HCM370: Quality and Risk Management in Health Care Credit Hours: 3 Contact Hours: This is a 3 credit course, offered in accelerated format. This means that 16 weeks of material is covered in 8 weeks. The exact number of hours per week that you can expect to spend on each course will vary based upon the weekly coursework, as well as your study style and preferences. You should plan to spend 10 25 hours per week in each course reading material, interacting on the discussion boards, writing papers, completing projects, and doing research. Faculty Information Name: Phone: CSU GC Email: Virtual Office Hours: Course Description and Outcomes This course examines the relationship between health care quality and risk management in a variety of health care environments. The systemic role of risk management practices is introduced and explored. Focus includes regulations and accreditation standards; risk management plan development, processes, tools, and techniques to identify and analyze risks; and approaches for assessing risk management performance. Course Learning Outcomes 1. Demonstrate knowledge of risk analysis and quality management and the role of patient care in various types of health care. 2. Demonstrate knowledge of health care risk regulations and quality management in health care organizational performance. 3. Apply accreditation standards related to health care. 4. Analyze and develop the duties and responsibilities of a risk manager including utilizing the media to prepare and disseminate risk communications in various health care entities 5. Apply processes, tools, and techniques to facilitate risk identification and analysis including rare and sentinel events. 6. Create diagrams and maps that illustrate expected cost and impact of adverse outcomes that can be management with a risk management plan 7. Evaluate, measure, and assess the effectiveness of risk management practices using benchmarking and metrics and various analysis tools.
Participation & Attendance Prompt and consistent attendance in your online courses is essential for your success at CSU Global Campus. Failure to verify your attendance within the first 7 days of this course may result in your withdrawal. If for some reason you would like to drop a course, please contact your advisor. Online classes have deadlines, assignments, and participation requirements just like on campus classes. Budget your time carefully and keep an open line of communication with your instructor. If you are having technical problems, problems with your assignments, or other problems that are impeding your progress, let your instructor know as soon as possible. Course Materials Required: Carroll, R. L. (2009). Risk Management Handbook for Health Care Organizations. San Francisco, CA: Jossey Bass. ISBN 13: 9780470300176 Course Schedule Due Dates The Academic Week at CSU Global begins on Monday and ends the following Sunday. Discussion Boards: The original post must be completed by Thursday at 12 midnight MT and Peer Responses posted by Sunday 12 midnight MT. Late posts may not be awarded points. Mastery Exercises: Students may access and retake mastery exercises through the last day of class until they achieve the scores they desire. Critical Thinking Activities: Assignments are due Sunday at 12 midnight MT. Week # 1 Readings Chapters 3, 7, & 9 in Risk management handbook for health care Harvey, L. (2009). Risk management and patient safety: Improving patient outcomes. Access, 23(2), 17 19. Moss, F. (1995). Risk management and quality of care. Quality in Health Care, 4, 104 107. Assignments 2 Chapters 3, 6, & 7 in Risk management handbook for health care Reason, J. (2000, March 18). Human error: Models and management. British Medical Journal, 320(7237), 768 770. Critical Thinking (85)
Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/pmc1117770/ Rutstein, D. D., Mullan, R. J., Frazier, T. M., Halperin, W. E., Melius, J. M., & Sestito, J. P. (1983). Sentinel health events (occupational): A basis for physician recognition and public health surveillance. American Journal of Public Health, 73(9), 1054. 3 Chapters 4, 5, 10 & 16 in Risk management handbook for health care Larkin, H. (2010). Chassin and the Joint Commission aim to inspire. Hospitals & Health Networks, 84(3), 24 28. Critical Thinking (90) 4 5 6 7 8 Chapters 2 & 5 in Risk management handbook for health care Girotra, K., & Netessine, S. (2011). How to build risk into your business model. Harvard Business Review, 89(5), 100 105. Jones, D., & Cotta, J. (2009). Lessons from the field: How one hospital combines quality, compliance, and patient safety. Journal of Health Care Compliance, 11(5), 53 75. Chapters 1, 2 & 5 in Risk management handbook for health care Jones, D. (2007, May). Combining disciplines: Making the connection between compliance, risk, and quality management. Journal of Health Care Compliance, 5 12. Chapters 1, 6, 7 & 12 in Risk management handbook for health care Chapters 7, 12 & 15 in Risk management handbook for health care Mages, M. E. (2006). Quality driven healthcare. Healthcare Executive, 21(4), 60 62. Thompson, K. M. (2000). Risk assessment primer: Ten initial questions about health information. Consumers' Research Magazine, 83(2), 27. Mindtools. (2011). Risk analysis: Evaluating and managing the risks that you face [Podcast]. Chapters 12, 15, & 16 in Risk management handbook for health care Mastery Exercises (20) Critical Thinking (85) Critical Thinking (90) Mastery Exercises (20) Portfolio Assignment (350) Assignment Details This course includes the following assignments/projects: Week 1
