The Joint Commission Has Instituted A Number Of Goals...

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1. The Joint Commission Has Instituted A Number Of Goals...
The Joint Commission has instituted a number of goals nationally; the aim is to improve patient's
safety. The goals selected look at areas that are of concern in the healthcare industry particularly
how it affect patients safety and make recommendations how to reduce if not eradicated these. The
Joint Commission is the governing body that accredited hospitals and other health care
organizations. The two hospitals that this paper will be comparing, using the goals and criteria
recommended by the Joint commission, is Holy Cross Hospital located at 1500 Forest Glen Road,
Silver Spring, MD and Shady Grove Hospital situated at, 9901 Medical Center Drive, Rockville,
MD.
The goals set by the Joint commission are:
1. Improve the accuracy of patient identification. The recommendation is for all healthcare providers
to institute a policy of using at least two patient identifiers when providing care, treatment, and
services. This goal has two objectives, one to verify the individual as the person for whom the
service or treatment for and to match the service or treatment to that individual.
2. Improve communication effectiveness among caregivers. The objective is to provide the
responsible licensed caregiver these results within an established period so that the patient can
receive treatment in a timely manner.
3. Improve the safety of using medications. The findings were that often medication error were
made because medications and other solutions were removed from their original
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3. Improving Health Care Standards Of The United States
It had been found that healthcare quality in the United States is substandard and that the
acknowledgment of needed healthcare varies extensively. While it is recognized that even the most
vigorous accreditation programs will never eliminate all the disputes within medical facilities and
services being accredited; it is vital that steps are taken to ominously improve quality and in doing
so will reduce risk. Pursuing accreditation unveils a pledge to the improvement of quality in health
care. Numerous certifying figures exist in the United States with each having their own particular
zone of application. The Joint Commission is a health care agency known for its superior patient
care standards. It cultivates standards for quality as well as security, than evaluates performance
amongst health care organizations aligned on these principles. In addition, it attempts to augment the
effect that performance measures have on improving health results for patients. The groups that
practice quality care within these guidelines and protocols are issued accreditation for their work in
the field of medicine.
The Joint Commission delivers stability and security to the quality of care being practiced. They
have certain standards which are the root of an objective evaluation method that can benefit health
care organizations through the measurement and monitoring of their achievements. These methods
improve upon performance standards. The committee's focus is primarily on important patient,
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5. Assess The Planning For Accreditation
Assess the planning for Accreditation in your chosen facility. Hospitals are on continuous mission
for quality improvement; utilizing new technology, techniques, and research on what works and
what does not, as well as persistently training new personnel and meeting the needs of patients. Still,
hospitals are devoted to quality improvement but follow different courses, which support increasing
observance to treatment etiquette and improve patient outcomes. Hospitals make the most of
different approaches and models of quality improvement, such as the use of Lean, Six Sigma (Johns
Hopkins Medicine, 2008/2016), and the PlanDo–Study–Act (Ibach, 2009) models for improvement.
Usually quality improvement efforts are a five step process which ... Show more content on
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However, on December 3, 2013 the Joint Commission Resources publicized the release of the "The
Joint Commission Journal on Quality and Patient Safety (Joint Commission Resources, 2016; The
Joint Commission, 2015)," which featured an article on how the Johns Hopkins Hospital notably
improved performance on Joint Commission accountability measures. The hospital was recognized
by the Top Performer on Key Quality Measures® program (Keroack et al., 2007) for using
evidence–based care processes that are delivered in the right way and at the right time (Joint
Commission Resources, 2013). Conversely, in December 2011, the Johns Hopkins leadership began
the initiative by clarifying and communicating goals, announcing that their target was 96%
compliance with eight Joint Commission accountability measures (The Joint Commission, 2015)
and one Delmarva Foundation core measure (Johns Hopkins Medicine, 2008/2016; Michaels, &
Sidone, 2014). Clinicians and quality improvement personnel produced one team for each targeted
measure and the organization's Armstrong Institute for Patient Safety and Quality (Armstrong, &
Laschinger, 2006; Armstrong, Laschinger, & Wong, 2009) personnel supported the work of the
teams (Chang et al., 2005; Joint Commission Resources, 2013). Next, the organization performed a
gap study to prioritize improvement efforts and begin building capability using Lean Sigma
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7. Analysis Of Healthcare Consumer Experience : The Quality...
Analysis of Healthcare Consumer Experience
The quality of health care provided in the United States varies among hospitals, cities, and states.
For a consumer, good quality means providing patients with appropriate services in a technically
advanced setting, with good communication, shared decision–making, and cultural sensitivity
(Schuster, McGlynn, & Brook, 2005). Therefore, it is very important for both the consumers and the
providers to have an easy assess to information on quality for their organizations. If this information
is made available regularly and in an interpretable form, consumers can also use it to make informed
decisions when choosing among providers and plans, which will in turn give providers an incentive
to improve quality. Here are some non–profit organizations that are known for their efforts made in
various sectors of the United States primarily for quality assurance and improvement such as
National Committee for Quality Assurance (NCQA), Agency for Healthcare Research and Quality
(AHRQ), Joint Commission, Consumer Assessment of Healthcare Providers and Systems (CAHPS),
Institute for Healthcare Improvement (IHI), American Academy of Pediatrics (AAP), and
Accreditation Association for Ambulatory Health Care (AAAHC).
Implication of Health Care Measures in USA
The Institute of Medicine (IOM) in 1999 announced that the "estimated medical error results in
44,000 to 98,000 deaths per year" (Moffett & Bohara, 2005). So, "the report, To Err Is Human:
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9. Essay on Providing Quality Patient Care
"Nursing is an art, and if it is to be made an art, requires as exclusive a devotion, as hard a
preparation, as any painter's or sculptor's work..." (Nightingale, 1868)
In today's health care system, "quality" and "safety" are one in the same when it comes to patient
care. As Florence Nightingale described our profession long ago, it takes work and vigilance to
ensure we are doing the best we can to care for our patients. (Mitchell, 2008)
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
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(Burhans & Alligood, 2010)
On a daily basis there is a lot of thought and focus directed at these patients to assure they are
getting quality medical care; you may have caught a medication error, made multiple phone calls,
waited on hold for what seems like forever, waited on doctors, ran to another floor all to get a
patient something they needed or wanted, or may the nurse noticed an important change in the
patients status that could dramatically affect their outcome. Most times the patient does not see or
not even know about these behind the scenes battles to ensure quality care. Conversely, most often,
especially when considering a patient in the hospital setting, our perception is our reality. Patients
often do not know the ins and outs of procedure and protocol and rely solely on their perception of
the care they are receiving. Studies have shown that patients desire to be perceived and cared for as
individuals. Lying in that bed waiting on a nurse for 20 minutes for pain medication may just
translate into lack of care on the nurses' part to the patient but in reality the nurse was caught in
another room with a different patient with a situation he or she couldn't walk away from. Often
nurses are stressed which can also convey a certain harshness to patients. In other cases maybe the
job has become so repetitive that the nurse
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11. Regulatory Agency Briefing Paper : The Joint Commission Essay
Regulatory Agency Briefing Paper: The Joint Commission
Ragini Kaur
California State University, Northridge
Seminar in Health Care Organization
Andrew Oppenberg
April 27, 2015
Abstract
Accreditation provides a competitive advantage in the health care industry and strengthens
community confidence in safety of care and treatment. Accredited hospitals provide higher quality
of care to patients. It improves risk management and risk reduction and helps in organizing and
strengthens patient safety efforts. It enhances recruitment and staff education and provides education
on god practices to improve healthcare operations. The paper discusses how The Joint Commission
assists in having better outcomes in terms of safety in Western Medical Center Hospital. In today's
society, every health care organization should provide a proof of accreditation and are subject to a
three–year accreditation cycle. The Commission develops performance standards that address some
of the important elements of operation, such as patient care, infection control, medication safety, and
patient rights.
