You are the newly hired Director of Risk Management for Westview Clinical Center, New York City’s largest clinical research medical center (“Westview”); a medical facility that is in crisis. Westview’s 3,000-bed main hospital facility is located in central Manhattan. The remainder of the clinical center, consisting of an Oncology Center, Radiology Center, medical school, pediatrician center, psychiatric facility, and research facilities are also located in central Manhattan (within a few blocks of the main facility), New Jersey and Connecticut. On average, Westview sees over 3,500 patients each week, mainly through its emergency room department. Patients who are seen through the ER typically spend1.5 hours on average from presentation to discharge. If patients are admitted, they typically spend 2 days in the hospital. Westview takes pride in its prompt, safe, and efficient delivery of medical services.Recently, the State of New York conducted a random audit of the facility, including reviewing its readmission rates and incidents of nosocomial infections (i.e., secondary infections, hospital-acquired infection). Secondary infections are infections that happen as a result of receiving treatment in a hospital or medical center but are secondary from the patient’s original admitting diagnosis. The State audit revealed that, of all the readmissions to the hospital, a staggering 85% are the result of secondary admissions. What’s worst, many of the secondary infections are for acute or communicable infections (e.g., tuberculosis, bacterial meningitis, pneumonia, strep throat, etc…). In fact, 78% of the cases are bacterial in nature, with the remainder, viral in nature. As a result of its review, the State has determined that the ER is the main entry point for these infections and that Westview must close its ER. If the ER closes, Westview will immediately go bankrupt.After much discussion between Westview’s legal department and the State regulators, the State has agreed to allow Westview to remain open if it:
Westview has agreed to the State’s terms. The Chief Medical Officer’s first act was to terminate the former Director of Risk Management and hire you. The CMO gives you the task.
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Due Date: 11:59 pm EST Sunday of Unit 2 Points: 100 Overview: Reread the risk management scenario about Westview Clinical Center that is outlined in the Discussion Board for Unit 1. You are now tasked with drafting a general risk management plan that addresses the three (3) main requirements noted by State Regulators. Your plan should address the role of the state regulators in allowing the hospital to operate while requiring substantive changes to the hospital’s basic operations. Further, discuss what roles insurance will play in your risk mitigation processes. Instructions: Draft a basic risk management plan that addresses the state’s requirement for continued operation and deals specifically with implementing risk mitigation techniques. Make sure to review the “Create a risk management plan” in the Unit 2 resources. Requirements:
• No more than 3 pages, typed, double-spaced with 12 inch font. • Submit a Word document in APA format. • At least two resources.
Be sure to read the criteria below by which your work will be evaluated before you write and again after you write.
FIN401 – Insurance and Risk Management
Unit 2 Assignment – Critical Care – Westview in
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Evaluation Rubric for Assignment
CRITERIA Deficient Needs Improvement
0 – 38 points 39 – 51 points 52 – 64 points 65 points Content Does not cover
the assigned topic; assertions are not supported by evidence; paper is seriously lacking in content and detail.
Does not do an adequate job of covering the assigned topic; assertions are weakly supported by evidence.
Sufficient coverage of the topics; most assertions are supported by evidence.
Provides in- depth coverage of the topics, assertions are clearly supported by evidence.
0 – 5 points 6 – 7 points 8 – 9 points 10 points Resources No resources
were used as requested
Resources were used but not reliable ones
Not enough resources were used
Proper amount of resources were used
0 – 2 points 3 points 4 points 5 points Paper Length The assigned
did not meet the proper length
The assignment didn’t have enough length
The assignment almost met the paper length
The assignment had the proper length
0 – 11 points 12 – 15 points 16 – 19 points 20 points Clear and Professional Writing and APA Format
Errors impede professional presentation; guidelines not followed.
Significant erro rs that do not impede professional presentation.
Few errors that do not impede professional presentation.
Writing and format are clear, professional, APA compliant, and error free.
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