Risk management serves a great purpose in healthcare because of the rampant risks, and organizations are required to have competent risk managers to carry out management plan activities. Risk reduction strategy aims at minimizing exposure and is handled by skilled risk managers. Risk managers detect and evaluate risks so that they reduce damages associated with the threat. Risk managers must stay informed on the appropriate information to identify and strategize on reducing the potential risks. For risk reduction to be possible, managers need to analyze the possible risks that may occur, their possibility of occurrence, and what to do to reduce it and its impact (Aven, 2016). The threats to patients can be reduced through staff training sufficiently, encouraging interactions among staff, and offering counseling services to those attending to patients. An organization’s quality and improvement process need analysis to gauge its contribution to risk management.
Roles Of MIPPA-Approved Accreditation
The Joint Commission accreditation body has significantly helped organize and strengthen patients’ safety efforts since the body prioritizes safety and quality of patient care matters in its standard and initiatives. The community’s confidence in the organization’s quality and safety services strengthened, and so achieving this accreditation notifies the community of the organization’s efforts to deliver excellence. The organization gains a competitive advantage in the market as a result of certification. Enabling an organization to survive in a competitive environment and can be able to acquire a new business.
Joint Commission has played a significant role in improving managing and reducing risks since it focuses on advanced strategies that can improve performance. The strategies endlessly help in enhancing the quality and reducing risks. Accreditation by this body assists in cutting the cost of liability insurance and it improves business processes by educating organizations. The education of an organization’s staff can be improved since the body gives advice and counsel because it has experienced professionals trained to offer the services as they conduct onsite investigations (Borkovskaya et al., 2018). The organization can improve its staff recruitment and development process as accreditation to these bodies causes the attraction of skilled personnel with a desire to serve in accredited organizations. The staff provides an extra opportunity of increasing their knowledge and skills.
An organization can get recognized by insurers since accreditation is becoming a requirement to qualifying for insurance compensation and contract bidding. A framework for structuring and managing an organization is provided as accreditation involves preparation for a survey, high-quality maintenance, and compliance with UpToDate standards. Accreditation may mean fulfillment of regulatory requirements in particular states. Sometimes the law requires that some healthcare providers obtain accreditation. Still, those already accredited by this body may not need to undergo such extra inspections since they may already be compliant. A tool for maintaining excellence in performance may be provided by these bodies and may even cause its alignment with the most respected ones.
Accreditation leads to consistent improved care of patients; it encourages excellence due to alignment with required standards and results to fulfillment in regularity. Team-work is promoted among staff members leading to improved knowledge on how to deliver excellence in patient care. The relationship of the organization with the community improves and competitive advantage is gained as new patients are attracted to benefit from the best services offered. Accreditation is the most frequently used external for quality assurance of healthcare institutions.
Roles That Different Levels of Administrative Personnel Play in Healthcare
In a healthcare setup, different levels of personnel are involved in playing different ethical roles. A health manager plays the role of spending a large portion of their time managing areas such as relationships with external partners, resources, and handling planning, execution, and evaluation services (Hall et al., 2018). The manager’s usefulness is influenced by their understanding of the work they do. Management levels in healthcare are divided into the top, middle, and frontline managerial groups. They are accountable for performance and work, and they have recognized authority to use healthcare resources and make appropriate decisions according to their respective levels.
Top-level managers, sometimes called the executives are the management team at the top and are responsible for making decisions that affect the entire health sector. They are the ones that come up with ethical rules that apply to the whole industry and coming up with strategies to use in risk management and, also laying down policies for carrying out various operations. They do not directly involve themselves with the sector’s daily activities, but instead, they set goals and direct others to realize them.
Middle-level managers are just below the top managers and are in charge of executing the goals set by top managers. They also come up with plans at their level to direct the units that submit to them. They sometimes take the initiative to motivate and help out frontline managers realize goals set by the health sector. They engage in upward communication to give suggestions and feedback to the top management. Frontline managers, on the other hand, manage daily activities concerning health in the community. They are influential personnel in the health sector and have daily interactions with the district.
Support Offered by An Organization’s Risk Management and Compliance Programs
Risk management discipline as it rapidly evolves is placing ethical values at the core of good governance and organization’s risk management and compliance. As noted, pillars for a functional compliance culture are integrity and ethics. Integrity and ethics are the necessary elements required by an entity’s internal environment to affect the design, management, and keeping an eye on risk management components.
Patients have a fundamental right to understand the doctor’s proposals referred to as informed consent. It helps in knowing the risks associated with the treatment involved and any other possible effects that could arise before finally carrying out the treatment. There is also voluntary consent, which entails enabling the patient to understand their rights like freedom from force, question treatment aspects, and the right to refuse some healthcare. During decision making, the patient must have the ability to make decisions concerning the laid down recommendations. Law and ethics require that information about the patient remain confidential at all times unless the patient wants it to be publicly disclosed. Disclosure is done in the form of signing formal documents by the patient.
Legal and Ethical Responsibilities of Healthcare Professionals
Healthcare professionals are required by the law to ensure that there is confidentiality, that no form of medical negligence arises. No patient is denied access to medicine and ensures that patients’ right to informed consent is adhered to (Pozgar, 2020). Physicians’ ethical responsibility is to provide a confidential relationship between them and the patient to create an atmosphere of trust for patients to share their details that would be useful for conducting a diagnosis. In ethics, no physician is responsible for assisting patients in ending their lives deliberately for whatever reason but ensures the patient’s safety.
Contribution of Quality Improvement Process to An Organizations Overall Excellence
The quality improvement process is a necessity when improvement in efficiency is needed. Quality improvement contributes to patient safety and ultimately to medical outcomes. Practice interested in improving efficiency, patient safety, or clinical results. The quality improvement process also helps in the preparation of the payment models from transition to value-based. The quality improvement allows for participation in reporting publicly quality data of the physician and equips one with the necessary skills for applying for national programs.
In conclusion, every health facility needs quality improvement and risk management components since they help in continual enhancement in organizations’ quality and risk factors. Every new employee in an organization needs to create time for knowing the essential risk and quality management components. Understanding how individual management teams analyze their information is necessary as it helps in knowing the challenges one faces when making informed decisions. Quality improvement and risk management processes are fundamental parts of a health organization as they help keep it flourishing by executing new strategies intended to improve the organization’s performance. Several tools can be used in identifying the process for quality improvement and then integrating its risk management. The tools can be used in performing various functions and may include identification, analysis, monitoring, and mitigation of risks.
References
Aven, T. (2016). Risk assessment and risk management: Review of recent advances on their foundation. European Journal of Operational Research, 253(1), 1-13.
Borkovskaya, V., Degaev, E., & Burkova, I. (2018). Environmental economic model of risk management and costs in the framework of the quality management system. In MATEC Web of Conferences, 193. EDP Sciences. Web.
Hall, M. A., Orentlicher, D., Bobinski, M. A., Bagley, N., & Cohen, I. G. (2018). Health care law and ethics. Wolters Kluwer Law & Business.
Pozgar, G. D. (2020). Legal and ethical essentials of health care administration. Jones & Bartlett Learning.