Team Assignment: Organizational Performance Management Presentation
As a team, discuss and compare your chosen organizations selected in this week’s individual assignment, Organizational Management Performance Table, to complete this presentation.
As a team, create an 8- to 10-slide Microsoft® PowerPoint® presentation (not counting the title or reference slides) with detailed speaker notes of at least 100 words per slide in which you compare and contrast the organizations selected by each learning team member.
Your presentation should:
- Describe ways each organization will communicate with leadership to ensure alignment of organizational goals and gain buy-in from staff to achieve compliance with the standards and requirements issued by regulatory and accreditation bodies.
I only need 2 to 3 slides excluding the title, intro, and reference. Please add reference and speaker notes. I have attached the 5 worksheets from the team to reference.
HCS/456 v5
Organizational Performance Management Table
HCS/456 v5
Page 2 of 2
Organizational Performance Management Table
Choose a health care organization and research it to complete this table, and then share it with your learning team as you collaborate to complete your presentation. Include your tables as appendices in your presentation.
1. Provide a name of or link to a specific health care organization. Summarize the key products or services provided by the organization and identify the primary customers it serves.
|
Organization Overview |
|
The Mayo Clinic is a nonprofit organization, that serves many different specialties and departments such as a minority health and wellness programs, cancer preventions, transplants, brain ageing such as Alzheimer’s and memory disorders, community outreach programs and research. The Mayo Clinic services all patients no matter their race, sexual orientations, gender identity, disability status, military service, faith or culture. https://www.mayoclinic.org/about-mayo-clinic/office-diversity-inclusion/about |
2. Outline the overall content of the major regulations, accreditation requirements, and other standards that affect the organization. Provide the title, section, parts, or subparts, or the numbering system, etc. of the specific regulations or accreditation requirements. Responses should be at least 100 words.
For example: Use of electronic signatures in electronic medical records is equivalent to handwritten signatures on paper; FDA regulation;
Title 21 CFR Part 11
, Subpart C, § 11.200 Electronic Signature
|
Organization Regulations, Accreditation, and Standards |
|
The Mayo Clinic follows strict federal and state regulations that consist of, Notice of Privacy Practices, which informs patients of their rights regarding their medical information, Health Insurance Portability and Accountability Act (HIPAA) that will protect private medical information from being divulge without the patient’s consent. The Equal Employment Opportunity & Affirmative Action (EEOC), and the Joint Commission. All are utilized in combination that allows the Mayo Clinic along with other entities to stay in compliance with the state, and federal regulatory guidelines and accreditations. Title VII of the Civil Rights Act of 1964, 42 U.S.C.§ 2000e |
3. Highlight the effect the organization’s regulations, accreditation requirements, and other standards have on risk management functions and activities. Responses should be at least 100 words.
|
Effects on Risk Management |
|
By abiding by federal and state regulation Risk management has advantages and some disadvantages. The advantages are to maintain the organization economic stability, increase the organizations transparency and protect the organization against fraud and /or illegal and unfair practices. |
4. Identify specific components of performance-management systems—policies and procedures, self-audits, benchmarking, complaint management, corrective or preventive action, education and training, communication, and other mechanisms—to be used by the organization. Responses should be at least 100 words.
|
Organizational Performance Management Systems |
|
Organizations should utilize five main components. Management involvement is one of the most important functions that an organization can ensure that their organization is a success, setting the tone with employees, development, continual coaching and feedback, and consistent ongoing conversations. |
5. Provide several links to relevant sources that will be useful as your learning team completes the paper.
|
Additional Links |
|
https://www.mayoclinic.org/about-mayo-clinic/office-diversity-inclusion/about
https://mcforms.mayo.edu/mc2500-mc2599/mc2570 ?_ga=2.64575974.813409188.1598715373-1470762689.1598715373 https://ce.mayo.edu/content/accreditation-and-standards-our-commitment-you https://www.beckershospitalreview.com/lists/12-things-to-know-about-mayo-clinic.html |
Copyright 2020 by University of Phoenix. All rights reserved.
Copyright 2020 by University of Phoenix. All rights reserved.
HCS/456 v5
Organizational Performance Management Table
HCS/456 v5
Page 2 of 2
Organizational Performance Management Table
Choose a health care organization and research it to complete this table, and then share it with your learning team as you collaborate to complete your presentation. Include your tables as appendices in your presentation.
