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Joint commission
The role of accreditation in health care
Analyze the role of accreditation and regulatory agencies in the health care industry
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The Joint Commission
The Joint Commission is the accrediting body for all health care organizations within the United States. All facilities within the United States must be accredited by the Joint Commission in order to become licensed to provide health care services. The objective of this paper is to inform the reader about the Joint Commission. This paper will discuss the history of the Joint Commission, how they accredit healthcare organizations, and the benefits of the accrediting body.
The Joint Commission was initially founded in 1913 by the American College of Surgeons. At this time, the purpose of the Joint Commission was to provide voluntary inspections of hospitals in order to ensure that the hospitals were providing safe practices.
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The Canadian Medical Association is no longer affiliated with JCI. The Joint Commission now divided into three separate sub organizations within the main organization. The first branch is called the Joint Commission Resources and provides all of the educational and consultation material. The second branch is the Joint Commission International and is responsible for providing the Joint Commission to foreign countries. The third branch is known as the Center for Transforming Healthcare, and was established in order to accredit organizations in order to establish continuous solutions and guidance for healthcare organizations (Zerwekh …show more content…
The Joint Commission is a highly reputable organization within the healthcare community and facilities that are accredited by the Joint Commission often have an advantage over non-accredited facilities within their community. Consumers understand that facilities accredited by the Joint Commission will provide a higher quality of care than other facilities (Joint 2013.) Another very big benefit associated with being accredited by the Joint Commission is the acceptance of Medicare and Medicaid. In order for a healthcare facility to receive payment from Medicare and Medicaid, the facility must have passed the accreditation process by the Joint Commission. The acceptance of Medicare and Medicaid payment plays a giant role when looking at the business side of healthcare. Consumers who only have Medicare or Medicaid without any additional health insurance are only able to afford facilities that except their insurance. Therefore, facilities that are accredited by the Joint Commission will have a much larger consumer base than unaccredited facilities (Salera
Strengths Long-standing reputation Provision of quality healthcare Highest rank in patient satisfaction Recipient of Joint Commission accreditation Serving a diverse population Weaknesses Smaller than other four hospitals Decrease in net profit Increase in expenses Significant increase in long-term debt Not-for-profit status Opportunities Changes in government regulations Change in lifestyle Influx of patients due to higher patient satisfaction Cost savings Opening of some outpatient clinics and surgery centers Threats Too much competition
With the passage of the Affordable Care Act (ACA), the Centers for Medicare and Medicaid Services (CMS) has initiated reimbursement based off of patient satisfaction scores (Murphy, 2014). In fact, “CMS plans to base 30% of hospitals ' scores under the value-based purchasing initiative on patient responses to the Hospital Consumer Assessment of Healthcare Providers and Systems survey, or HCAHPS, which measures patient satisfaction” (Daly, 2011, p. 30). Consequently, a hospital’s HCAHPS score could influence 1% of a Medicare’s hospital reimbursement, which could cost between $500,000 and $850,000, depending on the organization (Murphy, 2014).
...on rates have shown to improve when the facility is practicing patient- and family- centered care, which ultimately can increase the reimbursement rates from Medicare and Medicaid. The increase reimbursement rates are extremely important for non-profit health care system such as OhioHealth Mansfield whose revenue comes from over sixty percent in Medicare and Medicaid funding. The PFCC self-assessment tool was analyzed based on OhioHealth Mansfield with strengths and weaknesses, which one big weakness consisted in the personnel domain which consists of support for staff, and the utilization of patients and family involvement in decision making and new employees. The system change of adding the new role of the patient navigator allows collaboration with a diverse team including patient and family members, along with ultimately increasing patient satisfaction rates.
The health care organization with which I am familiar and involved is Kaiser Permanente where I work as an Emergency Room Registered Nurse and later promoted to management. Kaiser Permanente was founded in 1945, is the nation’s largest not-for-profit health plan, serving 9.1 million members, with headquarters in Oakland, California. At Kaiser Permanente, physicians are responsible for medical decisions, continuously developing and refining medical practices to ensure that care is delivered in the most effective manner possible. Kaiser Permanente combines a nonprofit insurance plan with its own hospitals and clinics, is the kind of holistic health system that President Obama’s health care law encourages. It still operates in a half-dozen states from Maryland to Hawaii and is looking to expand...
