The Joint Commission Survey

The Joint Commission is an independent, not-for-profit group in the United States that administers voluntary accreditation programs for hospitals and other healthcare organizations (for example, long term care, mental health, and ambulatory care). The commission develops performance standards that address crucial elements of operation, such as patient care, medication safety, and infection control and consumer rights. Patient safety is one of the main focus of the Joint Commission. They make sure their standards provide the best service by helping health care organizations to improve the quality and safety of the care they provide.

Description of Participants Of the 16 suggested stakeholders, 13 individuals participated in the telephone interviews (87% response rate). Across respondents, with the exception of Region 3, all the Idaho regions identified in Exhibit 1 were represented. The respondents represented a variety of professional positions, including Chief Executive Officers (CEOs), Chief Information Officers (CIOs), Executive Directors, other hospital administrators, and physicians, including primary care providers and specialists.

UNIT 2: EQUALITY, DIVERSITY AND RIGHTS JADA COOPER 20140170 P4: This task will explain 2 different national initiatives, stating when they were set up, the purpose and also how they promote anti-discriminatory practises. It will also talk about Charters and their importance, whilst discussing 2 of the codes of practices’. Care Standards Act 2000 The Care Standards was established in 2000, its’ aim is to ensure that the standards of care within all institutions were not inadequate as the rules and regulations have to be adhered to. The care standards act try’s to make sure that all institutions are equipped and well facilitated to meet the needs of those within the provision.

Last week I found the information that I gathered from the assignment on conducting a visit to a local healthcare facility to hold the most interesting concepts from me. Having worked for different healthcare facilities, I have had my share of Joint Commission visits. It is not at all a visit that hospital employees look forward to. Learning about the details behind what the surveyors intend to achieve by examining hospital practices, questioning employees and asking patients about their stay makes more sense now.

Thank you for your all information. Your answer is very organized and well addressed the question. I agreed with you the Joint Commission's mission and goal now is to focus on continuously improving health care for the public by evaluating health care organizations and inspiring them to excel in providing the safest and effective care of the highest quality and value. According to the Joint Commision (JC), there are no new National Patient Safety Goals in 2015, but JC continuously determines the highest priority patient safety issues and how best to address them. For exxample, for hospital setting, the goals focus on following problems: identify patients correctly, improve staff communication, use alarms safely, prevent infection, identify

Their 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 quality and value”, (Joint Commission, 2014). The accreditation from the Joint Commission can be earned by multiple health care organizations including critical access hospitals, office based surgery centers, behavioral health care facilities, and home care services. For a hospital setting, the Joint Commission places the performance measures into accountability and non-accountability measures. They look at research and if the facility is performing evidence-based care process which improves health outcomes, proximity which the care process is linked to the patient outcomes, accuracy for whether or not the care process has indeed been provided, and any adverse effects. To earn and maintain The Joint Commission’s Gold Seal of Approval™, an organization must undergo an on-site survey by a Joint Commission survey team at least every three years (Joint Commission,

The Joint Commission was founded in 1951 was also went through a name change and became the Joint Commission on Accreditation. Hospital facilities are under Joint Commission of Hospitals across the US. In 1953, JCAH began accrediting hospitals. The Social Security Amendments of 1965 passed by Congress announced that hospitals accredited by JCAH were allowed to participate in the Medicaid and Medicare programs. In 1987, the name was shortened and it became the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).

The committees involve individuals from diverse backgrounds who support health care institutions with three major functions: providing clinical ethics consultation, developing and/or revising policies pertaining to clinical ethics and hospital policy and facilitating education about topical issues in clinical ethics. The goals of ethics committees are: to promote the rights of patients; to promote shared decision making between patients and their clinicians; to promote fair policies and procedures that maximize the likelihood of achieving good, patient-centered outcomes; and to enhance the ethical environment for health care professionals in health care

7 / D.P7: Explain how different procedures maintain health and safety in a selected health or social care setting Maintaining health and safety in health and social care is extremely important to ensure the health, safety and wellbeing of all their service users as well as other individuals service providers may come in contact with in the setting. There are several procedures that help to maintain this health and safety however they can all vary between settings for example, health and safety procedures will be slightly different and more focused on certain areas in hospitals and especially in paediatric ward compared to in drop-in centres where the needs and risk to service users are slightly different. Some of the procedures used in health and social care to maintain health and safety include; infection control and prevention, safe moving and handling of equipment and individuals, food preparation and storage, storage and administration of medication and storage and disposal of hazardous substances.

When the Hospital Standardization Program established their initial set of minimum standards, one of the prescriptive measures required healthcare organizations to maintain medical records for patient treatment. The necessity of creating, and preserving a detailed account of a patient’s history, laboratory results, and treatment seems rudimentary today. The Hospital Standardization Program made significant advances in enforcing proper documentation. Building on that legacy, TJC strengthened standards involving appropriate medical documentation by including strict timelines for completion. For example, TJC mandates a patient’s History and Physical (H&P) report be completed within 24 hours of admission.

There are many stakeholders involved with health care administrations. Those stakeholders can be patients, health care physician, insurance providers, pharmaceutical manufactures, hospital organizations, community clinics and government. Each different stakeholder has their own individual vision of health care administration. This causes conflict due to the nature and differences in vision. which then can cause conflicts among each stakeholder involved.

Quality and measurement theories that abandon the highest levels of appropriateness, will accomplish the healthcare industry evaluates the accountability costs and impacts. Having an understanding of the scrutiny of service, responsibilities, customer satisfaction, effective service and performance, and outcome assessments are all requirements of accountability, which are part of the continuum for accountability (Ledlow & Coppola,

Risk Based Monitoring (RBM) is becoming more popular and widely used in clinical trials in the past few years. The concept of the risk based monitoring is to transform the traditional 100 % source data verification (SDV) monitoring approach towards a new concept of monitoring that includes varies of centralised activities in critical data evaluation and process monitoring. RBM is a monitoring approach which combines risk assessment and risk management by utilising key data indicators, along with analytical tools to identify risk at study level, site level and subject level respectively. It also introduces the new term Source Data Review (SDR) to the industry. Source Data Verification which is known as SDV is defined as “the process by which

An interesting take on healthcare organizations should not be exempted from quality improvement because of only being able to provide minimal services. According to the text, “having a shared definition for quality is critical to the mission of quality improvement in health care. To improve the quality of health care, all stakeholders, including patients, providers, payers, and administrators, must share compatible goals and have a consistent and collaborative agenda” (Sadeghi, 2013, p.68). Deming clearly understood the importance of data. Meaningful quality improvement must be data-driven.

People seek for quality medical services from health institutions with the hope that their health conditions will improve after getting attended to. Therefore, most of the health centers put in place rules and regulations to its human resource to ensure that their clients receive the desired quality health. Unfortunately, some of these conditions deter the realization of the initially intended purpose. For the purpose of quality health production, this article implements an analysis of how the critical human factors can affect the quality of work and safety of health services provided by individual organizations and by the entire system as a whole.