Agency Policy Paper

AgencyPolicy Paper


AgencyPolicy Paper

Healthcareorganizations differ greatly especially with regard to risk, safetyand quality management structures. Organizational size or facilityplanning often dictates organizational structures (Association ofState and Territorial Health Officials, 2011). In small facilities,it is common to have the risk and quality management servicesdesignated to a single officer. On the contrary, large organizationsutilize a number of different models towards ensuring adequate riskmanagement is established. In our organization, the management offersthe approved safety, quality and risk management policy to employeesduring orientation. This paper seeks to discuss the Healthcare AgencyPolicy Papers in the organization.

AppropriateHealthcare Services is a medium sized healthcare facility with a 240acute care wing, 100-bed nursing home wing, 85 bed assisted livingfacility wing, a health park, home health, physicians practice andambulatory surgery facility. The organization has a well-definedsafety, quality and risk management policy, which criticallyidentifies possible circumstances that can result in medical errors.The safety, quality and risk management officer is tasked withfollowing up on any issues that can lead to patients suffering harmwithin the facility or after receiving treatment as an outpatient.

Inthe event of such an occurrence, the safety, quality and riskmanagement officer conducts comprehensive investigations to ascertainliability that may accrue to the organization. This is in an effortto allay concerns over future litigation that may cause theorganization harm. The management also charges the officer withdesigning a critical process plan aimed at improving initiatives,which may lead or have led to the occurrence of an adverse event. Themain aim of such a plan is to advance the quality of healthcareservices accorded to patients.

Inline with recommendations of the Center for Disease Control, theNational Patient Safety Goals and the Joint Commission for HealthcareOrganizations, the officer strives to ensure that the facilitycontinues to offer safer care with better outcomes (Association ofState and Territorial Health Officials, 2011). Appropriate HealthcareServices requires of the officer to comply with requirements of theseagencies. The management completes this through the planning andimplementation of processes, which ensure compliance to safety,quality and risk management.

Thehealthcare provision industry has experienced a myriad of malpracticecrisis leading to huge costs incurred as professional liabilityinsurance claims. The safety, quality and risk officer ensures thatorganization keeps abreast with new developments in risk financingoptions (American Society for Healthcare Risk Management, 2010). Itis important to point out that the officer in his risk managementcapacity is not only concerned with financial aspects accruing fromprofessional liability. His aim includes ensuring that the qualifiedmedical staffs at the agency spend their time providing patients withcare rather than attending court cases. The officer ensures thecommunication of safety, quality and risk management changes on thepolicy paper to all staff at the facility. This implies that he hasto be in constant collaborative communication and diligent ininformation gathering consistent with new healthcare regulations andlegal precedents.

Thesafety, quality and risk management officer secures patients medicalrecords and extra medical documentation associated with an adversemedical event. In large healthcare organizations, the JCHO prescribe,roles are split up for better administrative services (AmericanSociety for Healthcare Risk Management, 2010). For instance, rolescarried out by the safety, quality and risk management officer splitup into the safety management office, quality management office andrisk management office.

Thisimplies that their roles are more clearly defined towards appraisinghealthcare service delivery. Here, the industry forces haveprecipitated this, which tend demand more from healthcareorganizations. The quality management officer is tasked with ensuringcompliance with regulations defined by the CDC, JCHO and the NationalPatient Safety Goals (The Joint Commission, 2014). The JCHOcontinuously compares policy papers employed by different players inthe industry to best appraise industry standards. National PatientGoals on the other hand imposes a set of regulations on healthcareproviders willing receive accreditation from the organization. TheCDC ensures that its officers adhere to processes of disease controland patient care in accordance with its regulations, social policyand recommendations.

Forlarge organizations, the three management teams concerned withsafety, quality and risk management collaboratively work towardsenforcing industry standards. These standards range from patientsafety to publicly publishing quality data. This is in line with theaims of state governments towards ensuring consumer need for qualityservices (American Society for Healthcare Risk Management, 2010).Risk managers ensure that the agency realizes best possible outcomesin line with industry regulations and set standards. To be able towork towards a common good for the organization, these threedepartments seek to follow collaborative model as defined by theorganization’s policy statement.

Inconclusion, size and facility planning predetermine the policy paperin our organization. This follows that the medium sized organization,Appropriate Healthcare Services identifies the role of the safety,quality and risk management officer relative to organizational goals.However, as the industry continues to demand more from healthcareorganization, the role of the officer may be split to match thoseidentified in larger organizations as prescribed by JCHO.


AmericanSociety for Healthcare Risk Management. (2010). Riskmanagement handbook for health care organizations (Vol.30). Hoboken: John Wiley &amp Sons. (American Society for HealthcareRisk Management, 2010)

Associationof State and Territorial Health Officials (2011). StatePolicy Options. Healthcare associated infections.Retrieved from

JordanHealth. (2012). Whatis JCAHO?Retrieved from

TheJoint Commission. (2014). 2014National Patient Safety Goals.Retrieved from