The Joint Commission The Joint Commission has been around for many years. The Joint commission was established in 1951 as a not-for-profit organization. The Joint Commission “seeks 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 accredits and certifies more than 21,000 health care organizations and programs in the United States, including hospitals and health care organizations that provide ambulatory and office-based surgery, behavioral health, home health care, laboratory and nursing care center services (The Joint Commission, 2016).” The
Introduction Quality improvement in healthcare has become a priority in many countries. Resource limited countries in particular have in the in the recent years focussed their attention on human resources required to deliver healthcare in an effort to achieve targets for the United Nations Millennium Development Goals (MDGs). More emphasis is now being placed on health worker performance and motivation (Chen et al., 2004). Quality of care embraces the utilization of essential resources to provide health, including essential drugs and equipment and health workforce, as well as patient involvement. Access to health to services and quality of healthcare is solely dependent on the health workforce and therefore their performance and productivity in healthcare provision is of utmost importance (Dieleman et al., 2006).
Patient safety has received much recognition after the Institute of Medicine’s publication of “To err is to human: building a safer health system” , patient safety includes the avoidance, prevention and amelioration of adverse events emanating from health care delivery procedures and it comprises of systems of patient care, error reporting, and starting new systems aimed at reducing risk of errors in patient care as well as care functions which nursing has sole responsibility (Berland et al., 2012). The common media for the transmission of HCAIs are the hands of healthcare professionals, from patient to patient and within the care environment (Allegranzi & Pittet 2009). Patient safety is the ‘’patient’s freedom from unnecessary real or potential
Affordable Care Act The goal of the Affordable Care Act was to provide health care for all U.S. citizens. The idea was to increase access to health care and improve the quality and efficiency of healthcare delivery. However, there are a lot of questions of whether or not the decision to pass this act, or even the ideals it included were ethical. Jürgen Unützer and Wayne Katon at the University of Washington developed a model known as the “Collaborative Care Model”. This model showed many of the flaws of the ACA.
Furthermore there is focused on health promotion and prevention at a household and community level. (Matsoso, & Fryatt, 2013: 156). The NHI has seven principles, namely the right to access, social solidarity, effectiveness, appropriateness, equality, affordability and efficiency. Thus the purpose of the NHI is for all to access health care and feel connected to their social environment through the effective, efficient, equal and affordable health care that they receive. (Dhai, 2011: 137).
Since the 1970s, there has been a near consensus between the public health community and international health stakeholders such as the World Health Organization (WHO) that Universal Health Care Coverage should be a fundamental goal (Backman 2009, Frenk 2009). The WHO Alma Ata conference in 1975, in the former Soviet Union saw traditional medicine as a vital resource in achieving this goal. Delegates in this conference saw traditional medicine in combination with Primary Health Care as the needed resource in achieving universal health coverage for all people by the year 2000. However, this aim is yet to be realized as it has been 12 years since the intended target year. Base on the premise on WHO which saw and still sees traditional medicine
That is improving access to quality health care for all, to achieve social solidarity and equity by pooling funds, to strengthen the public health care sector and to efficiently mobilize and control financial resources. There are seven principles to the NHI: access, effectiveness, appropriateness, equity, affordability, efficiency and social solidarity. Social solidarity refers to the creation of financial risk protection for the entire population that ensures support between the rich and poor, healthy and sick. This system allows the spreading of health costs over one’s lifecycle so that one can pay contributions when young and healthy and use them later in life in an event of illness/injury. Unfortunately there are challenges that restrict the country from moving towards this system.
Over the past decades, many high-level health care managers and planners in each country try to find the effective factors to the quality of treatment and their impact and selected the motto of " improving quality health care by improving the quality of information" from the their main goals. The health institutions should consistently apply Quality control (QC) to assess the quality of health care continuously. The patient's medical record is the first and most important source of collected information, because each record contains enough data to identify the full special patient, registered health issues and record any treatments . All health care plans are performed based on illness data . This subject is possible only using the exact classification of diseases and related law performance.
For many years, universal health care has been one of the most debated topics in the U.S., and several people disagree with bringing it about. Of course, we could go on and on about how and why we shouldn’t have a universal health care system, rather than why the U.S. should institute universal health care and why it would be beneficial. But what exactly is a universal health care system? It is defined as “Universal health coverage is defined as ensuring that all people have access to needed promotive, preventive, curative and rehabilitative health services, of sufficient quality to be effective, while also ensuring that people do not suffer financial hardship when paying for these services.” by the World Health Organization, WHO. The obvious
PHC Primary health care(PHC) as a concept was officially launched in 1978 at a World Health Organization(WHO)UNICEF conference in Alma Ata, in the former soviet union, at which some 150 governments were represented .The Alma-Ata Declaration(World Health Organization 1978) defined PHC as follows: Primary health care is essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their participation and at a cost that the community and country can afford to maintain at every stage of their development in the spirit of self-reliance and self-determination. It forms an integral part both of the country`s health system,