EBP Project Proposal

EBP Project Proposal
Internal method is used to identify best practices within an organization, to compare best practices within the organization, and to compare current
practice over time. In my EBP project, I would like to discuss internally with my coworkers, my mentor, patients and family members to get more
information to solve issues regarding fall prevention because Communication and sharing information with participants always for specifying the
purpose and strategy of the quality improvement. Developing open channels of communication across all corrections and at all levels of leadership,
permits the voicing of concerns and observations the process of creating any change. External method I would like to use my EBP that is a Center for
Transforming Healthcare
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Nursing Excellence: A Non-Profit Organization
After reading this week's assigned readings in regards to nursing excellence, I will choose two of the organizations and discuss the purpose of each
organization. I will also discuss how each organization impacts nursing practice, the role they play in nursing education and research, and whether or
not I would support each organization as a nurse. After discussing and presenting these issues, I will end this discussion post with a conclusion.
Nursing excellence is compiled of many different organizations that impact nursing education, practice, and research. Staying up to date is crucial in
providing excellent nursing care to our patients. The Joint Commission is a non–profit organization that is partnered with the government. This
organization

Hospital Accreditation : A Self Assessment Process
Chapter 1 Introduction and Background
1.1Introduction
According to Myers (2011), Hospital Accreditation is a self–assessment process carried out by health care bodies to determine the level of performance
by the set standards. The process of hospital accreditation not only sets the standards for operation but also provides and support to the stakeholders on
how to improve the performance. Although the accreditation bodies set the standards of service, there is little evidence supporting the credibility and
effectiveness of the certification programs.
Healthcare accreditation isan important activity in the Kingdom of Saudi Arabia bearing in mind the vast population of the country and the high
number of hospitals operating in the kingdom. Saudi Arabia has approximately 27 million people and more than 415 hospitals (Central Department of
Statistics, 2010). In addition, the Kingdom of Saudi Arabia is the second largest oil producer (Ramady, 2010). The kingdom also occupies 830, 000sq
mi, approximately four–fifths of the Arabian Peninsula. The country shares borders with Iraq and Jordan to the north, Qatar and UAE to the eastwhile
Yemen and Oman border the country on the south and southeast respectively. Most of the country's land is arid and inhospitable due to the barren
landforms.
Oil exploration hassignificantly fuelled the growth rate of the kingdom and consequently improved the welfare of the citizens (WHO, 2007). The high
growth rate has necessitated the

Hcs/451 Health Care Quality Management and Outcomes Analysis
Performance
HCS/451 Health Care Quality Management and Outcomes Analysis
This paper will propose how TriCity Medical Center will monitor performance, achieve regulatory and accreditation compliance, and improve overall
organizational performance. It will describe ways TCMC will communicate with leadership to ensure alignment of organizational goals and gain buy–in
from staff to achieve compliance with the standards and requirements issued by regulatory and accreditation bodies. Also it will determine how
compliance with the regulations and development of risk– and quality–management systems for the organization contributes to the organization's
overall performance–management system.
About & Similarities
The similarities between ... Show more content on Helpwriting.net ...
A system of checks and balance must be performed to maintain efficiency and productivity that can only be achieved through regulatory and
accreditation programs.
Outcome based processes geared towards improving outcomes by implementing performance improvement checks on all complaints or negative
feedback acquired from patients, healthcare providers, employees, vendors (all stakeholders) and environment of care rounds. These would include QC
measures, infectious control measures, ACC measures, HCAP measures to name a few. Align with nationally recognized locators for healthcare
facilities to compare our organization with local and nationally recognized healthcare organizations to see where we rank. Strategic goals established
by The Joint Commission and initiatives by CMS will help improve overall performance.
The Joint Commission has targeted solution tools (TST) applicable to the Joint Commission standards and National Patient Safety Goals covering;
value–based purchasing/pay for performance (P4P), healthcare–acquired conditions, hospital readmissions, risk reduction, staff education. There are
more tools The Joint Commission provides which are: Leading Practice Library, Standards BoosterPak, Core Measure Solution Exchange, Portals:HAI,
High Reliability, and Trasitions of Care, FSA and Intracycle Monitoring Process,

Improving The Quality Of Healthcare Services
Introduction
In the United States the healthcare system is influenced by the cost and the quality of services delivered to its citizens. The cost in healthcare refers to
the services rendered, production or actual money spent on services provided. Quality in healthcare is defined as measurable standard for services
provided. In healthcare, both the cost and quality are dependent on each other and the initiatives can be regulated by a public or private agency.
Healthcare Agencies
The Department of Health and Human Services is a public agency. It has several operating divisions however, two divisions are mentioned the Agency
for Healthcare Research and Quality and the Center for Medicare and Medicaid Services for its ... Show more content on Helpwriting.net ...
"The standards focus on important patient, individual, or resident care and organization functions that are essential to providing safe, high quality care"
(Joint Commission,2017, Standars:para1). The Joint Commission focuses on quality and efficiency to provide safe patient care. Ideally, the quality
measures are able to maintain the high standards without raising the costs of healthcare services.
Healthcare Initiatives
The Department of Health and Human Services has six quality strategy goals:
"safer care by reducing harm caused in the delivery of care"
"strengthening the person and family engagement as partners in their care"
"promoting effective communication and coordination"
"promoting effective treatment of chronic disease"
"working with communities to promote best practices of living healthy living"
"making health care affordable" (Department of Health and Human Services, 2016, Quality Card).
Through its Healthcare cost and utilization project the Department of Health and Human Services is able to manage costs while simultaneously
providing quality care. The project is a "database and related software tools that enables research on o broad range of health care issues, including cost
and quality of health services, medical practice patterns, access to healthcare programs and outcomes of treatments on a

Population Impact of the Affordable Care Act
Population Impact of the Affordable Care Act on North Carolina's Uninsured In 2010 the American government passed new health care legislation,
called the Patient Protection and Affordable Care Act (ACA), in order to reform the United States health care system. This health care reform opens
the door for some Americans who have never been eligible for affordable health care insurance to obtain it beginning in 2014 (Sparer, 2011). All the
states will enact this legislation but some will limit the provision provided to their citizens (Kaiser Commission, 2013). North Carolina is one of the
states that have chosen not to enact all of the ACA's provisions (Kaiser Commission, 2013). In this paper, I will look at health care... Show more content
on Helpwriting.net ...
Although North Carolina has chosen not to expand Medicaid, other provisions of the ACA still go into effect. The ACA will still increase insurance
coverage because North Carolina residents who currently are eligible for Medicaid but are not currently on it will now have to sign up due to the
mandate for nearly everyone to acquire insurance (Holahan, Buettgens, Carroll & Dorn, 2012). The other advantage is a simplified Medicaid eligibility
enrollment system and federal grants for navigators to help people with understanding health insurance options (Short, 2013). North Carolina
residents will still see some benefits with the U.S. implementation of health care reform but not all of the proposed benefits. Economic Impact on
North Carolina Health Care Organizations Even though North Carolina is not participating in the ACA's Medicaid expansion, the ACA will have an
effect on North Carolina's health care organizations. The United States' national goal is to increase the number of people with health insurance in
order to increase collective resources to pay for needed medical care (Short, 2013). This plan will not be able to be implemented as intended in North
Carolina because of the state opting out of Medicaid expansion. However, insurance coverage will increase with the other provision in the health care
reform law (Holahan, Buettgens, Carroll & Dorn, 2012).

