Accountability and Liability for Individuals and Organizations
Accountability and liability for a long term care manager is very important in the health care industry. Long term managers have to not only be responsible for their actions in the health care organization but also for the actions of their employees. Long term care managers are accountable and liable for maintaining standards of care for their patients. And for the standard of care changes that is based on their provider types. According to "The Impact of Worker Health on Long Term Care: Implications for Nursing Managers" (2010), (Long-term care (LTC) facilities face many challenges, including retention of qualified and caring staff and maintaining high-quality care.). Long term care managers are responsible for hiring and keeping qualified staff and maintaining a high quality of patient care. By ensuring that there are plenty of well trained and caring staff is a high priority for long term care managers. Long term care managers are responsible for keeping cost claims low and reducing reimbursements. Liabilities can be both direct and vicarious. According to "The Impact of State Managed Care Liability Statutes" (2003), “Direct liability applies when the MCO is the primary wrongdoer. Vicarious liability holds MCOs secondarily liable for errors made primarily by treating physicians.”
Provider Rights and Responsibilities
Health care provider’s rights and responsibilities are the same for all providers. Providers have the right to advise for members of the organization while acting within the scope of their license. They also have the right to openly discuss all treatment options with their patients. Provider rights and responsibilities enables providers to expect that their claims will be processed in a timely and accurate manner. Providers have a detailed list of things they are...