1. Provide a name of or link to a specific health care organization. Summarize the key products or services provided by the organization and identify the primary customers it serves.
|
Organization Overview |
|
Johns Hopkins Medicine https://www.hopkinsmedicine.org/ The Johns Hopkins Hospital has its headquarters in Baltimore, Maryland. There are various products and services which the hospital provides to the community. There are both inpatient and outpatient services that are offered by the hospital. In the primary care unit, there is care for injuries, infectious diseases, transfer services, various types of cancer, and radiological products. It operates as a for-profit facility which provides these products and services for a fee. The hospital provides services starting from prevention, diagnosing, and ending at treatment for various medical conditions. The institution also has research services for promotion of medical education. |
2. Outline the overall content of the major regulations, accreditation requirements, and other standards that affect the organization. Provide the title, section, parts, or subparts, or the numbering system, etc. of the specific regulations or accreditation requirements. Responses should be at least 100 words.
For example: Use of electronic signatures in electronic medical records is equivalent to handwritten signatures on paper; FDA regulation;
Title 21 CFR Part 11
, Subpart C, § 11.200 Electronic Signature
|
Organization Regulations, Accreditation, and Standards |
|
Usage, storage, transmission, and maintenance of patient health information should be in compliance with the Health Insurance Portability and Accountability Act (HIPAA of 1996). The healthcare providers must be audited so as to determine whether they are complying with all of the rules and regulations that are set by HIPAA in terms of privacy and security in accordance to The Health Information Technology for Economic and Clinical Health (HITECH) Act of February 2009. The payment for doctors together with the cost controls that are therefore Medicare Part B must comply with The Medicare Access and CHIP (Children’s Health Insurance Program) Reauthorization Act of 2016. |
3. Highlight the effect the organization’s regulations, accreditation requirements, and other standards have on risk management functions and activities. Responses should be at least 100 words.
|
Effects on Risk Management |
|
Risk management looks at analyzing the processes and practices, identifying the risks that are there, and implementation of steps to address the risks. In healthcare, the risk management is more complex because of the regulations and standards. At the same time, risk management in healthcare is a matter of life and death. The stakes in healthcare are higher because of the accreditation requirements and the government regulations that exist. The management of the risks is at the core of the process and it determines if one will be faced with hazards that come with things such as faulty equipment. Medical malpractice can lead to not only loss of clients, but of operating licenses because the facility is under guidance of licenses the requirements. |
4. Identify specific components of performance-management systems—policies and procedures, self-audits, benchmarking, complaint management, corrective or preventive action, education and training, communication, and other mechanisms—to be used by the organization. Responses should be at least 100 words.
|
Organizational Performance Management Systems |
|
There are several components that will be used by the hospital in its performance management systems. One of the components in corrective action. The presence of corrective actions helps in having more control on the organization and is a support to the legal requirements that are there. The corrective actions can be used as a complement of the legal correction. This is important because of the high standards that are there in healthcare. The institution can have suspensions for members of staff who do not follow the legal requirements. The next component is reward and recognition. The staff who are doing more than they are required need to be appreciated for their work. The reward and recognition should be a core part of the policies and procedures. There should be regular benchmarking in other facilities to understand what can be done to make operations better. |
5. Provide several links to relevant sources that will be useful as your learning team completes the paper.
|
Additional Links |
|
Johns Hopkins. (2020, May 15). Johns Hopkins Medicine, based in Baltimore, Maryland. https://www.hopkinsmedicine.org/ https://www.healthstream.com/resources/blog/blog/2018/08/22/seven-recommendations-for-strong-healthcare-performance-management-systems https://journals.sagepub.com/doi/full/10.1177/0969733016687162 https://arxiv.org/abs/1603.02964 https://www.sciencedirect.com/science/article/pii/B9780128041796000137
|
Copyright 2020 by University of Phoenix. All rights reserved.
Copyright 2020 by University of Phoenix. All rights reserved.
HCS/4
5
6
v
5
Organ
i
za
t
ional Performan
c
e Management
Table
HCS/456 v5
Page 2
of
2
Organizational Performance Management Table
Choo
s
e a
health care
organization
a
nd
r
es
earch it
to
complete
this table
,
and then share it with
your
learn
in
g team
as you collaborate to
complete your
presentation
.
Include
your tables as
appendi
ces in your presentation
.
1.
Provide
a name of
or
link
to
a specific
health care organization
. Summarize
the
key produc
ts or
services provided by the
organization and identify the primary customers
it
serve
s.
Organization Overview
St.
