JCAHO Annual Report
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.
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
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clients that the health care institution prioritizes on patient safety and are continuously improving their performance to guarantee high quality care. This means that the local community has confidence in the safety and quality of care. The Joint Commission accreditation can also be used in providing competitive edge in the market.
Given the privatization of healthcare, most health care facilities that want to guarantee the quality of their services. Thus, having accreditation makes it possible for them to secure more clients. Another benefit is the reduction in medical errors or provision of low quality care as all health care institutions apply state-of-the-art strategies to ensure continuous improvements in patient care and safety.
Health care institutions that have Joint Commission accreditation can reduce their cost of liability insurance coverage. This is made possible due to enhanced risk management efforts. There are also continuous education and support on what in which accredited institutions can improve their services. The accreditation also affects the way staff recruitment and development is carried out as it ensures only qualified staff are employed. There is also the notion of integrated care as the accredited health are organizations are well-positioned for the
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future. The highest level of accreditation is the achievement of the Gold Seal of Approval. This is achieved by ensuring that every aspect of the accredited institution is geared towards patient safety and high quality of care. The accreditation process will involve investigations or physical review of how staff members provide safety for patient’s care. This will include their involvement in educating patients about the risks and options that they can follow for their diagnosis and treatment. The accreditation institution will also find out if the rights of patients are protected, including their right to privacy. The review looks at how the health care organization evaluates condition of the patient, before, during and after diagnosis and treatment. The other key areas include how health care staff protect patients against infection and how they plan for emergency situations. There are accreditations for different areas such as ambulance care, home care, behavioral care, home care, hospitals, nursing care, and laboratory among others.
An institution that has all is operations and facilities accredited is the one that is provided with the Gold Seal of Approval. To maintain such status, the health care organization must ensure continuous improvement in its services as well as staff development through regular training. There are also specific standards that guide each section of a health care organization for accreditation. These standards must be adhered to always. One of the health care facilities in my area that has Joint Commission accreditation is Corona Regional Medical Center located in Corona, CA. They are committed to providing high quality and safe care to their
patients. The JCAHO provides annual reports that indicate the progress in accreditations and performance of various health care facilities. It also provides improvements in the standards as well as summary of performance of various areas. There are several core measures aimed at ensuring standardization of quality. One of them is the accountability process measure. The intention of this measure is to ensure patients receive the greatest outcome. The core measure is guided by research, accuracy, proximity, and adverse effects. By ensuring accountability of the health facility and its staff members, the quality of care is able to improve as the institutions will continuously strive to ensure they remain accountable to their actions. This minimizes medical errors as well as improves patient safety. For instance, through research, it is possible to identify evidence-based approaches to improving patient care. The health care facilities also own the research as the staff members are involved in data collection. The intention is to have a mechanism that makes it possible to identify areas of weaknesses to improve. The issue of accountability also makes it possible to closely monitor patient outcome. The accurateness of the process will indicate if care has been provided or not. It will also ensure effectiveness in the delivery of care to improve outcome. In the long-run, patients will rarely experience adverse effects as they were closely monitored and taken care of from the diagnosis to treatment. As the health care institution strives to ensure accountability, the level of care drastically improves as is the safety of the patient.
The Joint Commission. (2012, January 01). National patient safety goals: Medicare based long term care. Retrieved from http://www.jointcommission.org/assets/1/6/NPSG_Chapter_Jan2012_LT2.pdf
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.
The standards of the Joint Commission are a foundation for an objective evaluation process the may help healthcare organizations measure, assess and improve performance. These standards are focused on organizational functions that are key for providing safe high quality care services. The Joint Commission’s standards set goal expectations of reasonable, achievable and surveyable performance of an organization. Only new standards that are relative to patient safety or care quality, have positive impact on healthcare outcomes, and can be accurately measured are added. Input from healthcare professionals, providers, experts, consumers and government agencies develop these standards.
The Certificate of Need regulations include fair trade practices, community need and limit the number of medical units that can be present in a community. Also, the methods of CON (Certificate of Need) were to develop policies to prevent elevation of health care facility costs and to see through with new construction and enhanced agendas. Laws authorizing such programs are one mechanism by which state governments seek to reduce overall health and medical costs. Many CON laws initially were put into effect across the nation as part of the federal Health Planning Resources Development Act of 1974 (Module 3 Lecture). ...
The Joint Commission is the accrediting body for all health care organizations within the United States. All facilities within the United States must be accredited by the Joint Commission in order to become licensed to provide health care services. The objective of this paper is to inform the reader about the Joint Commission. This paper will discuss the history of the Joint Commission, how they accredit healthcare organizations, and the benefits of the accrediting body.
