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3. Figure 2 of the article, displays examples of second line of defense for common health care industry functions. Select an industry (not health care
3. Figure 2 of the article, displays examples of second line of defense for common health care industry functions. Select an industry (not health care industry) and describe 3 monitoring functional titles with a typical monitoring roles. Charges for a particular item that exceed a threshold No PTO recorded for a long period of time Change in employee residency outside the organization's service area recorded in payroll system Infection Control Reviews targeted areas measuring clinical outcomes and Identifying clinical practices with the potential to cause health care associated infections. Information Security Maintains continuous monitoring for ongoing awareness of Information security vulnerabilities and threats to support organizational risk management solutions Institutional Review Boards Reviews and monitors biomedical research involving human subjects. Joint Commission Mock Surveys Evaluates activities in daily operations, measuring and monitoring any plans for improvement Implemented Key Performance Indicators Defines measurable values to routinely and systematically measure against a plan to achieve key business objectives Morbidity and Mortality Conferences Provides a venue to identify areas of improvement in patient care. Nurse "Auditors" Conducts routine quality assurance monitoring of patient charts. Physical Security Manages physical security surveillance and response to address real threats to your business. Project Implementation Committees Monitors the quality of the project as it develops. Quality Control / Quality Committees Reviews activities of key functional areas and monitors quality assurance activities. Research Administration Monitors sponsored programs activity, Revenue Management Reviews charging activity for billing and settlement purposes. Risk Management Oversees insurance and self-insurance plans for loss control. Root Cause Analysis Processes Conducts a method of problem solving used for identifying the root causes of faults or problems. Third-Party Executive/Physician Addresses aspects of pay practices for reasonableness and Compensation/Fair Market Value alignment between compensation and company performance. Reviews CONTINUED ON P 59 Figure 2: Second Line of Defense Common Health Care Monitoring Functions Monitoring Functional Title Typical Monitoring Role Coding Reviews Validates coder accuracy and reports back to health Information management for monitoring coder performance and billing accuracy. Corporate Compliance Monitors compliance program operations supporting policies and processes. Credentialing & Privileging Reviews Conducts performance monitoring processes to evaluate practitioner competency at initial appointment and over time. Exception Reporting Exception reporting might be used by management in a number of areas including any or all of those in this list. Typically, these reports go to management or an assigned individual and contain lists of transactions that differ from what is expected. Action is then taken to correct or otherwise address the noted exceptions. Specific examples include: Excessive remote access into systems Charges for a particular item that exceed a threshold No PTO recorded for a long period of time Change in employee residency outside the organization's service area recorded in payroll system Infection Control Reviews targeted areas measuring clinical outcomes and identifying clinical practices with the potential to cause health care associated infections Information Security Maintains continuous monitoring for ongoing awareness of information security vulnerabilities and threats to support organizational risk management solutions. Institutional Review Boards Reviews and monitors biomedical research involving human subjects. Joint Commission Mock Surveys Evaluates activities in daily operations, measuring and monitoring any plans for improvement implemented Key Performance Indicators Defines measurable values to routinely and systematically measure against a plan to achieve key business objectives .. 3. Figure 2 of the article, displays examples of second line of defense for common health care industry functions. Select an industry (not health care industry) and describe 3 monitoring functional titles with a typical monitoring roles. Charges for a particular item that exceed a threshold No PTO recorded for a long period of time Change in employee residency outside the organization's service area recorded in payroll system Infection Control Reviews targeted areas measuring clinical outcomes and Identifying clinical practices with the potential to cause health care associated infections. Information Security Maintains continuous monitoring for ongoing awareness of Information security vulnerabilities and threats to support organizational risk management solutions Institutional Review Boards Reviews and monitors biomedical research involving human subjects. Joint Commission Mock Surveys Evaluates activities in daily operations, measuring and monitoring any plans for improvement Implemented Key Performance Indicators Defines measurable values to routinely and systematically measure against a plan to achieve key business objectives Morbidity and Mortality Conferences Provides a venue to identify areas of improvement in patient care. Nurse "Auditors" Conducts routine quality assurance monitoring of patient charts. Physical Security Manages physical security surveillance and response to address real threats to your business. Project Implementation Committees Monitors the quality of the project as it develops. Quality Control / Quality Committees Reviews activities of key functional areas and monitors quality assurance activities. Research Administration Monitors sponsored programs activity, Revenue Management Reviews charging activity for billing and settlement purposes. Risk Management Oversees insurance and self-insurance plans for loss control. Root Cause Analysis Processes Conducts a method of problem solving used for identifying the root causes of faults or problems. Third-Party Executive/Physician Addresses aspects of pay practices for reasonableness and Compensation/Fair Market Value alignment between compensation and company performance. Reviews CONTINUED ON P 59 Figure 2: Second Line of Defense Common Health Care Monitoring Functions Monitoring Functional Title Typical Monitoring Role Coding Reviews Validates coder accuracy and reports back to health Information management for monitoring coder performance and billing accuracy. Corporate Compliance Monitors compliance program operations supporting policies and processes. Credentialing & Privileging Reviews Conducts performance monitoring processes to evaluate practitioner competency at initial appointment and over time. Exception Reporting Exception reporting might be used by management in a number of areas including any or all of those in this list. Typically, these reports go to management or an assigned individual and contain lists of transactions that differ from what is expected. Action is then taken to correct or otherwise address the noted exceptions. Specific examples include: Excessive remote access into systems Charges for a particular item that exceed a threshold No PTO recorded for a long period of time Change in employee residency outside the organization's service area recorded in payroll system Infection Control Reviews targeted areas measuring clinical outcomes and identifying clinical practices with the potential to cause health care associated infections Information Security Maintains continuous monitoring for ongoing awareness of information security vulnerabilities and threats to support organizational risk management solutions. Institutional Review Boards Reviews and monitors biomedical research involving human subjects. Joint Commission Mock Surveys Evaluates activities in daily operations, measuring and monitoring any plans for improvement implemented Key Performance Indicators Defines measurable values to routinely and systematically measure against a plan to achieve key business objectives
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