Unit 2 Health Care Accreditation

Health care organizations generally volunteer to seek accreditations from the Joint Commission by allowing expert surveyors evaluate their facility. The surveyors are made up of a multi-disciplinary team that spends an average of two days inspecting health care facilities. The purpose for the inspection is to evaluate a health care facilities standards, staff, regulations, policies and procedures, and quality improvement, and performance measurement. The Joint Commission surveyors generally look to see if the organizations governing board is taking part in ensuring that the facilities has facilitated safety and quality assurance program.

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

Providing enhanced access to a better quality health care system is reliant upon the identification and modification of various barriers, which must be addressed. Complex health care systems and politics generate barriers to the delivery of high-quality access to care through knowledge deficits. Consumers are tasked with understanding what services are needed as well as their abilities comprehend their diagnoses are challenged. They must also over come barriers to communication to converse effectively with caregivers. Most importantly, they must understand their role in the process as patients and citizens when accessing health care services. (Ricketts, 2013) Comprehensive provisions built into the ACA help to energize endeavors aimed towards developing ways to ensured enhancements to the quality and access to health care provided in North Carolina. Accountable care organizations (ACO) were

“While accreditation is technically a voluntary process, through which accrediting bodies like The Joint Commission visit a facility to perform quality and process checks, it is also relied upon by state agencies in all fifty states in lieu of specific state licensure requirements (Hay, n.d.).” All organizations must meet certain standards in order to even open its doors. It is very important for healthcare organizations to be accredited by someone. The Joint Commission is the most popular and well known. Facilities that are accredited by someone other than The Joint Commission many not give the highest care which leads to more readmissions costing more. “In a retrospective analysis at 24 accredited trauma centers in the United States, accreditation was significantly associated with higher survival rates for patients presenting with six types of trauma injuries (Alkhenizan,

At present, the accreditation is a process of review that health care organizations participate in to display the ability to meet approved criteria and standards of accreditation. Accreditation represents agencies as credible and reputable organizations dedicated to ongoing and continuous compliance with the highest standard of quality. Professional accrediting agency work together with the health care industry experts to create standards to ensure that quality is maintained throughout all aspects of an organization (Accreditation Commission for Health Care, 2008; Greenfield, Pawsey & Braithwaite, 2010). However, the on-site surveys are conducted, today unannounced, by health care industry experts. A inclusive review is conducted of organizational structure, policies and procedures, compliance with federal, state, and local laws, leadership, patients’ rights and responsibilities, fiscal operations, human resource management, provision of

You might wonder why physicians need to have accreditation with managed care facilities and have their licenses at the facilities that they work under. This is a legal matter, being almost the same as you always having your license in any car that you drive. Although the physician may be well known in the community, they have to have their licenses on file in each facility they work under. This is for the facility and well as the physician. Nurses will work under the physician’s license for the managed care, but they also need to have

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

Ethical and legal concepts, including specific federal regulations, required of healthcare organizations to ensure the delivery of high quality healthcare that protects patient safety

The joint commission on accreditation of healthcare organization (JCAHO), which is currently known as the Joint Commission, is a private and non-profit making organization. This represents non-governmental operations but separately as an independent body. The main aim of the organization is to develop the safety of the public healthcare, and the quality of service provided by health organizations. Safety and quality is measured by the compliance to the standards provided by the joint commission. Its members include the ADA (American Dental Association), AMA (American Medical Association), and (ACP) American College of Physicians among others. Those members that comply fully with the standards of the joint commission are regarded with respect of the best service providers. Organizations with the reputation usually attract more practitioners and clients (Uselton et al 2010).

The Joint Commission is the oldest accrediting body in health care. Founded in 1951, it continues to improve health care for the public. The roots of The Joint Commission date back to 1918 where a group of surgeons led voluntary onsite hospital inspections (www.jointcommission.org). Accreditation is used to verify that certain organizations have an appropriate quality management system and can properly perform certain test methods according to their specialty. The terms accreditation and certification are used interchangeably but are not the same. Certification refers to verifying certain credentials met by personnel or to verify that some products meet certain

Failure to adhere to regulatory compliance can impact a litigation process, which in the case of Stevens vs, Hickman Community Hospital was prominent when the Tennessee Court of Appeals dismissed the case based on failure to comply with Tennessee’s Medical Malpractice Act and the Health Insurance Portability and Accountability Act of 1996. This paper will include an IRAC Brief that will explain the case in detail followed by a brief explanation of governmental principles of regulatory compliance requirements, a brief explanation of methods for managing the legal risks that arise from regulatory compliance issues, and how this

It had been found that healthcare quality in the United States is substandard and that the acknowledgment of needed healthcare varies extensively. While it is recognized that even the most vigorous accreditation programs will never eliminate all the disputes within medical facilities and services being accredited; it is vital that steps are taken to ominously improve quality and in doing so will reduce risk. Pursuing accreditation unveils a pledge to the improvement of quality in health care. Numerous certifying figures exist in the United States with each having their own particular zone of application. The Joint Commission is a health care agency known for its superior patient care standards. It cultivates standards for quality as well as security, than evaluates performance amongst health care organizations aligned on these principles. In addition, it attempts to augment the effect that performance measures have on improving health results for patients. The groups that practice quality care within these guidelines and protocols are issued accreditation for their work in the field of medicine.

Well Care Hospital professional’s duty is to be committed to the care of all patients and make improvements within the life of the patient. According to the National Ethics Committee of the Veterans Health Administration (2003), “Professionals are required to make a fiduciary commitment to place their clients’ interests ahead of their own. Patients should be able to trust that their interests and welfare will be place above those of the health care profession” (p.2)

Accreditation is a process review that healthcare organizations participate in to demonstrate the ability to meet regulatory requirements and accreditation standards established by a recognized accreditation organization. Accreditation helps the dedication and improvement on the performance and the quality of care for the patients. Without this accreditation would be low and the facility would not meet the standards of the federal government.

The accreditation plays many roles to improve the healthcare industry. One of its core roles includes accreditation. The organization is known as one of the best accrediting organizations in the US. Its independence is one of the core factors that make the organization to gain reputation in its accreditation processes. It provides various types of accreditation. On the other hand, the accreditation provides a great opportunity for the ACOs to prove their ability to provide quality care and even improve on quality care (National Committee Quality Assurance, 2014).