National Committee For Quality Assurance (NCQA)

Documentation records is related to the quality of patient care provided. It signifies the primary communication among multidisciplinary caregivers for efficient and effective intial treatment, for continuing care, and for the evidence that care and treatment occure. Regulatory agencies use the documentation as a means to measure the quality of services before granting accreditation or certification to healthcare organiztions. Some of those agencies include:

NCQA is the National Committee of Quality Assurance of health insurers in the United States. It is a private non-for profit organization that has driven the improvement of health care quality across the United States since 1990. Most health organizations in the United States are looking for that type of accreditation to ensure their quality.

Internal Processes * Qualify for a Patient Centered Medical Home (PCMH) * Communications – (entire staff) – with a quarterly staff meeting * Improve comfort levels with ICD-10 diagnosis coding

As the continued support grows the PCPCC, the health care sector is recognizing the role of the medical home model, Accountable Care Organizations(ACO), many entities are embracing the model and performing better. According to Center of Medicare and Medicaid, the medical home model shows that there is an improvement cost effectiveness, which helps practitioners deliver quality care and advanced approaches to care coordination, care teams, and chronic disease management. As evaluations of ACOs, integrated health systems, and the medical neighborhood continue, the Patient Center Medical Home will be essential to driving improvements in cost, quality, and outcomes. [3]

Hederson, S., Princell, C. O., and Martin, S. (2012, December). The patient-centered medical home. American Journal of Nursing, 112(12), 54 59. doi: 10.1097/

Quality Improvement Organizations (QIOs), work in partnership with the Centers for Medicare and Medicaid Services (CMS) to advocate for safe, efficient, and quality healthcare for Americans. Working at the community level, QIOs collaborate with providers and interact with beneficiaries to improve patient outcomes. Additionally, QIOs support new models of care and promote healthcare goals endorsed by the National Quality Strategy, and CMS Quality Strategy. CMS has strategically placed QIOs in several regions nationwide, and Mississippi is served by Information and Quality Healthcare (IQH). IQH founded in 1971 as a non-profit organization has strived to improve the quality of care received in Mississippi. IQH participates in a tobacco cessation helpline, behavioral health services, and diabetes education for Medicare beneficiaries.

Patient-centered medical home (PCMH) is a way to transform primary care practices into medical homes that coordinate care and communicate to what patients want to maximize health outcomes. Medical homes may lead to lower costs, higher quality care, improve patient experience of care, allow better access to health care and improve health.

The Australian Commission of Safety and Quality in Health Care (ACSQHC) was established in 2006 by the Australian Government to improve safety and quality in healthcare. In 2011, the ACSQHC developed the ten National Safety and Quality Service Standards (NSQHS) in order to improve the safety and quality of the Australian healthcare system. The ten standards were also implemented to ensure that the public is protected from harm and that consumers or patients can expect a certain level of care from the healthcare systems. The standards are now compulsory for many healthcare organizations.

Compassion Home Health Care, LLC, is a home health agency that is primarily engaged in providing numerous of healthcare services to their patients that have an illness or injury and need additional assistance outside a hospital setting in the convenience of their homes. Services include nursing care, occupational, physical, and home health aide services. Home Health Aides work alongside a nurse in the care and treatment of the patients in the convenience of their homes. Home Health Aides are responsible for medication reminder, meal prep, bathing, laundry, shopping. Nurses must be licensed and certified by the state to work and have treatment plans for patients. Nurses have many duties in providing home health care for their patients. Nurses are responsible for monitor patients health and status; routinely check blood pressure, temperature, and oxygen levels. Also, communicate with physicians of any changes or follow-up of patient’s

The reason I chose this article is not only because patient-centered medical homes (PCMH) has national relevance but because it’s patient centric. Our system sometimes takes care of everything else but the patient. The Institute of Medicine (IOM) defines patient-centered care as "providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions" (Frampton, 2013).

In this case, this increases transparency in the market as it supports informed decision-making, which can help drive improvement that results in higher quality care, lower costs and more engaged patients. In addition, MONAHRQ has established partnerships with different organizations to provide customers with a system that has integrated the highest-quality of care in which ensures communities their required needs. The mission, vision, and values have a big role in hospitals working together with all of their patients to identify the health and well-being of every customer. Washington State hospitals and hospital systems also mainly focused on their customer evaluation and satisfaction values by respecting patients and their care, which helps them sustain a healthy and safe environment in a community that identifies with every individual patient.

Home environment have to be safe for each service user and we need to make sure that it doesn't pose any harm or danger. Environment and feeling of the home is very important for our service users. Decoration and changes should be consulted with service users and it is their home. Each service user should be able to choose furniture, colour of the walls, carpet and other items for their own bedroom. Service users have their choices and they should be supported to decide for themselves as it improve their independence and boost self esteem. Every service user is different and they should be treated differently according their preferences. This is person centred care. Nor two people with same diagnosis should be treated and cared for exactly same. We all have different routines, preferences, likes and dislikes. We all like different things and we should encourage our service users to voice their needs, wants and desires. Quality of care we provide is very important factor in Health and Social care. Each home should comply with Essential Standards of Quality and Safety set by Care Quality Commission. The Care Quality Commission (CQC) is the independent regulator of all health and adult social care in England. Our aim is to make sure better care is provided for everyone, whether that’s in hospital, in care homes, in people’s own homes, or elsewhere. The aim of CQC is to make sure better care is provided for

The Partnership for Patients, a voluntary program under The Affordable Care Act’s main goal is to reduce hospital acquired illnesses, medical errors, and complications due to care. This partnership will involve the complete healthcare team; patients, their families, physicians, nurses as well as the federal, and state governments. This group will to work together to improve the safety and quality of the care being given to the patients and decrease readmissions.

A patient centered medical home (PCMH) could integrate patient care. A patient centered medial home is a team of healthcare providers coming together to improve the health of a specific population. A PCMH is designed to integrate primary care and specialists into improve care coordination, safety and quality.(Stange, et al 2010) A PCMH would also improve physician training and development to provide a commitment to treat the whole patient, rather than just one part.(Stange, et al 2010) Healthcare fragmentation can also be limited through improved communication between providers using e-mail and social media tools such as facebook and twitter.

In comparison and contrast between Chronic Care Model and Patient-Centered Medical Home Model, it is pertinent to know that Chronic is a condition which “requires ongoing adjustments by the affected person and interactions with the health care system” (Improving Chronic Illness Care, 2006-2011) and is related to the Chronic Care Model which initiates an improved an system between the organization, the community and the level of care. Patient-Centered