HLT 308V GCU Week 3 Patient Self Determination and Patient Self Determination Discussion

HLT 308V GCU Week 3 Patient Self Determination and Patient Self Determination Discussion

HLT 308V GCU Week 3 Patient Self Determination and Patient Self Determination Discussion


The Patient Self-Determination Act (PSDA) was enacted to allow patients to state “Do Not Resuscitate” (DNS) orders or to appoint a surrogate decision maker if the individual is unable to make the decision. What role does an ethics committee play in enforcing advance directives of patients under their care? At least one peer-reviewed article should be used to back up your analysis.


The Center for Medicare and Medicaid Services (CMS) publishes a list of health care-acquired conditions (HACs) that reasonably could have been prevented through the application of risk management strategies. What actions has your health care organization (or have health care organizations in general) implemented to manage or prevent these “never events” from happening within their health care facilities? Support your response with a minimum two peer-reviewed articles.

ASSIGNMENT PAPER due Friday by noon(central time USA)

Topic: Benchmark-Risk Management Program (Part 2)

The purpose of this assignment is to analyze how an organization’s quality and improvement processes contribute to its risk management program.

This assignment builds on the Risk Management Program Analysis – Part One assignment you completed in week 1 of this course.

Assume that the sample risk management program you analyzed in Topic 1 was implemented and is now currently in use by your health care employer/organization. Further assume that your supervisor has asked you to create a high‐level summary brief of this new risk management program to share with a group of administrative personnel from a newly created community health organization in your state who has enlisted your organization’s assistance in developing their own risk management policies and procedures.

Compose a 1,250‐1,500 word summary brief that expands upon the elements you first addressed in the Topic 1 assignment. In this summary brief, address the following points regarding your health care organization and its risk management program: (See attached document for Assignment Part One paper)

1.Explain the role of your organization’s MIPPA-approved accreditation body (e.g., JC, ACR, IAC) in the evaluation of your institution’s quality improvement and risk management processes.

2.Describe the roles that different levels of administrative personnel play in healthcare ethics and establishing or sustaining employer/employee-focused organizational risk management strategies and operational policies.

3.Illustrate how your organization’s risk management and compliance programs support ethical standards, patient consent, and patient rights and responsibilities.

4.Explain the legal and ethical responsibilities health care professionals face in upholding risk management policies and administering safe health care at your organization.

5.Relate how your organization’s quality improvement processes support and contribute to its overall journey to excellence.

  • In addition to your textbook (Chapters 12,13 and 27) you are required to support your analysis with a minimum of three peer‐reviewed references.
  • Textbook reference info: Pozgar, G. (2014). Legal and Ethical Essentials of Health Care Administration (2nd ed.).
  • Prepare this assignment according to the guidelines found in the APA Style. An abstract is not required.
  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Rubrics document attached

Rubrics for week 3 Assignment Paper


1. Role of the MIPPA-Approved Accreditation Body in Evaluation of the Quality Improvement and Risk Management Processes of an Organization (15%)
 An explanation of the role that the MIPPA-approved accreditation body plays in the evaluation of the quality improvement and risk management processes of an organization is comprehensive. The submission further incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.

2. Administrative Roles Relevant to Employer-Employee-Focused Risk Management Strategies and Operational Policies(15%)
 A description of the roles administrative personnel play relevant to employer-employee-focused risk management strategies and operational policies is comprehensive. The submission incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.

3. Support of Patient Rights and Responsibilities by Risk Management Programs and Quality Improvement Processes(15%)
 An illustration of how the rights and responsibilities of a patient are supported by risk management programs and quality improvement processes is comprehensive. The submission incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is

4. Legal and Ethical Responsibilities of Health Care Professionals to Uphold Risk Management Policies and Administer Safe Health Care (C3.3) (15%)
 An explanation of the legal and ethical responsibilities of health care professionals to uphold risk management policies and administer safe health care is comprehensive. The submission incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.

5. How Quality Improvement Processes in a Health Care Organization Support Its Journey to Excellence (15%)
 Evidence of how the quality improvement processes of a health care organization support its Journey to Excellence is comprehensive. The submission further incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate. HLT 308V GCU Week 3 Patient Self Determination and Patient Self Determination Discussion

6. Thesis Development and Purpose(5%)
 Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

7. Argument Logic and Construction(5%)
 Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

8. Mechanics of Writing (includes spelling, punctuation, grammar, language use)(5%)
 Writer is clearly in command of standard, written, academic English.

9. Paper Format (use of appropriate style for the major and assignment)(5%)
 All APA format elements are correct.

10. Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style (5%)
 Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Risk Management Program Analysis Sample Paper

Summary of Risk management plan selected, rationale and healthcare organization

The chosen risk management plan is the protection of patient information and privacy among healthcare workers. In healthcare settings, there are challenges with the security of vital patient information whereby the right to privacy of data is breached (Khac Hai et al., 2017). The healthcare professionals should always be informed on the best ways of ensuring that the patient privacy is upheld for a focused approach in the management of the challenges and reduction of adverse situations significantly (Khac Hai et al., 2017). Healthcare workers sometimes commit the offense of failing to recognize their critical roles in reinforcing privacy of patient information and data and thus reducing the quality of care which should not be the case as witnessed in most of the healthcare organization facilities.

According to the Occupational Safety and Health Administration (OSHA), medical spa facilities are practicing healthcare care entities under the law and thus, are considered an extension of the healthcare organizations. Therefore, in accordance with healthcare organizations adapting this risk management plan for protecting patient information and privacy, will apply to Paradise MedSpa in Texas, as well as all med spas and medical aesthetic facilities across the nation.  In the medical spas, there are a wide variety of patients that receive aesthetic services that are exposed the vulnerability for misappropriation of patient information with poor quality handling that reduces the capacity and competence associated with the risk management plan for protecting patient information and privacy(Khac Hai et al., 2017).  However, with the implementation of this risk management plan, the patients will experience higher quality in delivery of services with all their rights observed, and its this higher quality of management that makes the process successful and effective as recommended for the necessary aesthetic procedures.