Regulatory Agency Briefing Paper: The Joint Commission
There are several types of health agencies within the United States that share common goals and
complete similar tasks. Most agencies works together to provide good quality of care and patient's
safety. In today's society, every health care organization should provide a proof of accreditation and
are subject to a three–year
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13. Occupational Safety And Health Administration
Occupational Safety and Health Administration (OSHA)
About OSHA
In 1970, the Occupational Safety and Health Act was created. It was passed to prevent workers from
being seriously injured or harmed on the job. This, in turn, created the Occupational Safety and
Health Administration (OSHA). This administration sets and enforces standards that ensure workers
are protected at their job site. They also provide information, training, and assistance to employers
to continue to create these safe environments. In the end, they believe that no person's life should be
a risk at the work place (U.S. Department of Labor, 2015, OSHA At–A–Glance).
Mission
"The Occupational Safety and Health Administration (OSHA) was created to assure safe and ...
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Department of Labor, 2015, OSHA At–A–Glance).
Regulations are mandatory to follow for employers.
Evaluation
Evaluation of these standards are made by inspections without notifications. Reasons for these
inspections include danger, catastrophe, worker complaints, targeted issues (hazards), and follow–up
inspections. If there are any violations, OSHA can issue citations and fines that include ways to fix
the issue (U.S. Department of Labor, 2015, OSHA At–A–Glance).
The Joint Commission
About The Joint Commission
The Joint Commission is an independent, not–for–profit organization that accredits and certifies
more than 20,500 health care organizations and programs in the United States. The Joint
Commission accreditation and certification is recognized nationwide as a symbol of quality that
reflects an organization's commitment to meeting certain performance standards (The Joint
Commission, 2015, Facts About Joint Commission Standards).
Mission
The mission of the Joint Commission is to continuously improve health care for the public, in
collaboration with other stakeholders, by evaluating health care organizations and inspiring them to
excel in providing safe and effective care of the highest quality and value (The Joint Commission,
2015, About the Joint Commission).
Target Audience
The standards are broken up by healthcare

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16. Studymode ERR Task D
ERR TASK D Winterbourne View hospital was a private hospital at Hambrook South
GLoustershire. It was owned and run by a company called Castlebeck. Castlebeck were a provider
of health care and support, for adults with learning disabilities, complex needs and challenging
behavior. It was brought to the attention of the CQC on May 12th 2011 that the television program
called Panorama was going to be broadcast, showing video evidence from a undercover reporter
going into Winterbourne View as an employee. The reporter exposed the psychological and physical
abuse of the patients at the hospital. The allegations were brought to light when concerns were
raised by a former charge nurse called Terry Bryan. Prior to this the issues were raised to ... Show
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The NHS commissioning board and local government association started a new program of work
called the development improvement program; this provides a national lead to make changes to
services locally. Public opinion is affected greatly by issues of concern in the health and social care
sector because most people know or have known somebody who needs care. if issues are raised
people lose faith in the system, so they
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18. Hospital Accreditation : A Self Assessment Process
Chapter 1 Introduction and Background
1.1 Introduction
According to Myers (2011), Hospital Accreditation is a self–assessment process carried out by
health care bodies to determine the level of performance by the set standards. The process of
hospital accreditation not only sets the standards for operation but also provides and support to the
stakeholders on how to improve the performance. Although the accreditation bodies set the
standards of service, there is little evidence supporting the credibility and effectiveness of the
certification programs.
Healthcare accreditation isan important activity in the Kingdom of Saudi Arabia bearing in mind the
vast population of the country and the high number of hospitals operating in the kingdom. Saudi
Arabia has approximately 27 million people and more than 415 hospitals (Central Department of
Statistics, 2010). In addition, the Kingdom of Saudi Arabia is the second largest oil producer
(Ramady, 2010). The kingdom also occupies 830, 000sq mi, approximately four–fifths of the
Arabian Peninsula. The country shares borders with Iraq and Jordan to the north, Qatar and UAE to
the eastwhile Yemen and Oman border the country on the south and southeast respectively. Most of
the country's land is arid and inhospitable due to the barren landforms.
Oil exploration hassignificantly fuelled the growth rate of the kingdom and consequently improved
the welfare of the citizens (WHO, 2007). The high growth rate has necessitated the
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20. EBP Project Proposal
Internal method is used to identify best practices within an organization, to compare best practices
within the organization, and to compare current practice over time. In my EBP project, I would like
to discuss internally with my coworkers, my mentor, patients and family members to get more
information to solve issues regarding fall prevention because Communication and sharing
information with participants always for specifying the purpose and strategy of the quality
improvement. Developing open channels of communication across all corrections and at all levels of
leadership, permits the voicing of concerns and observations the process of creating any change.
External method I would like to use my EBP that is a Center for Transforming Healthcare
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22. Nursing Excellence: A Non-Profit Organization
After reading this week's assigned readings in regards to nursing excellence, I will choose two of the
organizations and discuss the purpose of each organization. I will also discuss how each
organization impacts nursing practice, the role they play in nursing education and research, and
whether or not I would support each organization as a nurse. After discussing and presenting these
issues, I will end this discussion post with a conclusion.
Nursing excellence is compiled of many different organizations that impact nursing education,
practice, and research. Staying up to date is crucial in providing excellent nursing care to our
patients. The Joint Commission is a non–profit organization that is partnered with the government.
This organization
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24. Hcs/212 Joint Commission
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
Sandy Markert
HCS/212
March 31, 2013
Corinne McTier
Joint Commission on Accreditation of Healthcare Organizations
(JCAHO)
The Joint Commission on Accreditation of Healthcare Organizations or JCAHO was founded in
1951 as a private nonprofit organization that established guidelines for the running and management
of hospitals and health care facilities in the United States. According to its website (n.d.), JCAHO's
primary mission is, "To continuously improve health care for the public, in collaboration with other
stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe
and effective care of the highest ... Show more content on Helpwriting.net ...
The surveying process looks at a facilities or organization's performance in important performance
standards. Performance standards for patient safety and rights, treatment and medication safety, and
infection control are the main focus. The standards used to evaluate organizations are developed
working closely with those people with the best knowledge to develop them, the healthcare experts,
providers, and the consumers of the care–the patients.