The Joint Commission Visit
The roots of The Joint Commission began in the American College of Surgeons (ACS), founded in 1913, which eventually lead to voluntary onsite
inspections of hospitals in 1918. In 1951, The American College of Physicians, the American Hospital Association, the American Medical Association,
and the Canadian Medical Association joined forces with the ACS to create theJoint Commission on Accreditation of Hospitals (JCAH). JCAH was
formed as an independent, not–for–profit organization whose primary purpose was to provide voluntary accreditation for meeting established minimum
quality standards. It was not until 1970 that the standards of quality were reformed to represent the highest achievable levels, instead of minimum
necessary levels. In 1987, the company was renamed the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), which was
shortened to today's The Joint Commission after rebranding in 2007. (Stanberry, 2012)
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

Hcs/212 Joint Commission
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
Sandy Markert
HCS/212
March 31, 2013
Corinne McTier
Joint Commission on Accreditation of Healthcare Organizations
(JCAHO)
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 ... Show more content on Helpwriting.net ...
The surveying process looks at a facilities or organization's performance in important performance standards. Performance standards for patient safety
and rights, treatment and medication safety, and infection control are the main focus. The standards used to evaluate organizations are developed
working closely with those people with the best knowledge to develop them, the healthcare experts, providers, and the consumers of the care–the
patients.
The surveys are meant to be specific and consistent and are not just used to evaluate the organizations for improvement but are also to educate in the
best practice standards adopted throughout health care and to help staff in ways to continually improve an organizations performance. For this purpose,
in 1996 the Quality Check website was launched to help the Joint Commission provide information regarding the performance of accredited
organizations to consumers and organizations. Users are able to search for accredited or certified organizations; they can locate organizations by
either type of service or geographical area and lists of certified organizations as well as a hospital's performance measures can be obtained.

The benefits of JCAHO accreditation to a healthcare facility is that it demonstrates a level of competence to provide safe and effective care to its
patients. Accreditation

Safeguarding and protection of vulnerable adults (P1) Essay
514 – The Safeguarding and protection of vulnerable adults 1. Understand the legislation, regulations and policies that underpin the protection of
vulnerable adults 1.1 Analyse the differences between the concept of safeguarding and the concept of protection in relation to vulnerable adults There
is a difference between Safeguarding vulnerable adults/children and adult/child protection. Safeguarding is everybody's responsibility, and includes
measures to prevent or minimise the potential for abuse occurring. Protection is considered a statutory responsibility in response to individual cases
where risk of harm has been identified POVA or Protection of Vulnerable Adults was changed and implemented to SOVA or Safeguarding of Vulnerable
... Show more content on Helpwriting.net ...
The Government outlined their aim to fulfil their responsibility to provide care and protection for those who through their illness or disability are
genuinely unable to express needs and wants or exercise control. However, they made clear that the right to self–determination would be at the heart of
a reformed system only constrained by the realities of finite resources and levels of protection, which should be responsible but not risk averse. This
section demonstrates a future vision for the safeguarding of vulnerable adults and discusses protection but also the importance of not being risk
averse similar to what is outlined in the Human rights Act 1998 which discusses the right to independence which involves a degree of naturally
occurring risk. Section 3 is entitled 'A personalised Adult Social Care System' and in subsection 3.3 it discusses 'Systems which act on and minimise
the risk of abuse and neglect of vulnerable adults, supported by a network of "champions", including volunteers and professionals, promoting dignity
in local care services.'. This is yet more important policy and guidance which focuses on policy developments in relation to the Safeguarding of
vulnerable adults. Although at City Care Partnership we haven't adopted the system of champions, it's something that could be given future
consideration as we look to improve our own systems. We do have something similar in the form of an organisational Safeguarding lead however, a

Joint Commission Nonprofit Organization: A Case Study
The Joint Commission is an independent, nonprofit organization. The Joint Commission approves and certifies almost twenty–one thousand health
care organizations and programs in the United States. The Joint Commission accreditation and certification is used nationwide as a symbol of quality
that reflects an organization's commitment to meeting certain performance standards. The Joint Commission standards are developed with input from
healthcare professionals, providers, subject matter experts, consumers, government agencies, and employers; and approved only by the Board of
Commissioners. The mission for Joint Commission is to continuously improve health care for the public, in collaboration with other stakeholders, by
evaluating health care ... Show more content on Helpwriting.net ...
The Center's participants are some of the nation's leading hospitals and health systems. They use a systematic approach to analyze specific breakdowns
in care and discover their underlying causes to develop solutions to solve these problems. The Joint Commission shares these proven effective solutions
with its approved organizations. The Center developed the Targeted Solutions Tool, which is an innovative application that guides healthcare
organizations through a step–by–step process to measure their organization's actual performance, identify their barriers to excellent performance, and
direct them to proven solutions that are customized to address their particular barriers. Targeted solutions for hand hygiene, preventing falls, safe
surgery, and hand–off communications are available. In October 2015, an online high reliability assessment tool and resource library designed to assist
hospital leaders with determining their organization's level of maturity in multiple components of reliability and striving for no preventable harm. Once
the assessment is completed, a report is generated that identifies strengths and opportunities for improvement and directs the user to resources specific
to their organization's high–reliability maturity

