Capella BUS4123 2021 January Unit 7 Discussion (dq1+dq2) Latest

BUS4123 Quality Assurance and Risk Management

Unit 7 Discussion  

DQ1 The OIG Work Plan: Fraud Focus

The Office of Inspector General (OIG) develops a yearly work plan. This work plan outlines the many different areas that the OIG will focus on for fraud issues in the next year. A link to the 2009 OIG Work Plan has been provided in this unit's study. This is a lengthy document–It is 115 pages long. Please be patient while it loads. You will need to use this document as the source for this discussion thread.

Review the 2009 OIG Work Plan. Select one topic area within the work plan. As the risk manager responsible for this area, discuss what you would do to ensure that your facility is in compliance.

Begin your post with an introduction of the specific area and the OIG's concern. Delineate the steps that you will take to ensure that your facility is in full compliance with this area. This post should be 250 to 300 words in length.

Response Guidelines

You are a new OIG inspector charged with ensuring that health care organizations are adhering to regulations. As the OIG inspector, respond to at least two other learners with a substantive post. Compare and contrast your own thoughts as the inspector to the steps outlined by your colleague, the risk manager. Are there any missing steps for the plan? What other types of concerns might you have?

DQ2 Early Warning Systems in Risk Management

Chapter 6 of the Carroll (2009) textbook includes discussions on early warning systems that should be used to minimize risk. The chapter focuses on national organizations along with various state laws and examples of how such systems have impacted and reduced risk for many different health care organizations.

Investigate early warning systems in risk management. Pick a specific health care organization type (for example, hospital, emergency department, physician's office, laboratory, dental office, health plan, et cetera). Describe at least two elements that would be needed for an effective early warning system for this specific health care organization.

Response Guidelines

You are clinical lead for the organization. Respond to at least two other learners. In a collegial format, provide additional thoughts of at least one other element that could be considered for the early warning system designed by that learner. Provide your thoughts on the potential impact that an early warning system might have on your own role or the way you provide care to patients. Will the way you supervise others change due to this system? What would be the implications for such change?