Through accreditation and certification processes, organizations like the Joint

Question

Through accreditation and certification processes, organizations like the Joint Commission contribute to the quality of health care in the United States. These organizations monitor and evaluate health care organizations, creating and reinforcing standards for patient care and safety.

Write a 1,000-1,250 word paper in which you describe three organizations responsible for monitoring quality in health care organizations. You may not use the Joint Commission, but are encouraged to consider organizations at the state and national levels.

Identify each organization's purpose, duties, and methods of monitoring quality. Describe their impact on quality of care in health care organizations.

Cite at least three references, including your textbook.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Explanation / Answer

solution-

Organization 1 - World Health Organization

Purpose : WHO, act individually in formulating national policies, strategies and plans of action for attaining the goal of Health for all by the year 2000 and collectively in formulating regional and global strategies. Health for all in the 21st century continues to emphasize support for quality improvement at global, regional and national.

Global WHO initiatives

The world health report 2000 – Health systems: improving performance used five indicators to rank the overall performance of national health systems (4):

• Overall level of population health;

• Health inequalities (or disparities) within the population;

• overall level of health system responsiveness (a combination of patient satisfaction and how well the system performs);

• Distribution of responsiveness within the population (how well people of varying economic status find that they are served by the health system);

• Distribution of the health system’s financial burden within the population (who pays the costs).

Methods of monitoring quality

1) Training workshops for quality, especially for developing countries, have been run within and between regions.
They also aim to explore alternative development models between civil service and nongovernmental officers, between academic and executive agencies, and between government and private sector agencies.
Promote leadership and coordination in the field of technology assessment and quality assurance;
Promote the establishment of a network of international, national and other agencies, collaborating centres and institutions active in technology assessment and quality assurance, in order to provide technical and other support to countries in this programme area;
Advocate the importance of technology assessment and quality assurance in expanding and improving health services – especially at the primary health care level – in a cost-effective and acceptable manner.
Collaborating centres for technology assessment are in Campinas (Brazil), Ontario (Canada) and Tygerberg (South Africa)

Impact : Outcomes can be measured in terms of health status, deaths, or disability-adjusted life years—a measure that encompasses the morbidity and mortality of patients or groups of patients. Outcomes also include patient satisfaction or patient responsiveness to the health care system.

Organization 2 : European Society for Quality Healthcare

Purpose : The European Society for Quality Healthcare (ESQH) is a network of national societies dedicated to the improvement of quality in health care at national and international levels. It was founded by a group of presidents and former presidents of national societies for quality in health care in Europe, under the auspices of ISQua. ESQH aims to identify, develop and exchange expertise which is particularly relevant to the developing economic and social identity of Europe, and to work in association with other organizations concerned with health care and its quality.

Duties :

• Organization of an annual conference on a global and a regional basis

• Publication of the International Journal for Quality in Health Care;

• Coordination of a network of corporate and individual members with a common international interest in quality improvement;

• Development of special interest groups, such as in health care indicators and accreditation

Methods of monitoring quality:

Standards. An approved framework of principles provides the basis for review and assessment of the standards used by individual accrediting bodies for assessment of health care facilities. An accreditation organization can apply for assessment of its standards to determine whether they meet international requirements.
Accreditation survey. Through a series of pilot assessments, ISQua developed an approved set of international standards for the organization and operation of national programmes. These are freely available for self-development and can lead to formal external recognition of the accreditors.
Support. Most accreditation programmes need support and help with development, rather than formal approval from the international community. This can be provided through the network of ALPHA members.

Impact :

Define a standard but flexible methodology for the development programme;
Make training an integral part of the strategy;
Let the quality assurance structure develop gradually;
Ensure close alliance with the ministry of health;
Pursue top-down and bottom-up strategies at the same time;
Obtain, and keep, political support from key people in the health sector;
Be prepared to deal with frequent changes in personnel at all levels;
Use local examples of quality successes to illustrate principles;
Beware of setting up systems which the country cannot afford to sustain;
Make sure that the new programme demonstrates its impact

Organization 3 : Institute for Healthcare Improvement

Purpose :The Institute for Healthcare Improvement (IHI) , set up in the United States in 1991, has established a series of international conferences or forums in collaboration with the British Medical Journal (BMJ) Group. The first were held in Europe, but in 2001 the first Asia Pacific Forum was held in Sydney, Australia (73) . IHI has also helped a partnership of Arab and Israeli health care organizations to run quality management training programmes in the Eastern Mediterranean and north Africa. These included a conference in Jerusalem in 1993, a course in Dahab, Egypt, in 1995 and a seminar in Aqaba, Jordan, in 1997.

Methods of monitoring quality

Quality assurance of health care in developing countries (77);
Achieving quality through problem-solving and process improvement;
Training manager’s guide;
Improving interpersonal communication between health care providers and clients;
Licensure, accreditation and certification: approaches to health services quality.

The impact of accreditation programs

A large analysis was conducted in the United States to evaluate the association between the Society of Chest Pain Centers (SCPC) accreditation and adherence to evidence-based guidelines for the management of AMI (n= 33 238 patients treated at 344 hospitals). Patients treated at accredited centers (n=3059) were significantly more likely to receive aspirin and B-blockers within 24 hours than patients at non-accredited centers (n=30 179).25 In another large retrospective analysis conducted in the US (n= 4197 hospitals), the rate of percutaneous coronary intervention was greater in hospitals accredited by the Society of Chest Pain Centers than in non-accredited hospitals (92.8% vs. 80.8%). There was significantly greater compliance with eight acute myocardial infarction (AMI) core measures at accredited hospitals compared with non-accredited hospitals. A retrospective analysis (n=178) reviewed the findings of carotid duplex ultrasound scanning performed at accredited and non-accredited laboratories in the United States (accreditation by the Intersocietal Commission for Accreditation of Vascular Laboratories). There was a significant overestimation by non-accredited laboratories of the degree of stenosis of carotid arteries in 51% of patients. In this study, there was a significant underestimation of the degree of stenosis of carotid arteries by non-accredited laboratories among 11% of patients. In a self-reported web-based survey, lack of accreditation (by the American Academy of Sleep Medicine accreditation) was independently associated with suboptimal sleep medicine management. Accredited centers received greater satisfaction ratings than non-accredited centers. In a large survey of 398 cognitive rehabilitation therapy facilities in the US, there were no significant differences in the organization and delivery of cognitive rehabilitation therapy in facilities accredited by Commission on Accreditation of Rehabilitation Facilities (CARF) and in non–CARF-accredited facilities. In an analysis of data from three Canadian trauma centers, over 7 years, survival of blunt trauma patients at the accredited hospitals was statistically better than survival at non-accredited hospitals. A large analysis of cervico-vaginal cytology showed a modest overall positive predictive value of positive cytology in laboratory accredited by the College of American Pathologists

Related Questions

Navigate

• Browse (All)
• Browse T
• Subjects

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.