HTL 308 Part One Educational Program on Risk Management: Outline of Topic Assignment

HTL 308 Part One Educational Program on Risk Management: Outline of Topic Assignment

HTL 308 Part One Educational Program on Risk Management: Outline of Topic Assignment

In-service Education Session on Improving Processes in the Emergency Department
The emergency department (ED) handles cases that require fast response and compliance with existing state and federal health regulations like the EMTALA provision. Healthcare providers need to understand the role of ED in care delivery and the guiding regulations, laws, organizational policies, and quality requirements set by professional organizations and entities like the American Nurses Association and the Agency for Healthcare Research and Quality (AHRQ) as well as The Joint Commission (Weiss et al., 2021). The purpose of this paper is to offer an outline of the topic to be taught to nurses to mitigate risks in the ED and guarantee patient safety.

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Rationale for Risk Management Strategy
Increased levels of efficiency in processes within the ED is imperative to handling patients, it will enhance responses from nurses and immediate interventions.
The organization’s emergency policy is not widely practiced as expected and having this session will enhance knowledge among nurses, especially newly hired registered nurses (RNs) in the ED
The current risk management plan lacks provisions on EMTALA and effective quality metrics in the ED to caution and support healthcare providers, especially nurses, in responding to emergencies, especially critical cases from uninsured individuals presenting in the ED (Rubin, 2021).
Implementation will meet local, state, and federal compliance expectations and quality standards of offering quality, affordable and accessible care
Implementation will enhance nurses’ knowledge and implore them to integrate evidence-based practice interventions through a better and participative policy.
Nurses will report any adverse events and ensure that patients have access to quality care
Supportive Data
One in five Americans visits the ED at least once a year. ED nurses stabilize patients with serious conditions before admission to the inpatient section (Rubin, 2021).
A majority of patients presenting in the ED are treated and discharged without admission. Centers for Disease Control and Prevention (CDC) (2023) asserts that over 131 million ED visits happen each year with injury-related visits accounting for about 38 million. The number of ED visits leading to hospital admission is about 18.6 million with 3.1 million resulting in critical care units.
Over fifty percent of ED presenting patients are seen in less than 15 minutes while about 3% result in transfer to a different hospital, especially psychiatric facilities or holds. The CDC also opines that more infants under 1 year present to the ED followed by older adults aged 75 and above with 52 per 100 individuals (Cairns et al., 2021).
The implication is that stakeholders are concerned about the overuse or inappropriate utilization of ED, especially for non-emergent care. Therefore, existing data and research indicate the need for an efficient and robust yet proactive organizational policy on ED cases. Having such a policy will enhance the level of quality care offered and prevent possible overuse and misuse of the department.
The organization has a legal responsibility to offer emergency care based on the EMTALA provisions while nurses are obligated through ANA standards of practice to ensure quality patient care and improving safety.
Implementing Strategies
Getting support from the management and securing resources for the program
Collection of data on the prevalence of adverse events and the effects of the current policy measures or requirements in the ED to demonstrate the need for this program
Developing a curriculum on issues to teach nurses about efficient processes in the ED and the legal repercussions of violation of these provisions. Ascertaining that nurses can comprehend the existing legal requirements at both state and federal levels.
Developing a new and unique organizational policy on ED processes. Policy development involves critical players and embraces an inter-professional collaborative approach (Pin et al., 2020). The core aspect of such a policy is to improve compliance and integrate best practice standards, legal requirements, and individual patients’ needs and practices.
Organizational-wide sensitization through printing and distributing materials and content on the new policy and need for adherence from all medical and health care professionals and other employees in the facility.
Challenges
Challenges are inherent and inevitable when implementing new policies due to different aspects. The first one is limited resources from the management. Health care needs are diverse and unlimited but the available resources are not sufficient for the entity to implement radical reforms. It may be gradual (Schultz et al., 2019).
Resistance to change, especially where new approaches are required and should be implemented within the organization
Ineffective communication leads to limited or lack of support from all nurses and other healthcare providers within the organization
Limited time due to the nature of the workplace environment
Possible solutions include adopting an appropriate change model to communicate changes and seek adoption from all stakeholders (Pin et al., 2020).
Effective communication from change agents and organizational leaders
An appropriate leadership style or approach
Evaluation
Evaluation will be based on two aspects: process measures and outcome measures
Process measures will involve and integrate best practices to determine the most efficient way to handle patients in the ED. For instance, the time taken to triage a patient and send their data to the clinician.
Outcome measures will focus on the experiences of patients through a patient feedback mechanism to determine the level of satisfaction with services in the ED.
Evaluation will also focus on if the initiative meets patient needs while also complying with the mandated regulations at local, state, and federal levels.
Opportunities
A host of opportunities exist to improve the management of risks in the ED. These include leveraging technologies like clinical decision support (CDS) tools, telehealth, and informatics
Having an appropriate leadership model that embraces diverse and divergent as well as innovative ideas and propositions from employees
Complying with the best practice standards in ED cases and care provision
Conclusion
The proposed area of study is essential for nurses in the ED to understand the environment and handle patients most appropriately. The outline also shares areas that will be critical in implementing the risk management program in the ED to enhance the quality of care. The outline demonstrates the expectations of various stakeholders and how they should be handled.

