Review the GRC software Compliance 360 webpagehttps://www.saiglobal.com/risk/industries/healthcarehealth-insurance) and review all of the information listed on that page. identifies several key elements
regarding legal compliance considerations. Using the Area of Content below, discuss each topic, making sure
to provide a balanced discussion with both factual content and your own critical thinking reflection.
Joint Commission Accreditation,
HIPAA/HITECH Compliance,
Healthcare Finance,
Revenue Cycle,
Medicare Recovery Audit Contractors (RAC),
OIG Work Plan,
OIG Corporate Integrity Agreement (CIA)
False Claims Act (FCA),
Compliance and Provider Self-Disclosure Protocol (SDP).
Sample Solution
The Australian Institute of Family Studies (AIFS) Child Family and Community Australia (CFCA) (2014) recognized that the present way to deal with youngster insurance in Australia has recognized the jobs the state and domain governments must play in shielding all kids from mishandle and disregard. It additionally clarified that administrations had accepted their commitment in meeting the fundamental formative needs all things considered, especially those kids whose guardians can’t or don’t give a sheltered, defensive condition or whose guardians are answerable for the maltreatment or disregard these kids experienced.
The Community and Disability Services Ministerial Advisory Committee (CDSMAC) built up the National Framework for Protecting Australia’s Children 2009’2020 (COAG 2009) which incorporated a wide scope of kid insurance procedures and mediations that the state and region governments will execute to forestall kid mishandle and disregard. The focal point of these blended methodologies and mediations will be on the arrangement of essential assistance and early aversion programs which will be completed and facilitated by non-government offices as these have gotten government financing, including the arrangement of out of home consideration administrations.
All social arrangement including youngster assurance strategies are the aftereffect of government enactment, which is the consequence of a political procedure, and all approaches are the consequence of an intrinsic political, ideological procedure. As basic social laborers, it is fundamental that we are mindful, attempt to comprehend and scrutinize the changing social and political setting where strategies and open mediations are created and executed. It is imperative to be basically mindful of the impact of a prevailing ideological talk in arrangement and effectively participate in a more extensive discussion. Healey (2012) has communicated that approach may shape the requirements and the extent of the work social laborers do and sway on the potential advantages offered to kids and families. Having the option to comprehend what frameworks of thoughts work at a strategy and authoritative level help us in seeing how and why government and administration react distinctively in connection to kid security at a specific time.
This exposition will right off the bat give a short recorded outline of the various ideological elements impacting youngster insurance strategy and practice in Australia and show its development. Beginning with the youngster “salvage development” and magnanimous activities in the nineteen century to progressively current conventional measures through government strategy and enactment.
Furthermore, it will concentrate on later government kid assurance approach reactions and changes, the Special Commission of Inquiry into Child Protection Services in NSW which explicitly distinguished difficulties and holes in the NSW kid security framework. Furthermore, made explicit change proposals to be made and applied crosswise over NSW kid assurance framework through the turned out of the NSW Keep Them Safe Action Plan.
Kid insurance approach belief system
We have seen differing Government arrangement and practice reactions to kid welfare and assurance issues bringing about critical changes to kid insurance practice after some time. Ferguson (2004) states that the philosophies that support the setting of kid insurance approach and practice have changed. In the mid ‘ 1800s, we found in Australia the foundation of willful non – government youngster welfare area with Christian holy places running halfway houses and care of kids in institutional settings. As indicated by Liddell (1993) this was the primary reaction particularly in NSW which experience an expansion in quantities of surrendered and ignored kids because of the gold rush period and the developing populace . In the late nineteenth century, we saw the foundation of a Children’s Court, the improvement of youngster security enactment and the ascent of what is alluded to as the “kid salvage” development (CFCA, 2015).
This development supporting philosophy comprised of the conviction that guardians had an ethical obligation to think about their youngsters that guardians were required to accept. The belief system behind this development unfortunately was later liable for the improvement of exceptionally inconvenient intercession approaches that have gotten known as the “Taken Generations” expelling Indigenous kids from their families. This was an early case of arrangement going in a misguided course and a case of imperialism at work affecting on families, for this situation, Indigenous kids and families through enactment and approach.
