Strategic Decision Making Health Care

The risk and liability assessment in a health care organization is very important because, it shows a health care’s risk management support and the safety of the patients, it offers responsibilities and authorities for enacting the assessment plans and lastly, it gives the purpose consistency within the given organization. Statement of purpose, objectives and goals, monitoring and improvement, responsibility and authority for implementation, committee and administrative structures and scope and functions are the major elements of risk and liability assessment. The main goals and objectives of this plan is to; improve the safety of every patient, prevent and reduce harm, errors and system breakdowns, ensure the protection of organizational resources and to reduce liability losses and clinical risks. The scope and functions ensure that; specific places and areas with very high effects on safety and risks are noted down, the functions and responsibilities of risk managements are clearly described and every functional area and entire operation are spanned by the risk management (ECRI, 2011).
Risk managers can be described as those individuals who have undergone trainings on how to handle different issues in various settings. These professionals work majorly under different areas of the medical administration. These might include; emergency readiness, clinical researches, management of events and incidents, human and psychological healthcare and claims of management, financing and insurance. On the other hand, the healthcare managers help in identifying and the evaluation of various risks as a way of injury reduction in patients, the members of staff and the visitors who come in the organization. Risk managers work very hard to either prevent the incidents or to limit the damages that occur after the event. Therefore, the healthcare managers and the risk managers should work hand in hand to reduce the risks that may affect the lives of the patients.
Taking a good look at the information from other sources and previous researches, managers are required to perform organization-specific analyses of risks so that potential risks could be indicated. These analyses are expected to identify various factors like; the type of risks that could take place, measuring the chances of a risk to happen, how severe the result can be if at all the risk occurred, the actions to be taken to limit the effects of the happening, how the likelihood of something to happen can be mitigated and finally the various things that can and those that cannot be avoided. By analyzing the results, risk managers can take a look at likelihood of various events and their effects not forgetting the risks involved. With this analysis, the managers can then come up with the plans for appropriately handling risks.
The health care managers can also maintain compliance and prevent litigation by keeping supervision and making sure that expired prescriptions are not filled up. When patients are sent enough prescription expiration notifications, the communication between patients and the doctors will be supported and hence the reduction of medication abuse. Managers can also help by following up on test results that go missing. The development of a proper plan to monitor and control these test result receipts give an assurance that the results have been reviewed and patients can be consulted. Managers can help in the prevention of immobility and falls. They need to make little modifications to bed rails, toilets and bathtubs that do not have grab bars, the lightings of the organization and keeping check of the ground conditions in order to limit the risks of these hazards.
Every health care organization requires people who can help them in the development, the management and the implementation of a very effective healthcare compliance program. The individual who ensures that the healthcare compliance program is always kept in the current is the chief compliance officer. These include every procedure and policy that is considered as a part of the program. In larger healthcare organizations, this cannot be a one man job. It will therefore need many people and a full house department devoted to these healthcares. Healthcare organizations are expected to also obey the regulations that rely on non-healthcare businesses like the even employment opportunities and the safety of occupations and health administrations (Michael, 2017).
The strategies to minimize liability may include; permitting the healthcare researchers to access claims of liability. This will help in early identification of trends that can be described as problematic in the healthcare. The analyses of these cases have shown cases of the injuries in patients and it has been considered as the one way where the systems of medical liabilities have assisted in improvement in the health care. Offering researchers dwelling on patient safety with open claims access has improved efforts focused on identifying patterns in organizations and has enabled the designing of appropriate safety methods. The second strategy is the encouragement of appropriate adherences to clinical guidelines in order to improve quality and help in liability risk reduction. This method has been known for long to be an effective way in the quality improvement, variation reduction and financial performance improvement. A study has shown that, adherence to these guidelines can have a very effective role in the reduction of legal risks (Ransom et al., 2013).
The legal aspects of a common healthcare facility may include; the whistleblower and false claim suits, lawsuits against the mandate to get health insurance, antitrust issues and ACOs, effects of Stark law on the physician-hospital relations, compliance requirements for hospital exemption from tax and co-management arrangements. The co-management arrangements where the hospital pays the physicians to attain duties and meet objectives is a way the hospital creates an alignment with the doctors. There should be clear definitions of responsibilities and it should not include goals that are easy to attain like arriving on time. Under Stark law, a physician is not allowed to refer his patient for some services in order to get a reimbursement by federal healthcare program in a case where the physician has compensation arrangements.