The Affordable Care Act ( Aca )
Since the passage of the Affordable Care Act (ACA), consumers are utilizing different resources to gain more knowledge about healthcare choices.
While many consumers survey websites from healthcare organizations, they also viewed websites from quality agencies and medical information sites
generated by their favorite search engine. These websites provide information on medical concerns that influence the choices that consumers make
regarding healthcare. By using quality agency websites, consumers can acquire essential information on healthcare organizations and providers in order
to make educated decisions about the quality care they receive.
Background
Healthcare in the United States has evolved from simplistic delivery methods of ... Show more content on Helpwriting.net ...
By utilizing independent resources, consumers can educate themselves on important information about selecting care and diverse healthcare services
available.
Since consumers are becoming more involved with their healthcare decisions, organizations and providers must adapt to consumer requisites and utilize
independent resources to ensure the viability of their businesses. In 2008, a study reported that 81% of internet users and 66% of adults utilized online
health information as a source for health related issues (Ha & Yun, 2011). Some examples of online health information resources comprised of search
engines, organizational websites, and governmental agencies that participate in health related issues (Ha & Yun, 2011). By accessing health related
information, consumers empower themselves with knowledge to assist in healthcare decisions and wellness management (Ha & Yun, 2011). As a
result of consumers becoming better educated about healthcare, administrators must explore internet resources in order to maintain quality and services
that is expected by consumers, and maintain the reputation of the organization.
The Joint Commission One agency that consumers utilize to assess healthcare organizations is the Joint Commission. The Joint Commission is an
independent agency that provides accreditation and certification for quality, safety, value, and

The Evolution Of Health Care
What is quality in health care? We can divide it into three elements:
1. Care by practitioners and other providers which means receive correct diagnosis and an appropriate strategy of care from practitioners; and
convenience, comfort, quite, privacy, food etc. from care providers.
2. Care Implemented by patient that means patient should take care not only for him or herself but also for his or her family. It is patient's
responsibility if he or she succeed or fail of getting health care.
3. Care received by community as the whole. People should judge the social distribution of levels of quality in the community. It depends on who
has an access more or less to care and after having access, receiving it in good or low quality. The evolution of health care in the United States
started over 300 years ago. It is divided into six main important eras: the charitable, the educational era, the insurance era, the government era, the
managed care era and the consumerism era. The charitable includes period from about 1700 to about 1830. In the beginning of this period, health
care was provided voluntarily in public houses mostly for needy citizens. Those who had money could afford seen or treated at homes. The firs
hospital was built in Philadelphia in 1752, after about 40 years hospital in New York opened their doors for people who need a treat. At the same time
in New York state passed licensure act that person who wants to practicemedicine or surgery must have been examined

Essay on Hcs 430 Week 2
Regulatory Agency paper Name HCS/430 Legal issues in Health Care: Regulations and Compliances September 27, 2010 Instructor Regulatory Agency
paper The Joint Commission is an agency that maintains partnership with the government to help improve the standards of health care within the
United States. The Joint Commission accredits health care organizations and health care programs by setting standards to help improve the quality and
safety of health care. The Joint Commission work closely and collaborates with government officials and legislation by ensuring health care
organizations in the United States meet specific guidelines, set by The Joint Commission, which health care services provided are delivered with the
highest... Show more content on Helpwriting.net ...
Day–To–Day Responsibilities The responsibilities of the Joint Commission are to set standards to help improve the quality of health care services and
provide safety guidelines for health care organizations. Their mission as a nonprofit organization is to continuously improve health care (The Joint
Commission, 2010). The Joint Commission accredits and certifies health care organizations by surveying facilities to ensure health care standards,
performance measurements, safety guidelines have been implemented and carried out for better patient. The Joint commission sets standards and
guidelines in compliance with federal laws to evaluate health care services. 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. In order for a health
care organization to qualify for an accreditation, they must certain requirements. The requirements that health care facilities must meet before

Improving Health Care Standards Of The United States
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.
The Joint Commission delivers stability and security to the quality of care being practiced. They have certain standards which are the root of an
objective evaluation method that can benefit health care organizations through the measurement and monitoring of their achievements. These methods
improve upon performance standards. The committee's focus is primarily on important patient,

Joint Commission Essay
What is JCAHO? JCAHO, also as known as, Joint Commission on Accreditation of Health Care Organizations is an independent and not–for–profit
organization that accredits more than 20,500 health care organization and programs in the United States (The Joint Commission, 2015). This service's
accreditation and certification is recognized nationwide where it reflects an organization's commitment to meeting high performance and criteria.
II.Analysis– Like mentioned above, JCAHO is a nonprofit organization that accredits institutions consistent with requirements and policies they need to
abide by. 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" (The Joint Commission, 2015) and their
vision is "All people always experience the safest, highest quality, best value health care across all settings". This organization was found in 1951
where they intended to continuously improve health care for the ... Show more content on Helpwriting.net ...
The Commission then prepares draft standards using information from technical advisory panels, focus groups, experts and other stakeholders. The draft
accreditation standards are reviewed by field–specific Professional and Technical Advisory Committees, which are experts from the outside. The
certification and accreditation standards are reviewed by Standards & Survey Procedures Committee. Then, the draft standards are distributed
nationally for review and made available for comment on the page of the Joint Commission

Joint Commission on Accreditation of Healthcare...
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
Introduction
JCAHO is an abbreviation for Joint Commission on Accreditation of Healthcare Organizations is a non–for–profit organization that seeks to
continuously improve the safety and quality of care provided to the public through the provision of health care accreditation and related services that
support performance improvement in health care organizations. It is an organization made up of individuals from the private medical sector to develop
and maintain standards of quality in medical facilities in the United States. Although JCAHO has no legal enforcement power, and has no official
connection to the US Government regulatory agencies, many medical facilities ... Show more content on Helpwriting.net ...
in 1997 Jonit Commission International was established as a division of Joint Commission Resources, Inc. (JCR), a private, not–for–profit affiliate of
The Joint Commission. JCI extends The Joint Commission's mission worldwide by assisting international health care organizations, public health
agencies, health ministries and others to improve the quality and safety of patient care in more than 80 countries.The current version of the sentinel
event policy was adopted in 1998. In 2002, The Joint Commission establishes its first annual National Patient Safety Goals for improving the safety of
patient care in health care organizations, to be effective in 2003. In 2006, The Joint Commission begins conducting on–site accreditation surveys and
certification reviews on an unannounced basis, with certain exceptions. In 2008, The Centers for Medicare & Medicaid Services issues a clarification
in October, sought by The Joint Commission in response to field concerns, which brings CMS' interpretation of standing orders into alignment with
The Joint Commission's view on how to facilitate the timely treatment of certain patients. The Centers for Medicare & Medicaid Services grants The
Joint Commission deeming authority for critical access hospitals in November. CMS will evaluate, within 180 days, the changes The Joint
Commission agreed to make in order to align The Joint Commission requirements with those of CMS. The Centers for Medicare and Medicaid
Services again grants

