Access to care and continuity of care

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presentation for J.C.I.A. accreditation chapter access to care and continuity of care

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Access to care and continuity of care

  1. 1. Access to Care and Continuity of Care (ACC)© Copyright, Joint Commission International
  2. 2. WHAT IS MEANT BY BOTH TERMS? ACCESS TO CARE CONTINUITY OF CARE All insurance are accepted.  maintenance of comprehensive Changes in insurance are central record that contains all actively accommodated. pertinent information Practice is accessible by public  Facility provides continuous care transportation, where available. for transfer and after discharge Families are able to reach directly from the facility to the facility when needed (24 © Copyright, Joint Commission International hours/d, 7 days/wk, 52 wks/yr) The practice is physically accessible and meets public requirements.
  3. 3. Why are we here?1 2 3• To know a little • To conduct a • To fulfil criteria information better practice of JCIA about the ACC for health care reaccreditation chapter provision. © Copyright, Joint Commission International
  4. 4. OverviewA health care organization should consider the care it provides as part of an integrated system of services. The goal of this system is to:– match the patient’s health care needs with the services available. © Copyright, Joint Commission International– coordinate the services provided to the patient.– plan for discharge and follow-up.
  5. 5. So. what is the result?The result is improved:– Patient care.– Patient outcomes.– More efficient use of available resources. © Copyright, Joint Commission International
  6. 6. ACCESS TO CARE (ADMISSION TO ORGANIZATION)© Copyright, Joint Commission International
  7. 7. ELEMENTS OF THE CHAPTER –Admission to the Organization –Continuity of Care. –Discharge, Referral, and Follow-Up –Transfer of Patients © Copyright, Joint Commission International –Transportation
  8. 8. So, to be easy to understand the contents ofthis chapter we will listen to this story: Few days in Zahra life in our facility Related standards: Madam Zahra brought by family to ask  Access to care for medical advice through ER Been aramco listed.  Access to care Admission decided according to her  Admission to organization needs confirming the priority items and the facility mission.  ACC 1 Admitted to regular ward.  ACC 1.2 © Copyright, Joint Commission International Care plan and proposed outcome explained to family All barriers detected are bypassed  ACC 1.3
  9. 9. So, to be easy to understand the contents of thischapter we will listen to this story:Few days in Zahra life in our facility Related standards: One day later, patient suffered from medical  ACC 1.4 condition that need to be shifted to other  ACC 2 intra-organization areas. Treating physician still in command care  ACC 2.1 The case endorsed well by well documented  ACC 2.1 file workup The patient and her family asked for referral  ACC 3 to other facility © Copyright, Joint Commission International Family counselled for the proposed care plan after referral and they are thinking to go  ACC 1.2 DAMA  ACC 3.3  ACC 3.5
  10. 10. So, to be easy to understand the contents of thischapter we will listen to this story: Report prepared based upon clinical assessment  ACC 3.2 and include all significant history of our patient Patient will be transferred to this facility based  ACC 4 upon her needs and their mission  ACC 4.1 Sending the report to receiving facility and care  ACC 4.2 plan approved and accepted Discharge summary wrote and kept in our patient file  ACC 3.2 Transfer summary wrote and sent to receiving  ACC 3.2 facility. Qualified team matching the patient needs will  ACC 4.3 transfer the patient  ACC 4.4 © Copyright, Joint Commission International With full medical records with transfer summary Patient been transported to the receiving facility  ACC 5 by our facility according the patient needs
  11. 11. Organization 1. Admission to the© Copyright, Joint Commission International
  12. 12. 1. Admission to the Organization –ACC.1 Patients are admitted to receive inpatient care or registered for outpatient services © Copyright, Joint Commission International based on their identified health care needs and the organization’s mission and resources.
  13. 13. 1. Admission to the Organization–ACC.1.1 The –ACC.1.1.1 Patients with emergent, urgent,organization has a or immediate needs are given priority forprocess for: assessment and treatment. –ACC.1.1.2 Patient needs for preventive,–Admitting inpatients palliative, curative and rehabilitative services are prioritized based on the patient’sand condition at the time of admission as an inpatient to the organization.–For registering –ACC.1.1.3 The organization considers the © Copyright, Joint Commission International clinical needs of patients when there areoutpatients. waiting periods or delays for diagnostic and/or treatment services
  14. 14. 1. Admission to the Organization ACC.1.2– At admission as an inpatient, patients and families receive information on:  the proposed care,  the expected outcomes of that care, and  any expected cost to the patient for the care. ACC.1.3– The organization seeks to reduce physical, language, cultural, © Copyright, Joint Commission International and other barriers to access and delivery of services. ACC.1.4– Admission or transfer to or from units providing intensive or specialized services is determined by established criteria.
  15. 15. CARE 2.CONTINUITY OF© Copyright, Joint Commission International
  16. 16. 2.CONTINUITY OF CARE:– ACC.2The organization designs and carries out its ownprocesses– why?  provide continuity of patient care services in the organization . and coordination among health care providers.– ACC.2.1 © Copyright, Joint Commission InternationalDuring all phases of inpatient care  there is a qualifiedindividual identified as responsible for the patient’s care.
  17. 17. Follow-Up 3.Discharge, Referral, and© Copyright, Joint Commission International
  18. 18. 3.Discharge, Referral, and Follow-Up – ACC.3.1 The appropriate referrals (written– ACC.3 acceptance form?).There is a policy – ACC.3.2 the clinical records and the guiding discharge summary. the referral or – ACC.3.2.1 The discharge summary of discharge of inpatients is complete. patients. – ACC.3.3 the clinical records © Copyright, Joint Commission International – ACC.3.4 (Discharge prescription) – – ACC.3.5 The patients who leave against medical advice.(OVR and DAMA FORMAT) Client name/ Presentation Name/ 12pt -
  19. 19. 3.Discharge, Referral, and Follow-Up– ACC.3.1 The organization cooperates with health care practitioners and outside agencies to ensure timely and appropriate referrals.–– ACC.3.2 the clinical records of inpatients contain a copy of the discharge summary.– ACC.3.2.1 The discharge summary of inpatients is complete.–– ACC.3.3 the clinical records of outpatients receiving continuing care contain a summary of All known significant diagnoses, Drug allergies, Current medications, and Any past surgical procedures and hospitalizations (transfer summary). © Copyright, Joint Commission International–– ACC.3.4 Patients and their families are given understandable follow-up instructions.–– ACC.3.5 The organization has a process for the management and follow-up of patients who leave against medical advice.
  20. 20. Patients 4.Transfer of© Copyright, Joint Commission International
  21. 21. 4.Transfer of Patients:ACC.4Patients are transferred to other organizations based on:Status of the patientNeed to meet their continuing care needs. © Copyright, Joint Commission International
  22. 22. 4.Transfer of Patients: ACC.4.1– The referring organization determines that the receiving organization can meet the patient’s continuing care needs. (COMMUNICATION) ACC.4.2– The receiving organization is given a written summary of the patient’s clinical condition and the interventions provided by the referring organization. (Transfer summary) ACC.4.3– During direct transfer, a qualified staff member monitors the patient’s condition. © Copyright, Joint Commission International ACC.4.4– The transfer process is documented in the patient’s record.
  23. 23. of the patients 5.Transportation© Copyright, Joint Commission International
  24. 24. 5.Transportation of the patientsACC.5The process for : Referring, Transferring, or Discharging patients,Both  inpatients and outpatients,includes  planning needs to meet the © Copyright, Joint Commission International patient’s transportation.What does this mean?
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