 2300 employees. The problem: The current risk management plan at Yakima Valley Memorial Hospital is that it is out dated and specific to the hospital only, it does not include the entire family of services. Second, the plan only addresses risk as “injury” to patients, staff, physicians, visitors, vendors, volunteers and students; it does not address risk to operations and property. The purpose of the current risk management plan for Yakima Valley Memorial Hospital is to identify the way in which the risk management activities as they pertain to “injuries” addressed within the hospital (Yakima Valley Memorial Hospital Risk Management Plan) rather than taking an organization or enterprise wide approach. Health care risk management programs are essential for the protection of the health care organization against the risks associated with accidental losses regardless of the cause (Carroll, 2009). A comprehensive risk management program should outline processes and procedures to cover patient centered, medical staff, employee, property and financial related risks and more. A risk management program is a structured organizational...
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...amiqdadi@pmlead.net www.pmlead.net PMI®, PMP®, CAPM® and PMBOK® Guide are trademarks of the Project Management Institute, Inc. PMI® has not endorsed and did not participate in the development of this product. Integration Management Process Name Develop Project Charter Inputs Outputs Tools and Techniques Project Statement of Work Business Case Project Charter Experts Judgment Project Management Plan Experts Judgment Project Management Plan Approved Change Requests Deliverables Work Performance Information Experts Judgment Project Management Information System Enterprise Environmental Factors Change Requests Organizational Process Assets Project Management Plan Updates Contracts Enterprise Environmental Factors Organizational Process Assets Develop Project Management Plan Project Charter Outputs From Planning Processes Enterprise Environmental Factors Organizational Process Assets Direct and Manage Project Execution Project Document Updates Project Management Plan Performance Reports Change Requests Project Management Plan Updates Enterprise Environmental Factors Monitor and Control Project Work Experts Judgment Project Document Updates Organizational Process Assets Project Management Plan Work Performance Information Change Requests Status Updates Project Management Plan Updates Change Requests Perform Integrated Change Control Experts Judgment Change Control...
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...Risk Management Assessment Summary Aurora Health Care Syisha Herman HCS/451 – Health Care Quality Management and Outcomes Analysis Barbara Smith September 26, 2011 Aurora Health Care services all of eastern Wisconsin and Northern Illinois. Aurora measures its progress by establishing and striving to meet specific goals for each and every care management initiative as they focus on the improvement of quality health care. Risk management once meant the management of potential claims arising from malpractice, workers’ compensation, and casualty and property losses – essentially protection against accidents. In the new era of managed care, risk management takes on a move a more global meaning-that of enterprise financial management. Risk management attempts to relate coat management to total healthcare services (McGuire, 1995). Aurora is always looking for new and better ways to improve their services in quality health care. The purpose of risk management in health care is to ensure patient safety and quality, to protect staff, visitors, and any financial losses within the hospital that can come from evaluation, risk detection or prevention. In all, risk management protects the assets of an organization as it works to identify and address all sources of risk and or loss of an organization. Aurora’s purpose for risk management is as followed: 1. Patients getting the care they need 2. Patients and families getting and receiving support to help...
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...Risk Management Assesment Risk Management Assessment Baptist Hospital of Miami is currently analyzing the possibility of developing risk management strategies that will ensure to meet all needs or the organization related to quality management. Every plan needs to be approved by every member of the board of directors. The purpose of the Clinical Risk Management Plan is to support the vision and mission of Baptist Hospital of Miami as it pertains to risks associated with the safety of employees, patients, visitors, volunteer, staff, third parties; also operational risks and property risks. The risk management plan will basically guide the process of development and implementation of a risk management program. The risk management promotes the philosophy of Baptist Hospital of Miami that the risk management and patient safety is responsibility of members of the organization and team cooperation is essential for an effective and efficient functioning. Baptist Hospital of Miami believes that organizational errors should be addressed through the implementation of evidence-based practices, constructive feedback, and learning from error analysis. Clinical errors should be addressed by using the following: • Proper report and analysis of errors related to medical or patient care. • Proactive identification of hazards and unsafe conditions. • Open discussions of mistakes. • Open acceptance of system improvements. The...
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...MetricStream ISO 9001:2015 Discovers Risk-Based Thinking Since its launch in 1987, the ISO 9001 standard has stipulated the requirements for a certifiable Quality Management System (QMS) to ensure the consistent manufacturing of reliable, high-grade products. The ISO 9000 family for QMS provides organizations with the necessary guidance and tools for increased product quality, customer satisfaction, and a sustainable methodology to identify improvement. The new version of ISO 9001:2015 QMS, due to be published by September 2015, will center on managing risks in an efficient manner. ISO 9001 over the Years The International Organization for Standardization (ISO) was founded in 1946 to establish a common set of standards in trade, manufacturing, and technology, and it comprises national standards institutes and organizations of 163 countries worldwide. Every five years, the entire suite of ISO standards undergoes an overhaul to keep it current and updated. ISO 9001 provides a quality management standard for employees, facilities, infrastructure, training, services, and equipment across the enterprise. It was first developed in 1987 from the military, American National Standards institute (ANSI), Canadian Standards Association (CSA) and British Standards Institute (BSI) standards with 20 elements, also known as ‘buckets’. In 1994, this standard went through a minor revision with many additions and changes such as new requirements for a quality manual, quality planning and design validation...
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