accreditation apa style reply compliance scenario reply W r i t i n g

accreditation apa style reply compliance scenario reply W r i t i n g

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Healthcare Regulatory Compliance and Accreditation APA Style Reply

Compliance Scenario Reply to each Peer about their post.

Compliance Scenario Reply to Tom:

One item that I would make sure that my staff is efficient in is the protection of patient information. I think across the board protecting PHI is one of the main priorities of all health care organizations. Being compliant with HIPPA is extremely important because there are serious fines and issues that can come with not taking the proper precautions. This can come with multiple types of violations at different levels, one of the most important is directly talking about patients by name to other individuals. A good example of this is a nurse at a local hospital who knows a patient that comes in and knows their family. The nurse tells her friends and family about the patient coming in and the specifics of her condition. This is a direct violation and is major reason staff members in the unit need to learn the importance of reporting an incident like this if they were to gain knowledge. It could lead to serious risk for the hospital especially if they were to be audited. If I was in charge of a compliance department, I would also make sure that my staff members understood proper communication channels when relaying patient data to external sources. To include making sure they knew that it would be important to put a {Secure} on the email to indicate that there was sensitive information being transferred. In addition to HIPPA violations, it is important to have the policy to ensure that billing and coding are done correctly to reduce fraud or abuse, which according to the text which states “coding and billing are the sources of the largest number of fraud and abuse violations” (Moseley, 2015). If these are done properly many of the avoidable violations can be reduced.

References

III, G.B. M. (2013). Managing Legal Compliance in the Health Care Industry. [VitalSource Bookshelf]. Retrieved from https://online.vitalsource.com/#/books/97812840755…

Compliance Scenario Reply 2 Rylee:

Hello Class & Professor Hughes,

For this week’s reading and activity, we focused on education and training around compliance within healthcare. It is imperative for healthcare organizations invest in mandatory and continuous compliance training because policies that protect patient data and prevent fraud need to be enforced. Moseley (2015) states that, “It is important to begin shaping the work performance of new employees as soon as possible after they are hired, people are most impressionable when they are new to an organization”, however, mandatory compliance refreshers are just as important for established employees. Protecting patient health information is not enough, compliance officers must ensure that employees are continuously up to date with regulatory compliance policies which can be accomplished through mandatory yearly training for all employees. Compliance is ever changing at is important to have flexible training that can adapt and conform to new compliance practices as they come about.

A well-trained compliance officer protects both the healthcare organization (employees) and its patients and without providing adequate training, discrepancies and data breaches can occur. If I were a hospital compliance officer, I would focus on providing specialized compliance training related to each employee’s position and establish effective lines of open communication and respond to reported noncompliance cases and take corrective action as soon as possible. Tailoring compliance training to specific positions is important because there should be scenario stone left unturned and no doubt about what noncompliance looks like. Secondly, establishing open lines of communication is important as well because I would want employees to know that although potentially reporting someone for noncompliance can be intimidating, it is important to create a safe space where although it requires immediate disciplinary action it is necessary in order to remain compliant and protect patient data.

Reference:

Moseley, G. B. (2015). Managing legal compliance in the health care industry. Burlington, MA: Jones & Bartlett Learning.