Health Care Organization Formal and Informal Methods

Read and respond to at least two of your classmate’s discussion posts. Be constructive and professional with your thoughts, feedback, or suggestions. Write a 175-200 response to the following responses below.

2.According to this week reading, formal risk identification systems are those that follow policies and procedures that are applied to comply with requirements by commercial insurance carriers. Reporting systems are used internally by the organization and externally for reporting to outside parties. Reporting systems can be mandatory or voluntary. The formal methods for reporting adverse events are incident reports, occurrence reporting, occurrence screening, and FMEA are methods that follow policies and procedures. Informal risk identification methods are unstructured techniques that can provide valuable risk data. These risks are for identifying actual loss-producing events and potential risks, including the following; committee meeting minutes, claims data, survey report, patient complaints, patient satisfaction surveys and rounding findings. Health care organizations should provide high quality services to community. As a leader in health care, formal and informal reporting methods will continue to improve patient safety events and focus on being error free. Implementing these risks, should encourage health care organizations to report these events to central entities such as patient safety organizations to improve patient safety throughout the system.

Carroll, R. (2009). Risk Management Handbook for Health Care Organizations (5th ed.). Retrieved from The University of Phoenix eBook Collection database

3.Formal and informal reporting methods are implemented to communicate information to the proper personnel. A formal report is generated in accordance with policies and procedures that apply to the standards of commercial insurance payers, state laws, and accreditation committees. That needs to be followed up with a full investigation. Informal reporting is compared to information that is communication and is not followed up with a completion of reporting of official documentation.

An example of a formal reporting is a patient incident report. I work in home health and our quality manager, along with our clinical supervisors take these report seriously. I recently read an incident report on a patient that when they started on our services started with stage 2 wound but the report indicated that the patient’s wounds were now at a stage 4. The proper channels were taking by our leadership team and disciplinary actions were taken.

An informal reporting example is our stand up meetings that we have. At our stand ups our office manager leads with the quality manager and each team discuss problems and/or difficult cases. Our teams in the meetings are Intake, Care Team Coordinators, Authorizations, and our Quality Assurance nurses auditing our patient’s charts. We discuss several issues; billing on hold, staffing delays, complicated referrals, issues with clinician, ect. The only follow that is done on our stand ups is an informal email from the office manager just going over the minutes of the meeting.

Tags: University of Phoenix incident reports HCS456 risk identification systems commercial insurance carriers occurrence reporting occurrence screening

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

• Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
• One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
• I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
• Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
• Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

• Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
• Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
• I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

• I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
• As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
• It is best to paraphrase content and cite your source.

 

LopesWrite Policy

• For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
• Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
• Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
• Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

• The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
• Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
• If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
• I do not accept assignments that are two or more weeks late unless we have worked out an extension.
• As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

• Communication is so very important. There are multiple ways to communicate with me: 
  • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
  • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.