Vila Health: Regulatory and Compliance Landscape

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DHA8044 Vila Health Activity

Regulatory and Compliance Landscape

Introduction

Email from Frederick Mora

Facilities Fact Sheet

Site Visit at Valley City Regional Hospital

Site Visit at Clarion Court Skilled Nursing Facility

Email Response to Frederick Mora

Conclusion

Credits

Introduction

The world of health care regulation and accreditation is a complex and ever-changing one.

E�ective management in the world of health care requires a �rm grasp on the regulatory

and compliance situation of each facility within a system. And that situation will vary widely

with the type of facility.

In this activity, you will investigate the di�erent regulatory and compliance situations faced

by di�erent facilities.

Educational Goals

After completing the activity, you will be prepared to:

Understand accreditation and regulatory compliance in di�erent kinds of health care

facilities.

Explain key regulating bodies and compliance issues.

You are a quality assurance (QA) manager at Vila Health, a medium-sized health care

system operating hospitals and other health care facilities throughout the upper

Midwestern United States.

A recent Minnesota Department of Health inspection of Vila Health's Clarion Court Skilled

Nursing facility went very poorly, with many lapses in procedure and documentation

discovered and cited. This poor audit, combined with the constant state of �ux within the

medical regulatory world, creates a recognition that the regulation and compliance

circumstances of Vila Health's facilities are not properly documented or understood.

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Email from Frederick Mora

Regulatory and Compliance Inventory

From: Frederick Mora, Director of Quality Management

To: Archelia Johnston-Taylor

Archelia,

At yesterday afternoon's Advisory Board meeting, there was a lot of concern about that bad

inspection Clarion Court received from the state Department of Health, as well as some

disturbing long-term trends in their reported quality measures. It is of course completely

unacceptable to have black marks like these associated with one of our facilities when we,

as an organization, work so hard to be known for quality and safety.

It's clear that we are going to need to take a very close look at Clarion Court's day-to-day

operations. But before we do that, there's wide agreement that there are broader concerns

here at Vila Health corporate. Things have changed so much so quickly on the regulatory

and accreditation front that we may have become out of touch with the realities on the

ground. If we're going to straighten things up at individual facilities, that just won't do.

I came out of that meeting with a mandate for information gathering. We need to amass

perspectives from across the organization and determine exactly where we are, particularly

in terms of meeting basic accreditation requirements and complying with ever-changing

regulations. To this end, I'm asking the members of our QA team to consult with leadership

of all of our facilities and get their perspective on their regulatory and compliance

situations. I'm dividing the portfolio of Vila Health facilities among the di�erent members of

the QA team; I would like you to focus on Valley City Regional Hospital and of course the

Clarion Court skilled nursing facility. I’ve prepared a brief fact sheet that provides some

essential information about each of them.

I'd particularly like you to talk to people about three things: which regulatory bodies they're

concerned with in their unit, what the key regulation from that body is, and what their

di�culties are in complying with that regulation. Take good notes!

Frederick

Facilities Fact Sheet

Vila Health is proud to o�er exceptional, compassionate health care services across the

upper Midwest, serving a wide variety of communities and situations.

larion ourtC C Clarion Court Skilled Nursing Facility (Burnsville, MN)

Clarion Court is a 112-bed skilled nursing facility that has been part of the Vila Health

network since 1983. Clarion Court provides residents of the southern Twin Cities area with

cutting-edge senior care.

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1479 Riverwood Drive, Burnsville, MN 55337

(855) 556-2577

Valley City Regional Hospital (Valley City, ND)

O�ering primary care and specialty services for both inpatient and outpatient clients, Valley

City Regional Hospital is a 60-bed facility serving the greater Valley City region. Our

physicians are connected to the award-winning health services throughout the Vila Health

network.

721 Chautauqua Blvd., Valley City, ND 58072

(701) 846-7700

Site Visit at Valley City Regional Hospital

Content of this section depends on choices made during the scenario. Complete at least

one attempt of the scenario to see your choices re�ected here.

Below is a record of the conference you had with leadership on their regulatory and

compliance landscape.

Site Visit at Clarion Court Skilled Nursing Facility

Content of this section depends on choices made during the scenario. Complete at least

one attempt of the scenario to see your choices re�ected here.

Below is a record of the conference you had with leadership on their regulatory and

compliance landscape.

Email Response to Frederick Mora

Thanks

From: Frederick Mora, Director of Quality Management

To: Archelia Johnston-Taylor

Archelia,

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Thanks for taking the time to talk to all of those people! I hope that was illuminating, and

appreciated your summaries for each site. I look forward to seeing your more formal

report.

On the subject of that formal report: obviously, going forward, we'll need to be thinking

about what actions we should take with the information we've gathered. A big part of that

will be considering best practices for compliance with regulation and accreditation. Could

you send back a quick summary of any thoughts you'd have there? I know there'll be a more

�eshed-out version in the �nal report, but I'd like to get an idea of where you're going.

Thanks!

Frederick

Content of this section depends on choices made during the scenario. Complete at least

one attempt of the scenario to see your choices re�ected here.

After reading Frederick's email, you were asked to write a reply that summarizes what

you've learned.

Conclusion

You have completed the Regulatory and Compliance Landscape activity.

Based on your completion of this activity, you should be prepared to:

Understand accreditation and regulatory compliance in di�erent kinds of health care

facilities.

Explain key regulating bodies and compliance issues.

Credits

Subject Matter Expert:

Christopher Miller, DHSc, MHM

Interactive Design:

Estelle Domingos, Mark Bune, Marc Ashmore

Interactive Developer:

Peter Hentges

Instructional Design:

Jae Johnson

Media Instructional Design:

Keith, Pille, Felicity Pearson

Project Management:

Paul Schwoboda

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