References
Cairns C, Ashman JJ, Kang K (2021). Emergency department visit rates by selected
characteristics: United States, 2018. NCHS Data Brief, no 401. Hyattsville, MD: National Center for Health Statistics. DOI: https://doi.org/10.15620/cdc:102278
Centers for Disease Control and Prevention (CDC) (2023 May 17). Emergency Department
Visits. https://www.cdc.gov/nchs/fastats/emergency-department.htm
Schultz, M., Rasmussen, L. J. H., Carlson, N., Hasselbalch, R. B., Jensen, B. N., Usinger, L., …
& Iversen, K. K. (2019). Risk assessment models for potential use in the emergency department have lower predictive ability in older patients compared to the middle-aged for short-term mortality–a retrospective cohort study. BMC geriatrics, 19, 1-9. DOI: https://doi.org/10.1186/s12877-019-1154-7
Pin, R., Ralli, M. L. & Shanmugam, S. (2020). Emergency Department Clinical Risk. In
Textbook of Patient Safety and Clinical Risk Management. Springer, Cham. DOI: https://doi.org/10.1007/978-3-030-59403-9_15
Rubin, R. (2021). The costs of US emergency department visits. JAMA, 325(4), 333-333.
DOI:10.1001/jama.2020.26936
Weiss, A. J., & Jiang, H. J. (2021). Most frequent reasons for emergency department visits,
2018. Agency for Healthcare Research and Quality. https://hcup-us.ahrq.gov/reports/statbriefs/sb286-ED-Frequent-Conditions-2018.pdf

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HTL 308- Educational Program on Risk Management – Part One: Outline of Topic

Assessment Description:

The purpose of this assignment is to create an educational program that supports the implementation of risk management strategies in a health care organization.

In this assignment, you will develop an outline for an “in‐service”‐style educational risk management program for employees of a particular health care organization that will then form the basis for a PowerPoint presentation in Topic 5. Select your topic for this educational session from one of the proposed recommendations or changes you suggested in the Risk Management Program Analysis – Part One assignment to enhance, improve, or secure compliance standards in your chosen risk management plan example.

Create a 500‐750-word comprehensive outline that communicates the following about your chosen topic:

Introduction: Identify the risk management topic you have chosen to address and why it is important within your health care sector.

Rationale: Illustrate how this risk management strategy is lacking within your selected organization’s current risk management plan and explain how its implementation will better meet local, state, and federal compliance standards.

Support: Provide data that indicate the need for this proposed risk management initiative and demonstrate how it falls under the organization’s legal responsibility to provide a safe health care facility and work environment.

Implementation: Describe the steps to implement the proposed strategy in your selected health care organization.

Challenges: Predict obstacles the health care organization may face in executing this risk management strategy and propose solutions to navigate or preempt these potentially difficult outcomes.

Evaluation: Outline your plan to evaluate the success of the proposed risk management program and how well it meets the organization’s short-term, long-term, and end goals.

Opportunities: Recommend additional risk management improvements in adjacent areas of influence that the organization could or should address moving forward.

You are required to incorporate all instructor feedback from this assignment into Educational Program on Risk Management Part Two ‐ Slide Presentation assignment in Topic 5. To save time later in the course, consider addressing any feedback soon after this assignment has been graded and returned to you. It may be helpful to preview the requirements for the Topic 5 assignment to ensure that your outline addresses all required elements for submission of the final presentation.

You are required to support your statements with a minimum of six citations from appropriate credible sources.

Prepare this assignment according to the guidelines found in the APA forms.

Note: Please refer to the risk management analysis paper that was completed on Sunday, 7/22/23 to do this assessment paper. Thanks.