J
ude
–
https://www.stjude.org
St. Jude provides treatment for children or young adults who have cancerous or non cancerous
tumors
,
blood disorders, infectious diseases, sickle cell,
leukemia, and lymphoma
s
. St. Jude also
provides research and clinical trials on finding cures for these serious diseases and ailments. Primary
patients and/or customers are children with an illness, young adults with illnesses, patient family,
researchers
, shareholders, and health care staff.
2.
Outline the overall content of the major regulations, accreditation requirements, and other
stan
dards that affect the
organization.
Provide the title
,
section
,
parts
, or
subparts
, or the
numbering system
, etc.
of
the specific regulations or accreditation requirements.
Responses
should be at least 100 words.
For example: Use of electronic signatures in electronic medical records is equivalent to
handwritten signatures on paper; FDA regulation;
Title
21 CFR Part 11
,
Subpart C,
§
11.200
Electronic Signature
Organization Regulations, Accreditation, and Standards
St. Jude is accredited by The C
ollege of American Pathologists (CAP), a
nd
Centers for Medicaid
Services (CMS)
–
approved accreditation authority. St Jude was actually the first children’s hospital in
the U.S. to earn CAP ISO15189 accreditation.
CAP is volunt
ary and non regulatory
, which means that
it is not mandatory to
have CAP
. St. J
ude has a non
–
discrimination and affirmative action clause
where parties have to mee
t the requirements of 41 C.F.R.
§§
60
–
1.1(a), 29
C.F.R. Part 471, Appendix
A to Subpart A
, 41 C.F.R.
§ 60-
300.5(a) ii and 41 C.F.R.
§
if applicable.
These regulations require
St.
Jude to treat
and employ
regardless
of their class or status.
3. Highlight the effect the organization’s regulations, accreditation requirements, and other standards have on risk management functions and activities. Responses should be at least 100 words.
|
Effects on Risk Management |
|
Saint Jude has a separate organization called American Lebanese Syrian Associated Charities (ALSAC) to organize risk management. ALSAC focuses on the mission and statement of Saint Jude and manages most of their risks while raising awareness. Because St. Jude is a nonprofit organization, most of its help comes from volunteers. Because there are so many volunteers, there are more areas prone to risks. While training is essential many volunteers at St. Jude are not appropriately trained, this is why it’s necessary for the hospital to a separate body to focus on risk management in order to provide effective safety procedures for everyone. While ALSAC focuses on the day to day operations to include risk management they also bring in 75% of the funds to operate St. Jude. |
4. Identify specific components of performance-management systems—policies and procedures, self-audits, benchmarking, complaint management, corrective or preventive action, education and training, communication, and other mechanisms—to be used by the organization. Responses should be at least 100 words.
|
Organizational Performance Management Systems |
|
Management systems that are currently in place at St. Jude are daily briefings on patient statues, active participants, committees, contractors, visiting families, etc. It is vital for the hospital to know who is in the building at all times, especially because of the high risk of transmittable diseases to patients. Outside of ALSAC, the hospital does keep its regular employees on annual continuing education sessions to better manage risks in everyone’s own department. Saint Jude tries to be involved with every aspect of the organization including travel, security, compliance, and security in efforts to keep risks a low as possible. |
5. Provide several links to relevant sources that will be useful as your learning team completes the paper.
|
Additional Links |
|
https://charitynavigator.org https://insurancebusinessmag.com https://www.nccn.org cancer.gov |
Copyright
2020
by University of Phoenix. All rights reserved.
Copyright 2020 by University of Phoenix. All rights reserved.
HCS/456
v
5
Copyright
2020
by University of Phoenix. All rights reserved.
Organizational Performance Management
Table
Choose a
health care organization
and research it
to complete this table, and then share it with your
learning team
as you collaborate to
complete
your
presentation
. Include
your tables as
appendi
c
es
in
your
presentation
.
1.
Provide
a name of or link
to
a specific
health care
organization
. Summarize
the
key produc
ts or
services provided by the
organization and identify the primary customers
i
t
serve
s
.
Organization Overview
St. Jude
–
https://www.stjude.org
St. Jude provides treatment for children or young adults who have cancerous or non cancerous
tumors, blood disorders, infectious diseases, sickle cell,
leukemia, and lymphoma
s
. St. Jude also
provides research and clinical trials on finding cures for these serious diseases and ailments. Primary
patients and/or customers are children with an illness, young adults with illnesses, patient family,
researchers
, shareholders, and health care staff.
2.
Outline the overall content of the major regulations, accreditation requirements, and other
stan
dards that affect the
organization.
