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LEGAL & ETHICAL CONSIDERATIONS IN HEALTHCARE
Competency 730.3.3: Legal Aspects of Risk Management and Quality – The graduate evaluates the confluence of quality improvement and risk management practices that support favorable legal outcomes for healthcare organizations.
Competency 730.3.5: Compliance Programs – The graduate applies compliance requirements identified by government regulations and by accreditation, licensing, and certification agencies to mitigate legal risk to healthcare organizations.
Risk management, quality improvement, and compliance programs have discrete applications within a healthcare organization, yet they have complementary goals. The motive for these programs is to improve all aspects of the patient experience. There are external regulations and requirements imposed on all organizations, and these regulations are controlled by the internal processes designed by each organization.
There is an expectation of care and trust between patients and their healthcare providers. An organization needs to be vigilant in all circumstances, particularly those involving patient safety.
A. Analyze the “Compliance Management” scenario by doing the following:
1. Describe the mistakes made in this scenario step by step as they occurred.
2. Analyze whether any of the mistakes identified in part A1 were a violation of organizational compliance, a legal concern, or both.
3. Describe specific solutions the compliance officer and Sue, the manager, should implement to prevent reoccurrence of the identified mistakes from part A1.
B. Explain how the Health Informatics and Information Management (HIIM) Department staff could assume a leadership role in teaching compliance behaviors to the clinic’s staff members to mitigate legal risk.
1. Explain the importance of staff understanding informed consent.
2. Describe release of information and how it protects patient privacy.
C. When you use sources, include all in-text citations and references in APA format.
Note: When bulleted points are present in the task prompt, the level of detail or support called for in the rubric refers to those bulleted points.
Note: For definitions of terms commonly used in the rubric, see the Rubric Terms web link included in the Evaluation Procedures section.
Note: When using sources to support ideas and elements in an assessment, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the assessment.
Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from sources, even if cited correctly. For tips on using APA style, please refer to the APA Handout web link included in the General Instructions section.
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