Implementing Policy

In the Health Care Delivery System In this episode, you are the Director of Quality Improvement for a Health Care System.

Your team is in the process of establishing policies and procedures to ensure health law compliance.

You must work with team members to create policies and procedures that address the requirements, determine who the changes impact the most, and work with those people to develop a comprehensive communication strategy.

Based on the policy and law changes, hospitals are now required to: Monitor and report medical errors to the DHHS. Use root cause analysis on a certain percentage of errors Track and report patient outcomes focused on the clinical problems identified in the National Health Care Quality Report.

Integrate the 5 health care profession core competencies into staff education and track outcomes.

Establish a no-blame culture. You will submit policy and procedure points that address each of the changes, and a communication strategy for the changes.