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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... ... middle of paper ... ... 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/
State and federal regulations, national accreditation standards, and clinical practice standards are created, and updated regularly. In addition, to these regulations, OIG publishes a compliance work plan annually that focuses on protecting the integrity of the program, and prevention of fraud and abuse. The Office of the Inspector General examines quality‐of‐care issues in nursing facilities, organizations, community‐based settings and occurrences in which the programs may have been billed for medically unnecessary services. The Office of the Inspector General’s work plan for the fiscal year 2011 highlights five areas of investigation for acute care hospitals. Reliability of hospital-reported quality measure data, hospital readmissions, hospital admissions with conditions
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.
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.
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
Merwin, E & Thornlow, D. (2009). Managing to improve quality: the relationship between accreditation standards, safety practices, and patient outcomes. Health Care Managment Review, 34(3), 262-272. DOI: 10.1097/HMR.0b013e3181a16bce
Hospital Corporation of America (HCA). Staff Analysis Statement of Problem HCA, after following a conservative financial policy since its establishment, has entered the new decade preparing to make some changes in order to realign their financial strategy and capital structure. Since its establishment, HCA has often been used as a measure for the entire proprietary hospital industry. Is it now time for the market to realign their expectations for the industry as a whole? HCA has target goals that need to be met in order to accomplish milestones in the future.
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
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.
For this reason all involved must know what is expected as well as all the regulations expected for each area. The Joint commission has its roots from the American College of Surgeons (ACS). The ACS started the practice of inspecting hospitals and their practices in particular instrumentation. Since the early 1950’s the ACS spurred the creation of the Joint Commission. Similar to The Joint Commission the American Osteopathic Association has the authority to accredit healthcare institutions. The Centers for Medicare and Medicaid Services CMS is the authorizing body that deems the AOA as “deeming authority.” In the same way the Joint Commission is. A wide range of healthcare facilities are certified by AOA or JCAHO such as clinics, medical groups, surgical centers, outpatient centers among others. In the case of nursing homes they need to be certified by Department of Health & Human Services DHHS as well as the Joint Commission in order to be able to receive financial remittance form both Medicare and
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.
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.
There are tremendous benefits of having a Joint Commission accreditation. One of them is the help institutions get to strengthen efforts in patient safety. This will provide an indication to potential
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.
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
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