Module 04 Course Project - Writing Compliance Procedures

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Running Head: Compliance Plans

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Compliance Plans

Compliance Policies

Tia Branden

Rasmussen College

Procedures for Compliance Plans

Hand washing procedure

The hand hygiene compliance plan is essential in many ways. First, it will ensure that the employees are safe from any bacterial infections. Which can result from coming in contact with any surfaces that are contaminated. Following these safe procedures can help ensure the patient that they are in a safe environment and will receive the best possible care. The employees will have better interactive relationship with their patients in following the compliance plan which would encourage the patients to offer more unbiased details without any fear. (Healthdirect, 2014) Secondly, the products to be used by the health care workers to clean their hands should not be in direct conduct of any other party except medical attends. Before providing patient care, the HCW should wet their hands, apply sufficient amount of soap or any baseline detergent to cover every hand surface and then the medical attendants rub their hands against each other in a friction (Rotter, 2009). The measured volume of the soap or detergent material being used must be dispensed onto the attendant’s hands and should be spread all over the hands and on to the lower part of their forearms.

The hands are then rubbed palm to palm, the between fingers by interlacing, and then rub the palms when fingers are interlaced. Rub the back of the fingers with the left and right-hand palms interlock (Rotter, 2009). The medical attend should rationally rub the clasped left thumb on the right palm and vice versa, do the same rubbing, forwards and backward parts of the hand with the clasped fingers of the right hand on the left palm and do vice versa. After the rubbing procedure, a small amount of faucet water is run over the hands for rinsing, and the hands must be lathered for 5 seconds, having covered all the hand surfaces and the lower part of both forearms. Medical attends the dry their hands using a clean towel then immerse them just halfway to the metacarpals for utmost 5 seconds. The medical attendant should then turn off the running water using the cleaning towel, dry the hands for 5 seconds and put on the gloves. The hands are safe to handle patients. The same procedure is repeated for patients to avoid recontamination (Rotter, 2009).

Procedure for diabetes management education

First and foremost, the patients should be informed about the education program through the office staff, signs posted around and providers in a healthcare facility (Sharlene, 2006). They must also be informed that the CDE and RD are incorporated in the Diabetes Management Education (DSME) instructional health team and patients should freely see all be made eligible to meet the specialists in all office meant for diabetes-related education programs upon the physician's order (AADE, 2010).

An initial physician visit must start with a description and introduction of the role of a nurse, the charges involved and the dietitian educator (AADE, 2010). Then, the patients should be asked what they hoped and expected to gain from the physician visit, the patient’s health care knowledge, health history, and behaviors are then assessed. The physician will then evaluate the patients' utilization of the blood glucose meter, injection technique, insulin preparation and other skills (Sharlene, 2006). The education required are prioritized and identified and the diabetes management education should be initiated at that first visit.

After those activities, patients should be afforded some time to reflect on what was learned and can be asked to give a behavior, skill, goal or problem that they think they can work on. At the end of the visit, the patients should be asked to write a patient goal for behavior change in the worksheet being used in the DME health systems (Sharlene, 2006).

References AADE (2010).Diabetes management education service: procedure for diabetes care practice.

Eramo, L. A. (2016). Stopping fraud: detecting and preventing fraud in the e-health era. Retrieved from http://library.ahima.org/doc?oid=103625#.Vydm4_krLIU Healthdirect Australia. (2014). Hand washing. Retrieved from http://www.healthdirect.gov.au/hand-washing

Rotter M. (2009). Hand disinfection and Handwashing: hand infection control procedure. 2nd ed. Philadelphia. Retrieved from http://www.mtpinnacle.com/pdfs/handwashing-disinfection-cont.pdf

Sharlene Emerson, (2006). Introducing the Diabetes Management Education in health Care. Diabetes Spectrum 2006 Apr; 19(2): 79-83

Policies for Compliance Plans

Compliance Plan A: Clinical staff members are not washing their hands between patients Introduction

Washing hands as part of good hygiene is one of the most important initiatives health care workers should take to in the process of minimizing the spread of infection and also protect patients. Hand washing is the most efficient and at the same time the least expensive means of preventing healthcare-associated infections.

Hand washing or hygiene includes two primary actions:

1. a)  Washing the hands by using soap and water. It ensures limitation of colonization of

transient flora accompanied by dirt, soil, and loose flora.

2. b)  Rubbing hands with a fast-acting antiseptic agent known as the hand sanitizer.

The following are the policies for this compliance.

Before patient contact: All the medical attendants to clean their hands before touching a patient when approaching him or her. The core reason for this is to protect the patient against any harmful germs carried along with the attendant’s hands.

Before an aseptic task: Medical attendants to clean their hands immediately before application or use of any aseptic task. The reason for this is shielding the patients against any harmful germs, including germs from the patient. (Institute for Healthcare Improvement, 2016)

After a body fluid exposure risk: The affected person should clean hands immediately after an exposure to such risk of body fluids, even after glove removal. The reason for this is it offers protection on the own body and the healthcare environment against any harmful germs or pathogens.

After contact with patient surroundings: Hands should be cleaned after touching any object such as bending or furniture in the patient’s immediate surroundings. The reason is to protect yourself and the healthcare environment against any harmful patient germs. (Hamilton, 2014)

After patient contact: Hands should be cleaned after touching a patient and his or her immediate surroundings. The reason for this is to protect you against any germs and pathogens from the environment.

Compliance Plan B: Nurse charges for Diabetes Management Education as a Physician Visit

The following is a list of policies to be adhered to this plan: (American Association of Diabetes Educators: 7 Self Care Behaviors Goal Sheet, 2005)

Policies should show structured recordings of demographics, medications, problems, medication allergies, and the creation of a structured clinical are to be clearly shown for every patient suffering from diabetes. Records are to be shown in a summary. The records indicated must inform the care plan and also the ongoing clinical plan.

