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Joint commission
Legal and ethical obligations in healthcare
Legal and ethical obligations in healthcare
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HCA’s governing relationships include their board of directors and executives. Governance is also supplied through different committees such as compliance, safety, and corporate governance. Other governance entities include stakeholders, shareholders, legal organizations, and the government. HCA’s board consists of 11 members (“Board Composition,” 2016). HCA also has a total of 22 executive officers and vice presidents, each serving their own area (“Executive Officers,” 2016). HCA’s Audit and Compliance Committee is responsible for assisting the Board of Directors in making decisions with integrity (“Charter,” 2015). The Audit and Compliance Committee is responsible for ensuring that the Board has all information regarding laws and regulations …show more content…
There are many state and national compliance committees responsible for governing hospital operations. One of the most notable is The Joint Commission. The Joint Commission is responsible for monitoring legal and safety compliance and providing recommendations to facilities for improvement (“State Recognition,” 2016). The Joint Commission is backed by legal and compliance committees to ensure safe patient care and compliance with all legal regulations (“State Recognition,” …show more content…
Each of these stakeholders is important for different reasons. If patients are not available, then a hospital is not able to operate. If doctors and clinicians are not available then your hospital is unable to serve your patients and community (“The Effective Health Care,” n.d.). Academic partners are critical to the evolution of healthcare and research. Shareholders are essential for the for-profit hospital industry. Shareholders are owners of company’s stock and for-profit hospitals earn revenues from both operations and selling these shares (Horwitz, 2016). Shareholders are entitled to many rights regarding the organizations in which they own shares. Shareholders are able to vote on issues that affect the organization, along with decisions over organizational assets (“Shareholder Rights,” 2016). They also have the right to bring legal action against an organization if the board does not make ethical decisions (“Shareholder Rights,” 2016). They also have the right to gain income when an organization makes profits through share-selling (“Shareholder Rights,”
The Hospitals medical staff including on call- physician and their designees should be made aware of Hospital bylaws or policies and procedures.
... desirable outcomes. The collective health care system (physicians, APNs, Nursing, administrators and legislators) needs to recognize the urgency of the crises. There are many players involved including health care insurance, business, government officials that play an important role in the transformation of our broken health system.
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 group is more focused on satisfaction, access and quality of care. Providers, or practitioners, are also key stakeholders within an organization. The term provider can encompasses not only physicians and surgeons, but also nurses, physical and occupational therapists, technicians, and other members of a clinical staff. Providers fall into two categories, primary, which includes hospitals and health departments and secondary, which includes educational institutions and pharmaceutical companies. Providers are focused on the best treatments for patients and are involved in delivering health services and products. The final element of the MCQ model is the employer who by far is the largest paying and purchasing stakeholder of an organization. The employers focus is primarily on their return on investment within an organization. Cost and quality is a focus for employers when choosing health benefits but are mindful that access is just as important. Within the Patient Healthcare model, MCQ explains the interactions between the four elements of employer, patient, provider and payer while the Iron Triangle focuses on the factors of cost, quality, and access. The Patient Healthcare model charges healthcare leaders with the task of balancing satisfaction with the stakeholder (employer, patient, provider, and payer) in relation to cost, quality and access. This may be very difficult since stakeholders may have competing priorities. Changes and variations made in how healthcare organizations operate may have profound effects on how stakeholders perceive the quality, access and cost. For instance, a patient may consider cost to be a top priority when seeking healthcare and at the same time the healthcare organization may consider raising costs and therefore devaluing access and quality. Patients who begin to incur high out-of-pocket costs may begin to perceive a financial
Describe the differences between nonprofit and for-profit hospitals. William & Torres provided a table to reflect hospital ownership, and noted that some hospitals, while owned by one type of entity, may be operating under a contract by another entity, such as a hospital management company (Williams & Torres, page 185). Some of the largest groups of hospitals in the nation are nonprofit community hospitals (Williams & Torrens, page 185). Nonprofit entities, including hospitals, function under special provisions of corporation law in each state, and under federal and state tax provisions that recognize their community service function (Williams & Torrens, page 185).
These types of external influences keep the healthcare organization afloat and maintained for patient care. The staff such as assistants, nurses, physicians, specialists, clinicians, and managers, states their opinions for improvement and make proper judgement for patient care. Lastly, patients are a prime influence and critic of healthcare of negative aspects or positive aspects of doctor care and treatment. Conflicts of staff shortages, incorrect coding/ billing, incompetent staff, and lack of knowledge of ethics are always an issue to improve. As long ethical procedures are in effect at all times with OSHA, ACA, HIPAA, JCAHO, etc., then the healthcare facility is in good order. The Affordable Care Act is a law for all staff and managers to stay informed and know how the changes apply to patients. For future healthcare administrators and staff, it’s critical to recognize the external influences in healthcare administration and maintain ethical technology standards, code standards, hiring standards, staff capability, and law
Its main role is to protect the public through the regulation of its registrants as well as “developing a sustainable organisation that minimises the negative impacts and maximises the positive.” These negative impacts are kept to a minimum by a series of different standards being set. Each registrant within the HCPC must meet these standards to avoid investigation.
The audit committee a part of the board of directors plays an important role in preventing fraud. They are directly responsible for overseeing the work of any public accounting firm, such as PwC, employed by the company. They also must preapprove all audit services provided by the auditors.
The competing external stakeholders seek to attract the focal organization’s dependents. These competitors may be direct competitors for patients or they may be competing for skilled personnel. The patients hold the role of seeking care. They demand that they receive quality care in the organization and that the care is consistent. The patients play a role in the organization because the organization needs the patients to run the facility. The organization provides a service that the patients need and demand. The source of influence from external stakeholders comes from control of strategic resources materials, labor and
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.
Some medical facilities are not-for-profit organizations. They can be a charitable organization or an educational organization or both. There are other not-for-profit medical and public health programs that provide health care to many communities in this country. Some of the best hospitals in America are educational not-for-profit facilities. They work with some of the newest technology and some perform experimental procedures. Most public health programs are ran as not-for-profit organizations and operated for charitable and educational purposes. The not-for-profit organization is not liable to pay taxes under IRS code 501 (c)(3) (.org). This allows the organization to put its revenues back into the organization versus having to pay investors or owners. Unfortunately, over the past 20 years the amount of for-profit organizations has increased (Santa). The growing commercialization of health care has ethical implications and has become a matter of heated controversy (Santa). It’s becoming more difficult despite all the laws and regulations to protect patient’s privacy and confidentiality. An ethical implication that for-profits face is physicians receiving incentives for keeping cost down to increase profits. Some for-profits will encourage doctors to promote profit producing drugs, surgeries, tests and treatments. (Santa). Some of these same physicians may own the facility they operate which creates a huge conflict. On the other hand, financial incentives can cause physicians to delay important tests and treatments or to not perform them at all. In some cases patients are being discharged from hospitals before they are ready to go home (Orentlicher). On an ethical standpoint, the patient’s well being is put in jeopardy and the...
Health care managers could create a project team to review these policies and create reports on what polices they have for medical errors and what polices would need to be created and approved to prevent medical errors. To determine the polices that would need to be created could come from research from within the facility on the types of medical errors that has occurred within their facility. Policies could be created based on research on the types of preventable medical errors that has happened at other facilities to prevent them from happening at their
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
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.
Gregory, h. J., 2012. Twelve Key Corporate Governance Issues. Board Agenda, Mon Dec-Jan, p. 29.