Provide the title
,
section
,
parts
, or
subparts
,
or
the
numbering system
, etc.
of
the specific regulations or accreditation requirements.
Responses
should be at least 100 words.
For example: Use of electronic signatures in electronic medical records is equivalent to
handwritten signatures on paper; FDA regulation;
Title
21 CFR Part 11
,
Subpart C, § 11.200
Electronic Signature
St. Jude is accredited by The C
ollege of American Pathologists (CAP), a
nd
Centers for Medicaid
Services (CMS)
–
approved accreditation authority. St Jude was actually the first children’s hospital in
the U.S. to earn CAP ISO15189 accreditation.
CAP is volunt
ary and non regulatory
, which means that
it is not mandatory to
have CAP
.
St. J
ude has a non
–
discrimination and affirmative action clause
where parties have to mee
t the requirements of 41 C.F.R.
§
§
60
–
1.1(a), 29
C.F.R. Part 471, Appendix
A to Subpart A
, 41 C.F.R.
§
60
–
300.5(a) ii and 41 C.F.R.
§
if applicable.
These regulations require
St.
Jude to treat
and employ
regardless
of their class or status.
HCS/456 v5
Organizational Performance Management Table
HCS/456 v5
Page 2 of 2
Organizational Performance Management Table
Choose a health care organization and research it to complete this table, and then share it with your learning team as you collaborate to complete your presentation. Include your tables as appendices in your presentation.
1. Provide a name of or link to a specific health care organization. Summarize the key products or services provided by the organization and identify the primary customers it serves.
|
Organization Overview |
|
The Mayo Clinic is a nonprofit organization, that serves many different specialties and departments such as a minority health and wellness programs, cancer preventions, transplants, brain ageing such as Alzheimer’s and memory disorders, community outreach programs and research. The Mayo Clinic services all patients no matter their race, sexual orientations, gender identity, disability status, military service, faith or culture. https://www.mayoclinic.org/about-mayo-clinic/office-diversity-inclusion/about |
2. Outline the overall content of the major regulations, accreditation requirements, and other standards that affect the organization. Provide the title, section, parts, or subparts, or the numbering system, etc. of the specific regulations or accreditation requirements. Responses should be at least 100 words.
For example: Use of electronic signatures in electronic medical records is equivalent to handwritten signatures on paper; FDA regulation;
Title 21 CFR Part 11
, Subpart C, § 11.200 Electronic Signature
|
Organization Regulations, Accreditation, and Standards |
|
The Mayo Clinic follows strict federal and state regulations that consist of, Notice of Privacy Practices, which informs patients of their rights regarding their medical information, Health Insurance Portability and Accountability Act (HIPAA) that will protect private medical information from being divulge without the patient’s consent. The Equal Employment Opportunity & Affirmative Action (EEOC), and the Joint Commission. All are utilized in combination that allows the Mayo Clinic along with other entities to stay in compliance with the state, and federal regulatory guidelines and accreditations. Title VII of the Civil Rights Act of 1964, 42 U.S.C.§ 2000e |
3. Highlight the effect the organization’s regulations, accreditation requirements, and other standards have on risk management functions and activities. Responses should be at least 100 words.
|
Effects on Risk Management |
|
By abiding by federal and state regulation Risk management has advantages and some disadvantages. The advantages are to maintain the organization economic stability, increase the organizations transparency and protect the organization against fraud and /or illegal and unfair practices. |
4. Identify specific components of performance-management systems—policies and procedures, self-audits, benchmarking, complaint management, corrective or preventive action, education and training, communication, and other mechanisms—to be used by the organization. Responses should be at least 100 words.
|
Organizational Performance Management Systems |
|
Organizations should utilize five main components. Management involvement is one of the most important functions that an organization can ensure that their organization is a success, setting the tone with employees, development, continual coaching and feedback, and consistent ongoing conversations. |
5. Provide several links to relevant sources that will be useful as your learning team completes the paper.
|
Additional Links |
|
https://www.mayoclinic.org/about-mayo-clinic/office-diversity-inclusion/about
https://mcforms.mayo.edu/mc2500-mc2599/mc2570 ?_ga=2.64575974.813409188.1598715373-1470762689.1598715373 https://ce.mayo.edu/content/accreditation-and-standards-our-commitment-you https://www.beckershospitalreview.com/lists/12-things-to-know-about-mayo-clinic.html |
Copyright 2020 by University of Phoenix. All rights reserved.
Copyright 2020 by University of Phoenix. All rights reserved.