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
Conditions of Participation was created to ensure all facilities participating in Medicare follow a set of regulations that protect the safety of Medicare recipients. In 1986 revisions were made to reinforce accreditation and certification procedures. Participating hospitals that are accredited by the Joint Commission on Accreditation of Healthcare Organizations or American Osteopathic Association have been deemed to meeting Conditions of Participation requirements on the wellbeing of Medicare Recipients. The Joint Commission on Accreditation of Healthcare Organizations also requires that the facilities are licensed by their state. (Lohr, 1990, p.
Medicare suppliers must be accredited by the Joint Commission (JC) or by a state regulated survey, which is performed by selected state agencies on behalf of the Centers for Medicare and Medicaid (CMS). As of July 2010 the CMS monitor and provide guidelines which the Joint Commission incorporates into its review processes. Accreditation consists of a in depth review of a hospital's physical plant, patient care , medical staffing and services based on quality factors and standards produced by CMS, as well as conditions of participation requirements under the Title 42, Part 482, of the United States Code.
An organizational analysis is an important tool to become familiar with how medical businesses and organizations are able to meet standards of care, provide services for the community and provide employment to health care providers. There are many different aspects to evaluate in an organizational analysis. This paper will describe these many aspects and apply the categories to the University Medical Center (UMC) as the organization being analyzed.
... is an abstract model that proposes an exploratory plan for health services and evaluating quality of health care. In accordance with the model, information about quality of care can be obtained from three categories: structure, process, and outcomes. In addition, not long ago The Joint Commission include outcomes in its accreditation valuations (Sultz, & Young, 2011, p. 378).
The World Health Organization outlines 6 areas of quality that help shape our definition of what makes quality care. Those areas are; (1) Effective: using evidence bases practice to improve health outcomes based on needs of individuals and communities. (2) Efficient: healthcare that maximizes resources and minimizes waste. (3) Accessible: timely care that is provided in a setting where the skills and resources are appropriate for the medical need and is geographically reasonable. (4) Acceptable/Patient-Centered: healthcare that considers individual needs, preferences, and culture. (5) Equitable: healthcare quality that does not vary because of race, gender, ethnicity, geographical location, or socioeconomically status. (6) Safe: healthcare that minimizes harm and risks to patients. (Bengoa, 2006)
The first nurse to introduce quality improvement was Florence Nightingale, who through gathering data on the positive effects of keeping adequate hygiene, nutrition and proper ventilation on the mortality rate during the Crimean War (Hood, 2014, p. 490-491). The initiatives towards improvement of quality lead to formation the Joint Commission on Accreditation of Hospitals (JCAH), which is now known as The Joint Commission (2007). The Joint Commission is non-profit organization which gives accreditation to hospitals for recognizing their efforts to deliver quality health care with an added advantage of being eligible for the Medicare reimbursement program. Moreover, the Joint Commission also rolled out the Hospital Patient Safety Goals (2013) to prevent patient safety errors. Nursing professionals are essential for health care organizations to achieve and maintain the patient-safety goals as their work directly impacts the quality and safety of the patients. For instance, using two patient identifiers during medication administration to avert errors. Nurses have the distinct skills and responsibility towards patient safety and hence the need for Quality and Safety Education for Nurses (QSEN) is the rational step towards quality improvement. Through the years, the QSEN has developed in Phases to ascertain the areas of competency requirements for nurses to deliver safe, efficient and excellent health care
...n of Healthcare Organizations (JCAHO), and the American Medical Accreditation Program (AMAP), just to name a couple. Each of the accrediting bodies is unique in terms of their mission, activities, compositions of their boards, and organizational histories, and each develops their own accreditation process and programs and sets their own accreditation standards. . "Accreditation of a health care facility or program is a symbol of quality, similar to the Good Housekeeping Seal of Approval that indicates to the public that the organization or program has met certain standards." (Goode, 2001) The accreditation proves that healthcare facility underwent the accreditation process and met all of the necessary requirements to become qualified. Accreditation has been generally viewed as a desirable process to establish standards and work toward achieving higher quality care.
It encourages and enforces improvement in the quality and reliability of laboratories. Accreditation provides implementing and monitoring a comprehensive laboratory management system.3,8 It provides verification that laboratories are adhering to established quality and competence standards necessary for reliable patient testing and the safety of staff and the environment.9 Accreditation provides a mechanism by which patient, health care organization and governments can measure the performance of laboratories against international standards.10 Test reports generated in accredited laboratories are accepted all over the world and the laboratories are recognized for superior test reliability, operational performance, quality management and