分级问责制和高可靠性组织中有效合规计划的要素。

Q4 Medicine
Brent Ibata
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引用次数: 0

摘要

摘要:分级问责制和有效遵从性计划的七个要素为高可靠性医疗保健组织(hro)中的企业风险管理提供了一个可扩展的框架。然而,这些元素并不能自组装成一个成熟的系统。它们必须被有意地构建到一个有效的法规遵循程序中,以评估、控制和管理正在进行的企业级别的风险。这始于管理机构的良好管理,并通过组织的首席执行官进入一种心理上安全、公平和公正的文化,这种文化将不完美视为教学时刻。在HRO中,发现与期望行为的偏差被视为在迈向零可预防伤害事件的长期旅程中进行自我完善的短途旅行的机会。医疗保险和医疗补助服务中心(CMS)和美国司法部(DOJ)发布了法规和指南,要求并鼓励组织主动管理风险,将分级问责制写入CMS医院参与条件(COP),并在司法部新修订的合规计划指南中得到强烈鼓励,该指南包含有效合规计划的七个基本要素。CMS和DOJ都利用激励和后果相结合的方式来激励主动风险管理,并强制降低被动风险。在这些激励和后果工具箱中,积极主动的医疗保健管理人员可以找到设计和构建高度可靠的企业风险管理系统的标准和规则,该系统具有分层问责制和基于风险的人才管理,可将可用资源集中在高风险、高容量和容易出现问题的领域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Tiered Accountability and Elements of an Effective Compliance Program Within High Reliability Organizations.

Summary: Tiered accountability and the seven elements of an effective compliance program provide a scalable framework for enterprise risk management within high reliability healthcare organizations (HROs). However, these elements do not self-assemble into a mature system. They must be intentionally built into an effective compliance program that assesses, controls, and manages risks at an ongoing enterprise level. This starts with good governance from the governing body and passes through the organization's chief executive officer into a psychologically safe, fair, and just culture that embraces imperfections as teaching moments. In an HRO, detected deviances from desired practices are seen as opportunities to embark on short excursions of self-improvement on the longer journey toward zero events of preventable harm.The Centers for Medicare & Medicaid Services (CMS) and the US Department of Justice (DOJ) have published regulations and guidance that require and encourage organizations to proactively manage risk, with tiered accountability written into the CMS hospital conditions of participation (COP) and strongly encouraged in the DOJ newly revised Compliance Program Guidance containing its seven essential elements of an effective compliance program. Both CMS and the DOJ utilize a mixture of incentives and consequences to incentivize proactive risk management and compel reactive risk reduction. In these toolboxes of incentives and consequences, proactive healthcare executives can find the standards and rules to engineer and build highly reliable enterprise risk management systems with tiered accountability and risk-based talent management that focus available resources on high-risk, high-volume, and problem-prone areas.

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来源期刊
Frontiers of Health Services Management
Frontiers of Health Services Management Medicine-Medicine (all)
CiteScore
1.00
自引率
0.00%
发文量
27
期刊介绍: Disaster preparedness. The future of health professions. Workforce shortages. Alternative medicine. You want to understand the latest trends, but you don"t always have time for books. Magazines don"t give you quite enough information. Keeping up doesn"t have to be difficult. Frontiers can bring you up to speed quickly. Frontiers" unique "bookazine" format gives you the deep understanding gained from books but in a shorter format, like a magazine. Each issue focuses on one healthcare management topic, providing you with the knowledge you need to understand and react to evolving trends. Frontiers is written by experts on the topic and includes commentary from the field.
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