Week 2 Portfolio Milestone: A Portfolio Project will be due at the end of Module 8. Your assignment this week is to read the portfolio project requirements, which you can find on the Week 8 Assignments page. Begin soon to conduct library research to locate resources that you may be able to use for this project. Use the CSU Global Library as a primary resource for conducting your research. While there is nothing you are required to turn in this week, do not wait until later to get started! Critical Thinking: Theories of Accident Causation (85 points) Review the Swiss cheese model of accident causation by James Reason described in the textbook. In addition, you may access the article online (see reading material). Reflect on the Swiss cheese model and evaluate the role of risk management in preventing accidents. Explain the implications of accidents on organizational performance. Include at least three academic references, of which one must be peer reviewed from an academic journal (which can be obtained from the CSU Global Virtual Library). Week 3 Critical Thinking: The JCAHO and Sentinel Events (90 points) The Joint Commission has established polices regarding the reporting of sentinel events by health care. Visit The Joint Commission s website (http://www.jointcommission.org/sentinel_event_policy_and_procedures/) and review the Sentinel Event Policy and Procedures by Accreditation and/or Certification Program for two different types of (e.g. ambulatory health care, long term health care, hospitals, etc.). Prepare a composition that discusses the following: The importance of sentinel event reporting General requirements of The Joint Commission s Sentinel Event policy The role of The Joint Commission in ensuring patient safety The process of conducting a root cause analysis Comparisons and contrasts on some of the organization specific sentinel event examples that are subject to review by the Joint Commission between two different health care (e.g. differences between an ambulatory health care and a hospital). The role and responsibilities of the risk management function in ensuring organizational compliance with The Joint Commission s Sentinel Event policy
Week 5 Week 6 Week 7 Week 8 Include at least three references, of which one must be a scholarly article (which can be accessed from the CSU Global Virtual Library). Critical Thinking: Role of a Risk Manager (85 points) In order to be successful, a risk management plan must be communicated and applied throughout the organization. Prepare a paper that examines the role of the risk manager in integrating the risk management program within the organization and ensuring compliance. Evaluate challenges that a risk manager might confront in developing, communicating, and implementing a risk management program. Include at least three references, of which one must be a scholarly article (which can be accessed from the CSU Global Virtual Library). Portfolio Milestone: Develop and submit a 1 2 page outline of your Portfolio Project. Portfolio Milestone: Put your bibliography for the Portfolio Project in proper APA format and submit it to your instructor by the end of the week. Critical Thinking: Analyzing Risks (90 points) In analyzing risks, thought must be given to patients, clinical staff, medical staff, employees, property, equipment, and the financial status of the organization. Analyze each of these seven key elements. Your analysis should include how each is applied in a risk management program and why each is important when developing a risk management plan. In addition, evaluate each element in relation to quality patient care, organizational performance, and regulatory compliance. Include at least three references, of which one must be a scholarly article (which can be accessed from the CSU Global Virtual Library). Portfolio Assignment (350 points)
