LEGAL & ETHICAL CONSIDERATIONS IN HEALTHCARE.Risk management, quality improvement, and compliance programs have discrete applications within a healthcare organization, yet they have complementary goals.
Risk management, quality improvement, and compliance programs have discrete applications within a healthcare organization, yet they have complementary goals. The motive for these programs is to improve all aspects of the patient experience. There are external regulations and requirements imposed on all organizations, and these regulations are controlled by the internal processes designed by each organization.There is an expectation of care and trust between patients and their healthcare providers. An organization needs to be vigilant in all circumstances, particularly those involving patient safety.Requirements:A. Analyze the “Compliance Management” scenario by doing the following:1. Describe the mistakes made in this scenario step by step as they occurred.2. Analyze whether any of the mistakes identified in part A1 were a violation of organizational compliance, a legal concern, or both.3. Describe specific solutions the compliance officer and Sue, the manager, should implement to prevent reoccurrence of the identified mistakes from part A1.B. Identify Health Informatics and Information Management (HIIM) areas of expertise in compliance and explain how the HIIM Department staff could assume a leadership role in teaching compliance behaviors to the clinic’s staff members to mitigate legal risk.1. Explain the importance of staff understanding informed consent in order to ensure patient safety and trust.2. Describe release of protected health information (PHI) and how it protects patient privacy.Note: When bulleted points are present in the task prompt, the level of detail or support called for in the rubric refers to those bulleted points.Note: For definitions of terms commonly used in the rubric, see the Rubric Terms web link included in the Evaluation Procedures section.
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