As a result, current CQC regulations have been renewed and came into force by the secretary of state. They contain definitions of the services and activities that those registered must provide. The clearly cover every aspect of all issues brought to the ...
The Affordable Care Act seeks to reduce health care costs by encouraging doctors, hospitals and other health care providers to form networks which coordinate patient care and become eligible for bonuses when they deliver that care more efficiently. Accountable Care Organizations (ACOs) make providers jointly accountable for the health of their patients, giving them financial incentives to cooperate and save money by avoiding unnecessary tests and procedures. About four million Medicare beneficiaries are now in an ACO, and, combined with the private sector, more than 428 provider groups have already signed up (CMS, 2014). An estimated 14 percent of the U.S. population is now being served by an ACO (CMS, 2014).
Healthcare in the U.S. has recently been affected by implementation of the Affordable Care Act (ACA) of 2010. The intent is to create a healthca...
Even before the eve of the Revolution, the colonists constantly had the image of independence lingering in the back of their heads. The colonists felt that they were first on a loose leash, and as that leash tightened over the years, the colonists began to understand their true culture and identity. As time passed, the colonists developed a greater sense of their identity and unity as Americans and by the eve of the Revolution, even though at first the colonists were unorganized and had problems with being united, they remained determined to gain their identity and unity as Americans.
Based on the case study provided: Hospital A, Porter Regional Medical Centre (Hosp. A) & Hospital B Banner Regional Medical Centre and Turner Geriatric Centre (Hosp. B) merged to form a consolidated entity named “Portsmith Regional Medical Centre” (PRMC). Both Hospital A and B were fully accredited hospital, with “state-of- art diagnostic technology” which included MRI and CAT scanners, 24-hour physician staffed emergency centers. Both Hospital A and Hospital B are located in a small community of 60,000 people in southeastern part of Idaho.
Merwin, E & Thornlow, D. (2009). Managing to improve quality: the relationship between accreditation standards, safety practices, and patient outcomes. Health Care Managment Review, 34(3), 262-272. DOI: 10.1097/HMR.0b013e3181a16bce
Organizational philosophy commits in establishing a high quality program that will be of distinct benefit to the community, as well as the medical staff. Mission consists of high patient satisfaction, compassion, reduction in medical errors, proper medical decisions, and patient education. For this reason, leadership is seeking the interest and commitment for expansion of a JRU to establish a program that is compatible with goals for quality, cost-effectiveness, and growth within the most efficient period.
Conditions of Participation was created to ensure all facilities participating in Medicare follow a set of regulations that protect the safety of Medicare recipients. In 1986 revisions were made to reinforce accreditation and certification procedures. Participating hospitals that are accredited by the Joint Commission on Accreditation of Healthcare Organizations or American Osteopathic Association have been deemed to meeting Conditions of Participation requirements on the wellbeing of Medicare Recipients. The Joint Commission on Accreditation of Healthcare Organizations also requires that the facilities are licensed by their state. (Lohr, 1990, p.
Healthcare organizations are designed to meet the healthcare needs of individuals and promote a healthy community. The three healthcare organizations that interest me are: The Heart Hospital Baylor of Plano, Texas Health Center for Diagnostics & Surgery Plan, and Parkland Health and Hospital System. Due to the evolving healthcare industry, focusing on just patients and physicians is no longer a marketing strategy. According to Mycek (2015), “Marketing teams need to expand their consideration set and focus on the new 5 P’s of Healthcare Marketing” (p. 1).
Barton, P.L. (2010). Understanding the U.S. health services system. (4th ed). Chicago, IL: Health Administration Press.
An organizational analysis is an important tool to become familiar with how medical businesses and organizations are able to meet standards of care, provide services for the community and provide employment to health care providers. There are many different aspects to evaluate in an organizational analysis. This paper will describe these many aspects and apply the categories to the University Medical Center (UMC) as the organization being analyzed.