In Week 4, you identified some immediate areas of concern that you were able to effectively address. You must present the final phase of your improvement plan to your staff and upper-level management. You will create a presentation of 15-20 slides addressing the following areas:

In preparation for the accreditation visit for AKT, choose 1 health care accrediting and credentialing organization.

• Select a quality improvement focus (QIF) area to improve patient outcomes in beyond the 3 issues that you identified and addressed in Week 4.
• Discuss the selected accreditation agency related to the QIF and why the organization is seeking this particular agency for credentialing.
• As part of the quality improvement initiative, select 3-4 related accrediting standards that the organization will use as the basis for the quality improvement plan.
• Provide a clear mission statement and set of 3-4 specific, measurable, attainable, realistic, and timely (SMART) goals for the QIF initiative.
• Using the online database provided the by the organization you selected conduct an analysis.
• Provide general statistical data related to the QIF.
• Discuss specific health care examples of local, state, and national policies that have been developed to improve this QIF based on evidence-based practice research.
• What internal policies do you plan to implement based on evidence-based practice approaches to ensure your organization meets these standards?
• Develop a plan that includes strategies for your facility to improve patient outcomes regarding the QIF.
• Describe how the QIF initiative can be incorporated to the organization’s overall strategic plan.
• Describe how you plan to evaluate the effectiveness of the initiative.
• Each slide will have 4-6 bullets and 100-150 words of speaker’s notes and pictures.

To date, a total of 804 large breaches of protected health information (PHI) affecting over 29.2 million patient’s records have been reported to the Department of Health and Human Services since 2009.

You are the Corporate Compliance Officer for your health organization and you have just been notified that an unknown party has “hacked” the main computer server and your organization’s PHI has been breached by the theft of several facility laptop computers. Over 5,000 of the patients your organization serves are impacted. As a result, you must explain to the Senior Leadership, the Board of Directors, the affected patients, and the public [a] what you plan to do about the breach and [b] howyou plan to prevent this from reoccurring.

In your report, you must include the following:

1. Define breach of PHI by the federal government’s standards including what federal laws dictate the health care organization’s responsibility to protect electronic health information.
2.    Explain to Leadership and the Board how this breach was allowed to occur. In other words, what went wrong and why.
3.    Define what course of action should be taken to notify the Individual patients affected and the public of this breach that would incur the least amount of panic.  Include any federally mandated course of action.
4.    Develop an action plan [including safeguards] to prevent a PHI Breach from reoccurring at your health organization. Include both electronic and paper safeguards.

5. In answering these questions,

• include any pertinent laws discussed during the class.
• This final exam should not be more than 6 pages not including the title and references pages.
• APA standards are required including the appropriate in-text citations.
• A minimum of four scholarly references with in-text citations[textbook does not apply] must be used.
• Re-state each question in its entirety as a heading for each answer.
• A minimum of four scholarly references with in-text citations