Order ID:89JHGSJE83839 | Style:APA/MLA/Harvard/Chicago | Pages:5-10 |
Instructions:
HCAD 650 UMDC Correction Action Plan Memo
Your health care organization has just learned that it is out of compliance in the problem areas listed below. You have been asked to research ONE problem and prepare an interoffice research memo that is double-spaced and not more than four pages. The Memo should be addressed to the VP of Finance and include the following sections with a heading in bold for each section. Use APA 7 for in-text citations and references.
Memo Heading
Memo To:
Memo From:
Date:
Re: (Regarding – Name the topic)
Brief description of the problem
State the Law and agency guidelines or regulations that govern the issue include the penalty for non-compliance
Describe and evaluate how the COSO framework, components and principles can improve compliance and correct system-wide problems. See COSO Internal Control – Integrated Framework: An Implementation Guide for the Healthcare Provider Industry PDF
Recommend a strategic corrective action plan (CAP) that implements components and principles from COSO. Name and describe at least three managerial actions you recommend to correct the specific problem and bring the organization into compliance using the COSO compliance tool.
Give reasons to support selection of these actions. Indicate which COSO components and principles you relied on and why.
Problems (Select One)
Your hospital has had multiple repeat hospital admissions of patients with pneumonia within 30 days of discharge in violation of the Hospital Readmissions Reduction Program (HRRP). CMS.gov Website: Hospital Readmissions Reduction Program (HRRP) Landing Page
Your hospital as a score in the 75th percentile for Surgical Site Infection (SSI) during the last six months raising concerns under the Hospital-Acquired Condition Reduction Program (HACRP). CMS.gov Website: Hospital-Acquired Condition (HAC) Reduction Program Landing Page and AHRQ Website: Patient Safety Network – Never Events Landing Page
Your long-term care facility has multiple never events in your long-term care facility with multiple patients developing Stage III and IV pressure ulcers during the last year. CMS State Medicaid Payments HAC Letter PDF
Your long-term care facility has had multiple adverse events from medication errors that led to the deaths of 5 patients at your facility within the last month. You have been so busy investigating, you haven’t reported under the FDA Adverse Event Reporting System (FAERS). FDA Website: Questions and Answers of FDA’s Adverse Event Reporting System (FAERS) Link
HCAD 650 UMDC Correction Action Plan Memo
RUBRIC |
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Excellent Quality 95-100%
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Introduction
45-41 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned. |
Literature Support 91-84 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned. |
Methodology 58-53 points Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met. |
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Average Score 50-85% |
40-38 points More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided. |
83-76 points Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration. |
52-49 points Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met. |
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Poor Quality 0-45% |
37-1 points The background and/or significance are missing. No search history information is provided. |
75-1 points Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration. |
48-1 points There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met |
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