What is a health care organization’s administrative role regarding oversight of risk management policies and ensuring compliance with managed care organization (MCOs) standards?

assignment 1

Review the Institute of Medicine’s 2010 report “The Future of   Nursing: Leading Change, Advancing Health.” Write a 750-1,000   word paper discussing the influence of the IOM report on nursing   practice. Include the following:

1. Summarize the four messages outlined in the IOM report and     explain why these are significant to nursing practice.
2. Discuss the direct influence the IOM report has on nursing     education and nursing leadership. Describe the benefits and     opportunities for BSN-prepared nurses.
3. Explain why it is     important that a nurse’s role and education evolve to meet the needs     of an aging and increasingly diverse population.
4. Discuss     the significance of professional development, or lifelong learning,     and its relevance in caring for diverse populations across the life     span and within the health-illness continuum.
5. Discuss how     nurses can assist in effectively managing patient care within an     evolving health care system.

Prepare this assignment according to the guidelines found in the APA   Style Guide.

assignment 2

Throughout this course, you have identified, examined, and provided individual as well as collaborative analysis on multiple facets of risk management in the health care setting.

Addressing the knowledge you have gained, and building on that knowledge to add your evaluation of the role that the managed care organization (MCO) plays in today’s health care environment, develop a 250-500 word reflection to incorporate the following:

1. What is a health care organization’s administrative role regarding oversight of risk management policies and ensuring compliance with managed care organization (MCOs) standards?
2. What is your assessment of the value provided to an organization that stems from the regulatory statutes of a typical MCO? Consider the establishment of conflict resolution and risk management strategies within the health care organization from the employer/employee perspective as well as in regards to patient conflict circumstances.
3. What MCO responsibilities pertain to the Patient Protection and Affordable Care Act (PPACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud, waste, and abuse laws?