Instructions:
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Use this worksheet to analyze effective strategies for risk management and ethical leadership in the Veterans Health Administration (VHA) Medical Home case.
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Resources:
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Use the following resources to complete this worksheet:
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Enterprise Risk Management: Issues and Cases
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Note: This text investigates ERM case studies, both inside the healthcare industry and out. It also explores the key issues for implementing ERM strategies.
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VHA Medical Home Case Questions
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1. Address risks. Consider the risks from the case study concerning the implementation of the patient-aligned care team (PACT) model. How could these risks be addressed as part of an ERM plan?
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2. Identify strategies. What risk management strategies (e.g., ethical, legal, regulatory, leadership, operational, etc.) were used? At what level and how was leadership engaged in implementing those strategies?
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3. Evaluate risks for implementation. What risks were involved in implementing those strategies?
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4. Assess leadership measures in the VHA Medical Home case. In contrast to the PVAHCS case, what leadership oversight and accountability measures are present in the team-based models in the VHA Medical Home case? How appropriate would the identical measures be for monitoring performance in the PVAHCS case?
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5. Increase visibility to patient concerns. In what ways has the enterprise-wide, team-based approach to care management in the VHA Medical Home case helped give greater visibility to patient concerns about care?
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6. Examine patient safety issues in the VHA Medical Home case. What patient safety issues are inherent or explicitly identified in the VHA Medical Home case? Describe the possible implications of these safety concerns from an ERM, ethical, or legal perspective.
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7. Assess the impact of the transition to team-based operations. Using the Impact Assessment Framework, perform an assessment of all impact dimensions and the transition toward a team-based operational model (e.g., PACT) within the VHA Medical Home cases.
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8. Apply risk management principles to the PVAHCS. According to the OIG report, up to 40 deaths may be linked to ongoing practices at the PVAHCS. What practices implemented in the VHA Medical Home case would be appropriate to address leadership accountability and other risks (e.g., ethical, operational) specific to the PVAHCS case?
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9. Contrast potential risks. Describe and then contrast potential risk effects on the VHA clinical staff based on events in the VHA Medical Home case, the PVAHCS system case, and the rest of the VHA system.
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10. Describe PACT model impact on reputational risk. Based on the VHA Medical Home case study, discuss the following topics:
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● the impact the PACT model had on the reputation of the VHA clinics
● the significance of reputation risk within an ERM program
● a recommended measure of effectiveness of the PACT model in relation to reputation
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References:
