HFIN 231 - Healthcare Quality Improvement and Risk Management

Credits: 3

Description
Explores aspects of risk management and quality assurance within the healthcare arena. Topics include legislative mandates, healthcare agencies’ requirements, and methods of assessing and improving the quality of care. Emphasizes the procedures utilized to monitor physician and professional staff reappointment and credentialing. Discusses integration of the research process to conduct performance monitoring, quality improvement, and risk assessment. Emphasizes using statistical analysis to inform decision making.

“Learning Outcomes”

Define basic language and definitions of quality measurement and reporting
Discuss some of the financial incentives in quality - payment for performance, global payments, and other incentives
Explain the basic aspects of current tools used in QA - Hedis, NCQA, Health grades, and review of web sites, including CMS, the Hastings Center, the Commonwealth Fund, and The Center for Studying Health System Change

Define technical terms, facts, theories, methods, and principles related to healthcare operations management.