HCS/456 v5
Organizational Performance Management Table
HCS/456 v5
Page 2 of 2
Organizational Performance Management Table
Choose a health care organization and research it to complete this table, and then share it with your learning team as you collaborate to complete your presentation. Include your tables as appendices in your presentation.
1. Provide a name of or link to a specific health care organization. Summarize the key products or services provided by the organization and identify the primary customers it serves.
|
Organization Overview |
|
Johns Hopkins Medicine https://www.hopkinsmedicine.org/ The Johns Hopkins Hospital has its headquarters in Baltimore, Maryland. There are various products and services which the hospital provides to the community. There are both inpatient and outpatient services that are offered by the hospital. In the primary care unit, there is care for injuries, infectious diseases, transfer services, various types of cancer, and radiological products. It operates as a for-profit facility which provides these products and services for a fee. The hospital provides services starting from prevention, diagnosing, and ending at treatment for various medical conditions. The institution also has research services for promotion of medical education. |
2. Outline the overall content of the major regulations, accreditation requirements, and other standards that affect the organization. Provide the title, section, parts, or subparts, or the numbering system, etc. of the specific regulations or accreditation requirements. Responses should be at least 100 words.
For example: Use of electronic signatures in electronic medical records is equivalent to handwritten signatures on paper; FDA regulation;
Title 21 CFR Part 11
, Subpart C, § 11.200 Electronic Signature
|
Organization Regulations, Accreditation, and Standards |
|
Usage, storage, transmission, and maintenance of patient health information should be in compliance with the Health Insurance Portability and Accountability Act (HIPAA of 1996). The healthcare providers must be audited so as to determine whether they are complying with all of the rules and regulations that are set by HIPAA in terms of privacy and security in accordance to The Health Information Technology for Economic and Clinical Health (HITECH) Act of February 2009. The payment for doctors together with the cost controls that are therefore Medicare Part B must comply with The Medicare Access and CHIP (Children’s Health Insurance Program) Reauthorization Act of 2016. |
3. Highlight the effect the organization’s regulations, accreditation requirements, and other standards have on risk management functions and activities. Responses should be at least 100 words.
|
Effects on Risk Management |
|
Risk management looks at analyzing the processes and practices, identifying the risks that are there, and implementation of steps to address the risks. In healthcare, the risk management is more complex because of the regulations and standards. At the same time, risk management in healthcare is a matter of life and death. The stakes in healthcare are higher because of the accreditation requirements and the government regulations that exist. The management of the risks is at the core of the process and it determines if one will be faced with hazards that come with things such as faulty equipment. Medical malpractice can lead to not only loss of clients, but of operating licenses because the facility is under guidance of licenses the requirements. |
4. Identify specific components of performance-management systems—policies and procedures, self-audits, benchmarking, complaint management, corrective or preventive action, education and training, communication, and other mechanisms—to be used by the organization. Responses should be at least 100 words.
|
Organizational Performance Management Systems |
|
There are several components that will be used by the hospital in its performance management systems. One of the components in corrective action. The presence of corrective actions helps in having more control on the organization and is a support to the legal requirements that are there. The corrective actions can be used as a complement of the legal correction. This is important because of the high standards that are there in healthcare. The institution can have suspensions for members of staff who do not follow the legal requirements. The next component is reward and recognition. The staff who are doing more than they are required need to be appreciated for their work. The reward and recognition should be a core part of the policies and procedures. There should be regular benchmarking in other facilities to understand what can be done to make operations better. |
5. Provide several links to relevant sources that will be useful as your learning team completes the paper.
|
Additional Links |
|
Johns Hopkins. (2020, May 15). Johns Hopkins Medicine, based in Baltimore, Maryland. https://www.hopkinsmedicine.org/ https://www.healthstream.com/resources/blog/blog/2018/08/22/seven-recommendations-for-strong-healthcare-performance-management-systems https://journals.sagepub.com/doi/full/10.1177/0969733016687162 https://arxiv.org/abs/1603.02964 https://www.sciencedirect.com/science/article/pii/B9780128041796000137
|
Copyright 2020 by University of Phoenix. All rights reserved.
Copyright 2020 by University of Phoenix. All rights reserved.
HCS/456 v5
Organizational Performance Management Table
HCS/456 v5
Page 2 of 4
Organizational Performance Management Table
Choose a healthcare organization and research it to complete this table, and then share it with your learning team as you collaborate to complete your presentation. Include your tables as appendices in your presentation.
