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ABC/123 Version X

Organizational Performance Management Table

HCS/451 Version 5

University of Phoenix Material

Organizational Performance Management Table

Refer to this table as you collaborate to write your paper. Include this table as an appendix to your paper.

1. Provide names of or links to specific organizations. Summarize key products or services provided by each type of organization and identify the primary customers they serve.

Organization One	Organization Two	Organization Three
Do not write here	Lexington VA medical center. Located in Lexington KY with branches throughout Kentucky. Serves the military veterans, active duty and dependants.	Mount Sinai Hospital, are the primary doctors in my locality and they specialize in the treatment of wellness checks, illnesses, ADHD and also handle referrals from other clinics.

2. Outline the overall content of the major regulations, accreditation requirements, and other standards that affect each organization. Provide the title, section, parts, or subparts or the numbering system and so on of the specific regulations or accreditation requirements.

For example: Use of electronic signatures in electronic medical records is equivalent to handwritten signatures on paper; FDA regulation; Title 21 CFR Part 11, Subpart C, § 11.200 Electronic Signature: http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/cfrsearch.cfm?cfrpart=11

Organization One

Organization Two

Organization Three

Do not write here

The VA has many regulations they must abide by. One example is the medical care revenues activity. The collection of medical debt belongs to CPAC rather than the fiscal officer or chief of the fiscal activity at the medical facility. 38 CFR parts 1 and 17 RIN 2900- AP17 http://www.va.gov/ORPM/docs/20150427_AP17_UpdatingCertainDelegationsofAuthorityinVAMedicalRegulations.pdf

Medical records have to be signed for by hand.

3. Highlight the effect of each organization’s regulations, accreditation requirements, and other standards on the risk- and quality-management functions and activities.

Organization One

Organization Two

Organization Three

Do not write here

The regulations and requirements the VA uses has an affect on quality management by making sure mistakes do not happen. When they do new regulations are made and put into place to insure it does not happen again. Unfortunately lately the quality the VA has previously given to our veterans has been below par and is currently being worked on.

The basic responsibilities of each employee and Code of conduct dictate that one should act with utmost faith and within the confines of the law.

Accreditation/Licensure

1. ACGME Institutional review

2. Medicare audits

(1) HCFA Guidelines as provided by Fiscal

(2) AGME Guidelines

Intermediaries

4. Specify components of performance-management systems—policies and procedures, self-audits, benchmarking, complaint management, corrective or preventive action, education and training, communication, and other mechanisms—to be used by each organization.

Organization One

Organization Two

Organization Three

Do not write here

There are bi-annual personal audits done for each member of the military which help determine how well they are doing and where they need to work harder on. These can determine whether or not they get promoted. So for a member to advance to the next level they must be able to have good work scores. Training is a must and done very often in the military and its institutions. As often as a couple times a month or more depending on the department.

Policies and Procedures

Being a large, diverse organization policies and procedures for the System are to be found in many locations. The headquarters for most of the policies and procedures is the Mount Sinai Hospital Master Index. It is also referred to as the Encyclopedia, that has been availed on the Mount Sinai Hospital

Intranet under Corporate Documentation.

This has been offered in addition to the Master Index and refers to the policy and procedure manuals situated in a central location in individual departments or service lines. Policies and procedures are usually put under review regularly.

Department

There is the existence of policy manuals for each Graduate Medical Education Program, and on line. These policies are created to demand and ensure strict adherence to industry-recognized and acceptable standards and compliance with all legal, regulatory and accreditation requirements that govern the Graduate Medical Education Programs. Policies specific to Medical Education are outlined in Appendix A of this plan. The summation includes an overview of the manual and key contact for any queries or changes that are related to the policies and procedures.

These are known as the areas of potential risk within the realm of the Medical Education. Outlined herein under is a tabulation of partial list of risks specific to Medical Education and a resource reference which correspond to each. This below data is not conclusive neither is it exhaustive. It should only be used as a point of reference for the highly vulnerable areas specific to Medical Education

5. Provide links to any relevant sources that will be useful as your Learning Team completes the paper.

Organization One

Organization Two

Organization Three

Do not write here

http://www.lexington.va.gov/about/index.asp

http://www.va.gov/orpm/

http://www.mountsinai.org/

http://icahn.mssm.edu/education/medical