Capella BUS4123 2021 January Assignments Latest (Full)

BUS4123 Quality Assurance and Risk Management

Unit 3 Assignment   

Evaluate Current Quality Assurance Efforts

Steps to complete the assignment:

Read and review the Center for Medicare and Medicaid Services: Roadmap for Implementing Value Driven Healthcare in the Traditional Medicare Fee-for-Service Program (linked in Resources). With this national program outlined, you will:

Investigate the role of the National Committee on Quality Assurance (NCQA) Health Effectiveness Data Information Set (HEDIS).

Pick one of the current HEDIS measures (for example, blood lead level in children, falls in older adults, patient satisfaction with providers).

Conduct research using the Capella library and the NCQA's State of Healthcare Quality report.

Identify key indicators of quality related to the HEDIS measure you chose.

Write a 2–3 page paper answering the following:

Explain how the Roadmap for Success helps define the need for the NCQA.

Describe your HEDIS measure.

Identify current trends for that measure.

Explain why it is important to measure this area.

Evaluate the role of quality assurance in the improvement of patient outcomes.

Provide conclusions and recommendations.

To complete this assignment, be sure you have completed the following items from the studies (linked in Resources):

Read the National Committee for Quality Assurance's 2008 State of Health Care Quality. This will help you determine the trends of the HEDIS measure you choose to discuss in this unit and the next unit. This is a longer document to read, so focus your attention on the trends.

Browse the National Committee for Quality Assurance's 2009 HEDIS 2009 Summary Measures, Product Line and Changes.

Browse the U.S. Department of Health's PQRI Measures List.

Resources

Evaluate Current Quality Assurance Efforts Scoring Guide.

Center for Medicare and Medicaid Services: Roadmap for Implementing Value Driven Healthcare in the Traditional Medicare Fee-for-Service Program.

2019 HEDIS Summary Table of Measures, Product Line and Changes [PDF].

State of Health Care Quality.

PQRI Measures List.

BUS4123 Quality Assurance and Risk Management

Unit 5 Assignment   

Integrating Data Assessment in Organizational Decision Making

For this assignment, you will create a Microsoft PowerPoint slide show.

Continue your research on the specific HEDIS measure you used in Unit 3. In this unit, you need to research other health care quality initiatives related to your chosen measure. For example, the Institute for Healthcare Improvement helps health care organizations track and report data. The Agency for Healthcare Research (AHRQ) provides funding and publishes research on many different quality measures. Using the HEDIS information, the State of Healthcare Quality reports, and any other information you have found in your search of the major health care quality groups and your Capella library research, create a 12-slide Microsoft PowerPoint slide show.

Take the viewpoint of a consultant presenting this information to a health care administrator.

Discuss the importance of your chosen measure and why the organization should work on this particular measure by providing statistics and details related to your HEDIS measure.

Integrate the financial benefits of working with this specific data to improve organizational integration of your HEDIS measure.

Your PowerPoint presentation should have a title slide, speaker notes, and references. While color and clip art are welcome, there is no need for voice-over or for special features.

The PowerPoint presentation must include:

Correct citations including the Web site or sites used for resource information.

References to the specific data studied or included in the PowerPoint presentation.

An analysis of how the HEDIS measure is applicable to quality improvement, explaining how organizations quantify the outcome of your chosen measure.

An evaluative component that evaluates the improvement trend for your current HEDIS measure topic. You may discuss if this is a new measure based on a specific finding or if this is an ongoing measure with years worth of data reported.

A recommendation on the value of the specific HEDIS measure or similar topical measure. Consider if this HEDIS measure is met by most organizations–what would be the anticipated health outcomes for the facility, organization, or community?

Resources

Integrating Data Assessment in Organizational Decision Making Scoring Guide.

BUS4123 Quality Assurance and Risk Management

Unit 7 Assignment   

Evaluate Risk Management: Interview Compliance Officer

Risk management is also part of compliance for any organization.

Compliance programs are managed by risk managers or compliance officers. For this assignment, you should seek out and interview a risk manager or compliance officer for a local health care organization. You may choose a compliance officer from a hospital, physician's practice, health plan, skilled nursing facility, group home, or other similar health care organization. You will need to ensure that the organization that you choose has a risk management or compliance department. There are likely some organizations that do not have this function. Smaller organizations may lack this critical piece in their organizational structure.

Interview a compliance officer. Go to the Health Care Compliance Association (HCCA) website (linked in Resources) to secure the job description that most closely resembles the type of compliance officer you will interview.

During the interview, ask this compliance officer questions such as:

What is the role of a compliance officer?

What are the main areas of concern for you?

What type of specific training have you had for this role?

Do you participate in any type of ongoing training or professional organization?

Do you have a strategic plan for compliance? What are the keys to this plan?

What types of regulations are you most concerned about following?

Have you had to report any issues of fraud or abuse in the past? If yes, to whom? What happened?

What do you see as the future for compliance and compliance officers in health care?

What are your largest liability concerns for this organization?

During this interview, identify at least one risk management issue that you will use as the basis for your final Unit 9 assessment that deals with organizational plan risk management. You may wish to ask the person you interview for a suggestion for this future assignment.

In a 2–3-page, APA-formatted paper, describe your interview findings. Compare and contrast the compliance officer's responses to the job description you found on the HCCA website. Evaluate whether you feel this current compliance officer is meeting the needs of the organization. What are possible areas of concern or areas for improvement? Make a recommendation of what you see as the next step for a compliance plan in this organization. Finally, did you identify any issues that might leave the organization or facility open to litigation or lawsuits? What would an appropriate plan or response be to any type of identified deficiency?

Resources

Evaluate Risk Management: Interview Compliance Officer Scoring Guide.

Health Care Compliance Association.

BUS4123 Quality Assurance and Risk Management

Unit 9 Assignment   

Organizational Risk Management Planning

In Unit 7's assignment, you identified one specific risk management issue for further exploration.

For Unit 9, you will research this risk management issue and its impact on a health care organization. You will create an organizational risk management plan related to the specific risk management issue that you chose.

For this assignment, create a two–three page, APA-formatted organizational risk management plan that includes:

An introduction that provides discussion about the specific risk management issue and the specific type of health care facility or organization that you will target in this organizational risk management plan. Address the needed stakeholders and which positions in the organization should be included in this type of planning.

An analysis that provides three to four different sources of information discussing this issue or supporting organizational planning related to the issue you identified.

At least five steps for an organization to correctly identify the issue, track the issue, plan for outcomes, and implement change.

An evaluation discussion that provides clear ways for the organization to determine if the plan is working.

A final recommendation of other considerations the organization may need to include in organizational risk planning.

Resources

Organizational Risk Management Planning Scoring Guide.

APA Module.