Risk assessment and management are essential components of an effective quality improvement program. Risk management requires identifying and systematically reducing potential risks to the safety of Program of All-Inclusive Care for the Elderly, or PACE, participants and within the healthcare environment. The Centers for Medicare & Medicaid Services, or CMS, as well as other agencies require that specific information be reported when events meet certain thresholds. In this course, you will learn about Level One and Level Two reporting requirements and the use of root cause analysis for the investigation of reportable events.
Section 1: Introduction
About This Course
Section 2: Reporting Requirements
Risk Management and Assessment
Data Quality Submission Timeline
PACE Data Quality Incidents
Adverse Drug Reaction
Emergency Room Visits
Infectious Disease Outbreak
Medicare Administration Errors without an Adverse Effect
Medication Related Occurrences
Motor Vehicle Accidents
Fires and Other Disasters
Reporting to Other Agencies
Root Cause Analysis
Conducting an RCA
Section 3: Conclusion
Elisabeth Reid-Gonzalez MPA, CPHQ is the Manager of Quality and Resource Management for a PACE Quality Program. She has a Master’s in Public Administration and a Bachelor in Cell and Developmental Biology from the University of Rochester. She is a Certified Professional in Healthcare Quality with over 13 years of healthcare experience in the ambulatory and acute-care hospital setting. Disclosure: Elisabeth Reid-Gonzalez MPA, CPHQ has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.Staff Writer: Ron Orth RN, CHC, CMAC
Ron Orth obtained a nursing degree from Milwaukee Area Technical College in 1985 and a B. A. in Health Care Administration from Concordia University in 1996. Mr. Orth possesses over 30 years of nursing experience with over 20 of those in the Skilled Nursing industry. Mr. Orth has extensive experience in teaching Medicare regulations to healthcare providers both in the US and internationally. Mr. Orth is currently the Director of Curriculum Design for Post-acute Care at Relias. Ron is certified in Healthcare Compliance through the Compliance Certification Board (CCB). Ron has also successfully completed the Infection Control Officer training through the AHCA.Disclosure: Ron Orth RN, CHC, CMAC has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
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