The Role Of The Nurse Leader In Quality. Katherine Ensley.
The Role of the Nurse Leader in Quality
Katherine Ensley
Liberty University
Preventable hospital readmissions remain among one of the many serious quality issues plaguing the healthcare industry today. Readmissions can carry
fiscal implications, impact patient safety, and outcomes of care (Helm, Alaeddini, Bretthauer, & Skolarus, 2016). The cost of unplannedhospital
readmissions is estimated to be upwards of $15 billion dollars annually of which $12 billion has been associated with preventable admissions (Helm
et al., 2016). It is highly recognized that as many as 20% of Medicare beneficiaries are presently being readmitted within 30 days of discharge (Hunter,
Nelson, & Birmingham, ... Show more content on Helpwriting.net ...
They also compared the patient's ED diagnosis to the previous admission and discharge diagnosis. Additionally, reviewers correlated the following
information: site of hospitalization, type of admission (i.e. surgical, medical, or behavioral health), the complexity of the hospitalization, and the age of
the patient. After obtaining the necessary data, reviewers worked on determining the frequency of post–discharge ED visits that resulted in
readmission, and the factors associated with each ED visit.
MTF Action Plan
With a goal to obtain a 33% reduction in ED utilization by recently discharged patients, the MTF devised the following strategies to facilitate care
transitions and improve communication from inpatient units to clinics and between clinics and patients. Collectively the interventions were recognized
as Project Red Light and consisted of developing a Health Insurance Portability and Accountability Act (HIPAA) compliant process for sharing acute
care admission/discharge information with appropriate clinics and outpatient providers as well as scheduling follow–up appointments prior to
discharge or by the next business day following discharge. Other program interventions involved utilizing a multi–disciplinary approach to discharge
planning consisting of input from Care Coordinators, Primary Care Managers, Social Workers, and Discharge Planners.
An important component of the

Studymode ERR Task D
ERR TASK D Winterbourne View hospital was a private hospital at Hambrook South GLoustershire. It was owned and run by a company called
Castlebeck. Castlebeck were a provider of health care and support, for adults with learning disabilities, complex needs and challenging behavior. It
was brought to the attention of the CQC on May 12th 2011 that the television program called Panorama was going to be broadcast, showing video
evidence from a undercover reporter going into Winterbourne View as an employee. The reporter exposed the psychological and physical abuse of
the patients at the hospital. The allegations were brought to light when concerns were raised by a former charge nurse called Terry Bryan. Prior to this
the issues were raised to... Show more content on Helpwriting.net ...
The NHS commissioning board and local government association started a new program of work called the development improvement program;
this provides a national lead to make changes to services locally. Public opinion is affected greatly by issues of concern in the health and social care
sector because most people know or have known somebody who needs care. if issues are raised people lose faith in the system, so they

Long Term Care Facility
Johnniece Harris
Long Term Care Facility
Joint Commission Accreditation
Long term care facilities use Joint Commission Accreditation as a benefit to show the quality and commitment to the health care organization. A long
term care facility that is Joint Commission accredited will have a more appealing look to reimbursement centers and to the patient and families that
they care for. Having this accreditation is also a risk management tool. The likelihood of a bad outcome is reduced if a facility is accredited by the Joint
Commission. There is a team put together to come up with accreditation standards and to make sure facilities stay compliant with these standards.
Performance is evaluated to ensure standards are followed. ... Show more content on Helpwriting.net ...
(Facts about Long Term Care Accreditation pg.1) Facilities are surveyed every three years to make sure that standards are being followed. Facilities
can lose accreditation if they fail to meet standards. Standards are to put into play to prevent risk and educated. There are two types of accreditation
that a facility can choose from. There is Traditional Long Term Care Accreditation. There is also Medicare/Medicaid certification
–based accreditation.
A facility can choose from either of the two options. There are also fees that facilities need to consider when looking to be accredited by the Joint
Commission. The on–site fee for a nursing home choosing traditional accreditation with an average daily census of 100–119 is $3,215 and the annual
fee is $2,170. A nursing home of the same size electing the Medicare/Medicaid accreditation option would pay an on–site fee of $2,275 and an annual
fee of $1,285. (Facts about Long Term Care Accreditation pg. 2) In conclusion, it can be very beneficial for a long term care facility to be Joint
Commission accredited. Having this accreditation is a sense of assurance to patients/residents, the families, and to the facility itself. Quality and safety
is a key factor in the structure of business for

Facilitating Change in Health and Social Care Essay
Introduction
This essay seeks to discuss the factors that facilitate change in health and social care. This can be achieved by assessing the challenges that the major
factors of change bring using the Care Quality Commission of the Quality Care Commission for the Royal United Hospital Bath NHS Trust (RUHB).
The second task aims to evaluate contemporary changes being inaugurated in the provision of health and social care services. In addition to this, a
strategy and criteria will be devised in order to measure these recent changes including how the impact of these changes can be measured and evaluated.
LO1
1.1 Explain the key factors that drive change in health and social care services
'Change' within an organization sometimes refers to ... Show more content on Helpwriting.net ...
The NHS Operating Framework introduced by the coalition government sets out the planning and financial requirements for RUHB in 2012/13 and
the basis of their accountability (DH, 2012). As a result, the 2013 certified that funding for health in England be frozen for up 2015/16 thereby
requiring RUBH to underspend allocated funding from the government such as putting a 1% cap on pay award. Socially, this will include factors
such as behavior of staff and service users, partnership working, quality of care, etc. These factors can drive change in diverse ways in the RUHB. For
example, the NICE Guidelines on Behavior Change make recommendations on individual level behavior interventions that is aimed at changing the
behavior that can be dangerous to the health of staff and service users such as smoking, alcohol abuse, lack of physical activity, safe sex, etc. (NICE,
2014). Technologically, the introduction of information communication technology has resulted in faster communication, appropriate storing and
sharing of information and records of service users between health and social care professionals. As a result of the CQC inspection, the RUHB revises
their health records management policy to more accurately reflect where information about service user such as fluid intake and output in each ward
should be recorded (CQC Report, 2013)
1.2 Assessing the challenges that key factors of change brings to health and