The surveys are meant to be specific and consistent and are not just used to evaluate the
organizations for improvement but are also to educate in the best practice standards adopted
throughout health care and to help staff in ways to continually improve an organizations
performance. For this purpose, in 1996 the Quality Check website was launched to help the Joint
Commission provide information regarding the performance of accredited organizations to
consumers and organizations. Users are able to search for accredited or certified organizations; they
can locate organizations by either type of service or geographical area and lists of certified
organizations as well as a hospital's performance measures can be obtained.

25. The benefits of JCAHO accreditation to a healthcare facility is that it demonstrates a level of
competence to provide safe and effective care to its patients. Accreditation
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27. Joint Commission History
Joint Commission
Health Law
Tyrone Conley
August 11, 2015
History
The Joint Commission is the oldest accrediting body in health care. Founded in 1951, it continues to
improve health care for the public. The roots of The Joint Commission date back to 1918 where a
group of surgeons led voluntary onsite hospital inspections (www.jointcommission.org).
Accreditation is used to verify that certain organizations have an appropriate quality management
system and can properly perform certain test methods according to their specialty. The terms
accreditation and certification are used interchangeably but are not the same. Certification refers to
verifying certain credentials met by personnel or to verify that some products meet certain ... Show
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The focus of this visit will be centered within our office; therefore I would like to go over with you
to ensure preparedness.
I want to reinforce that the standards focus on patient–centered functions and organization functions.
The patient functions includes rights and ethics, assessment, care, treatment, and services. The
organizational functions will focus on the performance, leadership, and safety in the workplace.
I have placed a manual on each of your desks that needs reviewing prior to Wednesday, August 12.
We need to have the ability to compare and contrast in preparation for this visit. The manual will
provide you with the standard; therefore your duty will be to compare the standard with our current
operation. A mandatory meeting will follow on Thursday, August 13.
What will the surveyor be asking, doing, reading, and observing during the visit? How can we be
sure that everything the surveyor sees, hears, and reads is Joint Commission compliant?
Below, I have attached a list of questions with potential answers that you may encounter with the
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29. The Joint Commission Is A Self-Governing, Nonprofitmaking
The Joint Commission is a self–governing, nonprofitmaking organization that accredits and certifies
over 21, 000 health care organizations, hospital, and programs in the United States. The body was
formed in 1951. Since its creation, the organization has been working relentlessly to augment
healthcare for the people of U.S. and have continued inspiring healthcare organizations with an aim
to promote and advocate for quality as well as value in the healthcare ("About The Joint
Commission | Joint Commission," 2016). Joint Commission creates performance standards for
certification and accreditation programs that healthcare organizations and hospital facilities are
demanded to pass to get accreditation from the body. These standards are ... Show more content on
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The Joint Commission is the oldest and largest body mandated with the job of setting standards and
accrediting health care organizations in America. In addition, the commission has two affiliates that
likewise focuses on improving the care quality in the United States: The Joint Commission Center
for Transforming Healthcare whose main objective is to solve problems relating to safety and
quality of healthcare services in America. Joint Commission Resources, which emphasizes on
providing educational and consulting services, and publication associated with improved quality of
care ("About The Joint Commission | Joint Commission," 2016).
The commission normally employs modern approaches to assessing health care facilities and
hospitals as well as collaborating with the healthcare professionals and organizations to embolden
the providers of healthcare to exceed or meet the expected quality of care. The Joint Commission
seek to enhance health care for U.S. Citizens, by collaborating with other relevant stakeholders, by
assessing healthcare facilities and motivating them to excel in offering
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31. Health Care: The Joint Commission
When looking at the role of the Joint Commission their mission comes to mind; they state that their
mission is to constantly improve health care for the masses, while considering connections with
stakeholders, by looking at the health care organizations and compelling them to strive to give safe
and effective care of the greatest quality. Though this is their overall mission they update their
standards every year (The Joint Commission, 2016). These updates may add a new safety feature or
amend a current safety feature or staffing problem or even looking at the sound system in a hospital
(The Joint Commission, 2016). The whole role of the commission in giving these accreditations out
is to ensure that hospitals are providing the utmost care ... Show more content on Helpwriting.net ...
This means that not only will the state and federal officials come in to ensure the facility is running
up to code but the Joint Commission will go into facilities every three years and do another
accreditation survey. The laboratories will be assessed every two years (The Joint Commission,
2016). The results of the surveys are not produced publicly but the facility is then given the option to
fix anything that is wrong and pay for their accreditation (The Joint Commission, 2016). The Joint
Commission assess all parts of a health facility that are accredited with them. This means that they
look at; maintenance, equipment, staffing, patient comfort, patient opinion, the treatments available,
hiring, handicap accessibility, and so much more (The Joint Commission, 2016). To be accredited
truly means that the best foot of the facility is being put forward in order to help the
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33. Facilitating Change in Health and Social Care Essay
Introduction
This essay seeks to discuss the factors that facilitate change in health and social care. This can be
achieved by assessing the challenges that the major factors of change bring using the Care Quality
Commission of the Quality Care Commission for the Royal United Hospital Bath NHS Trust
(RUHB). The second task aims to evaluate contemporary changes being inaugurated in the
provision of health and social care services. In addition to this, a strategy and criteria will be devised
in order to measure these recent changes including how the impact of these changes can be
measured and evaluated.
LO1
1.1 Explain the key factors that drive change in health and social care services
'Change' within an organization sometimes refers to ... Show more content on Helpwriting.net ...
The NHS Operating Framework introduced by the coalition government sets out the planning and
financial requirements for RUHB in 2012/13 and the basis of their accountability (DH, 2012). As a
result, the 2013 certified that funding for health in England be frozen for up 2015/16 thereby
requiring RUBH to underspend allocated funding from the government such as putting a 1% cap on
pay award. Socially, this will include factors such as behavior of staff and service users, partnership
working, quality of care, etc. These factors can drive change in diverse ways in the RUHB. For
example, the NICE Guidelines on Behavior Change make recommendations on individual level
behavior interventions that is aimed at changing the behavior that can be dangerous to the health of
staff and service users such as smoking, alcohol abuse, lack of physical activity, safe sex, etc.
(NICE, 2014). Technologically, the introduction of information communication technology has
resulted in faster communication, appropriate storing and sharing of information and records of
service users between health and social care professionals. As a result of the CQC inspection, the
RUHB revises their health records management policy to more accurately reflect where information
about service user such as fluid intake and output in each ward should be recorded (CQC Report,
2013)
1.2 Assessing the challenges that key factors of change brings to health and
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35. The North Texas State Hospital (NTSH)
The North Texas State Hospital (NTSH) is part of the Department of State Health Services (DSHS)
administration. NTSH is a mental healthcare facility that has two campuses: one department is
located in Wichita Falls, TX and the other in Vernon, TX. Including both campuses DSHS is the
largest mental hospital in the state of Texas, which provides psychiatric services for the mentally ill.