Care management for chronic like diseases such as diabetes, should ensure the timely receipt of all recommended preventive care.

The medical attendant should provide the beneficiary with clear written or electronic copy of the care plan. The plan must be documented to offer provision in the medical electronic record.

Under the beneficiary consent, the recipient should be informed that only one practitioner can furnish and therefore be paid for the services administered during a calendar month.

Another policy in improving adherence is by identifying when patients are not adhering to the drug regimen. Fighting to achieve the desired blood glucose goals, the medical attendants should distinguish poor glycemic control having a poor adherence from a failure.

Patients should be identified with evidence of personal obstacles before reassuring them or employing another strategy. One of the methods used could be the use of questions, to collect more information. For example, “Can you tell me the reason why taking insulin in most preferred?” the doctors should give a brief and self-report questionnaire concerning the insulin resistance. (McCraig, 2006)

Medical attendants need to help the patient gain confidence especially in giving information by demonstrating the insulin use. The patients should be allowed to practice before leaving the clinic or the medical center. Self-regime should be limited at the first place. (Wagner, 2001)

References American Association of Diabetes Educators. (2005). 7 self- care behaviors goal sheet.

Retrieved from http://www.patienteducationupdate.com/2005-05-01/article7.asp Hamilton, P.M., and Crane, L. R. (2014.) Hand hygiene. Retrieved from http://www.nursingceu.com/courses/467/index_nceu.html

Institute for Healthcare Improvement. (2016). the sound of two hands washing: improving hand hygiene. Retrieved from http://www.ihi.org/resources/Pages/ImprovementStories/SoundofTwoHandsWashing. aspx

McCraig, L. F., and Nawar, E. W. (2006) National Hospital Ambulatory Medical Care Survey: 2004 Emergency Department Summary. Advance Data. No.372. Retrieved from http://www.cdc.gov/nchs/data/ad/ad372.pdf

Wagner, E.H., Austin, B.T., Davis, C., Hindmarsh, M., Schaefer, J., and Bonomi, A. (2001). Improving chronic illness care: translating evidence into action.

Overview of Compliance Plans The first compliance plan incorporates the implementation of a hand hygiene program which targets clinics, hospitals and other sort of health centers where patients are treated accordingly. This plan is meant to sensitize the clinical health practitioners to always ensure that they wash their hands regularly and effectually prior to handling any medicine and/or medical equipment while handling patients. Moreover, it is aimed at facilitating the improvement of hygienic standards in these health centers. In order to effectively deploy the plan, there are several prerequisites which must be put in place in every facility so as to optimally execute the plan for maximal productivity. For example, putting up of rub dispensers (alcohol based) and antibacterial soaps just at the immediate exterior of every room for the purpose of encouraging the patients as well as health practitioners to wash hands regularly. (Mayo Clinic, 2016) Once this is successful, they would gain a hand washing culture which will immensely perk up their hygienic standards in conformation to the WHO guidelines.

The hand hygiene compliance plan is essential in many ways. Firstly, it will ensure that the employees are well shielded from bacterial infections which might result to coming into contact with contaminated surfaces. These include medical equipment, beddings and patients’ skin among others. An importance from adhering to the response and prevention element of the compliance plan is that the patients will have a smooth time recovering from infections. This is because they will be treated in an absolutely safe environment without further exposure to infections. The employees will have better interactive relationship with their patients in following the compliance plan which would encourage the patients to offer more unbiased details without any fear. (Healthdirect, 2014) Employees will gain a more sense of personal responsibility which will benefit the facility’s management in that it will have less stress in monitoring the employees on whether they are professional and hygienic. Consequently the employees will have a more profound discipline in observing and adhering to the preset objectives of the compliance plan. Adhering to this plan would eventually instill wide educative knowledge on issues of how best to improve the hygienic standards of the facility.

The second compliance plan is involved with the implementation of fraud prevention, detection and elimination in conducting the daily monetary transactions. This compliance plan has been formulated due to the observation that there is prevalent existence of fraudulent and deceitful health care practitioners who tend to overcharge the patients on various occasions. The reason behind this malicious action is greed and selfishness to gain more wealth via unjust ways. I have studied the main reasons as to why this is so common. These include the fact that many employees tend to have low levels of job satisfaction in their working places mainly because of low payment and absence of adequate benefits. Unwavering adherence to the compliance plan’s elements will greatly benefit the health institution in that it will be able to respond quickly to block fraudulent actions that might compromise the facility’s quality of service.

Another importance of this compliance plan is that the employees will be effectively monitored on a regular basis which will lead to the improvement of personal discipline in avoiding fraud intentions. The management will be able to communicate with the employees more during the regular visits and assessments. Additionally, the employees will gain essential education on the penalties and punishments associated with fraudulent acts. (Eramo, 2016) Once this is achieved, the employees will be forced to uphold obedience and be highly responsible in monitoring each other in the line of business. The compliance plan will further benefit the health facility in that the patients will be able to afford the services and feel appreciated.

References Eramo, L. A. (2016). Stopping fraud: detecting and preventing fraud in the e-health era.

Retrieved from http://library.ahima.org/doc?oid=103625#.Vydm4_krLIU Healthdirect Australia. (2014). Hand washing. Retrieved from http://www.healthdirect.gov.au/hand-washing

Mayo Clinic. (2016) Hand-washing: do’s and don’ts. Retrieved from

http://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/hand-washing/art- 20046253