KPMG – ETA Finding 15-08: CONDITION: Auditors selected two ETA 9130s (cost reports) that were noted as delinquent in the Delinquent 9130 Quarter Ending September 30, 2014 report. For one of the two reports, revealed that an FPO did not review, analyze, and accept the grantee’s cost report until approximately four months after the grantee’s initial submission. RECOMMENDATION: Employment and Training Administration: Develop and implement oversight procedures for all regions that address the timely assignment, review, analysis, and correction or acceptance of ETA 9130s when a change in personnel occurs to ensure ETA 9130s are appropriate. RESPONSE: ETA acknowledge that the one excepted report was not sufficiently address by the oversight procedures in place to identify …show more content…
o The SOP was distributed to all grant managers and offices with responsibility for the review and acceptance of 9130 reports. o The SOP established: Upgrades to ETA’s E-Grant system to provide immediate notification when reports are late and strengthen the edit checks system on the data being entered into 9130 reports. Formalized the Office of Financial Administration oversight on the timely submission of 9130 reports to E-Grants as well as the judicious review and determination on the acceptance or rejection of the 9130 reports by ETA’s reviewing staff. Requirements at the reviewing office level regarding documenting on interaction with grantees for late reports or issues with submitting an incomplete or inaccurate reports. • April, 24, 2015 – conducted training on the SOP with 9130 reviewers in the National Office. • May 28, 2015 – conducted training on the SOP with 9130 reviewers in the regions. • July 30, 2015 – completed draft on a technical assistance paper providing guidance on reviewing 9130 line
Once an area of evidence-based practice has been chosen for investigation, the reviewer must locate current evidence sources and, using a structured approach, assess each for applicability to the issue being investigated. The aim of this paper is to use a Rapid Critical Appraisal Checklist (Melnyk and Fineout-Overholt, 2011) to support these sources of evidence into a review that discusses the importance of daily, high-level, multidisciplinary communication and patient safety. The summaries of these evaluations will be provided as an appraisal of each study.
In the Sarbanes-Oxley Act of 2002, the audit committee is responsible for adequate supervision and reporting and for responding to:
However, this is not the recommended protocol shown in the literature. The current unit practice and evidenced based practice will be compared. The barriers to performing evidenced based practice will also be assessed.
‘provide clear information, supervision and training for employees and ensure that suitably competent people are
The mission statement for South Florida Utilization Review states, “The mission of South Florida Utilization Review is to perform accurate and timely peer review analysis of the medical necessity, appropriateness, timing, utility and cost of medical services and goods. The peer review analysis will be based upon the education, training, and experience of board certified physician reviewers as well as the most current information available in the literature or elsewhere on the current treatment of the condition under review.” (South Florida Utilization Review, 2011) “South Florida Utilization Review is a member of the National Association of Independent Review Organizations (NAIRO) and has performed all case physician advisor reviews as well as quality assurance projects since 1986” (South Florida Utilization Review, 2011). The scope of responsibility is reviewing numerous insurance carriers and external peer reviews for 140 hospitals (South Florida Utilization Review, 2011). There are 150 physician advisors in Florida while the SFUR carries discrepancies and omissions insurance with the dollar values of 1 million and 2 million (South Florida Utilization Review, 2011). The turnaround times for expedite is 24 to 48 hours, 5 business days for
It would comprise of all the clinical as well as the non-clinical staff. There would be a core team of the administrator, the physicians and the nurse. There would be a specialty team comprising of staff from safety and facility management, infection control, Pharmacy and laboratories.
The final identified recommendation is the use of a standardized action plan format that will provide the framework for change. Defined expectations and deadlines will ensure that progress is maintained amongst the numerous and diverse clinical settings. My role-modeling of this step will teach my management team how to utilize this tool as well as assist with setting the expectation that they utilize the tool with their staff members as well.
NU 310 Critiquing evidence based assignment is a great example of the Kaplan SON RN to BSN program outcome. It is in the category of Evidence- Based Practice.
One of the most fruitful professional development opportunities this summer was the training program offered through the National Library of Medicine’s National Training Center, PubMed for Trainers. The 4 part course provided an in-depth look at PubMed, new tools and search strategies. The training included an additional instructional design component in addition to being exposed to the logic and methodologies used in PubMed will enhance my teaching of the platform. The training and the instructional design are going to be invaluable heading into the Fall semester. The instructional design sessions have guided and refined my upcoming library instruction sessions for nursing and exercise and health sciences students. It has reinforced me
Received fiscal request from T. Hill, which was signed to lead worker L. Purnell & Fiscal supervisor D. Columna, regarding receipt #1477194. This request was not clear as to what the worker wanted fiscal to do with this receipt. Fiscal asked Purnell for clarification, fiscal still did not get satisfied answers to questions that were asked. Fiscal request was given to supervisor Columna, she stated Cindy Shockey, had instructed her as to why this receipt as to be applied to case
IO should conduct and complete administrative investigation within nine month from the receipt date unless SISO is still waiting for RFEs
Alaworks supports reporting requirements for various Federal and State laws and regulations. The system currently meets the needs of its user community. However, the question remains whether the “user needs,” including security, can be met once the administrative entity changes are fully implemented. For the first year, ADECA and Commerce have a Memorandum of Understanding to allow ADECA IT personnel to continue managing Alaworks and assist Commerce with a smooth transition into full ownership.
This week in sub-acute, we were educating patient actors on how to use their BiPAP machine. My partner and I worked well together in the simulation. I explained how the BIPAP machine work to the patient and my partner explained the mask fitting and maintenance of the machine. The whole simulation went smooth, and the patient actor seemed relaxed and retaining the information. This was later confirmed, when the patient actor reviewed us. In the review, he commented how he felt very comfortable with us and we were very professional. Overall I would give myself a self-assessment score for sub-acute simulations 4.
As the recommendation has been established as best practice this chapter will propose a clinical audit to review the extent to which the recommendation is applied in practice. Practitioners have a responsibility to continually improve their standards of care (Nursing and Midwifery Council, 2010). Clinical audits are a valuable tool for professionals to monitor their current practice and promote improvements in care (Benjamin, 2008).
Throughout the past ten weeks, I have grown in my understanding of nursing research on all levels. I feel that the most essential knowledge I have gained is the ability to critically review a research article. Because of this class, I have a better grasp on the necessary components to include, as well as how to determine rigor and validity in research. This is a valuable skill which I will utilize throughout my career as a nurse practitioner. I anticipate applying this knowledge as I review articles to determine which intervention is best to incorporate into management plans for my patients. As an example, if I am