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Unit 27 Managing Quality in Health and Social Care

Unit 27 Managing Quality in Health and Social Care

Unit 27 Managing Quality in Health and Social Care

Abstract
This report focused on the stakeholders’ perspective in managing quality and the roles of the agencies when setting right standards, and assesses policies and procedures concerning quality management. Also evaluated the implementation of quality systems and methods concerning internal and external perspectives. In addition, evaluate the impact of engaging service users when implementing and evaluating quality and suggestions on improvement of quality.

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Unit 27 Managing Quality in Health and Social Care

AbstractThis report focused on the stakeholders’ perspective in managing quality and the roles of the agencies when setting right standards, and assesses policies and procedures concerning quality management. Also evaluated the implementation of quality systems and methods concerning internal and external perspectives. In addition, evaluate the impact of engaging service users when implementing and evaluating quality and suggestions on improvement of quality.IntroductionThis report reflects CQC inspection of Russell House that was done on the 9/05/2017 and on the 26/06/2017 was published which focused on standards of the government and the agencies responsible for implementation. Russell House which is a care home for individuals with epilepsy and accommodates twenty service users, hence the report was on quality management and the systems in place.1.1According to Freema (1983) explains that stakeholders are groups or people who are affected through achievement or success of organisation and can influence the aims of the organisation. The stakeholders experience the impact and effect of the organisation’s decisions that are made. There are internal and external stakeholders, Internal stakeholders include service users, organisations and staff. While external stakeholders include regulators, inspectors and various agencies like NICE and CQC.Service Users Quality: This is considered in different ways concerning their expectations and experience. According to Sixma et al (1998) the important approach is whereby to explore the experience and the need of the service users, by listening to their views on quality from their experience of dignity and respect. Also, the care provided to them and the environment they live in whether it is favourable.  Service users’ quality assessment is connected to their relationship with staff and when their needs are met adequately.The service users’ perspective is based on their expectations but not standards as in the case study, service users’ expectations were met. When they were asked during the visit of CQC, they said that the level of quality and care provided to them was of quality, staff were empathetic, their request was attended to and there was good respect towards the service users by the staff.Staff: staff perspective of quality is in relation to the expectation of adequate facilities and adequate working condition to do their role in a proper manner. In addition, employees are concerned about their rate of pay, salary and working hours hence determine the perspective of quality. According to ASQ (2017) staff   consider empowerment and fear of working a good environment and to continue with improvement through training staff as part of staff perception of quality expectation. In the case study of RHC, there was quality to some extent as staff were happy with the work, however not with the level of staffing. The staff who were brought from agencies were not having adequate skills that the permanent students had, therefore pressure was increased on permanent staff because they find them in the situation of doing more work. Therefore, there is a need to improve on staff recruitment to resolve this problem.CQC quality perspective ensures regulations and set standards are practiced and standards from different agencies that include: CQC, NICE, NMC and sectors Skills Council.  CQC considers quality from perception of services implemented and ensure them to be effective, safe, high quality and improvement which is continuous (CQC, 2015). Quality is accurate, have adequate budget for quality services, good record keeping and correct documentation.  Therefore, in the case study CQC perspectives were partly implemented, however in some cases staff were ignorant about service users’ needs hence not meeting quality perspective. Therefore, there is a need for continuous monitoring of quality of services by CQC. 1.2 According to Health, Social services and public safety (2014) external agencies are referred to regulators that work for government, influence performance of the organisations to ensure they comply with legal standards including quality. They provide warning notices, termination when an organisation fails to comply with regulations, encourage and provide advice to organisations.There are different external agencies like: NICE, CQC, NMC, Health Commissioner of midwifery and CCG.The role of three of the above will be explained as below:NICE (2015) it’s the role of NICE to provide advice and information for improvement of health and social care services. They also set up standards to enable improvement for the outcome of the people and the public using NHS services and it is through provision of guidance, advice and information and establish advice and direction for health and social care workers. Coulter et al (2013) suggest that they produce standards of quality measurement for commissioners, health and social care officers, to improve health and social care service delivery.For example: In the case study of RHC, NICE standard includes the administration of medication, because it was reported that allergies due to medication were not reported by staff, hence non-compliance with the standards. However, the manager made improvement by taking immediate action hence the residents’ needs were met as it is NICE standard. Care Quality Commission (CQC) refers to the system regulator and they have a role to make sure that safety and quality of care is met by the social care providers in England (RCN, 2008). CQC monitor and checks facilities whether they meet the required standards.  Also, CQC, inspects organisations and publish the outcomes or findings and rate the performance to enable people decide on access to health care services (CQC, 2017).
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