Assignment
For the executive summary, assume you have taken on a new role as the chief operating officer at a mid-sized community hospital. You are charged with leading system-wide risk management efforts to identify risk and minimize HACs. Your organization's financial viability depends on receiving proper reimbursement for services delivered. As the chief operating officer, an executive summary that describes the community hospital of New York's compliance with the regulatory requirement to promptly identify POAs and proactively access and manage risk.
Use the Executive Summary Sample Format in the Resources to format your executive summary.
In your executive summary:
A. Briefly describe patient safety as a risk management issue that you are addressing with this executive summary. Explain why this risk management issue is essential to your organization.
B. List applicable regulatory requirements and explain what they mean to patient safety risk management issues.
C. Construct the associated risk management implications. For example, HACs result in no reimbursement, poor quality ratings, risk of losing repeat admissions, risk Joint Commission and MAGNET accreditation or excellence, or other negative implications.
D. Assess the internal versus external environment relative to the risks associated with your patient safety risk management issue. You may use a strengths, weaknesses, opportunities, and threats (SWOT) analysis or another suitable tool; be sure to cite the source.
E. Research and describe any resources or strengths a mid-size community hospital can possess that could aid in addressing the risk management issue.
F. Briefly describe the philosophy or culture of the community hospital as it relates to patient safety and error reporting. How will you encourage voluntary reporting?
G. Identify metrics for measuring or monitoring the risk management issue.
H. Propose how the use of the outcome data toward organizational make improvement.
I. Describe any ethical or legal implications related to the handling of this patient safety risk management issue.
J. Utilize established and respected sources of information. Some sources that may be useful such as the Federal Register, statutes, discipline-specific peer-reviewed journals, government agency references, et cetera.
For the written portion of the assignment:
A. Construct a proactive assessment of a community hospital's compliance with the regulatory requirement to promptly identify POAs and proactively assess and manage patient safety risk based on existing regulations and requirements.
B. Identify tools and best practices for monitoring parameters and reducing risk, including the organizational structure needed for risk re-education as supported by the literature.
C. Suggest quality improvement and organization-specific, risk management and learning guidelines