1. Provide a name of or link to a specific health care organization. Summarize the key products or services provided by the organization and identify the primary customers it serves.
Organization Overview
Plastic surgery performed by board-certified plastic surgeons in accredited ambulatory facilities – also known as outpatient surgery centers or same day surgery centers – has an excellent safety record.
BREAST ENHANCEMENT PROCEDURES
BREAST AUGMENTATION
BREAST LIFT (MASTOPEXY)
BREAST REDUCTION
FAT TRANSFER
MALE BREAST REDUCTION
FACIAL REJUVENATION PROCEDURES
FACELIFT & NECK LIFT
FOREHEAD & BROW LIFT
EYELID SURGERY
NOSE SURGERY
EAR SURGERY
FACIAL IMPLANTS
BODY PROCEDURES
BODY CONTOURING
TUMMY TUCK
LIPOSUCTION
BRAZILIAN BUTT LIFT
MOMMY MAKEOVER
ARM LIFT
BODY LIFT
THIGH LIFT
2. Outline the overall content of the major regulations, accreditation requirements, and other standards that affect the organization. Provide the title, section, parts, or subparts, or the numbering system, etc. of the specific regulations or accreditation requirements. Responses should be at least 100 words.
For example: Use of electronic signatures in electronic medical records is equivalent to handwritten signatures on paper; FDA regulation;
Title 21 CFR Part 11
, Subpart C, § 11.200 Electronic Signature
|
Organization Regulations, Accreditation, and Standards |
|
The standards focus on important patient, individual, or resident care and organization functions that are essential to providing safe, high quality care. ASCs are highly regulated health care facilities. Each ASC must comply with a host of statutes and regulations at both the federal and state levels. Surgical Centers are accredited and evaluated by the Accreditation Association for Ambulatory Health Care (AAAHC) and The Joint Commission. Preanesthesia Assessment and Evaluation Record is mandatory; § 416.25 Basic requirements. Participation as an ASC is limited to facilities that – (a) Meet the definition in § 416.2; and (b) Have in effect an agreement obtained in accordance with this subpart. [56 FR 8843, Mar. 1, 1991] The preanesthesia assessment and evaluation of the patient provides an overview of the patient’s general health, allergies, medication history, pre existing conditions, and anesthesia history and may identify additional health issues. https://www.ascassociation.org/federalregulations/overview https://www.law.cornell.edu/cfr/text/42/416.25 |
3. Highlight the effect the organization’s regulations, accreditation requirements, and other standards have on risk management functions and activities. Responses should be at least 100 words.
|
Effects on Risk Management |
|
Plastic surgery centers are classified and regulated as ambulatory surgical centers. Surgical centers are amongst one of the most regulated medical facilities. Organization regulations are essential for the success of surgical centers. Statutory basis covers the scope of condition that an ASC must meet. The regulations affect the entity that operates exclusively for providing surgical services to patients not requiring hospitalization and in which the expected duration of services would not exceed 24 hours following the admission. For selective surgery is still surgery and a risk. |
|
Organizational Performance Management Systems |
|
With risk management in place there are many businesses who fall into corrective or preventive actions. This can be as simple as education of staff or complex as litigation. The medical field is often looked at a place to receive care and less as a place of business. Before the expansion of hospitals and shift on marketing hospitals were looked at as a place to go die. Now they are looking at a place to go get better or seek wellness. Communication is essential to the quality patient care they expect to receive. As risk management it is my responsibility to ensure safety for all who enter the establishment. |
4. Provide several links to relevant sources that will be useful as your learning team completes the paper.
|
Additional Links |
|
https://www.ascassociation.org/federalregulations/overview
https://www.cms.gov/Regulations-and-Guidance/Legislation/CFCsAndCoPs/ASC https://www.facs.org/education/patient-education/find/facility-accreditation
https://www.plasticsurgery.org/patient-safety?sub=Accredited+Facilities#:~:text=Plastic%20surgery%20performed%20by%20board,has%20an%20excellent%20safety%20record. |
Copyright 2020 by University of Phoenix. All rights reserved.
Copyright 2020 by University of Phoenix. All rights reserved.
HCS/4
5
6
v
5
Organ
i
za
t
ional Performan
c
e Management
Table
HCS/456 v5
Page 2
of
2
Organizational Performance Management Table
Choo
s
e a
health care
organization
a
nd
r
es
earch it
to
complete
this table
,
and then share it with
your
learn
in
g team
as you collaborate to
complete your
presentation
.
Include
your tables as
appendi
ces in your presentation
.