NTSH is the only facility in the entire state of Texas that provides forensic psychiatric care. Forensic
psychiatric care is a specialized service for prisoners who have mental disorders. NTSH offers a
284–bed maximum security program for adults and a 78–bed adolescent Forensic Program (DSHS
Center, 2017). NTSH aims to improve the health, safety, and wellbeing of individuals by providing
the right stewardship, reducing health care problems, improving public health awareness, and
preventing diseases. In order to improve health and safety, NTSH is accredited by the Joint
Commission on Accreditation of Healthcare Organizations. The Joint Commission is an
independent, not for profit association that set standards to evaluate ... Show more content on
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However, most of the assignments focused on the contract project. This is because the project
objectives of the internship focused on contract review. The objective was to analyze contracts,
improve the budget and fiduciary compliance, and propose solutions of best practices based on Joint
Commissions standards to reduce contract leakage. The contract project was based on reviewing and
evaluating contracts based on best practices of joint commission standards. The budget control
project emphasized the importance of managing costs, improving budgets, and fiduciary
compliance. My personal objectives were to learn as much information as possible, understand the
standards of Joint Commission and contracts, and be able to create contracts on my
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37. Joint Commission Essay
The Joint Commission is a nonprofit organization that certifies more than 18,000 health care
organization and programs throughout the world. Founded in 1951, the Joint Commission provides a
national symbol of quality for health care as well as analyzes each organization's commitment to
meeting high quality performance standards. The Joint commission focuses on accrediting Acute
Care Hospitals, ambulatory, behavior health, long term care, health care facilities, clinical
laboratories, health care networks and hospice. Numerous of accreditation organization is also
taking place within the United States, but the Joint commission remains the largest The Joint
commission accredits 20,000 organization" which" one third are Hospitals.
The ... Show more content on Helpwriting.net ...
The seven standing Broad committees also work on or as a liaison to other joint commission groups
such as the Professional and technical advisory committees, the Nursing Advisory committee, the
Hospital Advisory Group and the Survey Advisory Committee. The Joint commission emphasize is
on its Performance measurement structure "which" the measurement objectives must continue to
adapt to the continuous changes in healthcare. The Performance measurement structure consists of
strategies that have long term long term goals which are as followed:
1. Refinement "which" is the action of receiving electronic receipt for high quality standardized
performance measurement data and covers every aspect of care delivery.
2. The Performance measurement availability of the scope measurement to health care organization
that includes a set of measures to provide hospitals with other accreditation programs.
3. The Performance measurement strategies that continue to support and participation in the
Hospital quality allowance.
4. The measurement strategies will continue to create applications of measurement data to use for
accreditation, accountability, and public reporting purposes.
The importance of receiving accreditation from the Joint Commission is critical for medical
facilities because it represents high standards of quality assurance which
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39. ASSIGNMENT 204
ASSIGNMENT 204 – TASK B – RESEARCH AND ACCOUNT
IDENTIFY TWO REPORTS ON SERIOUS FAILURES TO PROTECT INDIVIDUALS ON
ABUSE. WRITE AN ACCOUNT THAT DESCRIBES THE UNSAFE PRACTICES IN THE
REVIEWS.
REPORT 1
Concerns at Winterbourne View Hospital first came to light after a charge nurse raised the issues
with the hospital in October 2010 and his allegations were passed on to the local authority, South
Gloucestershire council, in its capacity as lead safeguarding agency and then relayed to the CQC in
December 2010 but nothing was done.
In May 2011 the BBC released undercover footage about the appalling way vulnerable residents at
Winterbourne View Hospital were being treated, once the footage was released it came into light
that the owners ... Show more content on Helpwriting.net ...
Inspectors who visited Winterbourne View considered taking urgent action to close the centre, but
decided that it was in the best interests of the patients to allow NHS and local authority
commissioner's further time to find alternative placements.
CQC ensured that there would be an immediate stop on admissions and that extra staff would be
brought in to protect patients until they could be moved.
When they were satisfied that those arrangements were in place, CQC took enforcement action to
remove the registration of Winterbourne View, the legal process to close a location. The hospital
closed in June.
The report is full of unsafe practices such as;
'The providers had failed in its legal duty to notify the Care Quality Commission of serious incidents
including injuries to patients or occasions when they had gone missing.' 'Staff did not appear to
understand the needs of the people in their care, adults with learning disabilities, complex needs and
challenging behaviour.'
Winterbourne view was not 'compliant with 10 of the essential standards which the law requires
providers must meet.' 'People who had no background in care services had been recruited, references
were not always checked and staff were not trained or supervised properly.'
'Some staff were too ready to use methods of restraint without considering alternatives.'
REPORT 2

40. 'In July 2006, Steven Hoskin was found
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42. Safeguarding and protection of vulnerable adults (P1) Essay
514 – The Safeguarding and protection of vulnerable adults 1. Understand the legislation,
regulations and policies that underpin the protection of vulnerable adults 1.1 Analyse the differences
between the concept of safeguarding and the concept of protection in relation to vulnerable adults
There is a difference between Safeguarding vulnerable adults/children and adult/child protection.
Safeguarding is everybody's responsibility, and includes measures to prevent or minimise the
potential for abuse occurring. Protection is considered a statutory responsibility in response to
individual cases where risk of harm has been identified POVA or Protection of Vulnerable Adults
was changed and implemented to SOVA or Safeguarding of Vulnerable ... Show more content on
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The Government outlined their aim to fulfil their responsibility to provide care and protection for
those who through their illness or disability are genuinely unable to express needs and wants or
exercise control. However, they made clear that the right to self–determination would be at the heart
of a reformed system only constrained by the realities of finite resources and levels of protection,
which should be responsible but not risk averse. This section demonstrates a future vision for the
safeguarding of vulnerable adults and discusses protection but also the importance of not being risk
averse similar to what is outlined in the Human rights Act 1998 which discusses the right to
independence which involves a degree of naturally occurring risk. Section 3 is entitled 'A
personalised Adult Social Care System' and in subsection 3.3 it discusses 'Systems which act on and
minimise the risk of abuse and neglect of vulnerable adults, supported by a network of "champions",
including volunteers and professionals, promoting dignity in local care services.'. This is yet more
important policy and guidance which focuses on policy developments in relation to the
Safeguarding of vulnerable adults. Although at City Care Partnership we haven't adopted the system
of champions, it's something that could be given future consideration as we look to improve our own
systems. We do have something similar in the form of an organisational Safeguarding lead however,
a
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44. Unit 4 M4 Sentinel Event Analysis
Unit 4 DB
Sentinel Event Analysis
Joint Commission is an independent, not for profit organization that accredits more than 19,000
health care facilities in the U.S. Accreditation is voluntarily done by the Joint commission visiting
the facility and performing quality cheeks to certify organizations who have followed specific state
licensure requirements to become accredited (Hay, 2017). The Joint Commission is continuously
updating policies on sentinel events in all facilities. The guidelines are an overall policy for all
organizations to follow. The sentinel event policy does recognize each individual entity but follows
the same outline for these events that occasionally take place.
The Joint Commission standards are a basis of an objective
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46. Unit 525 Inter Professional Working Essay
1.Understand the principles of inter–professional working within health and social care or children
and young people's setting.
