Benchmark – Risk Management Program Analysis

Risk management is a vital component in every organization, especially in medical establishments. Adoption of a risk management process in medical facilities is a beneficial tool as it authorizes health professionals to determine and comprehend the risks faced by the population. As a result, health practitioners ascertain viable intervention mechanisms to mitigate the risks involved. Patient falls are a common cause of accidental injuries or demise in elderly individuals in medical amenities.  According to Burns and Kakara (2018), approximately a third of in-hospital falls leads to injuries such as fractures. It is essential for medical facilities to launch initiatives that facilitate the reduction of in-hospital falls. The aim of the analysis is the joint commission’s role, the different administrative roles in policy establishment, support of patient rights, and legal and ethical responsibilities regarding the fall prevention management program.

Role of MIPPA Approved Body: Joint Commission

MIPPA plays a crucial role in the health care system as it purposes to ascertain that every healthcare facility has advanced technology to qualify for medical reimbursements.  The laws enacted by the CMS to accrediting private in-patient facilities presented in 2012 guarantees that health providers have nuclear imaging amenities, MRI scans, and PET.  They also make sure that clinical guidelines are followed to acquire certification. Various segments monitored by CMS include the quality of the images, qualification amongst personnel, equipment performance, staff safety standards, and quality assurance and control. 

Regarding the MIPPA safety procedures, the health facility acquires its certification from the Joint Commission. The commission’s functions include advancing quality, safety, and promoting high performance. The joint commission’s role in evaluating the facility’s risk management processes and improvement of quality is enhancing the care standards by reducing risks through collaboration with other bodies. To fortify its role, the commission monitors and backs the legislations to advance patient safety. This achieved by adjusting the obsolete regulations and enacting quality enhancement policies.

The joint commission plays a fundamental role in the evaluation of the organization’s compliance standards by assessing the patients’ safety accounts (The Joint Commission, 2018). It assists in advancing the ideals by liaising with other corporations to generate higher standards geared towards improving the reported malfunctions within the facility. With this, the commission may assist in progressing and reinforcing the patient advancement programs by reducing the risks and enhancing patient safety attempts. As a result, the commission bolsters confidence, providing a competitive edge over medical facilities. Also, through accountability and performance mechanisms, the commission enhances the patients’ outcomes.

Administrative roles

Personnel at diverse administrative levels are fundamental in providing health services as they aim to improve health access, reducing the cost of health care and service quality. Administrative members of staff not only play a critical role in advancing ethics but also assist in establishing dedicated organizational risk management and operational approaches. They assist in advancing the quality of health care and patient safety. Coordination between the facility’s administrators and clinical officers may be considered valuable in averting issues related attributed to in-hospital falls. This significant in guaranteeing that both the individuals and population facing the risk are placed under managed care.

Administrative members of staff, for instance, health administrators, are crucial to upholding ethics during the assessment of the process integrated during medical procedures. Administrators are viewed as whistle-blowers since they exhibit authority that may impact the facility’s operations. They are viewed as the oversight authority that examines service delivery and affirming definitive patient care. Clinical officers, who are considered as part of the team, may assist in ascertaining that moral practices such as informed approval. This may be observed by progressing coordination with patients in evaluating the type of medical procedure to be conducted.

The establishment of dedicated organizational management policies such as deontological integrity mechanism focuses on obligations concerning a patient. The mechanism involves promoting the codes of respect and averting injury. This may be applied when releasing or admitting patients, whereby comprehensive care may position patients in harm that can be postulated to advance all-inclusive attention. With these aspects, each individual is compelled to guarantee that healthcare standards and policies are adhered to.

Support of Patient Rights and Responsibilities by Risk Management

Championing patients’ privileges and duties are crucial obligations for every healthcare facility.  They include adhering to patients’ requests and protection. With the components, healthcare is deemed outstanding as privileges such as informed approval, accessibility to information, and adequate care are essential. On the other hand, patients are also required to adhere to laid down mechanisms when pursuing medical assistants to avert the patient falls (Aven,2015). They include participating in health pronouncements, adhering to medical directions, prescriptions, amongst others. By training and providing guidelines to patients when accessing medical care, the facility enhances the fastening and mitigation of risks that may arise during interactions, such as the provision of inaccurate data.

The facility’s compliance programmes will assist in ensuring a patient’s approval as the facility advocates for patient-personnel relations. This sanctions the patient’s will to make their own decisions. Relations between the patients and personnel bolsters better outcomes as a patient can offer suitable data regarding health. This ensures suitable and determined interventions are considered. Therefore, this will reduce the risks of misdiagnosis resulting from falls, hence preventing drug effectiveness.  

Legal and Ethical Responsibilities

The legal and ethical responsibilities amongst health practitioners assist in developing standards integrated by the government to guarantee behavioral accountability. The facility has advanced its stance in upholding the risks by affirming that each staff accesses and implements principles stated in the code of ethics. The corporation has generated mechanisms that preserve the risk management strategies that offer exceptional health services through the detection of fraud and neglect. The medical facility has embraced regulations that assist in detecting forms of health scams and disregard.

This is achieved by assessing the account records and increasing surveillance to observe the operations within the facility. The medical facility has scaled up its security surveillance by installing monitoring systems and carrying out audits on the financial records. Implementation of the policies has safeguarded the patients by advancing the safety and prevention of deceptive processes. Neglecting patients results in harm, and therefore, health providers are accountable for the provision of quality care. As a result, health mechanisms have greatly assisted the facility in acquiring efficiency and building a reputation. 

How quality improvement processes support its overall journey to excellence

The improvement in quality assists in accelerating the healthcare system’s performance as it monitors, assesses, and expounds healthcare quality standards. Through systematic assessment of the processes, the facility will continuously generate better outcomes as a result of technology in conducting other operations. This will aid the organization’s strategy of accomplishing effectiveness, advancing patient safety, and incorporating evidence-based care. Adopting the processes within the organization, such as biometrics, has laid more emphasis on the patient’s requirements.

Through these mechanisms, safety amongst patients is enhanced, reducing the duration spent within the facility. A surge in the distribution of data through advanced technology has increased coordination amongst health care practitioners. The frameworks enable valid issuance of referrals and smooth switch, particularly to patients that require holistic care. Consequently, the advancements in technology have upheld multidisciplinary care and co-operation, leading to positive patient outcomes. Also, the institution’s reputation is developed, unfolding the journey to excellence.


The health facility has commendably addressed the modes of assessing and preventing the in-patient falls.  The joint commission is vital in addressing the facility’s assessing the organization’s compliance and implementation of adjustments. Administrative is also fundamental in providing health services by working towards attaining quality services. Regarding patient rights and responsibilities, each patient is also crucial in adhering to the guidelines offered while accessing medical assistance. Quality improvement procedures are vital in hastening health system performance through monitoring and assessment.

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