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Joint Commission In Healthcare
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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. According to the joint commission,
the hospital should keep paper records, electronic records, and the contents of the record should remain consistent. The medical record should contain information that reflects the patient's care, treatment, and services. Hospitals that are transitioning from paper to electronic systems, might face challenges in recordkeeping that can affect the delivery of safe quality care. CMS survey focuses on the integrity and comprehensiveness of patient records. Paper records are easy to discern if they have been altered in any way. Edits to an EHR may not always be obvious, so CMS require providers to establish safeguards to protect against fraud, abuse, and human error. Some of the safeguards for paper records can be applied to EHRs, like documenting who enters or edits data in an EHR, and, when creating backups (and, if paper records are retained), cross-checking the EHR with the paper record.
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