Role of the health care administrator in organizational compliance, including licensing and institutional accreditation
The health care system is quite a complicated system that is involved with many issues ranging from treatment services to offering employment to many workers. Thus, the role of an administrator is quite important in the hospital setting. In most cases, the role of the administrator in a medical facility is to oversee and ensure the smooth sailing of the medical institution. Additionally, administrators are tasked with organizing and coordinating the main objective of a medical facility, which is primary delivering effective care (Harris, 1999). Hospital administrators also help in the management of medical facilities. In most cases, hospital administrators hold high credentials because their jobs involve many responsibilities such as ensuring that the medical institution complies with the relevant policies such as the licensing and institutional accreditation.
Furthermore, hospital administrators are in charge of overseeing the relevant compliances with the relevant authorities. A hospital’s administrator line of work has a tendency to vary with the size of the medical facilities. For instance, if the hospital or medical facility is a large one, then the workload of the administrator will be a huge one. However, small medical facilities also tend to have a huge workload for the administrator since small hospitals have a tendency to have a few workforces thus the workload is a lot (Ornstein, 2005). Administrators who work at large medical facilities usually have assistants who help them out. The assistants of the administrators in large medical facilities are responsible for providing the necessary support when the relevant decisions are made in the medical facilities regarding any top-level assessments (Pozgar, 2002).
Concepts associated with risk management, abuse and fraud
Health care costs are rapidly on the rise and the health system can learn from other system’s response to issues like abuse, waste and fraud. Additionally, medical facilities should use ethic awareness initiatives, related training and compliance programs to reduce the risk of these negative aspects in the administration of medical facilities (Sisson, 2006). The repercussions of these negative aspects include public relation and financial consequences. In addition to this, a medical facility can adopt some measures that can help or reduce the risk of any compliance issues.
Firstly, the relevant authority in medical facilities should evaluate the facility’s risk of any compliance issue like fraud, abuse of office and others. The medical facility should seek the help from professionals such as legal counselors and financial advisors in order to review and identify any regulations from the relevant authority that can have a negative impact on the medical institution (Calderon & Beltram, 2004). For example, fraud statues and compensation regulations should be considered. Secondly, if any new regulations are considered and passed by the relevant authorities, the management of a medical facility should evaluate any compliance issue that may arise and include these issues in the medical facility’s ethic programs.
Additionally, in medical institutions, before the authorities assign any financial resources, some issues must be considered in order o avoid any misunderstandings. For example, when a medical facility enhances a written policy on how to ethically conduct the hospital’s business as well as developing crucial plans, these will make the medical facility comply with the relevant rules from the authorities. Furthermore, another concept that can be linked with risk management, abuse and fraud in a medical facility is developing good and effective plans to monitor the necessary hospital’s compliance with the relevant regulations. This can help reduce the risk of abuse and fraud in a medical facility.
The role of the administrator in a medical facility is to oversee and ensure the smooth sailing of the medical institution. Additionally, administrators are responsible for organizing and coordinating the main objective of hospitals, which is delivering effective care. However, medical institutions also suffer from problems like abuse of office, fraud and waste. If these issues arise in a medical facility should use an ethic awareness initiative, related training and compliance program to reduce the risk of these negative aspects in the administration of medical facilities. On the other hand, an effective hospital administration can lead to a positive outcome in a medical facility.
References
Calderon, J & Beltran, R. (2004). The phoenix has risen but has failed to thrive. Journal of the National Medical Association.
Harris, D. (1999). Healthcare law and ethics-Issues for the age of managed care. Chicago, IL: Health Administration press
Ornstein, C. (2005). King/ Drew Might fail inspection. Los Angeles Times, October 2005, BI.
Pozgar, G. (2002). Legal aspects of health care administration. Gaithersburg, Maryland: Aspen Publications.
Sisson, P. (2006). Local hospice program faces possible loss of Medicare contract. Knight Rider Tribune Business News. Washington.