View an
introduction to the Assignment here
:
https://kapextmediassl-a.akamaihd.net/healthSci/media/HA525/u9/ha525_u9assignment.html
Evaluate reasons for sound corporate compliance and penalties for failure to comply
Compare and contrast abuse and fraud in the healthcare settings
Discuss how Qui Tam lawsuits impact the healthcare industry
Course outcome assessed/addressed in this Assignment:
-Illustrate legal principles and laws that affect professional and administrative decisions found in health care services.
– Analyze conflict between cost, access, and quality of care as it relates to legal parameters.
-Evaluate inherent limitations to the delivery of health care due to legal mandates.
– Contrast the roles of legislatures, regulators, and the courts in health care services.
– Evaluate how the law of contract and malpractice mold health care delivery.
Instructions
Much of this course is dedicated to educating you, the student, about compliance with quality standards. It is important to understand that compliance extends to every phone call, computer entry, claim submission, patient contact, visit, provider interaction, nursing care, and so on. For this, your Final Project, you will prepare a report about the role of the Joint Commission (JC).
To begin, please visit the organization’s website:
Source: The Joint Commission: The Joint Commission. Retrieved from
http://www.jointcommission.org/
Additional research will be necessary. Please visit the Library for your research.
Part I
The role of the Joint Commission in accrediting medical facilities
Which facilities can be accredited?
What are the goals of the Commission?
How do existing Joint Commission guidelines impact facilities that are not accredited by the Commission?
What does it mean to a facility to be accredited by the Joint Commission?
Is it mandatory for organizations to be accredited by the Joint Commission? If not, what impact does not having such accreditation mean in terms of reimbursement?
Part II
You are the administrator of the health information department for a medium-sized facility. You have just been informed by the compliance officer that the Joint Commission will be visiting your facility and will be focusing on your department.
Begin the memorandum by including information you believe will be important for your personnel to know to prepare for the visit.
Then, anticipate possible questions that the Commission might have for you in terms of compliance.
How will you and your department respond to these questions? How will you manage any negative findings during the visit?
Finally, discuss how current noncompliance findings can be avoided in the future in this memorandum.
Requirements
Part I should cover 4–5 pages
Part II should cover 2–3 pages
Memorandum Format Tips and Suggestions
· Complete Memorandum using the template included in this email
· Use a Word document (or comparable word processing program)
·
Do not
indent paragraphs
· Avoid block (or page long) paragraphs
· One (1) inch margins (top, bottom, left and right)
· Justify your memorandum, right
· Memorandum should have
single-spaced sentences
· Font: Use standard font such as TimesNewRoman
Company Name Here |
Memo
To:
From:
CC:
Date: 3/3/2020
Re:
How to Use This Memo Template
Select text you would like to replace, and type your memo. Use styles such as Heading 1-3 and Body Text in the Style control on the Formatting toolbar. To save changes to this template for future use, choose Save As from the File menu. In the Save As Type box, choose Document Template. Next time you want to use it, choose New from the File menu, and then double-click your template.
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