Order ID |
53563633773 |
Type |
Essay |
Writer Level |
Masters |
Style |
APA |
Sources/References |
4 |
Perfect Number of Pages to Order |
5-10 Pages |
Description/Paper Instructions
Integrating Risk Management Case Essay
Quality Management, and
Patient Safety into the
Organization
Chapter 2
Peer Review Privilege Statutes
- Designed to improve health care systems & define best-practice recommendations for clinical providers
- Promote and protect candid review of care – Documents shielded from discovery in many
jurisdictions if created or used by applicable committee under statute
– Can also be used by medical staff to conduct morbidity and mortality reviews
– Must fit within statute to be privileged Risk managers (RM) has a key role in ensuring compliance
Peer Review Privilege Statutes
- Risk managers can use the peer- review privilege to shield
from discovery the results of the quality and safety reviews
conducted as part of their investigations into adverse patient-
care events.
- Risk managers maintain vigilance throughout the organization
to guarantee that processes be conducted within the framework
defined by their jurisdiction’s peer- review statutes
- Risk Managers can ensure a steady flow of information
between departments to improve patient care while protecting
their institutions from exposure to liability by ensuring
applicability of their state’s peer-review- privilege statutes.
Medical Staff and Quality Monitoring Initiatives
- The Joint Commission requires active participation from medical staff
- Performance improvement standards require:
– Ongoing professional-practice quality evaluations
– Active participation in measurement, assessment and improvement of a variety of quality-care metrics
– Data collection requires close coordination between medical staff and risk and quality departments.
General Competencies
- Patient Care: must be able to provide patient care
that is compassionate, appropriate, and effective for
the treatment of health problems and the promotion of
health
- Medical/ clinical knowledge
- Practiced-based learning and improvement
- Interpersonal and communication skills: must
demonstrate skills that result in the effective
exchange of information and collaboration with
patients, their families, and health professionals.
General Competencies
- Professionalism: residents must demonstrate a commitment to
carrying out professional responsibilities and an adherence to ethical
principles. Residents must demonstrate: Compassion, integrity, and
respect for others; • responsiveness to patient needs that supersedes self- interest; • respect for patient privacy and autonomy; • accountability to patients, society, and the profession; and • sensitivity and responsiveness to a diverse patient population,
including but not limited to diversity in gender, age, culture, race,
religion, disabilities, and sexual orientation.
- Systems-based practice: Residents must demonstrate an awareness
of and responsiveness to the larger context and system of health
care, as well as the ability to call effectively on other resources in
the system to provide optimal health care.
Theory of Corporate Negligence
- 1. Duty- Hospital must exercise reasonably
care to ensure physicians are qualified to
perform privileges requested
- 2. Breach- failing to adopt state licensing or
applicable accreditation standards
- 3. Causation- but for the hospital’s failure to
exercise reasonable care, the injury would not
have happened
Defending the Hospital
- In corporate negligence suit, RM must assess whether jurisdiction’s peer-review statutes allow an organization to waive privilege & produce documents normally shielded from discovery in malpractice cases
- RM may consider working with the medical-staff to develop credentialing documents that are transparent, accessible, & separate from for-cause peer-review analysis
- To avoid liability, RM must ensure that the current credentialing process meets applicable requirements
Early Warnings for Litigation
- A close, collaborative relationship between the risk
and quality departments, as well as others (patient
relations/advocacy, billing, the HIPAA office
&medical records) provides opportunities for quick
problem identification and allows for early
interventions with patients and family members
- The two early warnings signs of possible liability are:
Patient Complains and Medical Records
Patient Complaints
- A proactive and responsive patient relations
office can often intervene early during a
patient’s hospital stay to counter negative
patient, friend, or family impressions of care
- An organization’s billing office is another
outlet for patients to voice their concerns
related to patient care
Medical Records
- Charts are routinely requested for case-review
analysis and abstraction
- Role in identifying adverse events and quality-of-
care concerns increased exponentially with the
implementation of the CMS “Never Events”
– October 2008
– Focuses on many health-care-acquired conditions
(HAC)
Post-Event Management & Media
Relations
- Quick response to Plaintiff’s use of media outlet can be key to mitigate reputational damage
• If RM or clinical provider has reason to believe an adverse patient-care event may become a media event, the media relations team should review the details and consider drafting an appropriate response
RUBRIC
QUALITY OF RESPONSE |
NO RESPONSE |
POOR / UNSATISFACTORY |
SATISFACTORY |
GOOD |
EXCELLENT |
Content (worth a maximum of 50% of the total points) |
Zero points: Student failed to submit the final paper. |
20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. |
30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. |
40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. |
50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. |
Use of Sources (worth a maximum of 20% of the total points). |
Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. |
5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. |
10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. |
15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. |
20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. |
Grammar (worth maximum of 20% of total points) |
Zero points: Student failed to submit the final paper. |
5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors |
10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors |
15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. |
20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. |
Structure of the Paper (worth 10% of total points) |
Zero points: Student failed to submit the final paper. |
3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. |
5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper |
7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. |
10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. |
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