1.
Provide
a name of
or
link
to
a specific
health care organization
. Summarize
the
key produc
ts or
services provided by the
organization and identify the primary customers
it
serve
s.
Organization Overview
St.
J
ude
–
https://www.stjude.org
St. Jude provides treatment for children or young adults who have cancerous or non cancerous
tumors
,
blood disorders, infectious diseases, sickle cell,
leukemia, and lymphoma
s
. St. Jude also
provides research and clinical trials on finding cures for these serious diseases and ailments. Primary
patients and/or customers are children with an illness, young adults with illnesses, patient family,
researchers
, shareholders, and health care staff.
2.
Outline the overall content of the major regulations, accreditation requirements, and other
stan
dards that affect the
organization.
Provide the title
,
section
,
parts
, or
subparts
, or the
numbering system
, etc.
of
the specific regulations or accreditation requirements.
Responses
should be at least 100 words.
For example: Use of electronic signatures in electronic medical records is equivalent to
handwritten signatures on paper; FDA regulation;
Title
21 CFR Part 11
,
Subpart C,
§
11.200
Electronic Signature
Organization Regulations, Accreditation, and Standards
St. Jude is accredited by The C
ollege of American Pathologists (CAP), a
nd
Centers for Medicaid
Services (CMS)
–
approved accreditation authority. St Jude was actually the first children’s hospital in
the U.S. to earn CAP ISO15189 accreditation.
CAP is volunt
ary and non regulatory
, which means that
it is not mandatory to
have CAP
. St. J
ude has a non
–
discrimination and affirmative action clause
where parties have to mee
t the requirements of 41 C.F.R.
§§
60
–
1.1(a), 29
C.F.R. Part 471, Appendix
A to Subpart A
, 41 C.F.R.
§ 60-
300.5(a) ii and 41 C.F.R.
§
if applicable.
These regulations require
St.
Jude to treat
and employ
regardless
of their class or status.
3. Highlight the effect the organization’s regulations, accreditation requirements, and other standards have on risk management functions and activities. Responses should be at least 100 words.
|
Effects on Risk Management |
|
Saint Jude has a separate organization called American Lebanese Syrian Associated Charities (ALSAC) to organize risk management. ALSAC focuses on the mission and statement of Saint Jude and manages most of their risks while raising awareness. Because St. Jude is a nonprofit organization, most of its help comes from volunteers. Because there are so many volunteers, there are more areas prone to risks. While training is essential many volunteers at St. Jude are not appropriately trained, this is why it’s necessary for the hospital to a separate body to focus on risk management in order to provide effective safety procedures for everyone. While ALSAC focuses on the day to day operations to include risk management they also bring in 75% of the funds to operate St. Jude. |
4. Identify specific components of performance-management systems—policies and procedures, self-audits, benchmarking, complaint management, corrective or preventive action, education and training, communication, and other mechanisms—to be used by the organization. Responses should be at least 100 words.
|
Organizational Performance Management Systems |
|
Management systems that are currently in place at St. Jude are daily briefings on patient statues, active participants, committees, contractors, visiting families, etc. It is vital for the hospital to know who is in the building at all times, especially because of the high risk of transmittable diseases to patients. Outside of ALSAC, the hospital does keep its regular employees on annual continuing education sessions to better manage risks in everyone’s own department. Saint Jude tries to be involved with every aspect of the organization including travel, security, compliance, and security in efforts to keep risks a low as possible. |
5. Provide several links to relevant sources that will be useful as your learning team completes the paper.
|
Additional Links |
|
https://charitynavigator.org https://insurancebusinessmag.com https://www.nccn.org cancer.gov |
Copyright
2020
by University of Phoenix. All rights reserved.
Copyright 2020 by University of Phoenix. All rights reserved.
HCS/456
v
5
Copyright
2020
by University of Phoenix. All rights reserved.
Organizational Performance Management
Table
Choose a
health care organization
and research it
to complete this table, and then share it with your
learning team
as you collaborate to
complete
your
presentation
. Include
your tables as
appendi
c
es
in
your
presentation
.
1.
Provide
a name of or link
to
a specific
health care
organization
. Summarize
the
key produc
ts or
services provided by the
organization and identify the primary customers
i
t
serve
s
.
Organization Overview
St. Jude
–
https://www.stjude.org
St. Jude provides treatment for children or young adults who have cancerous or non cancerous
tumors, blood disorders, infectious diseases, sickle cell,
leukemia, and lymphoma
s
. St. Jude also
provides research and clinical trials on finding cures for these serious diseases and ailments. Primary
patients and/or customers are children with an illness, young adults with illnesses, patient family,
researchers
, shareholders, and health care staff.
