Capella University ACHE Healthcare Executive Competencies Assessment Tool Paper

Create a presentation (15-20 slides) to prepare department heads for training their staff on the organization’s new compliance approach. Address the compliance content that department heads will need to convey and best practices for delivery of the compliance training.

Introduction

At this point in your academic career, you know that health care is a heavily regulated industry. While applicable regulations may vary from one organization type to the next, the typical health care organization must navigate through a wide array of laws, quality standards, regulations, and ethical considerations as part of day-to-day operations. What this means is that the staff working in these organizations must also fully understand their organization’s regulatory environment and their role in regulatory compliance.

Successful compliance depends on how well the staff is trained. Managers need to be able to teach their staff compliance best practices. The compliance content in the training is one aspect of the health care manager’s job. The other critical aspect of the job is to be able to convey the compliance content effectively and efficiently. In today’s environment, it is not enough to simply place a checkmark next to the staff trained item on the manager’s to-do list. Staff members need to be able to retain the compliance best practices they’ve learned and apply them on the job. In successful health care organizations, compliance training doesn’t just need to be done, but it needs to be done effectively and efficiently. This is no easy task given health care regulations’ complexity.

For the purpose of this assessment, you will assume the role of quality assurance officer in your health care organization. You have been tasked with the responsibility of developing a presentation that prepares the organization’s department heads to deliver compliance training to their staff members.

Preparation

Conduct independent research on these following topics:

  • Regulations, accreditation requirements, and ethical standards that govern the health care industry.
  • Current best practices in compliance training and health care industry-accepted training programs.

Consult your suggested resources as a starting point for your research. You may also want to consult the Health Care Administration Undergraduate Library Research Guide for additional guidance on how to conduct scholarly, professional research.

Instructions

For the purpose of this assessment, you will assume the role of quality assurance officer at one of Vila Health’s community-based hospitals. Vila Health is a medium-sized system of health care operating facilities in Minnesota and Wisconsin. You recently received approval from your organization’s senior leaders to provide compliance training to all staff members based on the new approach to compliance your organization has adopted.

Because of the number of staff requiring training, you will not be able to deliver the compliance training yourself. Instead, your organization’s department heads will conduct the training for their departments. Your job is to develop a presentation to help the department heads train their staff on the organization’s new approach to compliance.

You have scheduled a meeting with the department heads to introduce the compliance training. As you are doing your planning for your presentation to department heads, you have decided that your presentation needs to consist of two parts:

  • Part One: Background on Health Care Regulation, Accreditation, and Ethics
    • This addresses the compliance content department heads need to cover in their staff training sessions.
  • Part Two: Compliance Training Effectiveness
    • This addresses how to design and deliver compliance training that staff members retain and apply on the job.

You have determined you will need 15–20 slides to cover the content you plan to deliver to the department heads. You have also created an outline of what specifically you need to include in your presentation. Here is the outline you created:

Part One: Background on Regulation, Accreditation, and Ethics in Health Care (10–12 slides)
  • Introduce regulatory, ethical, and accreditation compliance in health care (2–3 slides).
    • Distinguish accreditation from regulations and ethical considerations in health care.
  • Highlight the risks and consequences of non-compliance (1–2 slides).
  • Analyze important health care regulations, such as privacy laws, quality standards, and patient rights (3–4 slides).
  • Present key ethical considerations all staff must understand (1–2 slides).
  • Explain how the concept of continuous readiness applies to compliance (1–2 slides).
Part 2: Compliance Training Effectiveness (6–8 slides)
  • Explain best practices for training health care staff on compliance (2–3 slides).
  • Conclude with a final meaningful compliance message, such as a motivational statement or a quote about compliance (1 slide).
  • Include your reference slide with current APA formatted references (1 slide).

Now that you have your outline in hand, develop your presentation to department heads on the organization’s new compliance training program that they will be delivering to their staff members.

