ASSIGNMENT: You are an assistant administrator in a nonprofit hospital

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OVERVIEW: As a health care administrator, one of the challenges can be ensuring that federal, state, and local policies are effectively implemented within one’s health care organization, and they become part of internal policy. The background readings have highlighted three such policies.

· The requirement of certain health care facilities who participate in Medicare and Medicaid to strengthen their emergency preparedness

· The requirement to reduce hospital readmissions

· The requirement that hospitals comply with regulations surrounding the release of patients’ health care records

ASSIGNMENT: You are an assistant administrator in a nonprofit hospital that receives Medicare and Medicaid funding. Your boss has asked you to make a presentation to other leadership about one of the above policies. She would like for you to provide an overview of the policy, the implications for your organization for non-compliance, as well as recommendations about what you should be doing to ensure compliance.

After reviewing the background readings and doing additional necessary research, choose one of the regulations above. You must locate and review the legislation in question as part of your research, and include the correct citation to the federal legislation in your reference list. This must be for the actual legislation and not for a secondary source. Formulate a 5 page paper that covers all of the expectations of your boss.

SOURCES:

American College of Healthcare Executives. (2018). Healthcare executives’ role in emergency preparedness. Retrieved from https://www.ache.org/about-ache/our-story/our-commitments/policy-statements/healthcare-executives-role-in-emergency-management

Boccuti, C. & Casillas, G. (2017, March) Aiming for fewer hospital u-turns: The Medicare Hospital Readmission Reduction Program. Kaiser Family Foundation Issue Brief. Retrieved from http://files.kff.org/attachment/Issue-Brief-Fewer-Hospital-U-turns-The-Medicare-Hospital-Readmission-Reduction-Program

Cascardo, D. (2017) Preparing to meet the CMS Emergency Preparedness Rule. The Journal of Medical Practice Management, 32(5), 301-303. Available in the Trident Online Library.

Ellison, A. (2019, October 1) CMS penalizes 2,583 hospitals for high readmission: 5 things to know. Becker Hospital Review. Retrieved from https://www.beckershospitalreview.com/finance/cms-penalizes-2-583-hospitals-for-high-readmissions-5-things-to-know.html

Finklestein, M. M. (2017) Redefining the “Legal medical record” and how to be prepared to respond to legal requests for a patient’s medical record. The Journal of Medical Practice Management, 33(1), 11-14. Available in the Trident Online Library.

Lye, C. T., Forman, H. P., Gao, R., Daniel, J. G., Hsiao, A. L., Mann, M. K., . . ., Krumholz, H. M. (2018) Assessment of US hospitals compliance with regulations for patients’ requests for medical records. JAMA Network Open, 1(6). Retrieved from https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2705850

Sorenson, R., Paull, G., Magann, L., & Davis, J. (2013) Managing between the agendas: Implementing health care reform in an acute care hospital. Journal of Health Organization and Management, 27(6) 698-713. Available in the Trident Online Library.

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