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The joint commission regulatory authority in health care
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The Joint Commission
The Joint Commission is an autonomous and non-profit organization in the United States that specifically oversees charitable accreditation programs for healthcare bodies and hospitals. These organization works by developing performance standards that aims to address critical elements of the healthcare operations, including medication safety, patient care, consumer rights and infection control. As a trusted body in the U.S. healthcare systems, most state administrations mandate healthcare organizations to receive Joint Commission’s accreditation as a prerequisite for licensing as well as Medicaid refund. Its accreditation as well as certification has gained a nationwide recognition as an emblem of quality that mirrors its
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solid commitment to meet certain standards of performance in the healthcare system. This paper will primarily seek to enlighten the about the Joint Commission by stating its purpose, history and the process of accreditation. The Joint Commission’s mission is a continuous pursuit for improved healthcare for the general public, in partnering with other independent stakeholders, by assessing health care institutions and motivating them to excel in providing effective and safe care of the utmost value and quality. The commission drives on a vision statement echoing that all people must always experience the maximum quality, safest, best value health care services across all healthcare settings (The Joint Commission, 2018). The history of the Joint Commission runs back to 1951 when it was founded with the sole objective of continuously improving the health care system for the public.
In order to achieve this, it works hand in hand with other healthcare stakeholders, to evaluate healthcare organizations across several states and inspire them to excel in their provision for effective and safe care of the utmost value and quality. It initially started as the Joint Commission on Accreditation of Hospitals. It commenced accreditation hospitals in 1953. In 1965, Congress passed the Social Security Amendments that stipulated that hospitals accredited by JCAH were allowed to take part in the Medicare and Medicaid programs. It later changes its name in 1987 to being the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). The JCAHO was later in 2007 shortened to simply be the Joint …show more content…
Commission. The organization assesses and accredits more than twenty thousand healthcare bodies and programs across the United States. As an autonomous and charitable foundation, the Joint Commission prides itself n being the nation’s largest and oldest accrediting and standard setting organization in the health care. For any organization to earn as well as preserve the Gold Seal of Approval from the Joint Commission, it must first be subjected to an on-site inspection by a survey team from the Joint Commission at least once in every three years and a mandatory laboratory review every second year (History, 2018). The centers for Medicaid and Medicare Services (CMS) appreciates and validates the surveys conducted by the Joint Commission, implying that health care organizations that have received Joint Commission’s accreditation can contribute in the federal Medicare agenda.
Those that haven’t been surveyed by the Joint Commission or any existing accreditation group can opt for a CMS assessment as part of the membership requirements for Medicare.
The Joint Commission assessments are specifically premeditated for organizations and are set to guide and review an organization’s overall performance and certain areas as treatment, patient safety and quality care. From the first eighteen to thirty-six months following a full survey by the Joint Commission, organizations that are already accredited can be subject to random surveys.
The standards stipulated by the Joint Commission function as the basic for all healthcare organizations to weigh themselves and improve their performance. These outlined standards by the commission focus exclusively on patient safety and quality care. The Commission utilizes customer feedbacks and interactions with them, government agencies and professionals in the healthcare to formulate standard criteria. The standards must first go through a detailed and thorough process of development that includes dialogue with advisors in the healthcare field, preparations of standard’s drafts and external experts’ drafts. Forthcoming standards are then published on the websites
belonging to the Joint Commission and presented for public opinions and comments before they are approved by the commission’s board of officials. The Joint Commission can only accredit certain types of organizations including: general, children’s, psychiatric, critical access clinics and rehabilitations; Home care bodies, including pharmacy, medical equipment services and hospice services; nursing homes along with other long term care-giving facilities; behavioral healthcare bodies and addictions services; ambulatory care givers, including corporal practices and office-based surgical practices; autonomous and freestanding clinical labs. Additionally, the Joint Commission also certifies certain services administered in healthcare institutions. They include specific disease care certification; advanced certification in disease specific care as well as palliative care; health care staff services certification; behavioral health as well as basic care medical home certificate. The Joint Commission operates alongside a body of corporate members that include the American College of Surgeons, the American College of Physicians, the American Dental Association, the American Medical Association, and the American Hospital Association. The Organization is overseen by a board of representatives including the administrators, a consumer advocate, educators, employers, quality experts along with nurses and doctors. The Joint Commission Resources is a worldwide affiliate body that oversees the duties of the Joint Commission International. This Joint Commission International partners with several other healthcare organizations across the globe to with the objective of aiding them to improve and advance the safety and quality patient care services. It accomplishes this by providing assistance in advice, certification and accreditation. The Joint Commission International was founded by the Joint Commission in 1994 (Rouse & DelVecchio, 2018).
