Brief description of the problem
State the Law and agency guidelines or regulations that govern the issue, including the penalty for non-compliance
Describe and evaluate how the COSO framework, components, and principles can improve compliance and correct system-wide problems.
See COSO Internal Control-Integrated Framework: An Implementation Guide for the Healthcare Provider Industry PDF
Recommend a strategic corrective action plan (CAP) that implements components and principles from COSO.
Name and describe at least three managerial actions you recommend correcting the specific problem and bringing the organization into compliance using the COSO compliance tool.
Give reasons to support the selection of these actions. Indicate which COSO components and principles you relied on and why.
Problem
Your hospital has had multiple repeat hospital admissions of patients with pneumonia within 30 days of discharge in violation of the Hospital Readmissions Reduction Program (HRRP). CMS.gov Website: Hospital Readmissions Reduction Program (HRRP) Landing Page
