C430 Healthcare Quality Improvement and Risk Management rated A+ already passed

C430 Healthcare Quality Improvement and Risk Management rated A+ already passedElectronic alerts reduces risk. e.g. hospital is missing admission consent forms so they add an electronic alert to prompt for signatures. Educate staff minimize incidents and reduce risk. e.g. care center investigated by OSHA for workplace injuries. so they educate staff on using lifting devices. e.g. an intake process doesn't inquire about homeopathic remedies/supplements and a negative drug reaction happens as a result. so they educate staff on asking about alternative therapies. Implied consent person needs treatment and is unconscious. e.g. a 17-year-old was admitted after car accident. he was unconscious but needed immediate treatment. Parental consent required for minors e.g. 12-year-old needs hernia repair. mom forgot something and has to leave while nurse is getting pre-operative info. nurse must wait for mother to return to complete the consent. Root cause analysis find the cause to reduce risk of recurrence e.g. nursing services receive three complaints from family members of patients about missing valuables from patient's rooms. e.g. hospital patient dies during transit. a nurse was supposed to be helping but was too busy. ineffective because staff members are permitted to move patients without support HIPPA training decreases risk of ethical violations e.g. celebrity patient is having a procedure. nurse discusses the procedure with un-involved persons and starts getting texts from the press. Involve HR prevent legal issues e.g. CEO having intimate relationship with a nurse. nurse applies for a position and wins over a more qualified candidate. the candidate files a report to EEOC. Training on safe handling and lifting reduce injury risk e.g. a hospital report shows an increase in work-related employee back injuries Installing patient lifting equipment reduce injury risk e.g. hospital having high incidence of worker's compensation claims from back injuries when moving patients around Avoiding wrongful termination lawsuits 1. consider alternatives to termination 2. document employee training and performance e.g. family practice fired a medical assistant due to theft of medications Provide credit monitoring for victims reduce liability risk when involved in financial or identify theft issues e.g. an employee is found stealing credit card and SSNs Compare allowable amounts with existing fee structure reduce risk of overcharging e.g. office manager finds an overcharging doctor Civil Rights Act prohibits discrimination based on race, color, religion, national origin, or gender e.g. a qualified applicant applies for a job but was removed from short list because he is too old Family and Medical Leave Act Allows employees to take up to 12 weeks of unpaid leave in a 12 month period for certain medical and family situations e.g. a medical coder's spouse receives a serious injury so he asks for 8 weeks times off. employer must oblige his request. Conduct field visits to assess staff performance reduce risk when expanding services e.g. hospital recently acquired a new home health agency. employees must now learn new care methods to treat patients in their homes. Create procedure for storing controlled substances manage risk when dealing with terminal patients at their homes e.g. a hospice care agency provides in-home medications for terminally ill patients where family members might access False Claims Act employees can sue employers for fraud against the government. e.g. while completing an audit, the health info director notices that a treatment was billed as an outpatient instead of an inpatient. Physician's state licensing standards adherence reduces risk of malpractice litigation e.g. a surgical tech witnesses a surgeon looking under patient's gowns and making inappropriate comments. tech reports to the director. Enforcing disciplinary action upon non-compliant employees mitigate risk of legal violations e.g. risk management supervisor notices that the patient signature policy for releasing medical records is not being followed Asking patients to identify allergies reduce risks associated with procedures e.g. patient in ER has to get a CT scan that uses dye injection. CT patient has allergic reaction to the dye.