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Role of Business laws
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While working seemingly endless days, many nurses do not realize the many influences that affect their professional practice or how client care is delivered. Besides their employer, health care organizations are highly regulated by federal, state, and local laws and regulations. In addition to the rules set by governments, most medical establishments want to be accredited by The Joint Commission (TJC), a non-government regulatory agency. TJC does not have the authority to cite or fine a facility for not meeting standards or responding to its custodian alerts (The Joint Commission, 2011). However, these standards carry considerable weight through the loss of millions of dollars from Medicare and Medicaid programs.
The Joint Commission is an independent, not-for-profit organization, established more than 60 years ago. TJC is governed by a board that includes physicians, nurses, and consumers. TJC sets the standards by which health care quality is measured in America and around the world. TJC evaluates the quality and safety of care for more than 19,000 health care organizations (The Joint Commission, 2011). To maintain and earn accreditation, establishments must have an extensive on-site review by a team of Joint Commission health care professionals, at least once every three years. The purpose of the review is to evaluate their performance in areas that affect clients’ care (The Joint Commission, 2011). Accreditation may then be awarded based on how well the organizations met TJC standard;, however, a site review is not a guarantee of accreditation.
To gain accreditation, TJC sets rigorous safety and quality of care standards and evaluates organizations to see whether or not they meet their standards. After the survey, TJC provid...
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... strategic business tool that helps hospitals live up to and surpass these expectations. The above-mentioned agencies help hospitals be all that they can be.
Works Cited
American Nurses Credentialing Center. (2011). American Nurses Credentialing Center. Retrieved July 19, 2011, from http://www.nursecredentialing.org/Magnet/Magnet-CertificationForms.aspx
Fenner, K. (2011, April 18). Accreditation: A hospital CEO’s strategic choice. Hospital Accreditation and Compliance Journal. Retrieved from http://www.compass-clinical.com/hospital-accreditation/2011/04/accreditation-a-hospital-ceos-strategic-choice/
Healthcare Facilities Accreditation Program. (n.d.). Healthcare Facilities Accreditation Program. Retrieved July 17, 2011, from http://www.hfap.org
The Joint Commission. (2011). The Joint Commission. Retrieved July 16, 2011, from http://www.jointcommission.org/
Standards are important aspects of nursing that a nurse must learn and implement every day for the rest of their nursing career. These standards provide for a nurse’s competence in the quality of care they deliver to the public. Standards offer a necessary guidance to nurses everywhere in an effort to ensure that people are treated correctly and ethically. Patients expect nurses to have a general knowledge of the medical realm and to know exactly what it is they –as nurses- are responsible for. Nurses need to have a sense of professionalism that enable the patient to feel safe and secure, knowing that a competent person is caring for him. A lack of professionalism does the opposite, making it impossible for a patient to trust or respect the nurse caring for him. Standards of nursing, if utilized correctly, give the nurse that sense of professionalism the patient is expecting. It insures for the safety of the patient and allows the nurse to provide quality health care that is expected of a medical professional.
In the twentieth century the medical field has seen many changes. One way that hospitals and nursing specifically has changed and implemented the changes is by pursuing accreditations, awards, and recognitions. The purpose of this paper is to understand Magnet Status and the change required by hospitals to achieve it.
Hino, R. (2013, September 25). Hospital Strategic Plans Must Go Beyond the Status Quo. Retrieved from http://www.hospitalimpact.org/index.php/2013/09/25/p4358
Margaret E. O’Kane is the founder and president of the National Committee for Quality Assurance (NCQA). NCQA is one of the nation’s leading advocates for improving healthcare through measurement, reporting, and accountability. NCQA is the foremost accrediting organization for health plans including HMOs, PPOs, and consumer directed plans. (Margaret) “Our goal is to increase the value of NCQA accreditation both to organizations pursuing accreditation and to the audiences who seek help in assessing the quality of health care provided by those organizations”. NCQA has developed, maintained, and expanded the nation’s most widely used health care quality tool, which is known as the Healthcare Effectiveness Data and Information Set (HEDIS). HEDIS is responsible for evaluating whether and how well
The Centers for Medicare and Medicaid Services (CMS) is an agency within the federal government that administers Medicare, Medicaid, the Children’s Health Insurance Programs (CHIP), and the state and federal health insurance marketplace. The Joint Commission is one of several organizations approved by CMS to certify hospitals. It is a non-profit organization that accredits healthcare organizations and programs. The major goal of these organizations is to ensure quality care and patient safety in healthcare institutions. By complying with the standards set by the organizations, there is greater consistency of care, better processes for patient and staff safety, and thus higher quality of care.
