BHA FPX 4004 Assessment 2 Risk Management Policy and Procedure

BHA FPX 4004 Assessment 2 Risk Management Policy and Procedure:

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Goal Declaration

In order to preserve patient safety and quality of treatment, risk management safety measures should be established in order to:

1.  Reduce potential medication errors or hazards to patient safety. 
2. Safeguard patient health data and ensure hospital information systems are safe.
3. Constantly train and educate workers to reduce worries about patient and staff safety.

Strategies for Risk Management Based on Evidence

Vila Health will identify evidence-based risk management strategies and techniques to avert errors. By examining the patient identification procedure, putting safety measures into place, and offering support to the patient, family, and employees, Vila Health seeks to detect, eradicate, or minimize errors related to patient identification.

Reducing the likelihood of identification errors occurring again can be achieved by reviewing and modifying the present identification procedure (Ordunez et al., 2022).When a root cause analysis (RCA) of previous occurrences is finished, the risk manager will know what factors led to the errors. Several factors may be found to be the incident’s cause via a root cause analysis (RCA), enabling the risk management to appropriately address and make the necessary adjustments to lower the likelihood of such occurrences in the future.

Errors in patient identification may have been avoided if a safeguard procedure had been followed. Verifying a patient’s identity based solely on their name and birthdate is not always adequate. The risk manager and the personnel in charge of a patient’s case should develop a plan of action as soon as a possible danger is discovered and put precautions in place that give further notice of potential identification risk. lowering the possibility of mistakes and improving the standard of treatment (Fernanda Karla Metelski et al., 2023).

Supplying direction and instruction to personnel and patients alike. Potential identification errors can be decreased by involving patients and their family as much as possible in their care and education.By teaching patients about the value of accurate identification and the consequences of failing to take these precautions, patient-centered care can encourage more proactive engagement in their treatment. In order to eliminate potential safety concerns, staff participation is just as important as patient involvement when it comes to analyzing potential hazards and applying new verifications. Encouraging employees and patients to take an active role in their care can lower risks to patient safety and improve the standard of care (Costa et al., 2021).

Related Assessments:

BHA FPX 4004 Assessment 1

BHA FPX 4010 Assessment 1

BHA FPX 4010 Assessment 2

The Benefits of a Risk Management Program

Vila Health’s risk management approach is important since it can enhance risk prevention, boost compliance, and lessen unfavorable occurrences. The foundation of risk management programs is risk prevention, which evaluates possible threats to patient safety by reviewing past and present occurrences to enhance policies and processes and avert future mishaps. Policies and procedures of the organization are implemented and updated as part of risk management programs, which assess and control compliance measures.

Ensuring adherence to local, state, and federal laws is vital for the legitimacy of the company. Reducing unfavorable occurrences can be achieved by assessing, determining risk factors, and setting up protocols that can minimize these worries going forward—developing actions to ascertain whether a possible event is present and recommendations for implementation that must be made in order to lessen or eradicate a negative event (Alzoubi, 2022).

BHA FPX 4004 Assessment 2 Risk Management Policy and Procedure

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Important Terms in Risk Management

1.The goal of risk prevention is to lessen or prevent events or the effects that could result from potential risks (Ferreira de Araújo Lima et al., 2020).

2. Risk Reduction: Also referred to as loss control, this technique measures the frequency and severity of losses in an effort to lower these occurrences (Ferreira de Araújo Lima et al., 2020).
3. Regulatory Compliance: a company that abides by all relevant federal, state, and local laws and regulations (Kim et al., 2020).
4. Patient safety: intricate procedures/guidelines to avoid or lessen risks, errors, and patient damage (Kim et al., 2020).
5. Adverse events: Unexpected events related to drugs or therapies may arise in the medical field (Kim et al., 2020).
6. Near miss: a situation in which there is no injury but there is a chance for major harm or damage (Kim et al., 2020).

Determination of the Principal Risk Groups

Health Information Management (HIM), cyber security, and billing/coding errors are major risk factors for Vila Health. Facilities handle patients’ private and secure medical health information through HIM. To deliver high-quality care, patient data must be safeguarded. Healthcare practitioners can transcript patients’ medical records in a number of ways. Patient portals, management software, and electronic medical records (EMR) are a few examples. By enabling medical professionals to examine and communicate patient medical histories more effectively, all of these platforms improve the standard of care. Cybersecurity is the process of preventing unwanted access to electronic records. Cybersecurity must be offered by healthcare providers in keeping with patient safety in order to uphold the efficacy and integrity of a medical facility.

Healthcare facilities must abide by HIPPA regulations to safeguard patient personal health information (PHI) from cyberattacks in light of the growing use of technology in the sector, including electronic health records (EHR) (Bhosale et al., 2021). Errors in billing or coding may lower the standard of care. Errors in medical billing and coding can jeopardize patient privacy and care and increase the likelihood that services will not be paid for.

In addition to errors, there’s a chance that upcoding can lead to fraud and misuse, which carries hefty fines and federal penalties. Medical billing submits claims to health insurance for reimbursement using the private health information of the patients. Correctly, billing mistakes can jeopardize the security of PHI. Errors in billing or coding must be avoided to guarantee proper treatment, safeguard health information, and avoid revenue loss.

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The Function of a Risk Manager  

The risk manager is crucial to the effective administration of the company’s risk management program. Risk managers are responsible for monitoring legislative changes pertaining to healthcare regulations and patient safety rules, and for making necessary adjustments to the organization’s policies and procedures. In order to guarantee that the facility complies with required requirements, they are making sure that the staff’s present policies and plans are followed and put into practice.