A powerful speech given by Don Berwick on December 2004 explains ways in which healthcare industries needs to implement in order to save lives and to reduce the mortality death rates that occur in the healthcare (i.e. no needless death). In his speech entitled “Some Is Not A Number…. Soon Is Not A Time” invites all healthcare care organization U.S. and the world to come together to save 100,000 lives by June 14th 2006 at 9am exactly 18 months from the day of the speech. In order to achieve this goal Dr. Berwick suggests there should be a high standards protocol that will help improve care and reduce patients harm.
Under the Social Security Act, it is required that hospitals report quality measures for a set of 10 indicators. If hospitals do not report quality measures to CMS there is a reduction in payments. In the hospital readmission area of investigation, OIG reviews Medicare claims in hospital readmission cases to identify trends and oversights of cases. Readmissions are cases in which the beneficiary is readmitted to the hospital less than 31 days after being discharged from the hospital. Hospitals are only entitled to one diagnosed-related group payment if there is a same-day readmission for symptoms related to prior hospital stay. Quality improvement organizations are required to review hospital readmission cases also this is to see if standard of care are met. For coded conditions as present on admission, it is required for acute hospital to report these diagnoses on Medicare claims. The OIG will review Medicare claims for types of facility or providers most frequently transferring patients to hospital
The health care organization with which I am familiar and involved is Kaiser Permanente where I work as an Emergency Room Registered Nurse and later promoted to management. Kaiser Permanente was founded in 1945, is the nation’s largest not-for-profit health plan, serving 9.1 million members, with headquarters in Oakland, California. At Kaiser Permanente, physicians are responsible for medical decisions, continuously developing and refining medical practices to ensure that care is delivered in the most effective manner possible. Kaiser Permanente combines a nonprofit insurance plan with its own hospitals and clinics, is the kind of holistic health system that President Obama’s health care law encourages. It still operates in a half-dozen states from Maryland to Hawaii and is looking to expand...
Health is an ever growing and developing sector. Newer diseases raise their head from time to time. These developments put new challenges for mankind. To meet the challenges put forward by the diseases and their outcomes; there is a need for scientific and strategic innovations. These innovative measures empower the healthcare sector to fight the disease and overcome the disease burden. Australian commission on safety and quality in healthcare is also one such innovative step that aims at provision of a universal healthcare service to all across Australia.
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 current focus on new healthcare models is a reaction to long-standing concerns around quality, cost, and efficiency. Accountable Care Organizations model focus on integrated healthcare to promote accountability and improve outcomes for the health of a defined population. The goal of integrated healthcare is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors (CMS, 2014). The following paper will analyze an ACO’s ability to change healthcare in the United States.
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
The purpose of this paper is to identify a quality safety issue. I will summarize the impact that this issue has on health care delivery. In addition, I will identify quality improvement strategies. Finally, I will share a plan to effectively implement this quality improvement strategy.
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.
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.
The Joint Commission was founded in 1951 with the goal to provided safer and better care to all. Since that day it has become acknowledged as the leader in developing the highest standards for quality and safety in the delivery of health care, and evaluating organization performance (The Joint Commission(a) [TJC], 2014). The Joint Commission continues to investigate ways to better patient care. In 2003 the first set of National Patient Safety Goals (NPSGs) went into effect. This list of goals was designed by a group of nurses, physicians, pharmacists, risk managers, clinical engineers, and other professionals with hands-on experience in addressing patient safety issues in a wide variety of healthcare settings (TJC(b), 2014). The NPSGs were created to address specific areas of concern in patient safety in all health care settings.
Keeping patients safe is essential in today’s health care system, but patient safety events that violate that safety are increasing each year. It was only recently, that the focus on patient safety was reinforced by a report prepared by Institute of medicine (IOM) entitled ” To err is human, building a safer health system”(Wakefield & Iliffe,2002).This report found that approx-imately 44,000 to 98,000 deaths occur each year due to medical errors and that the majority was preventable. Deaths due to medical errors exceed deaths due to many other causes such as like HIV infections, breast cancer and even traffic accidents (Wakefield & Iliffe, 2002). After this IOM reports, President Clinton established quality interagency coordination task force with the help of government agencies. These government agencies are responsible for making health pol-icies regarding patient safety to which every HCO must follow (Schulman & Kim, 2000).
Good leadership, fostering a culture of change and safety, team work are essential in implementing quality improvement and risk management in the organization. Leaders and the governing body must demonstrate commitment to the processes and define their expectations for all stakeholders. Leadership team should make sure that the team’s attention is focused on the core business of the organization, which is to provide care and treat patients in a safe and high quality clinical environment. There are different tools that can be used for quality improvement that also applies to analyzing risk issues. These are measurement of quality, benchmarking, RCA, FMECA, and so