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Policy Assessment Framework Use the Assessment 1 Template [DOCX] to complete this assessment.
1. Topic Selection: Choose a topic of interest that you would like to work. In your organization or one where you have worked before or are interested in working.
◦ Look at the American Hospital Association, Center for Medicare & Medicaid, the Institute of Health Care Improvement. Or the Joint Commission Patient Safety Goals.
◦ If you cannot locate one, look at local, state, or federal issues.
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2. Policy Application: Find a policy, set of guidelines, or government regulations and apply it to the organization’s work on the chosen topic. You may choose a policy you have access to from your organization. Other sources of policies include those published online from a different healthcare organization.
◦ Describe clearly how the selected policy complies with or diverges from the requirements. Outlined in a related healthcare law, providing evidence to support your position.
◦ Discuss the potential legal, ethical, or financial implications of non-compliance with the. Policy and its alignment with healthcare law or professional guidelines.
◦ Consider the consequences for individual practitioners, stakeholders, and the healthcare organization.
▪ Centers for Medicare & Medicaid Services (CMS) Federal regulations and guidance.
▪ CMS Hospital Readmissions Reduction Program (HRRP).
▪ CMS Inpatient Quality Reporting Program (IQR).
▪ CMS Improving Medicare Post-Acute Transformation Act of 2014. (IMPACT Act) is a federal law that standardizes patient assessment data in post-acute care settings.
▪ CMS Social Determinants of Health (SDOH) requirements.
▪ The Joint Commission Standards and Measures.
▪ Commission on Accreditation of Rehabilitation Facilities (CARF).
▪ Centers for Disease Control and Prevention (CDC) – National Healthcare Safety Network.,
▪ National Database of Nursing Quality Indicators (NDNQI).
▪ Agency for Healthcare Research and Quality (AHRQ).,
▪ National Committee for Quality Assurance (NCQA). Healthcare Effectiveness Data and Information Set (HEDIS) measures.
▪ The Patient Safety and Quality Improvement Act of 2005. (PSQIA) protects healthcare workers who report unsafe conditions at their practices. The law encourages individuals to report medical errors while maintaining patient confidentiality.
3. Therefore, benchmark Comparison: Identify a benchmark or strategic goal and compare it to the policy, guideline, or regulation and goal that is not at the desired goal or range.
◦ Whareas, a benchmark in healthcare is a standard or point of reference used to measure. Compare the performance of healthcare organizations, departments, or individual clinicians.
▪Hence, benchmarks are used to identify areas for improvement and set goals for quality improvement.