OM002: Organizational Compliance and Regulatory Mandates

To begin, review:

Kohn, L.T., Corrigan, J. M., & Donaldson, M. S. (Eds.). (2000). To err is human: Building a safer health system. National Academy Press. https://www.nap.edu/
National Academy of Sciences. (2001). Crossing the quality chasm: A new health system for the 21st century. https://www.nasonline.org

Note that you first read these resources in OM001.

Scenario

Imagine that you are an executive with a healthcare consultancy that helps hospitals improve patient experiences by creating and implementing sustainable quality improvement programs. Consider your role as you answer the questions in this Assessment.

PART ONE: HISTORY OF THE QUALITY-MANAGEMENT MOVEMENT IN HEALTHCARE

An important part of your role at the consulting firm is to lead training sessions at hospitals nationwide. At the training sessions, you educate hospital administrators on the history of the quality-management movement in healthcare. Many of the individuals you train have little or no background in quality management, and you have found that leadership is more receptive to changes if they understand the history of the quality-management movement in healthcare.

Create a slide presentation to communicate the following information to your audience. (5 – 7 slides)

Briefly summarize the history of the quality movement, in general, to set the context for this presentation.
Explain the history and influence of Deming and Donabedian (referenced in Chapter 2, 12, and 14 of the Nash text, respectively) in the healthcare quality-management movement.
Describe the impact that the two reports, To Err is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, had on quality management in the healthcare system.
Describe the role of the Centers for Medicare & Medicaid Services (CMS) in the healthcare quality-management movement.
Summarize the impact of The Joint Commission accreditation in the quality-improvement process of participating hospitals.

PART TWO: RESPONSE TO SYNDICATED NEWS SHOW INTERVIEW

As a result of your success as a healthcare-quality consultant, you have been invited to appear as a guest on a nationally syndicated news show. The show explores the topic of quality in healthcare. The interviewer asks you, Why is a hospital different than a nuclear power plant or a commercial airline? Why cant hospitals achieve the same quality levels as high-reliability organizations? Create an audio or video response to the questions by explaining the challenges related to ensuring quality and safety standards in hospitals. In addition, explain how hospitals can achieve the same quality levels as high-reliability organizations. (2-minute audio or video)

PART THREE: SUMMARY OF THE DIFFERENCES AND SIMILARITIES BETWEEN THE JC AND DNV SURVEYS

In your role as a healthcare consultant, administrators and executives often ask you about the differences and similarities between the major accrediting agencies. Many want to know about the DNV surveys and how they compare to The Joint Commission (JC) surveys. Prepare a 1-page document that summarizes the differences and similarities between the JC and DNV surveys. Also, explain why accreditation may or may not equate to quality healthcare (1 page)

PART FOUR: TRANSPARENCY IN THE HEALTH CARE SYSTEM

The dean of the Master of Healthcare Administration (MHA) program at your alma mater has asked you to participate in a debate on transparency in the healthcare system. As part of your preparation for the debate, prepare a 1- to 2-page paper in which you:

Address your definition of the concept of transparency in the healthcare system.
Explain the primary benefits and drawbacks of transparency in the healthcare system. Express your opinion on whether the benefits of transparency in the healthcare system outweigh the drawbacks? Will transparency create more informed healthcare consumers, lead to more questions, or both? Explain your answer.

 ASSESSMENT WORKSHEET”>PART FIVE: ORGANIZATION ASSESSMENT WORKSHEET

Review the National Patient Safety Goals (NPSG) at http://www.jointcommission.org/standards_information/npsgs.aspx. Then, read the scenarios presented on the Organization Assessment Worksheet provided*, and evaluate whether a violation had occurred. Based on your evaluation, complete the worksheet as follows:

If a compliance issue has occurred, identify and classify the issue in the second column of the worksheet.
If no compliance issue occurred, explain why not (in the second column of the worksheet).
For each scenario, provide a recommended course of action in the third column of the worksheet.