1.1 Analyse how inter–professional working promotes positive outcomes for individuals.
Inter professional working is formed from different health and social care professionals working
together towards a common goal to meet the needs of a service user. It is about developing
relationships within and between organisations and services involved in planning and delivering
care and support to the service users we support. By working collaboratively it brings together
different types of professionals to share their particular knowledge, experience, skills, occupational
values and perspectives to improve service ... Show more content on Helpwriting.net ...
Good working relationships are built over time, this creates trust, respect and smooth running of the
service. This is apparent at reviews and other meetings when everyone involved with an individual
will be brought up to date with any progress or issues. Then any decisions or agreements can be
made because everyone involved has an opportunity to voice their opinions/concerns. This leads to a
positive outcomes supported by all involved. If there have been previous agreed actions not carried
out then this environment makes it easier to remind others of the things that need completing. Also if
others are having difficulties in fulfilling their agreements then they will find it easier to ask for
help. Respect for each other should be maintained, remembering that we are all working for the best
possible outcome for the individual.
There is a need to monitor and review working relationships, if conflict or lack of communication is
a problem there is a need to establish a reason for this and look for a resolution acceptable to all
parties and identify areas for improvement. One way to maintain a good working relationship is to
have regular contact not only verbal but face to face contact through meetings at least monthly, this
provides opportunity to discuss any concerns or maybe just have a chat about things in general, also
keep in touch via email and telephone. It can create problems if the only contact they have is when
there are problems as this may give
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48. The Joint Commission Visit
The roots of The Joint Commission began in the American College of Surgeons (ACS), founded in
1913, which eventually lead to voluntary onsite inspections of hospitals in 1918. In 1951, The
American College of Physicians, the American Hospital Association, the American Medical
Association, and the Canadian Medical Association joined forces with the ACS to create the Joint
Commission on Accreditation of Hospitals (JCAH). JCAH was formed as an independent, not–for–
profit organization whose primary purpose was to provide voluntary accreditation for meeting
established minimum quality standards. It was not until 1970 that the standards of quality were
reformed to represent the highest achievable levels, instead of minimum necessary levels. In 1987,
the company was renamed the Joint Commission on Accreditation of Healthcare Organizations
(JCAHO), which was shortened to today's The Joint Commission after rebranding in 2007.
(Stanberry, 2012)
The Joint Commission evaluates and accredits more than 20,000 health care organizations and
programs in the United States. The Joint Commission also provides certification of more than 1,000
disease–specific care programs, primary stroke centers, and health care staffing services. An
independent, not–for–profit organization, The Joint Commission is the nation's oldest and largest
standards–setting and accrediting body in health care. The Mission of the Joint Commission is to
continuously improve health care for the public, in collaboration
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50. The Care Quality Commission For Women
In 1993 continuity of care was recognised by the government and was outlined in the department of
health policy paper 'Changing childbirth' (DH, 1993). The document focused on choice and
continuity of the care a woman should receive. Subsequently, a greater shift towards Midwifery Led
Care developed. It has been suggested that a midwife should be the first point of contact for women
accessing maternity services (Department of Health 2007, Welsh Assembly Government 2002,
Scottish Executive 2001). Nevertheless, statics show that this was the case for only 24 percent of
women in 2010, with some improvement by 2013 at 32 percent. Conversely, in 2013 63 percent of
women first made contact with their family doctor (The Care Quality Commission, 2013). However
98% percent of women had their the remaining antenatal care provided by a midwife, 40%
exclusively and with 60% having shared care with a GP or consultant led care (The Care Quality
Commission, 2013). This assignment will evaluate the care provided to an individual woman, her
baby and her family by a student midwife utilising the model of care known as case load midwifery,
also known as case–loading. It will focus on the advantages and disadvantages of case loading and
provide a short history of the subject. The care of the woman, baby and her family will be examined.
In order to adhere to the Nursing and Midwifery Council (NMC), (2015) and to maintain
confidentiality, the woman has been given the pseudonym 'Sarah'
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52. Joint Commission Essay
What is JCAHO? JCAHO, also as known as, Joint Commission on Accreditation of Health Care
Organizations is an independent and not–for–profit organization that accredits more than 20,500
health care organization and programs in the United States (The Joint Commission, 2015). This
service's accreditation and certification is recognized nationwide where it reflects an organization's
commitment to meeting high performance and criteria.
II. Analysis– Like mentioned above, JCAHO is a nonprofit organization that accredits institutions
consistent with requirements and policies they need to abide by. Their mission is, "To continuously
improve health care for the public, in collaboration with other stakeholders, by evaluating health
care organizations and inspiring them to excel in providing safe and effective care of the highest
quality and value" (The Joint Commission, 2015) and their vision is "All people always experience
the safest, highest quality, best value health care across all settings". This organization was found in
1951 where they intended to continuously improve health care for the ... Show more content on
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The Commission then prepares draft standards using information from technical advisory panels,
focus groups, experts and other stakeholders. The draft accreditation standards are reviewed by
field–specific Professional and Technical Advisory Committees, which are experts from the outside.
The certification and accreditation standards are reviewed by Standards & Survey Procedures
Committee. Then, the draft standards are distributed nationally for review and made available for
comment on the page of the Joint Commission
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54. Hcs/451 Health Care Quality Management and Outcomes Analysis
Performance
HCS/451 Health Care Quality Management and Outcomes Analysis
This paper will propose how TriCity Medical Center will monitor performance, achieve regulatory
and accreditation compliance, and improve overall organizational performance. It will describe ways
TCMC will communicate with leadership to ensure alignment of organizational goals and gain buy–
in from staff to achieve compliance with the standards and requirements issued by regulatory and
accreditation bodies. Also it will determine how compliance with the regulations and development
of risk– and quality–management systems for the organization contributes to the organization's
overall performance–management system.
About & Similarities
The similarities between ... Show more content on Helpwriting.net ...
A system of checks and balance must be performed to maintain efficiency and productivity that can
only be achieved through regulatory and accreditation programs.
Outcome based processes geared towards improving outcomes by implementing performance
improvement checks on all complaints or negative feedback acquired from patients, healthcare
providers, employees, vendors (all stakeholders) and environment of care rounds. These would
include QC measures, infectious control measures, ACC measures, HCAP measures to name a few.
Align with nationally recognized locators for healthcare facilities to compare our organization with
local and nationally recognized healthcare organizations to see where we rank. Strategic goals
established by The Joint Commission and initiatives by CMS will help improve overall
performance.
The Joint Commission has targeted solution tools (TST) applicable to the Joint Commission
standards and National Patient Safety Goals covering; value–based purchasing/pay for performance
(P4P), healthcare–acquired conditions, hospital readmissions, risk reduction, staff education. There
are more tools The Joint Commission provides which are: Leading Practice Library, Standards
BoosterPak, Core Measure Solution Exchange, Portals:HAI, High Reliability, and Trasitions of
Care, FSA and Intracycle Monitoring Process,
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56. The Affordable Care Act ( Aca )
Since the passage of the Affordable Care Act (ACA), consumers are utilizing different resources to
gain more knowledge about healthcare choices. While many consumers survey websites from
healthcare organizations, they also viewed websites from quality agencies and medical information
sites generated by their favorite search engine. These websites provide information on medical
concerns that influence the choices that consumers make regarding healthcare. By using quality
agency websites, consumers can acquire essential information on healthcare organizations and
providers in order to make educated decisions about the quality care they receive.
