C430 WGU Questions and Answers 100% Pass

C430 WGU Questions and Answers 100% Pass Communication reduces consequences - Answer-•Altruism the belief in or practice of disinterested and selfless concern for the well-being of others •Rationalization • Accountability •Compensation Hospital Acquired Conditions - Answer-CMS identified conditions that are not present on admission and could be "reasonably preventable", and therefore hospitals are not allowed to receive additional payment for these conditions that do present. focus on loss but don't TQM - Answer-system focus Variation on the Pareto Principle •85/15 rule - 85% of problem is related to system failure and 15% is the fault of the people involved •Three premises: •Quality is important and can be measured •People are part of the solution not the problem •Change is fundamental and can be managed Developing a Risk Management Plan - Answer-Analyze/identify -the possible liability (e.g. patient and employee safety, operational, financial) risks related to medication errors in the hospital. -The team interviews key internal stakeholders, develops a sequenced timeline of the event, analyzes quality assessment studies, accreditation surveys, medication error incidents, and error near-miss reports, and reviews related tasks and medication protocols from the emergency room, pharmacy, and physicians. •Severity to the individual and/or organization •Number of people harmed or potentially harmed •Likelihood or frequency of occurrence Examine/determines -the errors that must be addressed by -analyzing the data gathered in the first step. They determine that the operational management from the involved departments must refine processes. Develop/agreed upon plan (e.g. including stakeholder manager(s) insights) to respond to and mitigate communication, dispensing errors, and improve overall work flow. Implement/education After developing the plan and educating the staff, the operational managers implement the plan in the hospital. Monitor/change-move forward: -the results of the implementation to determine effectiveness of the plan. Quality Tools from in the Industry - Answer-reduce time and waste •Lean Management focuses on reducing waste and eliminating errors in the processes. •Six Sigma focuses on eliminating causes of defects or errors and minimizing variability in process. Risk Management Tools for Identifying Risk - Answer-•Incident Reporting System to identify events that are not consistent with the routine operation of a hospital or routine care of patients •Occurrence Reporting A policy listing specific adverse events that MUST be reports •Required by some states and insurers •Can increase identification of adverse events to 40-60% •Occurrence Screening System that identifies deviations from normal procedures or expected outcomes •Uses criteria to identify adverse events but does not rely on staff reporting •Increases identification of adverse events to 80-85% Risk and Quality of Care - Answer-Maximization of the use of limited resources Elimination of duplication Developing new solutions to problems Facilitation of training programs Improvement of budget process •Today, organizations utilize a more integrated approach, recognizing that many risk management errors are breakdowns in process (quality) rather than individual error. Risk Management - protection of assets - Answer-•Risk Management - the identification of and proactive decisions to minimize the affects of potential loss situations and developing strategies of avoidance and prevention (identification and analysis) •Risk Control - the conscious effort or decision to act, or not act, that reduces the frequency, severity or unpredictability of a potential loss. (risk acceptance, exposure avoidance, loss prevention, segregation, contractual transfer) decision to act/not act •Loss Control - ability to minimize the actual loss (response to the loss, loss reduction) •Loss Management - proactive activities to return the organization to the pre-existing state. another definition states that risk management is a program designed to reduce the incidence of preventable accidents and injuries to minimize the financial loss to the institution should an injury or accident occur.1 risk management aims to accomplish three major functions: - Answer-• Reducing the organization's risk of a malpractice suit by maintaining or improving the quality of care • Reducing the probability of a claim being filed after a potentially compensable event (PCE) has occurred • Preserving the institution's assets once a claim has been filed