Surrey, England: Ashgate. Serve as a resource for staff, particularly new personnel. The procedural steps that apply to a given person/case may differ depending on such factors as (but not limited to): the venue to which the prospective patient presents; whether he/she requests a “medical screening examination,” and the confirmation of the presence or absence of an “emergency medical condition” as defined by the Act. That may invite a plaintiff lawyer to take a statement out of context and allege that it places an obligation on the defendant that was not intended. Evidence that caregivers followed outdated policies may hinder defense of an otherwise defensible claim. Doing so means that if the organization has to produce the policy during discovery, the list of resources need not be turned over, since it “was not part of the policy itself”. Healthcare Policies: Healthcare policies are created by legislation to improve the health of the public and to reach specific health goals. Requiring two nurses to independently verify the patient’s identity and the intended blood product’s labeling prior to beginning a transfusion. Legal counsel should determine the length of time documentation of this type of training should be maintained, factoring in applicable statutes of limitations. Medication Safety Alert! Also for example, the EMTALA transfer form should be a part of the EMTALA policy. The policy was inconsistent with the standard of care. She may be contacted at Select a simple, recognizable name for the policy. Citing a reference as the policy may be appropriate in a narrow range of situations. Next, they must empower all staff to intercede in real time and “stop the line” if they witness a red rule violation, since non-adherence poses a significant risk of patient harm. National Health Initiatives, Strategies & Action Plans View a list of national health initiatives, strategies, and action plans that can help guide public health planning and activities, and which often have policy implications. Each section should have two columns: the one on the left outlines the action to be taken, and the one on the right says who is responsible for carrying out each step. Check with your corporate compliance office regarding organizational document retention policies. If a surgical operation at ABC hospital results in a retained instrument and becomes a claim, the plaintiff counsel will likely allege that the perioperative counts procedure was substandard because it was less rigorous than those recommended by AORN. Table 1. Situations that prompt staff to use a workaround indicate possibly unreliable processes or practices. They opine in retrospect about what a reasonable healthcare provider with similar training and experience would have done. The use of the word “policies” throughout this article shall refer to policies, procedures, and guidelines. The healthcare industry requires a lot of its professionals, even those who work in policy rather than in patient-facing positions. Lamson, Dugan and Murray, LLP. Provide indices by policy name, subject, and sponsoring domain (administration, nursing, pharmacy, etc.). Preferred EMTALA policy statement (which precedes a detailed procedure): The procedure below is intended to promote compliance with the federal Emergency Medical Treatment and Active Labor Act, its amendments, regulations, and reporting requirements. For added context, these figures are compared with those in Massachusetts and Utah, the states with the highest and lowest levels of healthcare spending per capita, respectively. Policy and Procedure Development Guidelines. Disparate policies can expose organizations to risk because a plaintiff lawyer may allege that one entity’s policy was less comprehensive than the other’s and thereby represented a lower standard of care. Some red rules shouldn’t rule in hospitals. Doing this implies: a) the cited book is the most updated authoritative source on that subject; b) the responsible domain leaders have reviewed the book from cover to cover and have “endorsed” all of its contents; c) staff members have ready access to that resource (at all times); and d) there is a process in place to monitor when the ACR issues a revised version of this manual, so the organization does not continue to use guidelines that may have changed. For instance, the policy for medical screening examinations, transfer in/out, reporting EMTALA violations, etc. A healthcare policy is a set of rules and regulations that are put into effect to assist in the operation and the shape of health delivery. Incorporate training about policy and procedure compliance in new-employee orientation programs. 5. Use the active rather than the passive voice when writing specific procedure action steps. If you continue to use this site we will assume that you are happy with it. It is not uncommon to see “nursing” policies that outline actions an independently credentialed physician is expected to take. National Health Policies, Strategies and Plans play an essential role in defining a country's vision, policy directions and strategies for ensuring the health of its population. Copyright © 2015 Planning for Care Ltd. All rights reserved. And of course, in the face of a global pandemic, high on the list of priorities for many Americans is the Democratic nominee’s position on healthcare. The disclaimer may also help the organization defend allegations that a staff member‘s actions failed to follow a policy, when he/she testifies that he/she deemed it appropriate to make adaptations given the presenting circumstances.

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