When rethinking the regulatory framework for health insurance in the wider context of a health financing strategy, the Government may also want to reposition the responsibility for accreditation. It is currently done separately by NHIF and NSSF-SHIB programs. This looks like duplication and is the cause of strain on providers. Moreover, MOHSW is also engaged in the implementation of its quality improvement strategy and cooperating in the “certification towards accreditation” program. It is therefore advisable to consider the mandating of accreditation of all health services providers to an independent body (state agency or NGO) and adjusting the NSSF and NHIF Acts and related subsidiary regulations
I chose the monopolistically structured JCAHO (Joint Commission on Accreditation of Healthcare Organizations). They are the only organization that determines whether hospitals or medical facilities are up to their standards enough to receive reimbursement from Medicare and Medicaid. “The Joint Commission is a monopoly because it has unique statutory protection in the USA and collects $113 million in annual revenue; it is the only organization in the USA of this nature” (Joint Commission Requirements, 2009). This revenue is mainly from the fees it charges US hospitals for evaluating their compliance with federal regulations.
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
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
Uniform Commercial Code (UCC) entails many underlying laws and requirements governing it in trading within a country and internationally. The international trade part has in recent years raises the question as to whether states should change the laws or not. The current laws can bring about many issues causing the downfall of many large businesses. This makes it hard to conclude on the effect of U.C.C. on international commerce coming along with many factors depending on the side it leans more. Common law, on the other hand, is a legal system that involves matters such as jury trials, and presumption of innocence.
Improving the quality of health care system is the main goal of this organization. In this case study we will be talking about the strategic plans being made by the organization for the next decade to deal with the problems of resource management, network growth, patient satisfaction as well as nurse staffing. The readiness of the organization towards catering the citizens' needs for health care will also be discussed in this case study (Goetsch and Davis, 2010).
The Government is a very important body as a stake in the health-care sector. Policies, Acts, and reforms are enacted and passed by the Government for adequate and better healthcare to meet the needs of its people. Insurance policies are one of the many ways that most States use to provide affordable and quality health care to every citizen. Although some of the laws may not have had a great impact towards the health-care, many have improved the services offered to the health-care consumer (Schmeer, 2016). Moreover, the government is also responsible for developing up policies which help in regulating the health
Katie often felt sad. She would skipped school or stayed in bed quite often. At other times, she felt really happy. She talked fast and felt like she could do anything. Katie suffers from Bipolar disorder. Bipolar disorder or manic-depressive illness is a brain disorder that can affect one’s mood and ability to complete tasks. Bipolar disorder in children is under studied for many reasons. These include, lack of awareness and the difference in the disease seen in adults and children that can make it difficult to continue studies. Bipolar disorder has not been well studied despite harmful effects on growth and development in a child.
Health insurance is important as it allows people to receive health care. However, health insurance providers are not equal, which result in an unequal quality of care. Private health insurance leads to an increase quality of health care. This is show in the article “A National and State Profile of Leading Health Problems and Health Care Quality for US
The Joint Commission is scheduled to visit Nightingale Community Hospital for its triennial accreditation survey within the next 13 months. The purpose of this document is to provide senior leadership with an outline of the hospital’s current compliance status in the Priority Focus Area of Communication. Recommendations for corrective action are included in this document which are designed to bring the organization into full compliance in the areas where deficits have been identified.
XYZ Healthcare Organization plays a very crucial role in preventing illness, relieving pain, and promotion wellness and wellbeing of individual through all stages of life. To realize its aims and objectives, the organization needs funding to continue with very sensitive and important services. There are several approaches that can be adopted to ensure funding of healthcare services. These approaches include the use of insurance medical covers by the patients, funding from the government, private sectors and other nongovernmental organization. The burden of healthcare funding should not just be
It is important to do accountability because it is an only way of enhancing task incentive. This makes the organization's policies responsive and also effective. That is why different mechanisms of accountability have come up including hospital boards, public campaigns, and village health committees. These are being used to bring awareness publicly and also globally in implementation of health services and programs (Herzlinger 2006). They support a wide range of activities which include
The healthcare system of USA has continuously evolved and matured over the years. With time, the healthcare system of USA has strengthened. Still, this system has certain weak points that have to be overcome in order to deliver excellent healthcare services. Providing, best of the healthcare services, should be the combined responsibility of public and private players (Robert, 2009). People would also have a role to play in order to ensure that healthcare services and delivered in an excellent way. In the postindustrial period, USA has
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.
There is a move from a noncompetitive insurance environment to a competitive one because the competition was not by hospitals to provide the best and cheapest care, but rather among the insurers to get the healthiest patients. Consumer driven plans are central to the process because they are ideal for risk selecting the young and fit who have been driven to new plans. Healthy people could watch their account balances grow which leaves the truly sick behind in traditional plans. This particular type of competition is being used to attract the healthy and in turn lead to price increases because insurers have little incentive to control the prices medical providers are charged. It is the responsibility of the patients to worry about the cost and the patient does not have the same power as the insurance competitors do. According to a key South African regulator, Alex van den Heever of the Council for Medical Schemes, “Competition based on the shifting of risk
Drawing is not an activity, but a piece of me that I could never let go of. Drawing has transformed itself from a fun hobby into an essential form of expression. It has transformed the way I look at things; nothing is mundane in art. A tree, for example, is a beautiful thing. Every single tree is unique, with its own bark texture, its own arrangement of branches, and its own color. The limit only gets pushed further when the tree inherits the personality of its artistic creator. Whenever I feel emotionally connected to something, I generally have an impulse to draw it, which strengthens the connection. Both the result and the process are rewarding; it is always possible to improve, challenge, and discuss with other artists. There aren’t always “right” ways to draw things, which allows illustration to evolve throughout time.