MDR 207 - Clinical Quality Improvement, Regulatory Agencies & Specialty Facilities

 
Description
This course presents a comprehensive study of the hospital-wide clinical quality improvement program, external regulatory agencies and health information requirements in the non-acute care setting. Topics include the organization and credentialing of the medical staff, as well as the clinical quality assessment, utilization management and risk management processes; accrediting, approving, licensing and certifying agencies that regulate health care; and non-acute care facilities, such as long-term care, ambulatory care and behavioral health care with their organizational characteristics, functions and health information requirements. This course requires a per credit health career fee; Check the tuition and fee schedule for the current rate.

1. List the quality improvement tools and techniques used to monitor, report and improve patient care processes.
2. Collect, organize and present data for the facility-wide quality management, utilization management, risk management and other patient care related studies.
3. Analyze clinical data to identify trends that demonstrate quality, safety and effectiveness of healthcare.
4. List mechanisms by which the medical staff reviews, evaluates and monitors medical staff functions and practices.
5. Identify the current laws, accreditation, licensure and certification standards related to health information requirements.
6. Apply policies and procedures to ensure organizational compliance with external regulations and standards.
7. List the organizational characteristics, functions and health information requirements for non-acute care facilities.
8. Differentiate the roles of various providers and disciplines throughout the continuum of healthcare.

1. Quality improvement tools
2. Medical staff credentialing
3. Clinical quality assessment
4. Utilization management
5. Risk management
6. Regulatory agencies in healthcare
7. Non-acute care facilities in the healthcare community

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