Essay Example on Healthcare Risk Management: Maximizing Quality & Compliance

Introduction

Healthcare services provision is complex, and there should be no light association by professionals of risk management. Contribute to this complexity include licensing, or accreditation standards, third-party payer requirements and regulations, and to mitigate this formalization of procedures and policies can be by promoting the care of high quality, safe delivery, regulatory compliance, and workplace safety. Moreover, healthcare professionals can reduce practice variability by up-to-date, well-written procedures and policies that can affect the outcome in patient harm and care. On healthcare managers, there is a massive demand for drafting and maintaining all-inclusive inscribed policies that regularly associate with operational challenges (Schyve, 2009). Managers with the top-priority position that need to offer the increasing financial pressures face difficulties in allocating time to update or review policies and regulations. There is the possibility of negative consequences in the development result of deferring policy and procedure in health care. Outdate of policies and control can result in healthcare; therefore, people adhered to these policies may carry out activities that, in recognition of the industry practices, are no longer consistent.

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Summary of the Current Situation

Discrepancies result in health care policy and regulation when unknowingly a domain advances a strategy that exists; perhaps the same system earlier was in issue by a different area. There is currently the posing of complex social, ethical, and legal questions by the current health policy. Government officials to offer health policy to the community and individuals by protection and promotion of health do accomplish this with non-discrimination and respecting human rights. It is impossible to give a comprehensive and systematic analysis of health policy formulation in the United States because of its expansive range of groups and policymaking bodies seeking to guide the process (Darnell & Allen, 2019). America is a complicated and diverse society; therefore, many groups weigh on significant health policy issues in the procedure. In theory, the judiciary's development of many health policies gives the ideal least forum for systems. Objectively Judges from a variety of sources are alleged to impartially and be able to assess arguments and pieces of evidence. However, for public accountability, they are insulated, and figures from politics appoint political ideologies. Many judges are not subject to reappointment or elections; therefore, they have a life-or- long-term appointment. Legal skills are in the offer to healthcare by judges who may lack ethical or scientific thinking experience.

Health issues arise to people who rarely receive training or education on healthcare, and more importantly, the nature proceedings such as the judicial system militate formulation of health care policy. Clinical policies face discrepancies in the allegation that two levels of care are allowed by leaders to be offered, thereby in several ways, the risk increased exposure to organizations. The trigger of current exposure is the joint commission's leadership accreditation standard inconsistency throughout the hospital receiving similar services, treatment, and standard of care for patients with comparable needs (Schyve, 2009). Another essential reason is in treatment, whereby it cannot fulfill the legal standard of care for a plaintiff suffering from harm if given two policies at a specific case. Many healthcare organizations face the burden of overly broad or non-value-added information by misunderstanding the policy statements' determination. A plaintiff lawyer may receive an invitation to take a report, alleging that it was not intended, and place the obligation to the defendant out of context with healthcare policy and regulation. For example, since the signing order of the Patient Protection and Affordable Care Act of 2010 (PPACA) immediate repeal, there has been repeated unsuccessful efforts by legislation in Congress to repeal the economic burden of the health care industry to people of United States (Morris et al. 2019). There is a presentation of unprecedented manner for these policies in healthcare as well as regulatory trends in several cabinet-level agencies.

Current Efforts to Improve the Situation

Recently disclaimer statement is included in the policy to remind staff members in situations to apply judgment in the determination of all parts of the procedure and system whether there is a warrant on some modification. The disclaimer statement assists in making adaptations of healthcare policy and regulation by making them appropriate for situations that there was follow up for instance, by a staff member in defending allegations to an organization (Destache, 2018). There are published practice guidelines when developing or updating healthcare policies by relevant professional associations. For instance, the Emergency Nurses Association and the American College of Emergency have reviewed guidelines when writing a plan to an emergency department about the delivery of patient care. By the issuing association, the instructions are first vetted and researched thoroughly, and in a malpractice case, they introduce them as evidence of standard care. Professional association recommendations in healthcare policy and regulation are advisory rather than mandatory because they lack the authority of rules or statutes. New administrations and departments in healthcare have taken specific actions to relax and loosen the Patient Protection and Affordable Care Act of 2010 for law and policy.

