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Summary C986 a1Worksheets .doc C986 Instructions: This worksheet has two parts: 1. A table to analyze each of the Office of Inspector General (OIG) allegations and justify corrective action solutions using IRAC methodology. 2. A series of questions that w$7.49
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Summary C986 a1Worksheets .doc C986 Instructions: This worksheet has two parts: 1. A table to analyze each of the Office of Inspector General (OIG) allegations and justify corrective action solutions using IRAC methodology. 2. A series of questions that w
C986 a1Worksheets .doc C986 Instructions: This worksheet has two parts: 1. A table to analyze each of the Office of Inspector General (OIG) allegations and justify corrective action solutions using IRAC methodology. 2. A series of questions that will target the issues in the Phoenix Veteran...
c986 a1worksheets doc c986 instructions this worksheet has two parts 1 a table to analyze each of the office of inspector general oig allegations and justify corrective action solutions us
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C986
Instructions:
This worksheet has two parts:
1. A table to analyze each of the Office of Inspector General (OIG) allegations and justify corrective action
solutions using IRAC methodology.
2. A series of questions that will target the issues in the Phoenix Veterans Affairs Health Care System
(PVAHCS) case most relevant in the development of a new enterprise risk management (ERM) plan.
Resources:
Use the following resources to complete this worksheet:
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the
Phoenix VA Health Care System
Enterprise Risk Management: Issues and Cases
Note: This text investigates ERM case studies, both inside the healthcare industry and out. It also explores the key
issues for implementing ERM strategies.
Impact Assessment Framework
VHA Publications Index(policies = regulations and directives)
Below are examples of directives. After reviewing the website, you may find more directives applicable to this
case.
#1604: Data Entry Requirements for Administrative Data
#2011-002: Office of the Medical Inspector Reports
#1231: Outpatient Clinical Practice Management
#1230: Outpatient Scheduling Process and Procedures
#6300: Records Management
#1128: Timely Scheduling of Surgical Procedures in the Operating Room
#2006-041: Veterans Healthcare Service Standards
#1026: VHA Enterprise Framework for Quality, Safety, and Value
University of Washington Bioethical Principles
Note: The site link above includes the ethical principles found in the C985: Analytical
Methods of Health Leaders course.
Part 1. IRAC Table
, Formulate an IRAC (issue, rule, application, and conclusion) response for each of the five
OIG violations that includes the following:
Issue: Summarize the relevant facts for each violation in the OIG report.
Rule: Discuss the relevant ethical principles and legal or regulatory requirements for each violation.
Application: Analyze how the violations deviated from the ethical principles and legal
or regulatory requirements discussed.
Conclusion: Recommend appropriate ERM corrective actions or solutions for each of the violations.
Clinically significant delays in care
The collection of 1700 veterans waiting for a
primary care appointment was prompted by
evidence of unsuitable scheduling procedures
Summary of relevant facts: that were not in line with VHA policy. Due to
a lack of scheduling and funding, PVAHCS
has been unable to provide adequate treatment
as a result of the lack of access (VA OIG,
2014)
Since management and staff did not
understand the operation's rationale, deviation
from existing VHA scheduling processes
occurred. Rather than appreciating the value of
quantifying wait times and volumes to manage
money, the emphasis has been on beating a
Discussion and analysis of deviation from ethical
principles and legal, or regulatory requirements or deadline, the 14-day target wait for veteran
standards: appointments. This claim contradicts the
philosophy of beneficence, which directs
healthcare professionals to positively impact
achieving the best possible patient results
(McCormick, 2013). It could also violate the
rule of law, but the OIG report lacks sufficient
facts to back this up.
All personnel should retrain on scheduling
procedures, with a renewed emphasis on
veterans and their access to treatment.
ERM corrective action or solution Regularly tracking wait times and allocating
recommendation: resources as needed can ensure accountability.
All clinically relevant treatment delays should
also be discussed with the veteran and their
family via disclosure of a schedule.
Omission of the names of veterans waiting for care from its electronic wait list
(EWL)
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