HCAD 650 Assignment 2 Corrective Action Plan (CAP) Memo
Course Learning Objectives for Assignment:
Evaluate new legal decisions and understand their impact on healthcare administration.
Identify potential areas of liability in various contexts and evaluate possible solutions to legal problems and challenges in health care administration and delivery.
Individually complete the memo.
Use only classroom materials to complete the discussion. This would include the textbooks, web links, and the classroom law library and Compliance Library.
Your healthcare 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 double-spaced, not more than four pages.
The Memo should be addressed to the VP of Finance and include the following sections with a heading in bold for each team.
Use APA 7 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, including the penalty for non-compliance
Describe and evaluate how the COSO framework, components, and principles can improve compliance and correct system-wide problems.
See COSO Internal Control-Integrated Framework: An Implementation Guide for the Healthcare Provider Industry PDF
Recommend a strategic corrective action plan (CAP) that implements components and principles from COSO.
Name and describe at least three managerial actions you recommend correcting the specific problem and bringing the organization into compliance using the COSO compliance tool.
Give reasons to support the selection of these actions. Indicate which COSO components and principles you relied on and why.
Problem
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). CMS.gov Website: Hospital Readmissions Reduction Program (HRRP) Landing Page