By the 1950s, we started to see an alternate reaction from government accepting greater accountability and expanding its utilization of authoritative capacity to implement sufficient measures of care. We saw the end of numerous huge organizations and the foundation of littler private offices for youngsters needing care and insurance (Tomison, 2001, p.48). The philosophy behind this youngster assurance changes Harris (2003) clarified that was driven by an additionally overall business talk to expand the adequacy and effectiveness in the arrangement of administrations .
In the 1960’s we saw the ascent of what is known as the second flood of the youngster “salvage development” driven by look into experts, for example, Dr Henry Kempe who presented the idea of the “battered-kid disorder” giving medicinal proof of physical wounds of maltreatment by the family and other guardians. (CFCA, 2015). Laws additionally started to change at around this time, making it a legitimate commitment for wellbeing experts to report evident kid misuse. (CFCA,2015). We started to see the advancement of various hypothetical models that advise the improvement regarding youngster assurance frameworks Nett and Spratt (2012). Not exclusively did generous networks felt a commitment to act and shield youngsters from mishandle and disregard, yet the administration started to accept accountability to inspect obvious kid misuse cases and give kid insurance administrations (Lamont and Bromfield, 2010).
As indicated by Harris (2003 ) in the 1980’s and 1990’s kid security administrations received a more systematic way to deal with youngster assurance, utilizing caseworkers , creating field-tested strategies, following an administrative methodology, estimating administration yields and entering in aggressive offering forms. Spratt (2001) additionally recognized two other noteworthy philosophies that have impacted kid assurance change, and these are bureaucratic and technocratic belief system. This adjustment in belief system gave distinctive youngster assurance work rehearses, arrangements, case the executives frameworks that were more legalistic and bureaucratic and it included more layers of responsibility Howe (1992)
One of the reactions of technocratic philosophy is that it will in general reject different methods for improving the aptitudes of the workforce, for instance, through staff advancement activities. History epitomizes that youngster security approach and practice change dominatingly have been molded and driven by belief system and less so by inquire about based proof Gray, Plath, and Webb, 2009; Sholnsky and Stern (2007). As indicated by Gillingham, (2014) the clarification for this event is that picking research base proof over belief system in approach and administration practice change isn’t constantly a basic and simple assignment to accomplish and can result as history has appeared in wrong reasons for move made and lacking help arrangement, be that as it may, despite the fact that it’s valuable to know about the difficult idea of utilizing research base proof and needs, be viewed as it ought not be an obstacle for strategy producers not to utilize examine base proof when making change.
The Wood Report
The NSW Government gave a commission for a significant investigation into the state’s youngster insurance framework, drove by resigned Supreme Court Judge Justice James Wood following the demise of two kids in 2007 because of mishandle and disregard. The examination concentrated on the activities of the Department of Community Services ‘ now Family and Community Services (FACS) and a non-government family bolster administration.
This audit analyzed the accompanying: frameworks for announcing youngster mishandle and disregard, the board of reports including the effectiveness of frameworks and process, organizing and basic leadership, the executives of cases, recording of basic data, the expert limit of case managers, the ampleness of current statuary structures and obligation of compulsory columnists, sufficient courses of action for interagency participation, the sufficiency of game plans for kids in out of home consideration, the sufficiency of assets and kid insurance frameworks and different issues concurred by the Commissioner and the Minister. The request prompts suggestions, techniques for administrative, auxiliary and social change in the NSW youngster assurance framework.
On 2008, the discoveries of this Special Commission of Inquiry into Child Protection Services in New South Wales were discharged as a three-volume report containing 111 suggestions.
The investigation into kid assurance administrations found that interest for kid security administrations was being met for just a small amount of the youngsters revealed, and that families were prohibited from mediation or administration arrangement due to the prioritization of high-hazard cases requiring critical intercession.
The request noticed that those reports surveyed by FACS ‘numerous evaluations did not have a comprehensive methodology, need meticulousness and didn’t exploit aptitude or data of others’.
Conferences and entries from a wide scope of administrations, for example, the Association of Children’s Welfare Agencies, Department of Community Services, NSW Commission for Children and Young People, NSW Ombudsman, The Benevolent Society, The Children’s Guardian and numerous others as a feature of the request consultative procedure.
Because of Justice Wood’s report, the NSW Government built up a five-year exhaustive activity plan Keep Them Safe to change and improve the youngster security framework in NSW making kid insurance the