Unit 2 Health Care Accreditation
Both accreditation and legal mandates follow different processes. I will review the differences between the two and the process they follow. I will
also discuss what is measured in quality outcomes. And I will talk about how this affects health care administrators as far as the demands they have to
meet.
When we think about the accreditation process, we think about the Joint Commission ("The Joint Commission"). The purpose of the Joint Commission
is to constantly progress the health care for the community by means of assessing health care instituting while and motivating those institutions to
outrival in making available secure and effectual care that is superior and has significance ("The Joint Commission"). In order to earn the accreditation
They need to know the fundamental lawful and moral doctrines that will manipulate the hospital atmosphere; the lawful affiliation of the patient and
the health organization (Niles, 2014). The demands of the health care administrator include "The basics concepts of law, both civil and criminal
healthcare law, tort reform, employment–related legislation, safety in the workplace, the legal relationship between the provider and the patient" (Niles,
2014, p. 285). Accreditation and Legal process put much demand on the health care administrator because the health care administrator needs to
understand the translate law; criminal and civil and what it means in the workplace (Niles, 2014). When making decisions the health care administrator
needs to work in compliance with mandates or else any violation could result in a lawsuit or loss of accreditation (Niles, 2014). When it comes to the
Joint

Health Care: The Joint Commission
When looking at the role of the Joint Commission their mission comes to mind; they state that their mission is to constantly improve health care for
the masses, while considering connections with stakeholders, by looking at the health care organizations and compelling them to strive to give safe
and effective care of the greatest quality. Though this is their overall mission they update their standards every year (The Joint Commission, 2016).
These updates may add a new safety feature or amend a current safety feature or staffing problem or even looking at the sound system in a hospital (The
Joint Commission, 2016). The whole role of the commission in giving these accreditations out is to ensure that hospitals are providing the utmost care
This means that not only will the state and federal officials come in to ensure the facility is running up to code but the Joint Commission will go into
facilities every three years and do another accreditation survey. The laboratories will be assessed every two years (The Joint Commission, 2016). The
results of the surveys are not produced publicly but the facility is then given the option to fix anything that is wrong and pay for their accreditation
(The Joint Commission, 2016). The Joint Commission assess all parts of a health facility that are accredited with them. This means that they look at;
maintenance, equipment, staffing, patient comfort, patient opinion, the treatments available, hiring, handicap accessibility, and so much more (The
Joint Commission, 2016). To be accredited truly means that the best foot of the facility is being put forward in order to help the

Regulatory Agency Briefing Paper : The Joint Commission Essay
Regulatory Agency Briefing Paper: The Joint Commission
Ragini Kaur
California State University, Northridge
Seminar in Health Care Organization
Andrew Oppenberg
April 27, 2015
Abstract
Accreditation provides a competitive advantage in the health care industry and strengthens community confidence in safety of care and treatment.
Accredited hospitals provide higher quality of care to patients. It improves risk management and risk reduction and helps in organizing and strengthens
patient safety efforts. It enhances recruitment and staff education and provides education on god practices to improve healthcare operations. The paper
discusses how The Joint Commission assists in having better outcomes in terms of safety in Western Medical CenterHospital. In today's society, every
health care organization should provide a proof of accreditation and are subject to a three–year accreditation cycle. The Commission develops
performance standards that address some of the important elements of operation, such as patient care, infection control, medication safety, and patient
rights.
Regulatory Agency Briefing Paper: The Joint Commission
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 Has Instituted A Number Of Goals...
The Joint Commission has instituted a number of goals nationally; the aim is to improve patient's safety. The goals selected look at areas that are of
concern in the healthcare industry particularly how it affect patients safety and make recommendations how to reduce if not eradicated these. The Joint
Commission is the governing body that accredited hospitals and other health care organizations. The two hospitals that this paper will be comparing,
using the goals and criteria recommended by the Joint commission, is Holy Cross Hospital located at 1500 Forest Glen Road, Silver Spring, MD and
Shady Grove Hospital situated at, 9901 Medical Center Drive, Rockville, MD.
The goals set by the Joint commission are:
1.Improve the accuracy of patient identification. The recommendation is for all healthcare providers to institute a policy of using at least two patient
identifiers when providing care, treatment, and services. This goal has two objectives, one to verify the individual as the person for whom the service
or treatment for and to match the service or treatment to that individual.
2.Improve communication effectiveness among caregivers. The objective is to provide the responsible licensed caregiver these results within an
established period so that the patient can receive treatment in a timely manner.
3.Improve the safety of using medications. The findings were that often medication error were made because medications and other solutions were
removed from their original

Occupational Safety And Health Administration
Occupational Safety and Health Administration (OSHA)
About OSHA
In 1970, the Occupational Safety and Health Act was created. It was passed to prevent workers from being seriously injured or harmed on the job.
This, in turn, created the Occupational Safety and Health Administration (OSHA). This administration sets and enforces standards that ensure workers
are protected at their job site. They also provide information, training, and assistance to employers to continue to create these safe environments. In the
end, they believe that no person's life should be a risk at the work place (U.S. Department of Labor, 2015, OSHA At–A–Glance).
Mission
"The Occupational Safety and Health Administration (OSHA) was created to assure safe and ... Show more content on Helpwriting.net ...
Department of Labor, 2015, OSHA At–A–Glance).
Regulations are mandatory to follow for employers.
Evaluation
Evaluation of these standards are made by inspections without notifications. Reasons for these inspections include danger, catastrophe, worker
complaints, targeted issues (hazards), and follow–up inspections. If there are any violations, OSHA can issue citations and fines that include ways to
fix the issue (U.S. Department of Labor, 2015, OSHA At–A–Glance).
The Joint Commission
About The Joint Commission
The Joint Commission is an independent, not–for–profit organization that accredits and certifies more than 20,500 health care organizations and
programs in the United States. The Joint Commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an
organization's commitment to meeting certain performance standards (The Joint Commission, 2015, Facts About Joint Commission Standards).
Mission
The mission of the Joint Commission 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 (The Joint Commission,
2015, About the Joint Commission).
Target Audience
The standards are broken up by healthcare