BHA FPX 4004 Assessment 2 Risk Management Policy and Procedure

Regularly analyze recent and historical events as well as possible hazards by compiling information and doing research to implement regulations that will shield the company from dangers in the future. Maintaining patient safety, the standard of care, and the facility’s compliance with legal mandates and regulations are critical tasks for risk managers in order to keep their accreditation (Yeo & Banfield, 2022).

The literature “Risk management poised to grow as healthcare evolves” discusses how a risk manager’s participation in healthcare can positively benefit a business.

Rules or Procedures for Risk Management

 The risk I will be examining is patient identification error, along with any potential consequences for the patient and Vila Health Organization. Errors in patient identification, such as inadequate care, patient injury, and prescription mistakes, raise the risk of patient safety. The Joint Commission lists patient identification as a national safety objective. Errors in patient identification are a major cause of near misses. Over 200 patient safety occurrences were recorded as near misses because of identification errors, according to a study on the subject that was done in the United Kingdom (Pilares et al., 2022). If identification errors are not corrected, they can lead to patient death, reduced patient satisfaction, accreditation loss, and legal action.

BHA FPX 4004 Assessment 2 Risk Management Policy and Procedure

Vila Health Organization will employ strategies and techniques to lower the risk of patient identification errors in the future. These will include auditing all events involving patient identification errors, identifying the contributing factors, and enforcing policies and procedures that specify what should be done when a potential risk is detected. Conducting an audit aimed at identifying instances of patient identification errors inside the company can offer valuable understanding into the reasons behind the incidences. Determining the underlying cause will enable the company to put policies in place regarding the safety measures that employees should take in the event that a possible danger is identified.

In order to alert all parties involved in the case that a potential identification error may exist, such an implementation will call for the patients to provide numerous verification identifications, and high-risk patient charts will need to execute a multi-checklist. When a possible risk is identified, it may be possible to lessen or eliminate it by acting quickly to take precautions (Dosa et al., 2020).

BHA FPX 4004 Assessment 2 Risk Management Policy and Procedure

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Conclusion

With a proactive approach to patient safety, Vila Health organization can lower or eliminate patient risk factors. The first stage would be to assess the hospital’s identification procedure, ascertain how a patient’s identity is now handled, and look into the reasons behind errors. In the future, the business can control and put into practice efficient ways to lessen or get rid of these risk factors. Additionally, educate and train all staff members on a continual basis about the risks associated with patient identity. Employees that are aware of what’s going on in their team can communicate and contribute to fewer incidents in the future.

References

Alzoubi, H. M. (2022). BIM as a tool to optimize and manage project risk management. International Journal of Mechanical Engineering, 7(1). https://research.skylineuniversity.ac.ae/id/eprint/192/

Bhosale, K. S., Nenova, M., & Iliev, G. (2021, September 1). A study of cyber attacks: In the healthcare sector. IEEE Xplore. https://doi.org/10.1109/Lighting49406.2021.9598947

Costa, C. R. de B., Santos, S. S. dos, Godoy, S. de, Alves, L. M. M., Silva, Í. R., & Mendes, I. A. C. (2021). STRATEGIES FOR REDUCING MEDICATION ERRORS DURING HOSPITALIZATION: INTEGRATIVE REVIEW. Cogitare Enfermagem, 26, e79446. https://www.scielo.br/j/cenf/a/8VKZkhJQHVyfNnNqTkPyNVg/?lang=en

Dosa, D., Jump, R. L. P., LaPlante, K., & Gravenstein, S. (2020). Long-Term Care Facilities and the Coronavirus Epidemic: Practical Guidelines for a Population at Highest Risk. Journal of the American Medical Directors Association, 21(5), 569–571. https://doi.org/10.1016/j.jamda.2020.03.004

Fernanda Karla Metelski, Franciely Daiana Engel, Lúcia, A., & Schlindwein, H. (2023). Patient safety and error from the perspective of complex thinking: documentary research. Physis, 33. https://doi.org/10.1590/s0103-7331202333009.en

Ferreira de Araújo Lima, P., Crema, M., & Verbano, C. (2020). Risk Management in SMEs: a Systematic Literature Review and Future Directions. European Management Journal, 38(1), 78–94. https://doi.org/10.1016/j.emj.2019.06.005

Kim, S., Lee, G., & Kang, H. (2020). Risk Management and Corporate Social Responsibility. Strategic Management Journal, 42(1). https://doi.org/10.1002/smj.3224

Ordunez, P., Campbell, N. R. C., Giraldo Arcila, G. P., Angell, S. Y., Lombardi, C., Brettler, J. W., Rodriguez Morales, Y. A., Connell, K. L., Gamarra, A., DiPette, D. J., Rosende, A., Jaffe, M. G., Rodriguez, L., Piñeiro, D. J., Martinez, R., & Sharman, J. E. (2022). HEARTS in the Americas: innovations for improving hypertension and cardiovascular disease risk management in primary care. Revista Panamericana de Salud Pública, 46, 1. https://doi.org/10.26633/rpsp.2022.96

Pilares, I. C. A., Azam, S., Akbulut, S., Jonkman, M., & Shanmugam, B. (2022). Addressing the Challenges of Electronic Health Records Using Blockchain and IPFS. Sensors, 22(11), 4032. https://doi.org/10.3390/s22114032

Yeo, L. H., & Banfield, J. (2022). Human factors in electronic health records cybersecurity breach: An exploratory analysis. Perspectives in Health Information Management, 19(Spring). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9123525/.

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