Background
Healthcare in the United States has evolved from simplistic delivery methods of ... Show more
content on Helpwriting.net ...
By utilizing independent resources, consumers can educate themselves on important information
about selecting care and diverse healthcare services available.
Since consumers are becoming more involved with their healthcare decisions, organizations and
providers must adapt to consumer requisites and utilize independent resources to ensure the viability
of their businesses. In 2008, a study reported that 81% of internet users and 66% of adults utilized
online health information as a source for health related issues (Ha & Yun, 2011). Some examples of
online health information resources comprised of search engines, organizational websites, and
governmental agencies that participate in health related issues (Ha & Yun, 2011). By accessing
health related information, consumers empower themselves with knowledge to assist in healthcare
decisions and wellness management (Ha & Yun, 2011). As a result of consumers becoming better
educated about healthcare, administrators must explore internet resources in order to maintain
quality and services that is expected by consumers, and maintain the reputation of the organization.
The Joint Commission One agency that consumers utilize to assess healthcare organizations is the
Joint Commission. The Joint Commission is an independent agency that provides accreditation and
certification for quality, safety, value, and
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58. Population Impact of the Affordable Care Act
Population Impact of the Affordable Care Act on North Carolina's Uninsured In 2010 the American
government passed new health care legislation, called the Patient Protection and Affordable Care
Act (ACA), in order to reform the United States health care system. This health care reform opens
the door for some Americans who have never been eligible for affordable health care insurance to
obtain it beginning in 2014 (Sparer, 2011). All the states will enact this legislation but some will
limit the provision provided to their citizens (Kaiser Commission, 2013). North Carolina is one of
the states that have chosen not to enact all of the ACA's provisions (Kaiser Commission, 2013). In
this paper, I will look at health care ... Show more content on Helpwriting.net ...
Although North Carolina has chosen not to expand Medicaid, other provisions of the ACA still go
into effect. The ACA will still increase insurance coverage because North Carolina residents who
currently are eligible for Medicaid but are not currently on it will now have to sign up due to the
mandate for nearly everyone to acquire insurance (Holahan, Buettgens, Carroll & Dorn, 2012). The
other advantage is a simplified Medicaid eligibility enrollment system and federal grants for
navigators to help people with understanding health insurance options (Short, 2013). North Carolina
residents will still see some benefits with the U.S. implementation of health care reform but not all
of the proposed benefits. Economic Impact on North Carolina Health Care Organizations Even
though North Carolina is not participating in the ACA's Medicaid expansion, the ACA will have an
effect on North Carolina's health care organizations. The United States' national goal is to increase
the number of people with health insurance in order to increase collective resources to pay for
needed medical care (Short, 2013). This plan will not be able to be implemented as intended in
North Carolina because of the state opting out of Medicaid expansion. However, insurance coverage
will increase with the other provision in the health care reform law (Holahan, Buettgens, Carroll &
Dorn, 2012).
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60. The Role Of The Nurse Leader In Quality. Katherine Ensley.
The Role of the Nurse Leader in Quality
Katherine Ensley
Liberty University
The Role of the Nurse Leader in Quality
Preventable hospital readmissions remain among one of the many serious quality issues plaguing the
healthcare industry today. Readmissions can carry fiscal implications, impact patient safety, and
outcomes of care (Helm, Alaeddini, Bretthauer, & Skolarus, 2016). The cost of unplanned hospital
readmissions is estimated to be upwards of $15 billion dollars annually of which $12 billion has
been associated with preventable admissions (Helm et al., 2016). It is highly recognized that as
many as 20% of Medicare beneficiaries are presently being readmitted within 30 days of discharge
(Hunter, Nelson, & Birmingham, ... Show more content on Helpwriting.net ...
They also compared the patient's ED diagnosis to the previous admission and discharge diagnosis.
Additionally, reviewers correlated the following information: site of hospitalization, type of
admission (i.e. surgical, medical, or behavioral health), the complexity of the hospitalization, and the
age of the patient. After obtaining the necessary data, reviewers worked on determining the
frequency of post–discharge ED visits that resulted in readmission, and the factors associated with
each ED visit.
MTF Action Plan
With a goal to obtain a 33% reduction in ED utilization by recently discharged patients, the MTF
devised the following strategies to facilitate care transitions and improve communication from
inpatient units to clinics and between clinics and patients. Collectively the interventions were
recognized as Project Red Light and consisted of developing a Health Insurance Portability and
Accountability Act (HIPAA) compliant process for sharing acute care admission/discharge
information with appropriate clinics and outpatient providers as well as scheduling follow–up
appointments prior to discharge or by the next business day following discharge. Other program
interventions involved utilizing a multi–disciplinary approach to discharge planning consisting of
input from Care Coordinators, Primary Care Managers, Social Workers, and Discharge Planners.
An important component of the
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62. Improving The Quality Of Healthcare Services
Introduction
In the United States the healthcare system is influenced by the cost and the quality of services
delivered to its citizens. The cost in healthcare refers to the services rendered, production or actual
money spent on services provided. Quality in healthcare is defined as measurable standard for
services provided. In healthcare, both the cost and quality are dependent on each other and the
initiatives can be regulated by a public or private agency.
Healthcare Agencies
The Department of Health and Human Services is a public agency. It has several operating divisions
however, two divisions are mentioned the Agency for Healthcare Research and Quality and the
Center for Medicare and Medicaid Services for its ... Show more content on Helpwriting.net ...
"The standards focus on important patient, individual, or resident care and organization functions
that are essential to providing safe, high quality care" (Joint Commission,2017, Standars:para1). The
Joint Commission focuses on quality and efficiency to provide safe patient care. Ideally, the quality
measures are able to maintain the high standards without raising the costs of healthcare services.
Healthcare Initiatives
The Department of Health and Human Services has six quality strategy goals:
"safer care by reducing harm caused in the delivery of care"
"strengthening the person and family engagement as partners in their care"
"promoting effective communication and coordination"
"promoting effective treatment of chronic disease"
"working with communities to promote best practices of living healthy living"
"making health care affordable" (Department of Health and Human Services, 2016, Quality Card).
Through its Healthcare cost and utilization project the Department of Health and Human Services is
able to manage costs while simultaneously providing quality care. The project is a "database and
related software tools that enables research on o broad range of health care issues, including cost
and quality of health services, medical practice patterns, access to healthcare programs and
outcomes of treatments on a
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64. Essay about Nvq Level2
unit 57
1.3 describe ways to resolve any difficulties or dilemmas about the choice of food and drink:
You could inform the individuals what is on the menu, if they say they don't like a certain food/
drink you could offer them a alternative.
