Utilization Review Accreditation Commission Summary

In 1918, the ACS began implementing their Hospital Standardization Program to inspect hospitals and enforce minimum standards. The initial inspection results were troubling, of 692 hospitals assessed, only 89 met the minimum standards (Chassin & O'Kane). Over the years, the program began to show significant improvement in the quality of care. By 1950, the Hospital Standardization Program accredited over 3,200 facilities across the country. Today, accreditation promotes a continuous cycle of quality improvement, rather than sustaining minimal levels of performance

The mission of UnitedHealthcare Group is to “help people live healthier lives” with access, quality and affordability. They are committed to continual improvement and the delivery of quality care by investing approximately $3 billion in business process improvements, research development, and technology within the past five years. In addition to reinvesting the revenues in innovative technologies, research and other improvements to better serves its consumers, UnitedHealthcare Group is also committed to social responsibility through employee involvement,

The utilization review process is a health insurance company's opportunity to review a request for medical treatment. The purpose of the review is to confirm that the plan provides coverage for your medical services. It also helps the company minimize costs and determine if the recommended treatment is appropriate. A utilization review also gives you the opportunity to confirm that your health plan provides adequate coverage for your particular condition. If the company denies coverage as a result of a utilization review, you can always appeal the decision. The three steps in medical necessity and utilization review are: initial clinical review, peer clinical review, and appeals consideration. The UM is often used interchangeably with utilization

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 is a self-governing, nonprofitmaking organization that accredits and certifies over 21, 000 health care organizations, hospital, and programs in the United States. The body was formed in 1951. Since its creation, the organization has been working relentlessly to augment healthcare for the people of U.S. and have continued inspiring healthcare organizations with an aim to promote and advocate for quality as well as value in the healthcare ("About The Joint Commission | Joint Commission," 2016). Joint Commission creates performance standards for certification and accreditation programs that healthcare organizations and hospital facilities are demanded to pass to get accreditation from the body. These standards are

The Joint Commission evaluates and accredits more than 20,000 health care organizations and programs in the United States. The Joint Commission also provides certification of more than 1,000 disease-specific care programs, primary stroke centers, and health care staffing services. An independent, not-for-profit organization, The Joint Commission is the nation's oldest and largest standards-setting and accrediting body in health care. The Mission of the Joint Commission is to continuously improve health care for the public, in collaboration

There are many roles of the Joint Commission in accrediting medical facilities. The Joint Commission was founded in 1951 and is the nation’s largest accrediting body in health care. They evaluate nearly 21,000 health care organizations in the Unites States. (The Joint Comm, 2016) Once an organization earns the accreditation they are re-surveyed every three years unannounced. They are responsible for making sure that healthcare facilities are up to date on all standards, policies, and procedures. “Joint Commission accreditation can be earned by many types of health care organizations, including hospitals, doctor’s offices, nursing homes, office-based surgery centers, behavioral health treatment facilities, and providers of home care services

The Joint Commision (a not-for-profit) is known as a symbol of quality for performance standard in hospitals and organization in the United States. Their purpose is to accredit and certify that nearly 21,000 health care organization are providing safe and effective care. If a hospital or organization chooses to maintain their accreditation they are provided with a manual which includes a list of chapters such as, the environment of care, leadership, provision of care, treatment and services, life safety, and information management. In each chapter, it describes specific standards/requirements that must be met to maintain compliance. The Joint Commission also addresses health record documentation standards and elements that include, legibility,

CFT Composition: Iaja’s (youth) CFT meeting was held at the family’s home in Jersey City, NJ. In attendance was Jasmine Alexander (CM), Ashley Warren (caregiver) and Iaja Carter (youth). Aminata Bangura (ISS provider) participated via phone. Iaja and the family have numerous natural supports to assist with treatment.

There are several types of health agencies within the United States that share common goals and complete similar tasks. Most agencies works together to provide good quality of care and patient’s safety. In today’s society, every health care organization should provide a proof of accreditation and are subject to a three-year

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.

United Healthcare assesses that it services approximately 70 million Americans . Its entire system spans 676,287 physicians and health care professionals, 80,000 dentists and 5,190 hospitals, whilst their pharmaceutical management provides more affordable drugs to 13 million people.

In all of the U.S, United Healthcare is the only health carrier that has been working towards improving the effectiveness as well as quality of healthcare for people belonging to all the various nations. This organization has been trying to make the medicines more accessible to the people who need them; they have been trying to implement the services that could be used by the masses not only in terms of cheaper costs but better accessibility as well.

When researching for Assignment 2 - Program Audit and Assessment, I can across a product called KEVA planks. The premise is that the blocks appeal to both the artist and builder. Children can build imaginative structures will developing Science, Engineering and Math skills. Parents focus on reading skills with young children, but don’t always actively build foundations for math and science. By promoting both you build well rounded children.

TCC is offering unique consultation geared to business leaders with our expertise background by offering several consulting sessions in our office space as well as in their office space. We can help business people to succeed from where they stand even in the slow economy with specific strategies and systems. Our consultation is not about providing guidance or fixing clients up. Our consultation services will definitely produce successful business leaders by putting them back on the fast track with certain strategies and goals due to our qualifications: