Capella BUS4123 2021 January Unit 8 Discussion (dq1+dq2) Latest

BUS4123 Quality Assurance and Risk Management

Unit 8 Discussion  

DQ1 Corporate Board Responsibility

Corporate boards are responsible for ensuring that the organization remains in compliance with all areas of operation. Boards need to work in tandem with the administrative staff. Boards must ensure that they review all areas of health care organizations from financials, operations issues, medical error reporting, credentialing of providers, and other potential risk areas. Review the readings and the PowerPoint presentation in this week's readings.

What should the board know? Create a one-page, single-spaced memo as a member of a governing board for a health care organization addressing the organization's CEO. List the reports that you would like to have prepared for next month's board meeting.

Response Guidelines

Assume the role of the CEO who received the memo. Respond to the memos of at least two other learners. You may wish to suggest other information that may be considered or another perspective that could be considered. Does the memo reflect collegiality and a sense of collaboration? Do you feel compelled to act? Should you react to this situation or should you take a proactive approach? Why? How?

DQ2 The Credentialing Function

Credentialing of clinicians is a specific area that requires integration of quality improvement with risk management functions.

Credentialing is an official process that all health care organizations must complete. Organizations should use The National Practitioner Data Base (NPDB) for ensuring that licensed providers have no records of fraud, lawsuits, et cetera. In addition, state licensing boards must also be consulted to confirm that the clinician is licensed and may be employed by your organization.

You are the risk manager in charge of credentialing of a large teaching hospital. All health care providers must be credentialed prior to working with patients. Consider one of the following:

foreign-trained medical students.

on-call registered nursing from a staffing agency.

a physician with three pending lawsuits from patients injured by the physician.

What type of credentialing needs to be considered for your choice? Which databases should be checked? What type of background should be collected? Create a 250–300 word response.

Response Guidelines

You are the staffing coordinator for the large teaching hospital. Staffing is very tight. You need every available body to work. The medical students are needed for help with care on the nursing floors as well as in the ER. The urgent care is staffed by several medical students too. Nursing staff is so short that you have relied on on-call and staffing agencies for at least 10 percent of each shift for the last month. You have had complaints that several nurses seemed to have difficulty understanding English and two have been caught smoking in a medication room. The physician is badly needed in orthopedic. Patients with fractures have had to wait upwards of 24 hours to have surgeries.

As the staffing coordinator, what response do you have to the risk manager in credentialing? Will you wait to make sure that credentialing is complete? Will you look at ways to circumvent the system? What additional perspectives do you have? Compare and contrast your own thoughts on this post to those provided by a colleague.