2.
Outline the overall content of the major regulations, accreditation requirements, and other
stan
dards that affect the
organization.
Provide the title
,
section
,
parts
, or
subparts
,
or
the
numbering system
, etc.
of
the specific regulations or accreditation requirements.
Responses
should be at least 100 words.
For example: Use of electronic signatures in electronic medical records is equivalent to
handwritten signatures on paper; FDA regulation;
Title
21 CFR Part 11
,
Subpart C, § 11.200
Electronic Signature
St. Jude is accredited by The C
ollege of American Pathologists (CAP), a
nd
Centers for Medicaid
Services (CMS)
–
approved accreditation authority. St Jude was actually the first children’s hospital in
the U.S. to earn CAP ISO15189 accreditation.
CAP is volunt
ary and non regulatory
, which means that
it is not mandatory to
have CAP
.
St. J
ude has a non
–
discrimination and affirmative action clause
where parties have to mee
t the requirements of 41 C.F.R.
§
§
60
–
1.1(a), 29
C.F.R. Part 471, Appendix
A to Subpart A
, 41 C.F.R.
§
60
–
300.5(a) ii and 41 C.F.R.
§
if applicable.
These regulations require
St.
Jude to treat
and employ
regardless
of their class or status.
HCS/456 v5
Organizational Performance Management Table
HCS/456 v5
Page 2 of 2
Organizational Performance Management Table
Choose a health care organization and research it to complete this table, and then share it with your learning team as you collaborate to complete your presentation. Include your tables as appendices in your presentation.
1. Provide a name of or link to a specific health care organization. Summarize the key products or services provided by the organization and identify the primary customers it serves.
|
Organization Overview |
|
The Joint Commission A global organization that focuses on quality improvement and patient safety in health care. |
2. Outline the overall content of the major regulations, accreditation requirements, and other standards that affect the organization. Provide the title, section, parts, or subparts, or the numbering system, etc. of the specific regulations or accreditation requirements. Responses should be at least 100 words.
For example: Use of electronic signatures in electronic medical records is equivalent to handwritten signatures on paper; FDA regulation;
Title 21 CFR Part 11
, Subpart C, § 11.200 Electronic Signature
|
Organization Regulations, Accreditation, and Standards |
|
The Joint Commission Standards is an evaluation process that focuses on the improvement and making sure that the patient and staff is safe. The standards are set to ensure that the organization is taking all of the necessary precautions. The Commission has been known to show up to health care facilities unannounced to make sure that all rules are being followed. The Joint Commission can give fines if and organization is found putting the patients and staff in harms way but not following guidelines. The Joint Commission has a list of policy revisions since accreditations were updated so it’s always best to check and make sure you are in compliance. |
3. Highlight the effect the organization’s regulations, accreditation requirements, and other standards have on risk management functions and activities. Responses should be at least 100 words.
|
Effects on Risk Management |
|
The effects of the organizations regulations, standards and accreditations have on risk management is tremendous because in order for an organization to run smoothly everyone has to be on the same page so setting specific regulations and standards assure that the possibility of errors is slim to none. The Joint Commission prides itself on making sure that the patient is safe at all times and that they know that the organization is taking care of their patients. If the organization did not have standards or regulations nothing would be consistent and the patient would not be getting the care that they deserve and that is the number one priority! |
4. Identify specific components of performance-management systems—policies and procedures, self-audits, benchmarking, complaint management, corrective or preventive action, education and training, communication, and other mechanisms—to be used by the organization. Responses should be at least 100 words.
|
Organizational Performance Management Systems |
|
The Joint Commission develops it standards based on the feedback and interaction from the consumers. No better way to improve than getting feedback from the people that are receiving the service. After looking at the feedback, then The Joint Commission sets out to improve any negativity and try to make new recommendations to make things better for the patients. That is why it is important to make sure that if any surveys are presented you fill them out the give them something to go off of when making things better. Also, it helps when determining different accreditations for the organization. |
5. Provide several links to relevant sources that will be useful as your learning team completes the paper.
|
Additional Links |
|
https://www.jointcommission.org/measurement https://searchhealthit.techtarget.com/definition/The-Joint-Commission |
Copyright 2020 by University of Phoenix. All rights reserved.
Copyright 2020 by University of Phoenix. All rights reserved.