Essay on Providing Quality Patient Care
"Nursing is an art, and if it is to be made an art, requires as exclusive a devotion, as hard a preparation, as any painter's or sculptor's work..."
(Nightingale, 1868)
In today's health care system, "quality" and "safety" are one in the same when it comes to patient care. As Florence Nightingale described our
profession long ago, it takes work and vigilance to ensure we are doing the best we can to care for our patients. (Mitchell, 2008)
The World Health Organization outlines 6 areas of quality that help shape our definition of what makes quality care. Those areas are; (1) Effective:
using evidence bases practice to improve health outcomes based on needs of individuals and communities. (2) Efficient: healthcare that maximizes ...
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(Burhans & Alligood, 2010)
On a daily basis there is a lot of thought and focus directed at these patients to assure they are getting quality medical care; you may have caught a
medication error, made multiple phone calls, waited on hold for what seems like forever, waited on doctors, ran to another floor all to get a patient
something they needed or wanted, or may the nurse noticed an important change in the patients status that could dramatically affect their outcome.
Most times the patient does not see or not even know about these behind the scenes battles to ensure quality care. Conversely, most often, especially
when considering a patient in the hospital setting, our perception is our reality. Patients often do not know the ins and outs of procedure and protocol
and rely solely on their perception of the care they are receiving. Studies have shown that patients desire to be perceived and cared for as individuals.
Lying in that bed waiting on a nurse for 20 minutes for pain medication may just translate into lack of care on the nurses' part to the patient but in
reality the nurse was caught in another room with a different patient with a situation he or she couldn't walk away from. Often nurses are stressed
which can also convey a certain harshness to patients. In other cases maybe the job has become so repetitive that the nurse

Analysis Of Healthcare Consumer Experience : The Quality...
Analysis of Healthcare Consumer Experience
The quality of health care provided in the United States varies among hospitals, cities, and states. For a consumer, good quality means providing
patients with appropriate services in a technically advanced setting, with good communication, shared decision–making, and cultural sensitivity
(Schuster, McGlynn, & Brook, 2005). Therefore, it is very important for both the consumers and the providers to have an easy assess to information
on quality for their organizations. If this information is made available regularly and in an interpretable form, consumers can also use it to make
informed decisions when choosing among providers and plans, which will in turn give providers an incentive to improve quality. Here are some
non–profit organizations that are known for their efforts made in various sectors of the United States primarily for quality assurance and improvement
such as National Committee for Quality Assurance (NCQA), Agency for Healthcare Research and Quality (AHRQ), Joint Commission, Consumer
Assessment of Healthcare Providers and Systems (CAHPS), Institute for Healthcare Improvement (IHI), American Academy of Pediatrics (AAP), and
Accreditation Association for Ambulatory Health Care (AAAHC).
Implication of Health Care Measures in USA
The Institute of Medicine (IOM) in 1999 announced that the "estimated medical error results in 44,000 to 98,000 deaths per year" (Moffett & Bohara,
2005). So, "the report, To Err Is Human:

Essay about Nvq Level2
unit 57
1.3 describe ways to resolve any difficulties or dilemmas about the choice of food and drink:
You could inform the individuals what is on the menu, if they say they don't like a certain food/ drink you could offer them a alternative.
1.4 describe how and when to seek additional guidance about an individual's choice of food and drink
The individual may have certain foods they don't like or cannot eat for health reasons, if you refer to the individuals care plan you should find this
information, also you may have an individual that is diabetic, you could seek guidance from their GP regarding what is and isn't safe for them to eat
and drink.
3.1 describe factors that help promote an individual's dignity, comfort and ... Show more content on Helpwriting.net ...
Where infection control contributed to reasons for enforcement action, the same issues as stated previously for requirements were most common.
Examples of issues which contributed to enforcement:
В§ no up–to–date infection control procedures or staff training
В§ out of date foods in use
В§ hot foods served cold from dirty serving area
В§ lack of cleaning, odours such as stale urine
В§ poor state of repair of building and facilities
В§ inappropriate treatment of people with infection and lack of information in the person's personal care plan
В§ lack of management support/poor management
В§ lack of staff.
2.4 Describe ways to ensure the individual can summon help when alone during personal care
There is wide range of personal alarms and other emergency response equipment available to those who live on their own, and they can take many

forms . Some might depend on someone being nearby – for example in another room or next door
Telecare alarms, known as community alarm services, are very useful for people who live alone. They work through a base unit in your home, which
is connected to your phone line. You can press a button on the unit or on a pendant that you wear around your neck. This connects you to an operator
who can arrange the help you need.
Some telecare alarms have movement sensors that can detect if someone has fallen and cannot get up, or leaves a certain area. Those alarms will be
activated automatically, so

The Role Of The Nurse Leader
Preventable hospital readmissions remain among one of the many serious quality issues plaguing the healthcare industry today. Readmissions can carry
fiscal implications, impact patient safety, and outcomes of care (Helm, Alaeddini, Bretthauer, & Skolarus, 2016). The cost of unplannedhospital
readmissions is estimated to be upwards of $15 billion dollars annually of which $12 billion has been associated with preventable admissions (Helm
et al., 2016). It is highly recognized that as many as 20% of Medicare beneficiaries are presently being readmitted within 30 days of discharge (Hunter,
Nelson, & Birmingham, 2013; Verhaegh, Mac–Neil–Vroomen, Eslami, Geerlings, de Rooij, et al., 2014). The presence of ... Show more content on
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Posing the question: what else can be done to keep patients from returning to the ED for care and consequently being readmitted? (K. Larry, personal
communication, March 15, 2017).
How Were Readmissions Measured
Ms. Larry stated that reviewers measured the total number of patients presenting to the ED within 30 days of a hospitalization (personal
communication, March 15, 2017). Additionally, she said they compared the patient's ED diagnosis to the previous admission and discharge diagnosis
(K. Larry, personal communication, March 15, 2017). Finally, reviewers correlated readmissions with the following information: site of hospitalization,
type of admission (i.e. surgical, medical, or behavioral health), the complexity of the hospitalization, and the age of the patient (K. Larry, personal
communication, March 15, 2017). After obtaining the necessary data, Ms. Larry stated that reviewers worked on determining the frequency of
post–discharge ED visits resulting in readmissions and the factors associated with each ED visit (personal communication, March 15, 2017).
MTF Action Plan
With a goal to obtain a 33% reduction in ED utilization by recently discharged patients, the MTF devised the following strategies to facilitate care
transitions and improve communication from inpatient units to clinics and between clinics and patients (K. Larry, personal communication, March 15,
2017). Collectively the interventions were recognized locally as Project Red Light

