For this assignment, you will develop and submit two (2) Committee Member Recommendation Sheets (CMRS). As explained on the Course Project – Introduction page, in order to accomplish this — for each CMRS — you will need to:
- Identify a specific Law/Regulation/Standard that each healthcare facility needs to be aware of and comply with during regular business in the USA.
- Determine who (which job title) at the Livewell facility should monitor for that particular Law/Regulation/Standard.
This determination is made by identifying who, by virtue of their normal role at Livewell, is the most likely person that would identify risk for breaking this law. This person will be recommended for the Compliance Committee by completing a Committee Member Recommendation Sheet (CMRS).
Download this list of Compliance Committee Member Options with brief descriptions to assist your decision-making process. - Complete a Committee Member Recommendation Sheet (CMRS)
Download the Committee Member Recommendation Sheet (CMRS) template. This template contains further guidance and complete instructions describing how to complete a CMRS. You will complete one of these for each of the 6 required CMRS in this project.
Download a Sample Completed (CMRS) to help guide your efforts.
Health Information Compliance – Course Project – Committee Member Recommendation Sheet (CMRS)
Instructions: Use the CMRS form below to identify and recommend appropriate Compliance Committee Members. Replace the detailed guidelines in the boxes below with your content.
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The Regulation – the Research |
Law of Origin, Regulation, etc. → |
Emergency Medical Treatment and Labor Act (EMTALA) |
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Citation for above law → |
Emergency Medical Treatment & Labor Act (EMTALA). (2012, March 26). Retrieved March 8, 2016, from https://www.cms.gov/Regulations-and-Guidance/Legislation/EMTALA/index.html |
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Your Understanding Livewell’s Roll-out- Compliance Plan and Committee |
Explain the purpose → |
The law requires a facility to complete a healthcare assessment of any patient presenting themselves for emergent medical care or when a female patient arrives in active labor whether or not they are able to pay or have medical insurance. The hospital must then stabilize the patient or prepare to safely transfer them to an accepting facility. |
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Who and/or what does it protect? → |
Patients – from being denied life-saving or necessary health treatment when they have no provision to pay. |
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Who is at risk for violating it? → |
Emergency and immediate care facilities. |
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Who will coordinate the policy and monitor it? → -HIM Director -Medical Staff Office/Credentialing Director -Risk Management Officer -Human Resources Director -Patient Accounts Director -Nursing Administration Director -Quality Improvement Manager -HIPAA Privacy Officer -Patient Advocate Manager |
Nursing Administration Director- The ED Director will have first-hand exposure to incoming patients. The ED Director is a nurse and will be responsible for onboarding and training all ED nurses. The nursing staff attends to the patients and have a reporting responsibility. |
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Why should this be a part of the compliance committee/plan? Narrative in student’s own words – minimum of 4 sentences. → |
The facility wants to abide by EMTALA to avoid being sued by the federal government. The facility does not want to have their license to practice medicine removed by the State they exist in. The facility does not want to have a bad reputation with patients in the area. All of these things will damage future referrals and numbers of patients seeking care at the facility. Then the employees will not have jobs here. |
Health Information Compliance – Course Project – Committee Member Recommendation Sheet (CMRS)
Instructions: Use the CMRS form below to identify and recommend appropriate Compliance Committee Members. Replace the detailed guidelines in the boxes below with your content.
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The Regulation – the Research |
Law of Origin, Regulation, etc. → |
Using your readings, activities and assignments as guidance, identify a specific Law/Regulation/Standard that each healthcare facility needs to be aware of and comply with during regular business in the USA. Locate its origin and copy it from there. For APA format, the needed citation must be recorded below in the box below. |
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Citation for above law → |
Using Noodle tools, create a proper citation for the Law/Regulation/Standard above. Place the citation here in this box. |
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Your Understanding Livewell’s Roll-out- Compliance Plan and Committee |
Explain the purpose → |
Using your own words and properly composed sentences, state the purpose of the above Law/Regulation/Standard – help us understand what this does for healthcare. |
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Who and/or what does it protect? → |
Continuing from above – now that you have explained WHAT the law does, tell us who or what it protects – who benefits from the protection of the Law/Regulation/Standard? |
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Who is at risk for violating it? → |
Now that we know what the Law/Regulation/Standard does and who it protects, indicate here who commonly violates it – is it patients, for example, or doctors, or healthcare facilities, etc. |
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Who will coordinate the policy and monitor it? → -HIM Director -Medical Staff Office/Credentialing Director -Risk Management Officer -Human Resources Director -Patient Accounts Director -Nursing Administration Director -Quality Improvement Manager -HIPAA Privacy Officer -Patient Advocate Manager |
Now that you have the Law/Regulation/Standard identified, cited and fully explained – who (which job title) at the Livewell facility should monitor for it? Who, by virtue of their NORMAL ROLE AT LIVEWELL, is the most likely person that would identify risk for breaking this law? The title you list here IS THE TITLE that you have chosen as a member of the Compliance Committee at Livewell. |
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Why should this be a part of the compliance committee/plan? Narrative in student’s own words – minimum of 4 sentences. → |
Please explain your connection between the Law/Regulation/Standard above and the Compliance Committee. Help us understand your reasoning, your choices above – why will LIVEWELL be more likely to avoid being charged with Healthcare Fraud and Abuse if they follow your recommendations for this Compliance Committee Member and monitoring of this Law/Regulation/Standard? |
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