Joint Commission Healthcare History

Accreditation is a process of review that healthcare organizations voluntarily participate in to demonstrate the ability to meet predetermined criteria, and standards established by a nationally recognized professional accrediting agency. The purpose of accreditation is to validate the fact that a health care organization provides the highest quality of care to patients and, is in continuous compliance with nationally established standards of quality (Carman & Timsina, 2015). Accrediting organizations develop a fiduciary relationship with payer and provider organizations to ensure quality of service and care is maintained. National accreditation is regarded by stakeholders in the health care industry as a key benchmark in measuring quality

Their role is to register care providers, monitor, inspect and rate healthcare services. The CQC has a role in publishing views of the major quality issues and performance ratings to enable consumers to choose care in health and social care. The Commission ensures the quality and safety of care in hospitals, dentists, ambulances etc. The CQC is sponsored by the Department of Health. Governance, Accountability and Staff

PCPI- Physician Consortium for Performance Improvement In American Medical Association PCPI is oriented to improve the quality, and value of care to the patients by various programs including maintenance of clinical performance measures which are evidence based, measurement science, improvement of the quality of care with the help of National Quality Registry Network (NQRN).(1) NQF – National quality forum A membership based organization that works for improvements in quality of healthcare. It implements a national strategic plan for healthcare quality measurement and reporting.

Risk Management Plan is an overarching, conceptual framework that aims to achieve the goal of patient safety and guides the healthcare organization to develop a holistic program for improving quality without compromising the patient safety initiatives. Risk management plan should be operated by creating a formal, structural and written document which should become an integral component of healthcare organization's standard business practice. In this paper, I am playing a role of a Chief Risk Management Officer for a large metropolitan not-for-profit teaching hospital and I am assigned with a case for which I will be creating a comprehensive risk management plan by performing a root cause analysis and complete risk analysis. This paper will

which flows out of the facility to third party payers’, management is able to determine if the facility is receiving proper payment for services that are rendered to the patients. Administrative staff are able to review denied services and determine how the facility can maximize revenue while still providing adequate care to the patient population. In my opinion, through the use of analytics, Fox Chase Cancer Center has progressed by continuing to partner with scientist through many innovative research opportunities within the facility to better treat our cancer patients in providing access to clinical trials and multidisciplinary care. Fox Chase Cancer Center has developed administrative strategies and tools that ensure collected data shows accuracy and validity.

The results of these studies strengthened the author’s belief that the community benefits from the implementation of this public health program. The author is currently a pediatric cardiothoracic operating room nurse and is knowledgeable on the complications and mortality due to the late detection and delayed surgical treatment of CCHD in newborns. The author believes that changes in normal newborn screening routine is beneficial and should be implemented in nationwide. The author will use her analytic philosophy to conduct more studies that will yield new recommendations to improve patient outcomes. Moreover, the author plans to evaluate multiple evidenced-based practices that are being implemented in her facility and publish articles in the

Regulatory organizations and government officials began to focus on the need for quality in hopes to decrease medical errors and healthcare cost. The Joint Commission of Accredited Healthcare Organizations (JCAHO) was one of the first regulatory organizations to develop standards of care or goals around specific patient safety issues. The program is known as JCAHO’s National Patient Safety Goals and it originally started with six goals and was implemented in 2003 (Catalano, 2002). JCAHO remains at the forefront of patient safety by expanding, revising and developing the National Patient Safety Goal Program each year.

I conducted a quality improvement (QI)-focused interview with the nurse manager of a medical-surgical unit. She shared with me a current QI project that she was implementing on her unit. The Chief Nursing Officer (C.N.O) chose to create an institution-wide QI project focused on improving their Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey scores, which reflect patient’s perspectives on hospital care. The purpose of the HCAHPS Survey is to create data to allow patients to make objective comparisons among hospitals, to create incentives for hospitals to improve quality of care, and to increase accountability in healthcare by increasing transparency (Citation). The C.N.O chose this project because HCAHPS scores

Theoretical Framework for Dementia Care Patient-centered care is one of the six important aims identified to redesign the US healthcare system by the 2001 Institute of Medicine (IOM) report, Crossing the Quality Chasm. Various definitions of person-centered care in dementia exist in the literature. The Institute of Medicine (2001) defined patient-centered care as “being respectful of and responsive to individual patient preferences, needs, values, and ensuring that patient guide all clinical values”. However, the concept of person-centered related to dementia is greatly influenced in the United States by Thomas Kitwood, an English scientist who studied and wrote several papers on personhood, person-centered care and dementia starting the mid-1980s

Ganz et al. (2009) and Roddy et al. (2009) both emphasize the importance of utilizing evidence-based research in health care services. Ganz et al.

Patients who are admitted into the hospital confide in the health care professionals to do the right thing on time all of the time. Accreditation of health care organizations signifies compliance with a set of standards, reassuring the public that quality and patient safety is being met. In the United States, accreditation is voluntary and must be approved by the Centers for Medicare and Medicaid, CMS, for the health care organization to receive payment from Medicare or Medicaid (Myers, 2012). According to Ellis and Hartley (2012), the Joint Commission was established by the American Colleges of Surgeons and Physicians, the American Medical Association, and the Canadian Medical Association in 1951.

There are two Associations for Medical Coders, one is the American Health Information Management Association (AHIMA) and the other is the American Academy of Professional Coders (AAPC). AHIMA is the leading association of health information management for professionals all over the world (www.ahima.org 2015). In 1928, AHIMA was known for refining the quality of health records. “AHIMA is working to advance the implementation of electronic health records by leading key industry initiatives and advocating high and consistent standards” (www.ahima.org 2015). AHIMA 's credentials includes Certified Coding Associate (CCA)

One being the need for a digitized information system in which the data is used to assess what’s working and what’s not more intelligently. This would allow for there to be an assessment of quality or quantity of treatment. (Health care reform debate in the United States, n.d.). Mayo Clinic President and CEO, Denis Cortese describes the four “pillars” of success in reforming the United States health care system by: Focus on value; Pay for and align incentives with value; Cover everyone; Establish mechanisms for improving the healthcare service delivery system over the long-term, which is the primary means through which value would be improved (Health care reform debate in the United States, n.d.). David Leonhardt of the New York Times describes another assessment in which many ailments are treated differently, however have the same outcome.

“Healthcare facilities and practitioners are licensed and regulated by federal, state, and local governments and laws” (Gartee, 2011, p. 43). Having accreditation means that an organization has been recognized for upholding standards and compliance. In efforts to ensure quality care of patients, an organization must meet Joint Commission standards in which a facility is one of the accomplished facilities. The Joint Commission is better known as JCAHO stands for the Joint Commission of the Accreditation of Healthcare Organizations. JCAHO was established to recognize the best organizations but in the process to improve the quality care among disadvantaged institutions as well (Kobs, 1999).

HIPAA is the acronym for the Health Insurance Portability and Accountability Act that was passed by Congress in 1996. the portion of HIPAA addressing the ability to retain health coverage is actually overseen by the California Department of Insurance and the California Department of Managed Health Care. The initial two titles of HIPPA are: Title I secures medical coverage scope for laborers and their families when they change or lose their employments. Second Title II known as the Administrative Simplification arrangements, requires the foundation of national measures for electronic human services exchanges and national identifiers for suppliers, medical coverage arrangements, and managers. HIPAA 's underlying object was to guarantee and enhance the coherence of medical coverage scope for laborers evolving employments.