Assess The Planning For Accreditation
Assess the planning for Accreditation in your chosen facility.Hospitals are on continuous mission for quality improvement; utilizing new technology,
techniques, and research on what works and what does not, as well as persistently training new personnel and meeting the needs of patients. Still,
hospitals are devoted to quality improvement but follow different courses, which support increasing observance to treatment etiquette and improve
patient outcomes. Hospitals make the most of different approaches and models of quality improvement, such as the use of Lean, Six Sigma (Johns
Hopkins Medicine, 2008/2016), and the PlanDo–Study–Act (Ibach, 2009) models for improvement. Usually quality improvement efforts are a five step
process which... Show more content on Helpwriting.net ...
However, on December 3, 2013 the Joint Commission Resources publicized the release of the "The Joint Commission Journal on Quality and Patient
Safety (Joint Commission Resources, 2016; The Joint Commission, 2015)," which featured an article on how the Johns Hopkins Hospital notably
improved performance on Joint Commission accountability measures. The hospital was recognized by the Top Performer on Key Quality
MeasuresВ® program (Keroack et al., 2007) for using evidence–based care processes that are delivered in the right way and at the right time (Joint
Commission Resources, 2013).Conversely, in December 2011, the Johns Hopkins leadership began the initiative by clarifying and communicating
goals, announcing that their target was 96% compliance with eight Joint Commission accountability measures (The Joint Commission, 2015) and one
Delmarva Foundation core measure (Johns Hopkins Medicine, 2008/2016; Michaels, & Sidone, 2014). Clinicians and quality improvement personnel
produced one team for each targeted measure and the organization's Armstrong Institute for Patient Safety and Quality (Armstrong, & Laschinger,
2006; Armstrong, Laschinger, & Wong, 2009) personnel supported the work of the teams (Chang et al., 2005; Joint Commission Resources,
2013).Next, the organization performed a gap study to prioritize improvement efforts and begin building capability using Lean Sigma

Joint Commission Essay
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.
The ... Show more content on Helpwriting.net ...
The seven standing Broad committees also work on or as a liaison to other joint commission groups such as the Professional and technical advisory
committees, the Nursing Advisory committee, the Hospital Advisory Group and the Survey Advisory Committee. The Joint commission emphasize is
on its Performance measurement structure "which" the measurement objectives must continue to adapt to the continuous changes in healthcare. The
Performance measurement structure consists of strategies that have long term long term goals which are as followed:
1.Refinement "which" is the action of receiving electronic receipt for high quality standardized performance measurement data and covers every aspect
of care delivery.
2.The Performance measurement availability of the scope measurement to health care organization that includes a set of measures to provide hospitals
with other accreditation programs.
3.The Performance measurement strategies that continue to support and participation in the Hospital quality allowance.
4.The measurement strategies will continue to create applications of measurement data to use for accreditation, accountability, and public reporting
purposes.
The importance of receiving accreditation from the Joint Commission is critical for medical facilities because it represents high standards of quality
assurance which

Accreditation Audit
A. Compliance Status
When a patient checks into Nightingale Community Hospitals they believe the hospital will put there care first and provide quality medicine. Looking
at the recent compliance reports there are areas of patient care this hospital needs to improve in. Reporting critical results within 60 minutes, labeling
medication containers and reactions with anticoagulation therap.0y are areas that this hospital needs to improve upon. Improving these areas would be
just one step toward increasing patient care and satisfaction at this hospital. There are three areas to focus on that Nightingale Community Hospital is
not in compliance with according to the Joint Commission standards. These areas are reporting critical results ... Show more content on Helpwriting.net
...
Developing and enforcing dosing and monitoring guidelines for all anticoagulation therapy will increase awareness of drug reactions and allow for
medical records verification among all hospital professional. With verification of medications and patient records will result in less drug reactions.
(Franco, Maxwell, Green & Barthol, 2009) Medication reactions can been minimize even more with proper handling, patient care and medical records
management.
Being the hospital of choice for patients, employee, physicians, volunteers and community members is Nightingale Community Hospital's vision while
providing quality to its patient care. There are some area the hospital needs to improve to increase their compliance standards with the Joint
Communions standards. The improvements are reporting critical results within 60 minutes, labeling medication containers and reactions with
anticoagulation therapy. Remembering how you want to be treated, as a patient will help create the correct action plan to improve areas where the
Nightingale Community Hospital is out of compliance.
A1. Plan for Compliance
As board members we must remember that we are not only leaders of this hospital but also patients and members of this community. Introduction to a
more robust communication plan, verification process and decrease reporting times to the staff and to

Unit 4 M4 Sentinel Event Analysis
Unit 4 DB
Sentinel Event Analysis
Joint Commission is an independent, not for profit organization that accredits more than 19,000 health care facilities in the U.S. Accreditation is
voluntarily done by the Joint commission visiting the facility and performing quality cheeks to certify organizations who have followed specific state
licensure requirements to become accredited (Hay, 2017). TheJoint Commission is continuously updating policies on sentinel events in all facilities.
The guidelines are an overall policy for all organizations to follow. The sentinel event policy does recognize each individual entity but follows the same
outline for these events that occasionally take place.
The Joint Commission standards are a basis of an objective

The North Texas State Hospital (NTSH)
The North Texas State Hospital (NTSH) is part of the Department of State Health Services (DSHS) administration. NTSH is a mental healthcare facility
that has two campuses: one department is located in Wichita Falls, TX and the other in Vernon, TX. Including both campuses DSHS is the largest mental
hospital in the state of Texas, which provides psychiatric services for the mentally ill. NTSH is the only facility in the entire state of Texas that
provides forensic psychiatric care. Forensic psychiatric care is a specialized service for prisoners who have mental disorders. NTSH offers a 284–bed
maximum security program for adults and a 78–bed adolescent Forensic Program (DSHS Center, 2017). NTSH aims to improve the health, safety, and
wellbeing of individuals by providing the right stewardship, reducing health care problems, improving public health awareness, and preventing
diseases. In order to improve health and safety, NTSH is accredited by the Joint Commission on Accreditation of Healthcare Organizations. The Joint
Commission is an independent, not for profit association that set standards to evaluate ... Show more content on Helpwriting.net ...
However, most of the assignments focused on the contract project. This is because the project objectives of the internship focused on contract review.
The objective was to analyze contracts, improve the budget and fiduciary compliance, and propose solutions of best practices based on Joint
Commissions standards to reduce contract leakage. The contract project was based on reviewing and evaluating contracts based on best practices of
joint commission standards. The budget control project emphasized the importance of managing costs, improving budgets, and fiduciary compliance.
My personal objectives were to learn as much information as possible, understand the standards of Joint Commission and contracts, and be able to
create contracts on my

