The Office of Inspector General (OIG) announced protecting the health and safety of the vulnerable population as #7 on the top 12 management and performance challenges facing HHS for 2018. They are referring to unaccompanied children, nursing home care patients, hospice care patients, individuals receiving home- and community-based services, and serious mental illness patients. The challenge involves getting healthcare organizations to understanding the federal
requirements for quality and safety because lives are at stake (Office of Inspector General, Department of Health and Human Services, n.d.). According to Ruth Ann Dorrill testimony before the United States House of Representatives Committee on Energy and Commerce on September 6, 2018, she argues that positive outcomes are present when local and State Agencies participate in helping OIG keep healthcare facilities who serve the vulnerable population accountable for their fraudulent or abusive behavior. Meaning monitor if they mitigate the problems they found during the investigation (OIG, 2018). It seems like the OIG and HHS does a good job at identifying the problems and solution but needs help to strengthen their efforts. From reading the report and testimony, I can feel their cry for help and appreciate the information they put out. It's like the homework has been done for me. When I become a healthcare manager I would utilize the resources available from federal regulatory agency websites to improve quality and safety.
According to federal rules and regulations, Accountable Care Organizations (ACO) are providers of services and suppliers who can be eligible for additional payments if they meet specified quality and saving requirements for Medicare parts A and B. ACO are responsible for the coordination of quality health care. Clinical notes and patient outcome reports determine if providers will receive the incentive or not (Federal Register / Vol. 76, No. 212, n.d.). I think it is a no-brainer that ACO should be mandatory because why wouldn’t providers do the best they can to produce the best outcome for the patient? This subject always makes me think about my parents receiving care. They are old and sometimes confused which causes them to rely on their doctors to keep them healthy. It will give me peace of mind if they go to a doctor that participate in the ACO program because then I know they are held accountable for the poor health outcome my parents receives.