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Policies in a health care setting
Healthcare policy and law
Explain health policy formulation
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Recommended: Policies in a health care setting
When a problem is identified there is bound to be the need for a solution to that existing problem. The problem can be related to public interest, healthcare challenges, and patients care. When providing a durable, effective, efficient, and litigation-free solution, it is guided by policy. (Berkowitz, 2012). Policy in the healthcare system is essentially important as this creates a unique plan of action used to guide interventions so that the desired outcomes can be achieved. The purpose of healthcare policy and procedures is to provide standardization in daily operational activities and to communicate to staff members the organizational goals and outcomes. Healthcare policy is important in improving the productivity and efficiency of a healthcare …show more content…
So they created a policy called “Red Rules”. This policy promotes workplace safety, regulatory compliance, and the delivery of safe, high-quality patient care. The red rules policy was made to promote patients’ safety and prevent errors. There are three specific rules to be followed by all medical staffs at all times, and these rules are: two patient identifiers prior to any intervention with the patient, timeout prior to any procedure, and two provider checks for blood, blood product, and high-risk …show more content…
The Red rules policy has provided an equitable access to high-quality healthcare and it is available at all time to all employees and shareholders (affiliated physicians, third-party payers, volunteers, and so on) because they are bound to have these rules as part of their personal work behavior. This policy has protected healthcare information reflects our strong commitment to protecting the confidentiality of our patients' medical records, clinical information, and safety. Moreover, it is a well-written, up-to-date policy that has reduced practice variability that may result in patient harm. This policy promotes compliance with regulations, statutes, and accreditation requirements (e.g. HIPAA, EMTALA, CMS, and Joint Commission). Since the development of this policy, the healthcare organization has a zeroed medical error environment and this has also promoted patients’
The Hospitals medical staff including on call- physician and their designees should be made aware of Hospital bylaws or policies and procedures.
According to the report provided by the consultant, the employees at this facility were not taking precautions in safeguarding the patient’s health information. Therefore, the employees at this facility were in violation of the Health Insurance Portability and Accountability Act (HIPPA). It is important for employees to understand the form of technology being used and the precautions they must take to safeguard patient information.
The American Health Information Management Association provides guidelines of elements to be included in a health care organization’s policies of a coding compliance plan. (“Coding Compliance: Practical Strategies for Success,” ahima.org, 1998).
... of potential threats such as unauthorized access of the patient information. Health care leaders must always remind their employees that casual review for personal interest of patients ' protected health information is unacceptable and against the law just like what happened in the UCLA health systems case (Fiske, 2011). Health care organizations need clear policies and procedures to prevent, detect, contain, and correct security violations. Through policies and procedures, entities covered under HIPAA must reasonably restrict access to patient information to only those employees with a valid reason to view the information and must sanction any employee who is found to have violated these policies.In addition, it is critical that health care organizations should implement awareness and training programs for all members of its workforce (Wager, Lee, & Glaser, 2013).
Healthcare in the U.S. has recently been affected by implementation of the Affordable Care Act (ACA) of 2010. The intent is to create a healthca...
The goals and objectives set out in the policy and subsequently analysing one aspect of the policy in particular are included. How patient care and nurses delivery of said care is improved by this policy.
...proactive. With the way that HIPAA was drafted, then add the possible penalties for violators, lead physicians and medical facilities to withold information from individuals who have a right to it. After reviewing the rules of the HIPAA, the legislation found health care providers were unsure of their legal privacy responsibilities and often responded with an overly guarded approach to disclosing information. To date these rules are still confusing and need to made clearer.
Healthcare has been a topic of discussion with the majority of the country. Issues with insurance coverage, rising costs, limited options to gain coverage, and the quality of healthcare have become concerns for law makers, healthcare providers and the general public. Some of those concerns were alleviated with the passing of the Affordable Care Act, but new concerns have developed with problems that have occurred in the implementation of the new law. The main concerns of the country are if the Affordable Care Act will be able to overcome the issues that plagued the old healthcare system, the cost of the program, and how will the new law affect the quality of the health delivery system.
Agenda setting is the process that determines appropriate solutions to a certain problem of a given field (Kingdon, 3). The process itself consists of three streams: problems, policies, and politics (Kingdon, 16). These separate streams interact when windows of opportunity are open – solutions are fitted with problems, and the impetus for this relationship is amenable political forces (Kingdon, 20). Prominent agendas are determined by the problem or political streams, while solutions are crafted in in the policy stream (Kingdon, 20). In the field of health care, the agenda setting is based upon the high number of uninsured citizens, the rising cost of medical care, the development of Patient Protection and Affordable Care Act (PPACA) in response to this issue, and the key players that debate whether governmental involvement is the correct approach in the issue of universal healthcare.
Longest Jr., B.B (2009) Health Policy making in the United States (5th Edition). Chicago, IL: HAP/AUPHA.
Reforming the health care delivery system to progress the quality and value of care is indispensable to addressing the ever-increasing costs, poor quality, and increasing numbers of Americans without health insurance coverage. What is more, reforms should improve access to the right care at the right time in the right setting. They should keep people healthy and prevent common, preventable impediments of illnesses to the greatest extent possible. Thoughtfully assembled reforms would support greater access to health-improving care, in contrast to the current system, which encourages more tests, procedures, and treatments that are either
Safety is focused on reducing the chance of harm to staff and patients. The 2016 National Patient Safety Goals for Hospitals includes criteria such as using two forms of identification when caring for a patient to ensure the right patient is being treated, proper hand washing techniques to prevent nosocomial infections and reporting critical information promptly (Joint Commission, 2015). It is important that nurses follow standards and protocols intending to patients to decrease adverse
Keeping patients safe is essential in today’s health care system, but patient safety events that violate that safety are increasing each year. It was only recently, that the focus on patient safety was reinforced by a report prepared by Institute of medicine (IOM) entitled ” To err is human, building a safer health system”(Wakefield & Iliffe,2002).This report found that approx-imately 44,000 to 98,000 deaths occur each year due to medical errors and that the majority was preventable. Deaths due to medical errors exceed deaths due to many other causes such as like HIV infections, breast cancer and even traffic accidents (Wakefield & Iliffe, 2002). After this IOM reports, President Clinton established quality interagency coordination task force with the help of government agencies. These government agencies are responsible for making health pol-icies regarding patient safety to which every HCO must follow (Schulman & Kim, 2000).
Health care policy targets the organization, financing, and delivery of health care services. The reason for targeting these areas is for the licensing of health care professionals and facilities, to make sure there is protection of patients’ private health information, and there are measures of quality care, mistakes, malpractice, and efforts to control of health care cost (Acuff, 2010). There are several stages that one must take when creating a policy (see figure 1). The figure below shows the critical steps in the policy process. First, the problem must be identified, once the problem is identified potential policy solutions must be formulated, then the policy is adopted, and then implemented. After the policy is in place, an evaluation of the policy has to take place (This Nation, 2013).
Department of Health and Human Services (HHS) issued the privacy rule to actualize the prerequisite of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The privacy rule applies to health plans, health care clearinghouses, and to any health care provider who transmits health information in electronic or paper form in connection with transactions. The HIPAA is an arrangement of governmentally ordered regulations that were produced to direct the protection and privacy of patient records in the healthcare industry. The HIPAA is something that all healthcare providers must abide by to make sure they are following the rules and regulations required by the government. With the advancement of technology in the healthcare industry many providers are trying to make their facility run faster and more proficient, so they are evolving with the times and switching from paper to digital.