1.4 describe how and when to seek additional guidance about an individual's choice of food and
drink
The individual may have certain foods they don't like or cannot eat for health reasons, if you refer to
the individuals care plan you should find this information, also you may have an individual that is
diabetic, you could seek guidance from their GP regarding what is and isn't safe for them to eat and
drink.
3.1 describe factors that help promote an individual's dignity, comfort and ... Show more content on
Helpwriting.net ...
Where infection control contributed to reasons for enforcement action, the same issues as stated
previously for requirements were most common.
Examples of issues which contributed to enforcement:
§ no up–to–date infection control procedures or staff training
§ out of date foods in use
§ hot foods served cold from dirty serving area
§ lack of cleaning, odours such as stale urine
§ poor state of repair of building and facilities
§ inappropriate treatment of people with infection and lack of information in the person's personal
care plan
§ lack of management support/poor management
§ lack of staff.
2.4 Describe ways to ensure the individual can summon help when alone during personal care
There is wide range of personal alarms and other emergency response equipment available to those
who live on their own, and they can take many forms . Some might depend on someone being
nearby – for example in another room or next door

65. Telecare alarms, known as community alarm services, are very useful for people who live alone.
They work through a base unit in your home, which is connected to your phone line. You can press a
button on the unit or on a pendant that you wear around your neck. This connects you to an operator
who can arrange the help you need.
Some telecare alarms have movement sensors that can detect if someone has fallen and cannot get
up, or leaves a certain area. Those alarms will be activated automatically, so
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67. Joint Commission Nonprofit Organization: A Case Study
The Joint Commission is an independent, nonprofit organization. The Joint Commission approves
and certifies almost twenty–one thousand health care organizations and programs in the United
States. The Joint Commission accreditation and certification is used nationwide as a symbol of
quality that reflects an organization's commitment to meeting certain performance standards. The
Joint Commission standards are developed with input from healthcare professionals, providers,
subject matter experts, consumers, government agencies, and employers; and approved only by the
Board of Commissioners. The mission for Joint Commission is to continuously improve health care
for the public, in collaboration with other stakeholders, by evaluating health care ... Show more
content on Helpwriting.net ...
The Center's participants are some of the nation's leading hospitals and health systems. They use a
systematic approach to analyze specific breakdowns in care and discover their underlying causes to
develop solutions to solve these problems. The Joint Commission shares these proven effective
solutions with its approved organizations. The Center developed the Targeted Solutions Tool, which
is an innovative application that guides healthcare organizations through a step–by–step process to
measure their organization's actual performance, identify their barriers to excellent performance, and
direct them to proven solutions that are customized to address their particular barriers. Targeted
solutions for hand hygiene, preventing falls, safe surgery, and hand–off communications are
available. In October 2015, an online high reliability assessment tool and resource library designed
to assist hospital leaders with determining their organization's level of maturity in multiple
components of reliability and striving for no preventable harm. Once the assessment is completed, a
report is generated that identifies strengths and opportunities for improvement and directs the user to
resources specific to their organization's high–reliability maturity
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69. The Evolution Of Health Care
What is quality in health care? We can divide it into three elements:
1. Care by practitioners and other providers which means receive correct diagnosis and an
appropriate strategy of care from practitioners; and convenience, comfort, quite, privacy, food etc.
from care providers.
2. Care Implemented by patient that means patient should take care not only for him or herself but
also for his or her family. It is patient's responsibility if he or she succeed or fail of getting health
care.
3. Care received by community as the whole. People should judge the social distribution of levels of
quality in the community. It depends on who has an access more or less to care and after having
access, receiving it in good or low quality. The evolution of health care in the United States started
over 300 years ago. It is divided into six main important eras: the charitable, the educational era, the
insurance era, the government era, the managed care era and the consumerism era. The charitable
includes period from about 1700 to about 1830. In the beginning of this period, health care was
provided voluntarily in public houses mostly for needy citizens. Those who had money could afford
seen or treated at homes. The firs hospital was built in Philadelphia in 1752, after about 40 years
hospital in New York opened their doors for people who need a treat. At the same time in New York
state passed licensure act that person who wants to practice medicine or surgery must have been
examined
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71. Essay on Hcs 430 Week 2
Regulatory Agency paper Name HCS/430 Legal issues in Health Care: Regulations and
Compliances September 27, 2010 Instructor Regulatory Agency paper The Joint Commission is an
agency that maintains partnership with the government to help improve the standards of health care
within the United States. The Joint Commission accredits health care organizations and health care
programs by setting standards to help improve the quality and safety of health care. The Joint
Commission work closely and collaborates with government officials and legislation by ensuring
health care organizations in the United States meet specific guidelines, set by The Joint
Commission, which health care services provided are delivered with the highest ... Show more
content on Helpwriting.net ...
Day–To–Day Responsibilities The responsibilities of the Joint Commission are to set standards to
help improve the quality of health care services and provide safety guidelines for health care
organizations. Their mission as a nonprofit organization is to continuously improve health care (The
Joint Commission, 2010). The Joint Commission accredits and certifies health care organizations by
surveying facilities to ensure health care standards, performance measurements, safety guidelines
have been implemented and carried out for better patient. The Joint commission sets standards and
guidelines in compliance with federal laws to evaluate health care services. Health care
organizations generally volunteer to seek accreditations from the Joint Commission by allowing
expert surveyors evaluate their facility. The surveyors are made up of a multi–disciplinary team that
spends an average of two days inspecting health care facilities. The purpose for the inspection is to
evaluate a health care facilities standards, staff, regulations, policies and procedures, and quality
improvement, and performance measurement. The Joint Commission surveyors generally look to
see if the organizations governing board is taking part in ensuring that the facilities has facilitated
safety and quality assurance program. In order for a health care organization to qualify for an
accreditation, they must certain requirements. The requirements that health care facilities must meet
before
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73. Long Term Care Facility
Johnniece Harris
Long Term Care Facility
Joint Commission Accreditation
Long term care facilities use Joint Commission Accreditation as a benefit to show the quality and
commitment to the health care organization. A long term care facility that is Joint Commission
accredited will have a more appealing look to reimbursement centers and to the patient and families
that they care for. Having this accreditation is also a risk management tool. The likelihood of a bad
outcome is reduced if a facility is accredited by the Joint Commission. There is a team put together
to come up with accreditation standards and to make sure facilities stay compliant with these
standards. Performance is evaluated to ensure standards are followed. ... Show more content on
Helpwriting.net ...
(Facts about Long Term Care Accreditation pg.1) Facilities are surveyed every three years to make
sure that standards are being followed. Facilities can lose accreditation if they fail to meet standards.