Additional Requirements

  • Written communication: Your slides need to include bullet points highlighting the key concepts. Avoid using block paragraphs or pictures only. Make sure your content is clear, persuasive, well-organized, and free of errors in grammar, punctuation, and spelling.
  • Title slide: Develop a descriptive title for your presentation of approximately 5–15 words. It should stir interest, yet maintain professional decorum.
  • Length: Approximately 15–20 slides. Slides should be professional and appropriately balance text and visuals. Avoid making your slides too text-heavy. Instead, make use of speaker notes to include additional content.
  • References and reference slide: Include a minimum of 3 citations of peer-reviewed sources in current APA format on a final reference slide.
  • Scoring guide: Please review the scoring guide for this assessment so that you understand how your faculty member will evaluate your work.
  • Competencies Measured

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

    • Competency 1: Analyze health care laws and regulations from a local, state, and federal level.
      • Analyze regulatory compliance and ethical considerations in the health care setting.
      • Describe common health care regulations, compliance requirements, and laws.
    • Competency 2: Explain the concept of accreditation in health care.
      • Distinguish accreditation from regulations and ethical considerations in health care.
    • Competency 3: Assess the importance of continuous readiness in the health care organization.
      • Explain best practices for training health care staff on compliance.
    • Competency 4: Explain how governing body and regulatory agency standards exercise oversight authority within a health care organizational setting.
      • Explain the consequences for noncompliance or ethical breaches.
    • Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with the expectations of health care professionals.
      • Develop a clear, persuasive, well-organized, and generally error-free presentation for department heads that prepares them to conduct compliance training for their departments.
      • Compliance Training Scoring Guide

        CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
        Analyze regulatory compliance and ethical considerations in the health care setting. Does not analyze regulatory compliance and ethical considerations in the health care setting. Attempts to analyze regulatory compliance and ethical considerations in the health care setting; however, omissions and/or errors exist. Analyzes regulatory compliance and ethical considerations in the health care setting. Analyzes regulatory compliance and ethical considerations in the health care setting. Analysis includes multiple examples, specifics, and references to current, authoritative sources.
        Describe common health care regulations, compliance requirements, and laws. Does not describe common health care regulations, compliance requirements, and laws. Attempts to describe common health care regulations, compliance requirements, and laws; however, omissions and/or errors exist. Describes common health care regulations, compliance requirements, and laws. Describes common health care regulations, compliance requirements, and laws. Description includes multiple examples, specifics, and references to current, authoritative sources and professional literature.
        Distinguish accreditation from regulations and ethical considerations in health care. Does not distinguish accreditation from regulations and ethical considerations in health care. Attempts to distinguish accreditation from regulations and ethical considerations in health care; however, omissions and/or errors exist. Distinguishes accreditation from regulations and ethical considerations in health care. Distinguishes accreditation from regulations and ethical considerations in health care. Narrative includes multiple examples, specifics, and references to current, authoritative sources.
        Explain best practices for training health care staff on compliance. Does not explain best practices for training health care staff on compliance. Attempts to explain best practices for training health care staff on compliance; however, omissions and/or errors exist. Explains best practices for training health care staff on compliance. Analyzes best practices for training health care staff on compliance. Analysis includes multiple examples, specifics, and references to current, authoritative sources.
        Explain the consequences for noncompliance or ethical breaches. Does not explain the consequences for noncompliance or ethical breaches. Attempts to explain the consequences for noncompliance or ethical breaches; however, omissions and/or errors exist. Explains the consequences for noncompliance or ethical breaches. Provides an in-depth explanation of the consequences for noncompliance or ethical breaches that includes multiple examples, specifics, and references to current, authoritative sources.
        Develop a clear, persuasive, well-organized, and generally error-free presentation for department heads that prepares them to conduct compliance training for their departments. Does not develop a clear, persuasive, well-organized, and generally error-free presentation for department heads that prepares them to conduct compliance training for their departments. Attempts to develop a clear, persuasive, well-organized, and generally error-free presentation for department heads that prepares them to conduct compliance training for their departments; however, significant lapses, omissions, and/or errors exist. Develops a clear, persuasive, well-organized, and generally error-free presentation for department heads that prepares them to conduct compliance training for their departments. Develops a clear, persuasive, well-organized, and error-free presentation for department heads that prepares them to conduct compliance training for their departments. Presentation includes multiple examples, specifics, and references to current, authoritative sources.