The Joint Commission is an independent non-profit organization that accredits and certifies more than 20,500 health care organizations and programs in the United States. The joint commission develops performance standards for accreditation programs that hospitals and other healthcare-related organizations are required to pass in order to receive accreditation from the Commission. The accreditation and certification provided by the commission is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting certain performance standards.
The Joint commission, is a private agency with considerable power over healthcare institutions in that it performs certain responsibilities yet it is outside of the government. One of the Joint commission’s roles is monitoring quality in hospital services. This includes monitoring that standards are met in hospital laboratories. It is also responsible for auditing logs and confirming that instrumentation calibration is keep to standards. JCAHO is also well known for announcing their arrival for inspection in a few days to surprise inspections. In many cases this
When assessing where the industry will go over the next ten years, there is one area that stands out. Government involvement in healthcare has become a major player in how this industry is changing. New regulations are being introduced at a rapid rate and have pushed hospitals into constant change management (Arab Kash, Spaulding, Johnson, & Gamm, 2014).
It is essential to conduct continuous evaluation of the health care systems with regards to the quality of care. Health care is a very sensitive sector as it is mandated to provide quality care as well as ensuring patient safety. For these reasons, it is essential to have an organized body that will ensure the standards of quality are the same throughout all health care facilities. This crucial service is provided by the Joint Commission (JCAHO). The body provides standards that are then used to accredit health care facilities.
Considering this problem, I would propose to introduce a new policy to establish independent practice authority for APRNs in Texas in accordance with the educational preparation to meet the health care needs of Texas’ population and reduce primary care shortage.
Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Wednesday, January 8, 2014. April 3,2014 http://www.bls.gov/ooh/healthcare/nursing-assistants.htm#tab-5
According to The Joint Commission the standard that they set “are the basis of an objective evaluation process that can help health care organizations measure, assess, and improve performance” (TJC). The Joint Commission accreditation plays a pivotal role in health institution quality and cost. The first way that the accreditation helps an institution is “strengthens community confidence in the quality and safety of care, treatment and services” (TJC 2). If patients are confident that your hospital is one of the best around the area, specially where number of hospitals stands, having the accreditation will give an institution an edge. It also guarantees that the current standards in place are of quality and up to date on the current research. Another benefit of having accreditation is “Provides deeming authority for Medicare Certification” (TJC 2). What this entails is, depending on what state you are in, the Center for Medicare and Medicaid would not need a separate visit to your institution if the Joint Commission was there prior. Their standard and the Joint Commission standards are up to par, this means that your primary source of reimbursement will be intact even without a visit. But the most key role that the Joint Commission play is “Helps organize and strengthen patient
The goals are to “provide high quality care and continuously improve our performance.” The four main focuses are: 1) preventing hospital acquired infections, 2) contributing to developing and implementing the Cleveland Clinic Integrated Care Model by delivering care coordination and care path projects within the Value Based Care strategic initiative, 3) avoiding preventable harm to patients and caregivers, and 4) delivering data and projects that support the operational needs for organizational quality and safety, including performance and regulatory reports, system administration and design, accreditation support, patient safety support, and clinical risk management (Cleveland Clinic, 2015). The QI team “enhances value across the enterprise, including patient care, outcomes, and cost, by collaboratively delivering projects and infrastructure aligned with Cleveland Clinic strategies” and the two major components are project management and data analysis that work together to “support clinical safety and quality improvement efforts.” The Chief Quality Officer is over the Quality and Safety Officer. Under that are the Administrative Program Coordinator, Administrative Director, Department Coordinator, and Institute Administrator. Additionally, there are Institute Quality Directors who manage QI for their particular institute, for example Cole Eye Institute or
This paper’s brief intent is to identify the policies and procedures currently being developed at Midwest Hospital. It identifies how the company’s Management Committee was formed and how they problem solved and delegated responsibilities. This paper recognizes the hospital’s greatest attributes and their weakest link. Midwest Hospital hired Dr. Herb Davis to help facilitate the development and implementation of resolutions for each issue.
Understanding quality measurement is essential in improving quality. Teams need to be able to understand whether the changes being made are actually leading to improved care and improved outcomes. For data to have an impact on an improvement initiative, providers and staff must understand it, trust it, and use it. Health care organization must understand the measurement of quality provided by the Institute of Medicine (patient outcomes, patient satisfaction, compliance, efficiency, safe, timely, patient centered, and equitable. An organization cannot improve its performance if it does not know how it is performing. Measuring quality improvements is essential as it reflects the quality of care given by the providers and that by comparing performance