Benchmark – Risk Management Program Analysis

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 role in evaluating the facility riskmanagement 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'

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


The Joint Commission. (2018, September 14). Accreditation Process Overview. Retrieved
April 6, 2019, from

Aven, T. (2015). Risk assessment and risk management: Review of recent advances on their
foundation. European Journal of Operational Research, 1-13.

Burns, E., & Kakara, R. (2018). Deaths from Falls Among Persons Aged ≥65 Years —
United States. MMWR and Morbidity and Mortality Weekly Report, 67, 509-514.

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