In a total of 250-500 words, respond to the 5 questions aboutthe scenario.

Scenario

The long-term care center has 225 beds and provides the highestlevel of patient care, according to ongoing Department of HealthServices annual surveys. The Director of the long-term center hasthe overall responsibility of ensuring the continuing high level ofquality outcomes while also concurrently keeping the facility asrisk free as practical. You and the Director have just returnedfrom an annual Long-Term Care Association symposium where you wereboth introduced to some new groundbreaking initiatives regardingthe differences between risk management and qualityimprovement.

Earlier in the week, the Director called for a meeting of thecenter’s department managers, including the Quality Assurance Nurseand the Manager of Risk Management. After briefing them on thesymposium talking points, your Director asks you to come up with aworking plan and strategy for how the facility will use both of theconcepts you have introduced to arrive at a more centralized andstandardized approach. Overall, the desired outcomes focus onadopting a new approach to higher quality with fewer risk factorsfor the organization.

Later that week, the Manager of Risk Management, the Manager ofNursing Quality Assurance, and a representative from HumanResources met to formulate a new plan to reduce the litigationexposure while concurrently increasing the quality of patientoutcomes. They set about the complex set of tasks with theexpectation that you, as the Director’s designated facilitator,will be closely reviewing their final recommendations.

Questions:

1.What is the necessary background information needed tocomplete your executive summary?Who are the stakeholders?

2. How do the facility’s current Continuous Quality Improvement(CQI) outcomes correspond with the current litigation preventionsystems?

3.What factors within the nursing units are the most critical toconsider when examining higher quality outcomes?

4.What factors within the nursing units are the most critical toconsider when examining lower litigation adverse actions andoperational impact?

5.What future steps must be taken to accomplish thisdirective?