Module 5 – Assignment – Quality, Ethical, and IT Controls
1.Based on your proposed organization and structure for the GAH and the Community Clinic, we will now focus on additional aspects pertaining to:
2.Quality control and Accreditation:a.Define at least five core organizational competencies and functions for the new organization, and define a goal/objective for them.
b.Propose a control method/score board to be implemented in the new organization to ensure that said core competencies and functions are meeting their goals and objectives.
c.Assume that the new Hospital will seek JCAHO accreditation. What major competencies will this require from management and staff?
3.Ethical Issues – HIPAA a.The Health Insurance Portability and Accountability Act of 1996 (HIPAA, Title II) required the Department of Health and Human Services (HHS) to establish national standards for electronic health care transactions and national identifiers for providers, health plans, and employers. It also addressed the security and privacy of health data. As the industry adopts these standards for the efficiency and effectiveness of the nation’s health care system, the use of electronic data interchange will improve.
b.Review https://www.cms.hhs.gov/HIPAAGenInfo/
4.IT Systems a.Based on your proposed project’s organizational structure and the geographical locations of Mission Hospital, Golden Age Hospital and the Community Clinic, recommend the major components of an IT system that can best provide for the communication needs within and between the organization units.
b.Identify and define your requirements from the system subject to the ethical requirements of HIPAA (see above).
5.Conclusions and Recommendations – Final for complete project.
General Background
1.The Mission Viejo Medical Center (in the city of Mission Viejo, California) comprises two geographically adjacent institutions:a.Mission Hospital Regional Medical Center: Mission Hospital Regional Medical Center, and
b.Children’s Hospital at Mission (CHM): Children’s Hospital at Mission (CHM) https://www.mission4health.com/affiliations/choc-childrens-at-mission.html
2.The two hospitals serve — within less than a 10-mile radius — the populations of the following nine municipalities: Aliso Viejo, Ladera Ranch, Laguna Hills, Laguna Niguel, Laguna Woods, Lake Forest, Mission Viejo, Rancho Santa Margarita, and San Juan Capistrano.
3.Retirement Communities:a.The city of Laguna Woods (https://www.lagunawoodscity.org/) is home to “Leisure World” (https://www.lagunawoodsvillage.com/), a retirement community of more than 23,000 senior (55 years and above) residents.
b.The city of Mission Viejo is home to “Casta Del Sol,” a retirement community of more than 3,000 senior (55 years and above) residents.
4.Following the example and success of integrating a special children’s hospital, it is suggested for the purpose of CAP599 only, that an additional new hospital be built, catering to the special needs of the senior population, to be named: “Golden Age Hospital (GAH)”.
5.The “CAP599 Consulting Team (CAP599CT)” has been tasked to research and develop a project feasibility plan for the future GAH.