There is the requirement of allocation date for health care policy and regulation whereby organizations for all affected personnel need to inform a new or revised policy before its effective date. Follow of this requirement protects corporate negligence claims and organizations outdate of policies comprising the patient care. There is time for managers to associate training of policies between the effective date and allowed time for approval date. The length of time for documentation determination should be by a legal counsel factoring in statutes of limitations apply to the type of training. Managers in each unit or department of healthcare facilities obligate responsibility for all staff members receiving preparation for competency verification tests and attain a passing score for repeal, replacement, or modification of current healthcare policy. With pressure groups acting in a unity and with the will of society, the legislature has been most useful to operate in a healthcare plan, and this is evident in the experience passage of Americans with Disabilities Act (Bagenstos, 2020). The society can receive lasting and powerful benefits when the legislature works well in healthcare policy and regulation as this is right majoritarian politics.

Recommendation

The vital point in healthcare policy and regulation is to standardize the procedures through the system. There are numerous hospitals inside the health system, and the policy regulating would allow a dependent system. There is little justification for own policies for the hospital's independent development, and disparities can risk exposure of an organization. An electronic policy library can come to assist this by organizations in healthcare, enhancing access through replacing paper policy and manual procedures. Through the internet, healthcare policy procedures by sponsoring domain, subject, and name will be secure for the modification or replacement of a current policy because an electronic policy library facilitates searches. Additionally, a designated senior leader should maximize the usefulness of policies and procedures by overseeing approval, development, and reviewing policy with regulators such as the Legal Department and Corporate Compliance Officer. The leaders in the new employee orientation program should incorporate policy procedure compliance training to determine if there is a need for modification in any part of a policy and regulation. Therefore, a feedback mechanism is required for this case to implement situations that the staff report as miss management needing change. Moreover, establishing a committee to review policies and develop a plan with legitimate reasons can help the health system by identifying policy disparities because of the distinct jurisdictional statutes.

Conclusion

There is an under-appreciation of healthcare policy and regulation because of updating, writing, and implementing procedures and policies. There is a bitter contest on health policy issues because they are often divisive, whereby another can pit one strategy. The legislator needs to have a system in place that controls and standardizes conduct in healthcare policy. Today rules are in the establishment by the state, federal, and even regulatory agencies to adhere to high standards that intend to offer and promote access of care to the public. The choices reflect on assessments of available information between competing values for health policy decisions. Interest groups, therefore, through their lenses and values, can select a policy with self-interest, unlike definite group with good intentions.

References

Almond, P., & Esbester, M. (2018). Regulatory inspection and the changing legitimacy of health and safety. Regulation & Governance, 12(1), 46-63., doi:10.1111/rego.12155

Bagenstos, S. R. (2020). Disability Rights and the Discourse of Justice. SMU Law Review Forum, 73(1), 26–34. doi: 10.25172/slrf.73.1.5

Darnell, J. S., & Allen, H. L. (2019). Health policy and social work. Handbook of health social work, 119-141., doi: 10.1002/9781119420743.ch6

Destache, D. M. (2018, April 24). Hospital Policies: Will They be a Burden or a Benefit to You in Litigation? Retrieved from https://www.ldmlaw.com/2013/04/hospital-policies-will-they-be-a-burden-or-a-benefit-to-you-in-litigation/

Morris, J. C., Mayer, M. K., Kenter, R. C., & Lucero, L. M. (2019). State Politics and the Affordable Care Act: Choices and Decisions. Routledge.

Schyve, P. M. (2009). Leadership in healthcare organizations: A guide to joint commission leadership standards, a governance institute white paper. Governance Institute. Retrieved from https://www.jointcommission.org/-/media/deprecated-unorganized/imported-assets/tjc/system-folders/topics-library/wp_leadership_standardspdf.pdf?db=web&hash=86F0223A5C016F833DA3DDB1C62F5D20