Standards are to put into play to prevent risk and educated. There are two types of accreditation that
a facility can choose from. There is Traditional Long Term Care Accreditation. There is also
Medicare/Medicaid certification–based accreditation. A facility can choose from either of the two
options. There are also fees that facilities need to consider when looking to be accredited by the
Joint Commission. The on–site fee for a nursing home choosing traditional accreditation with an
average daily census of 100–119 is $3,215 and the annual fee is $2,170. A nursing home of the same
size electing the Medicare/Medicaid accreditation option would pay an on–site fee of $2,275 and an
annual fee of $1,285. (Facts about Long Term Care Accreditation pg. 2) In conclusion, it can be very
beneficial for a long term care facility to be Joint Commission accredited. Having this accreditation
is a sense of assurance to patients/residents, the families, and to the facility itself. Quality and safety
is a key factor in the structure of business for
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75. Accreditation Audit
A. Compliance Status
When a patient checks into Nightingale Community Hospitals they believe the hospital will put
there care first and provide quality medicine. Looking at the recent compliance reports there are
areas of patient care this hospital needs to improve in. Reporting critical results within 60 minutes,
labeling medication containers and reactions with anticoagulation therap.0y are areas that this
hospital needs to improve upon. Improving these areas would be just one step toward increasing
patient care and satisfaction at this hospital. There are three areas to focus on that Nightingale
Community Hospital is not in compliance with according to the Joint Commission standards. These
areas are reporting critical results ... Show more content on Helpwriting.net ...
Developing and enforcing dosing and monitoring guidelines for all anticoagulation therapy will
increase awareness of drug reactions and allow for medical records verification among all hospital
professional. With verification of medications and patient records will result in less drug reactions.
(Franco, Maxwell, Green & Barthol, 2009) Medication reactions can been minimize even more with
proper handling, patient care and medical records management.
Being the hospital of choice for patients, employee, physicians, volunteers and community members
is Nightingale Community Hospital's vision while providing quality to its patient care. There are
some area the hospital needs to improve to increase their compliance standards with the Joint
Communions standards. The improvements are reporting critical results within 60 minutes, labeling
medication containers and reactions with anticoagulation therapy. Remembering how you want to be
treated, as a patient will help create the correct action plan to improve areas where the Nightingale
Community Hospital is out of compliance.
A1. Plan for Compliance
As board members we must remember that we are not only leaders of this hospital but also patients
and members of this community. Introduction to a more robust communication plan, verification
process and decrease reporting times to the staff and to
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77. Unit 2 Health Care Accreditation
Both accreditation and legal mandates follow different processes. I will review the differences
between the two and the process they follow. I will also discuss what is measured in quality
outcomes. And I will talk about how this affects health care administrators as far as the demands
they have to meet.
When we think about the accreditation process, we think about the Joint Commission ("The Joint
Commission"). The purpose of the Joint Commission is to constantly progress the health care for the
community by means of assessing health care instituting while and motivating those institutions to
outrival in making available secure and effectual care that is superior and has significance ("The
Joint Commission"). In order to earn the accreditation ... Show more content on Helpwriting.net ...
They need to know the fundamental lawful and moral doctrines that will manipulate the hospital
atmosphere; the lawful affiliation of the patient and the health organization (Niles, 2014). The
demands of the health care administrator include "The basics concepts of law, both civil and
criminal healthcare law, tort reform, employment–related legislation, safety in the workplace, the
legal relationship between the provider and the patient" (Niles, 2014, p. 285). Accreditation and
Legal process put much demand on the health care administrator because the health care
administrator needs to understand the translate law; criminal and civil and what it means in the
workplace (Niles, 2014). When making decisions the health care administrator needs to work in
compliance with mandates or else any violation could result in a lawsuit or loss of accreditation
(Niles, 2014). When it comes to the Joint
... Get more on HelpWriting.net ...

79. The Role Of The Nurse Leader
The Role of the Nurse Leader in Quality
Preventable hospital readmissions remain among one of the many serious quality issues plaguing the
healthcare industry today. Readmissions can carry fiscal implications, impact patient safety, and
outcomes of care (Helm, Alaeddini, Bretthauer, & Skolarus, 2016). The cost of unplanned hospital
readmissions is estimated to be upwards of $15 billion dollars annually of which $12 billion has
been associated with preventable admissions (Helm et al., 2016). It is highly recognized that as
many as 20% of Medicare beneficiaries are presently being readmitted within 30 days of discharge
(Hunter, Nelson, & Birmingham, 2013; Verhaegh, Mac–Neil–Vroomen, Eslami, Geerlings, de Rooij,
et al., 2014). The presence of ... Show more content on Helpwriting.net ...
Posing the question: what else can be done to keep patients from returning to the ED for care and
consequently being readmitted? (K. Larry, personal communication, March 15, 2017).
How Were Readmissions Measured
Ms. Larry stated that reviewers measured the total number of patients presenting to the ED within
30 days of a hospitalization (personal communication, March 15, 2017). Additionally, she said they
compared the patient's ED diagnosis to the previous admission and discharge diagnosis (K. Larry,
personal communication, March 15, 2017). Finally, reviewers correlated readmissions with the
following information: site of hospitalization, type of admission (i.e. surgical, medical, or behavioral
health), the complexity of the hospitalization, and the age of the patient (K. Larry, personal
communication, March 15, 2017). After obtaining the necessary data, Ms. Larry stated that
reviewers worked on determining the frequency of post–discharge ED visits resulting in
readmissions and the factors associated with each ED visit (personal communication, March 15,
2017).
MTF Action Plan
With a goal to obtain a 33% reduction in ED utilization by recently discharged patients, the MTF
devised the following strategies to facilitate care transitions and improve communication from
inpatient units to clinics and between clinics and patients (K. Larry, personal communication, March
15, 2017). Collectively the interventions were recognized locally as Project Red Light
... Get more on HelpWriting.net ...

81. Joint Commission on Accreditation of Healthcare...
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
Introduction
JCAHO is an abbreviation for Joint Commission on Accreditation of Healthcare Organizations is a
non–for–profit organization that seeks to continuously improve the safety and quality of care
provided to the public through the provision of health care accreditation and related services that
support performance improvement in health care organizations. It is an organization made up of
individuals from the private medical sector to develop and maintain standards of quality in medical
facilities in the United States. Although JCAHO has no legal enforcement power, and has no official
connection to the US Government regulatory agencies, many medical facilities ... Show more
content on Helpwriting.net ...
in 1997 Jonit Commission International was established as a division of Joint Commission
Resources, Inc. (JCR), a private, not–for–profit affiliate of The Joint Commission. JCI extends The
Joint Commission's mission worldwide by assisting international health care organizations, public
health agencies, health ministries and others to improve the quality and safety of patient care in
more than 80 countries.The current version of the sentinel event policy was adopted in 1998. In
2002, The Joint Commission establishes its first annual National Patient Safety Goals for improving
the safety of patient care in health care organizations, to be effective in 2003. In 2006, The Joint
Commission begins conducting on–site accreditation surveys and certification reviews on an
unannounced basis, with certain exceptions. In 2008, The Centers for Medicare & Medicaid
Services issues a clarification in October, sought by The Joint Commission in response to field
concerns, which brings CMS' interpretation of standing orders into alignment with The Joint
Commission's view on how to facilitate the timely treatment of certain patients. The Centers for
Medicare & Medicaid Services grants The Joint Commission deeming authority for critical access
hospitals in November. CMS will evaluate, within 180 days, the changes The Joint Commission
agreed to make in order to align The Joint Commission requirements with those of CMS. The
Centers for Medicare and Medicaid Services again grants
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