Description

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Instructions

Your health care organization has just learned that it is out of compliance in the problem areas listed below. You have been asked to research ONE problem and prepare an interoffice research memo that is single-spaced and not more than two pages. The Memo should be addressed to the VP of Finance and include the following sections with a heading in bold for each section. Use APA for in-text citations and references.

Memo Heading
Memo To:
Memo From:
Date:
Re: (Regarding - Name the topic)
Brief description of the problem
State the Law and agency guidelines or regulations that govern the issue include the penalty for non-compliance
Describe and evaluate how the COSO framework, components and principles can improve compliance and correct system-wide problems.
Recommend a strategic corrective action plan (CAP) that implements components and principles from COSO. Name and describe at least three actions you recommend to correct the specific problem and bring the organization into compliance. Indicate which COSO components and principles you relied on.

Problems (Select One)

Your hospital has had multiple repeat hospital admissions of patients with pneumonia within 30 days of discharge in violation of the Hospital Readmissions Reduction Program (HRRP). https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Readmissions-Reduction-Program
Your hospital as a score in the 75th percentile for Surgical Site Infection (SSI) during the last six months raising concerns under the Hospital-Acquired Condition Reduction Program (HACRP). .https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/HAC-Reduction-Program
Your long-term care facility has multiple never events in your long-term care facility with multiple patients developing Stage III and IV pressure ulcers during the last year. https://downloads.cms.gov/cmsgov/archived-downloads/smdl/downloads/smd073108.pdf
Your long-term care facility has had multiple adverse events from medication errors that led to the deaths of 5 patients at your facility within the last month. You have been so busy investigating, you haven’t reported under the FDA Adverse Event Reporting System (FAERS). https://www.fda.gov/@s/surveillance/questions-and-answers-fdas-adverse-event-reporting-system-faers