The Care Quality Commission For Women
In 1993 continuity of care was recognised by the government and was outlined in the department of health policy paper 'Changing childbirth' (DH,
1993). The document focused on choice and continuity of the care a woman should receive. Subsequently, a greater shift towards Midwifery Led
Care developed. It has been suggested that a midwife should be the first point of contact for women accessing maternity services (Department of
Health 2007, Welsh Assembly Government 2002, Scottish Executive 2001). Nevertheless, statics show that this was the case for only 24 percent
of women in 2010, with some improvement by 2013 at 32 percent. Conversely, in 2013 63 percent of women first made contact with their family
doctor (The Care Quality Commission, 2013). However 98% percent of women had their the remaining antenatal care provided by a midwife, 40%
exclusively and with 60% having shared care with a GP or consultant led care (The Care Quality Commission, 2013). This assignment will evaluate
the care provided to an individual woman, her baby and her family by a student midwife utilising the model of care known as case load midwifery,
also known as case–loading. It will focus on the advantages and disadvantages of case loading and provide a short history of the subject. The care of
the woman, baby and her family will be examined. In order to adhere to the Nursing and Midwifery Council (NMC), (2015) and to maintain
confidentiality, the woman has been given the pseudonym 'Sarah'

Joint Commission History
Joint Commission
Health Law
Tyrone Conley
August 11, 2015
History
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 ... Show more content on Helpwriting.net ...
The focus of this visit will be centered within our office; therefore I would like to go over with you to ensure preparedness.
I want to reinforce that the standards focus on patient–centered functions and organization functions. The patient functions includes rights and ethics,
assessment, care, treatment, and services. The organizational functions will focus on the performance, leadership, and safety in the workplace.
I have placed a manual on each of your desks that needs reviewing prior to Wednesday, August 12. We need to have the ability to compare and contrast
in preparation for this visit. The manual will provide you with the standard; therefore your duty will be to compare the standard with our current
operation. A mandatory meeting will follow on Thursday, August 13.
What will the surveyor be asking, doing, reading, and observing during the visit? How can we be sure that everything the surveyor sees, hears, and
reads is Joint Commission compliant?
Below, I have attached a list of questions with potential answers that you may encounter with the

The Joint Commission Is A Self-Governing, Nonprofitmaking
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 ... Show more content on Helpwriting.net ...
The Joint Commission is the oldest and largest body mandated with the job of setting standards and accrediting health care organizations in America. In
addition, the commission has two affiliates that likewise focuses on improving the care quality in the United States: The Joint Commission Center for
Transforming Healthcare whose main objective is to solve problems relating to safety and quality of healthcare services in America. Joint Commission
Resources, which emphasizes on providing educational and consulting services, and publication associated with improved quality of care ("About The
Joint Commission | Joint Commission," 2016).
The commission normally employs modern approaches to assessing health care facilities and hospitals as well as collaborating with the healthcare
professionals and organizations to embolden the providers of healthcare to exceed or meet the expected quality of care. The Joint Commission seek to
enhance health care for U.S. Citizens, by collaborating with other relevant stakeholders, by assessing healthcare facilities and motivating them to excel
in offering

Unit 525 Inter Professional Working Essay
1.Understand the principles of inter–professional working within health and social care or children and young people's setting.
1.1 Analyse how inter–professional working promotes positive outcomes for individuals.
Inter professional working is formed from different health and social care professionals working together towards a common goal to meet the needs of
a service user. It is about developing relationships within and between organisations and services involved in planning and delivering care andsupport
to the service users we support. By working collaboratively it brings together different types of professionals to share their particular knowledge,
experience, skills, occupational values and perspectives to improve service ... Show more content on Helpwriting.net ...
Good working relationships are built over time, this creates trust, respect and smooth running of the service. This is apparent at reviews and other
meetings when everyone involved with an individual will be brought up to date with any progress or issues. Then any decisions or agreements can be
made because everyone involved has an opportunity to voice their opinions/concerns. This leads to a positive outcomes supported by all involved. If
there have been previous agreed actions not carried out then this environment makes it easier to remind others of the things that need completing. Also
if others are having difficulties in fulfilling their agreements then they will find it easier to ask for help. Respect for each other should be maintained,
remembering that we are all working for the best possible outcome for the individual.
There is a need to monitor and review working relationships, if conflict or lack of communication is a problem there is a need to establish a reason
for this and look for a resolution acceptable to all parties and identify areas for improvement. One way to maintain a good working relationship is to
have regular contact not only verbal but face to face contact through meetings at least monthly, this provides opportunity to discuss any concerns or
maybe just have a chat about things in general, also keep in touch via email and telephone. It can create problems if the only contact they have is when
there are problems as this may give

ASSIGNMENT 204
ASSIGNMENT 204 – TASK B– RESEARCH AND ACCOUNT
IDENTIFY TWO REPORTS ON SERIOUS FAILURES TO PROTECT INDIVIDUALS ON ABUSE. WRITE AN ACCOUNT THAT DESCRIBES
THE UNSAFE PRACTICES IN THE REVIEWS.
REPORT 1
Concerns at Winterbourne View Hospital first came to light after a charge nurse raised the issues with the hospital in October 2010 and his allegations
were passed on to the local authority, South Gloucestershire council, in its capacity as lead safeguarding agency and then relayed to the CQC in
December 2010 but nothing was done.
In May 2011 the BBC released undercover footage about the appalling way vulnerable residents at Winterbourne View Hospital were being treated,
once the footage was released it came into light that the owners ... Show more content on Helpwriting.net ...
Inspectors who visited Winterbourne View considered taking urgent action to close the centre, but decided that it was in the best interests of the
patients to allow NHS and local authority commissioner's further time to find alternative placements.
CQC ensured that there would be an immediate stop on admissions and that extra staff would be brought in to protect patients until they could be
moved.
When they were satisfied that those arrangements were in place, CQC took enforcement action to remove the registration of Winterbourne View, the
legal process to close a location. The hospital closed in June.
The report is full of unsafe practices such as;
'The providers had failed in its legal duty to notify the Care Quality Commission of serious incidents including injuries to patients or occasions when
they had gone missing.' 'Staff did not appear to understand the needs of the people in their care, adults with learning disabilities, complex needs and
challenging behaviour.'
Winterbourne view was not 'compliant with 10 of the essential standards which the law requires providers must meet.' 'People who had no
background in care services had been recruited, references were not always checked and staff were not trained or supervised properly.'
'Some staff were too ready to use methods of restraint without considering alternatives.'
REPORT 2

'In July 2006, Steven Hoskin was found

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