Click here to download a copy of a case study from the 1st edition of your textbook. Read and carefully analyze the case study. Prepare a scholarly composition using references to support your thoughts and ideas. Denote the source of information included in your paper. Your paper should address the following points in an academic tone: A risk manager s role in addressing the events described in the case studythe Joint Commission requirements for reporting sentinel events for a hospital Steps a risk manager must take to address these events Processes and techniques that a risk manager would take to investigate, prevent, and control these types of events now and in the future Internal and external individuals and entities that might be involved in this situation, why, and in what capacity The practicality and implications of one or more theories on accident causation Measures to assess the performance of the organization and the risk management plan in this area as it relates to patient care and compliance Impact these events could have on organizational performance, compliance, and accreditation Include at least six references, two of which must be scholarly articles (which can be accessed from the CSU Global Virtual Library). You will be required to submit a one two page outline of the portfolio paper by the end of Week 5 and a properly APA formatted bibliographic list of the sources for that project by the end of Week 6. No points will be assigned for these deliverables, but points will be deducted from your final grade on the Portfolio Project is you fail to submit these on the weeks required (see the Portfolio Project Rubric). Additionally, you will be expected to account for the instructor s feedback in the final version of the assignment. Your paper should be 8 10 pages in length, well written, and formatted in conformity with CSU Global guidelines for For project details, see the Portfolio Project Description, which can be accessed from the Week 8 Assignments page. Course Policies Late Work Students are permitted a 7 day grace period during which they may submit a Critical Thinking assignment after the original due date without penalty. Papers submitted between 8 and 14 days after the original due date will be accepted with a potential 10 percent reduction in grade for late submission. Papers submitted 15 or more days beyond the original due date may not be accepted unless prior arrangements have been made with the instructor. No Portfolios will be accepted late and no assignments will be accepted after the last day of class unless a student has requested an incomplete grade in accordance with the Incomplete Policy. Course Grading 20% Discussion Participation 10% Mastery Exercises 35% Critical Thinking Activities 35% Final Portfolio Paper Grading Scale and Policies A 95.0 100 A 90.0 94.9 B+ 86.7 89.9 B 83.3 86.6 B 80.0 83.2
C+ 75.0 79.9 C 70.0 74.9 D 60.0 69.9 F FN* I** 59.9 or below Failure for Nonparticipation Incomplete * Students who stop attending class and fail the course for nonparticipation will be issued the FN grade. The FN grade may have implications for financial aid and scholarship awards. ** An I grade may be assigned at the Instructor s discretion to students who are in good standing (passing) in the course. Students should have completed a majority of the coursework in order to be eligible for the I grade. Students should request an "I" grade from the Instructor with a written justification, which must include explanation of extenuating circumstances that prevented timely completion of the coursework. If the request is approved, the Instructor will require a written agreement consisting of a) the specific coursework to be completed, b) the plan to complete the coursework, and c) the deadline for completion. The agreement will be kept on file at CSU Global Campus. An incomplete course must be satisfactorily completed within the time frame stipulated in the agreement, but no later than the end of the following semester from the date the I was given. An incomplete not removed within one year shall convert to an F and be included in the computation of the student s grade point average. Academic Integrity Students must assume responsibility for maintaining honesty in all work submitted for credit and in any other work designated by the instructor of the course. Academic dishonesty includes cheating, plagiarism, unauthorized possession of academic materials, and falsification. The Student Handbook provides information on how students can avoid plagiarism by understanding what it is and how to use library and internet resources appropriately with proper citation. Please refer to the Academic Catalog for complete policies regarding plagiarism and academic dishonesty. APA Students are expected to follow the CSU Global APA requirements when citing in APA (based on the APA Style Manual, 6th edition). For details on CSU Global APA style, please review the APA resources located under the Library tab in Blackboard. Netiquette All posts and classroom communication must be conducted in a professional and respectful manner in accordance with the student code of conduct. Think before you push the Send button. Did you say just what you meant? How will the person on the other end read the words? Any derogatory or inappropriate comments regarding race, gender, age, religion, sexual orientation, are unacceptable and subject to disciplinary action. If you have concerns about something that has been said, please let your instructor know. Institutional Policies Refer to the Academic Catalog for comprehensive documentation of CSU GC institutional policies.