Healthcare Accreditation

Communicate is essential in health and social care settings because without a good communication to patients, families, colleagues and management is very difficult to deliver good service of care.

The healthcare industry is comprised of a wide range of interdependent but self-sustaining organizations, facilities and care providers. In light of this complex and multilayered system, overarching regulatory conditions are a necessity. This is reflected in the three distinct organizations selected for discussion. In Scripps Mercy Hospital Skilled Nursing Facility, the Alvarado Parkway Institute La Mesa on Behavioral Health and the Naval Medical Center San Diego Radiology Department, we are presented with three organizations of different functions but beholden to similar or overlapping standards. Scripps Mercy is a skilled nursing facility specializing in inpatient treatment procedures. Alvaredo Parkway is an inpatient and outpatient psychiatric facility and the Naval Medical Center is a radiology and screening outpatient facility. All three serve the San Diego Metropolitan Community.

Accountability Care Organization (ACO) involves the organization developing an understanding for revitalizing for further success. Thus far, ACO’s have polarized by generally building platforms through collaborative efforts of utilizing management, quality, influencing cost, financing, and health service delivery. An important measure to an organization is identifying its competencies, strength, and weaknesses. An overview of this paper includes the importance of updating organization resources or technology so that it is proven through ACO’s to be a positive stream of revenue and a revolving door for more customers. However, ACO’s are aligned with making sure the organization objectives, workflow, financial goals, brand identity are being

Accreditation is a process by which an impartial organization (URAC) will review a company’s operations to ensure that the company is conducting business in a manner consistent with national standards. For a physician and a nurse after they receive their degree they have to do continuing education courses every year to maintain their licensing with that particular state. These classes are generally known as CME’s (Continuing medical education). They serve to “maintain, develop, or increase the knowledge, skills, and professional performance and relationships that a physician uses to provide services for patients, the public, or the profession” (ACCME). That being said

Accreditation is a recognized seal of approval for many institutions in the United States. It is needed by the hospitals to become providers in the Medicare program. In order to receive payment from the Centers for Medicare and Medicaid Services (CMS), hospitals are required to meet a set of minimum requirements called conditions of participation. There are three organizations that can accredit hospitals based on the participation requirements– the Joint Commission, the American Osteopathic Association (AOA), or the state certification agencies [1]. More than 80% hospitals in the country voluntarily use the Joint Commission for accreditation purposes.

According to Mason, Gardner, Outlaw, and O’Grady (2016), the accreditation process is a voluntary process an organization participates in to demonstrate the standards established by the profession. Consequently, accreditation is complex as health care providers and organizations must follow trends and issues about health policy and standards of care (Mason et al., 2016). For many providers and organization, the benefits of obtaining accreditation often outweigh the costs (Klein & Grace, 2009).

Organizations across the board monitor performance in order to be profitable, and make their stakeholders happy, including healthcare organizations. The following paper will address similarities along with differences among three specific healthcare organizations; long-term care, VA hospitals, and community/public health systems. We will also discuss how each organization monitors performances, and how each organization achieves regulatory and accreditation compliance. Communication with leadership in order to align organizational goals, and compliance with regulations and development of risk and quality management systems will also be addressed.

Hospitals should be encouraged to participate because improving hospital care is likely to be essential to success (McClellan et al, 2010). Accountable care organizations can be implemented through different payment models. These could include opportunities to share in demonstrated savings within a fee-for-service environment, in which providers took on no new financial risk. They could also include limited or substantial capitation arrangements, in which payments were unrelated to the volume of services provided, to the intensity of service use, or to the frequency of face-to-face meetings, and in which providers took on some financial risk for poor-quality results or failure to control costs (McClellan et al,

The term, Accountable-Care Organization (ACO) is a model that consists of a “group of healthcare providers, including primary care physicians, specialists, and hospitals who agree to take on a shared responsibility/partnership for the care of a defined population of patients while assuring active management of both the quality and cost of that care” (Foster, et. al, 2012). The overall goal of the ACO is to “reduce costs through preventative care and disease management, improve quality of care through multidisciplinary medical professionals, and develop the necessary skills and resources to meet the costs and quality of healthcare goals in the present and future of patient care” (Accountable Care Facts, 2012). Not to mention, patient care

Charles HaydenTatia Green, onlineMB208-ICD-1012/3/2015Accreditation Association for Ambulatory Health CareIn 1979, a nonprofit organization was established to assist ambulatory health care organizations in improving the quality care provided to patients. This organization which some may know of is called Accreditation Association for Ambulatory Health Care, Inc. which: "Encourage and assist ambulatory health care organizations to provide the highest achievable level of care for recipients in the most efficient and economically sound manner. The AAAHC accomplishes this by the operation of a peer-based assessment, consultation, education and accreditation program." American College Health Association, Ambulatory Surgery Foundation, The American Group Practice Association, Group Health Association of America, Medical Group Management Association and the National Association of Community Health Centers are the six founding members of AAAHC. A few things that this association does are measure performance, provide consultation and education, review and revise standards. AAAHC accreditation means the organization participates in an ongoing self evaluation, peer review and education to continuously improve its care and services. Not only does this organization live up to its standards, but commits thorough onsite survey by AAAHC surveyors whom are also health care professionals. When surveying an organization, the AAAHC includes the following as listed: Patient RightsAre patients

In order for a hospital or facility to gain accreditation from the Joint Commission, there are several areas of requirement that the hospital or facility must meet. Nightingale Community Hospital has met the requirements in the following areas; Accreditation participation requirements, this requirement is important to maintain compliance in this area due to the fact that a this requirement must be maintained throughout the entire time of the hospital having accreditation, Emergency Management, this area of requirement ensures proper safety and security of the hospital, including fire safety, hazardous materials and waste, medical equipment as well as utilities, Human Resources this requirement is referring to the proper handling and hiring

As mentioned by Imhof & Kaskie (2008), communication is very important in the health care organizations that have complex organizational structures. Most of the employees are not able to communicate clearly and this can lead to conflicts which block the employees from providing the quality care the patients need.

Communication in a Health Care Organization is very important. It is the key for the health care providers and other health agencies to carry out their responsibilities to maintain

Theses technologies, if they replace more costly treatments or those of lesser quality in terms of efficaciousness, the result will be lower costs and better outcomes for the patient and the healthcare system (citiation)

Teamwork and communication are very important in providing good quality care, especially in the healthcare field. A team is described as a group of people that works together and cooperatively, between each member of the group to reach a common goal (Sullivan, 2013). For a team to function, communication is essential. A report by McKay and Crippen (2008), as stated by Alfaro-LeFevre, (2013) showed that when collaboration is in place, hospitals can decrease their mortality rate by 41%. When mortality rate is lower, hospitals does not only decreased cost, but it also means that patients are receiving good quality care.