Comparison of Standard Risk Management Program Administrative Steps and Processes with the Administrative Steps and Processes in the plan

MIPPA accredited organizations have risk management plans that they implemented effectively for healthcare information systems that proves to be  functional (Cheramie 2019). A successful approach and strategy are implemented in promoting a quality and substantial process, especially for advocating for the rights of the patients, which make things excellent and essential (Cheramie 2019). According to MIPPA, healthcare records should always be handled with the highest priority and quality for  patient privacy to be maintained. A strategic protocol that includes patient consent for accessing information, should be in place to focus on the reduction of challenges that may arise, which is a fundamental aspect of  risk management to address any and all adverse situations.

The risk management plan in place for the medical spas as stated before is also in alignment with, and recommended by the standard processes and steps by MIPPA administrative body (Cheramie 2019). The risk mitigation plan is focused on ensuring that the risks are controlled and the mitigation of measures are implemented, which makes the processes successful and effective in providing quality solutions as recommended (Cheramie 2019). A successful and strategic process should, therefore enhance the success of the information system when it comes to keeping the records confidential and private effectively.

Analysis of Key Regulatory Agencies and Organizations Inclusive of Their Roles in the Risk Management Oversight Process

The regulation of healthcare facilities are made by agencies and organizations based on the roles they play in the healthcare system which fosters the recommended quality care and services. The following are some  agencies:  The Joint Commission (JC) is a regulatory agency that is focused on the accreditation of organizations and facilities based on the services that they offer (Givan 2016). For success to be accomplished, it is the recommendation that adequate measures are implemented in controlling the adverse situations and ensuring that high quality service delivery is achieved as recommended (Givan 2016). In promoting healthcare quality, the Joint Commission provides that the medical facilities such as medical spas follow all the recommended guidelines for patient safety and discharge their mandate which is recommended for the required implementation of quality security measures and protocols.

Institute of Medicine (IOM) is another regulation organization that fosters quality healthcare in most of the organizations globally (Givan 2016). With a focus and emphasis on the critical roles of the healthcare workers and safety, IOM sets standards for safety and security which should be followed by the healthcare workers. Additionally, the organization foster evidence-based practices, which makes things possible for a higher quality management to be accomplished, which makes it fundamental and practical, especially in the reduction of the adverse effects of pure ignorance.

National Institute of Health (NIH) is a federal body that fosters quality research and management of the various health conditions to help in controlling the challenges (Givan 2016). Virtually, the NIH ensures that quality protocols are implemented in healthcare practice as well as the patient rights such as the safety of their information among other critical issues that must be considered useful in the promotion of effective service delivery (Givan 2016). HLT 308V GCU Week 3 Patient Self Determination and Patient Self Determination Discussion

Evaluation of the Example Risk Management Plan Compliance With MIPPA-Approved Accrediting Body Standards

The proposed risk management plan complies with the MIPPA-Approved accreditation policy because it contains all the relevant standards and issues that must be implemented in the promotion of a quality healthcare strategy (Cheramie 2019). Essentially, there is always the need to ensure that fundamental aspects of management are implemented for a focused policy implementation and a reduction in adverse situations.

The risk management plan is designed in such a manner that all the healthcare personnel are aligned with maintaining a quality healthcare information process by keeping the information safe and secured (Cheramie 2019). With the observance of healthcare security issues, the plan works by reducing the challenges and other adverse situations that mitigate the risks of poor information management. The patient information safety plan is sound and complies with all the risk strategies put in place by MIPPA to help in protecting the patients from unauthorized exposure among other challenges that may result in flawed approaches and aspects to their private and confidential data (Cheramie 2019). The secure information system architecture is admirable since it contains all the standards that promote safety and general security recommended for accomplishing the success that is always recommended.

Proposed Recommendations to the Risk Management Program Example to Enhance, Improve, or Secure Compliance Standards

For the patient information to be secure and free of the challenges such as gross misuse among other issues, it is possible to consider a process whereby bio-metrics are implemented in the system to ensure that authentic strategies are implemented for verification of patient data (Chiuchisan et al., 2017). Information systems should always be secure, and with consideration of modern approaches such as thumbprint unlock processes among other challenges is an aspect that must be implemented for a focused strategy in controlling and mitigating all the challenges of adverse issues that arise (Chiuchisan et al., 2017).  Furthermore, there is always the need to foster a process that ensures all aspects of management are implemented which makes all the advanced processes in place secured.

Digital migration of patient information storage is a recommendation to help in increasing feasibility and reducing the challenges associated with disclosure (Chiuchisan et al., 2017). The healthcare personnel should all be taught on how to handle the digital information and ensure that strategic policies are implemented for controlling the flow of the information and successful strategies which makes everything effective and secured (Chiuchisan et al., 2017).

Finally, it is the recommendation that healthcare professionals are educated and trained about the confidentiality of patient information and with the highest priority, maintain keeping patient records within the therapeutic margins of safety measures to ensure the right standards are implemented (Khac Hai et al., 2017). Along with the need to ensure that the healthcare professionals all get the appropriate training, for the sake of ensuring that the implementation of policies works in favor of the patients (Chiuchisan et al., 2017). With knowledge and orientation of all healthcare professionals on effective record management strategies, everything will fall into alignment with  mitigation measures that work precisely for the patient to have an improved positive experience with the safety and privacy of their information.


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