Executive Summary Nightingale Community Hospital is preparing for its upcoming Joint Commission accreditation audit. The next Joint Commission visit is anticipated to be in approximately 13 months. In preparing for the approaching audit, the hospital is assessing the compliance status of each of the Joint Commission’s priority focus areas which include information management, medication management, communication, infection control. In this summary, communication will be the targeted priority focus area that will be reviewed for compliance. Effective and accurate communication within the healthcare setting is the most important aspect in regards to patient safety.
AFT2 Task 4 A1. There are currently 251 standards that must be met in order to receive accreditation from the Joint Commission. In current state, Nightingale Hospital is in compliance with 234 of the standards. The main issues with compliance lie within the following areas: · Environment of Care · Leadership · Record of Care · Life Safety · Information Management · Medication Management · Provision of Care, Treatment and Service · Universal Protocol · National Patient Safety Goals · Medical Staff When Nightingale Hospital receives the accreditation from the Joint Commission, it will ensure their patients that they made a significant effort to meet rigorous standards to ensure their patients are cared for in a safe and caring environment.
Explain the organisation’s mission and purpose Mid Yorkshire Hospital’s mission and purpose is to provide medical care to the community in acute and specialist health circumstances to the Wakefield and Kirklees areas. The trust treats the diverse population without prejudice. The following statement is taken from the Mid Yorkshire Hospitals intranet: “In everything we do, our patients come first. And whether it is providing care and treatment, operating our IT systems or ensuring our environment is pleasant and welcoming for our patient’s, all our staff play a vital part in this.” This explains that patient care is the highest priority for the trust. Staff also have
The inpatient coder ensures that the data entered is relevant, indicating the reason that the patient was admitted, which involves the kind of illness and a breakdown of the treatment that was given (Henderson.) The inpatient coder uses the current version of ICD-CM classification for the most appropriate DRG assignment for assigning codes to diagnoses and procedures. They have to be able to determine the correct diagnosis and secondary diagnosis, identifying and assigning co-morbidities and complications and principle procedure codes. The inpatient coder is also responsible for selecting the proper DRG and Discharge Disposition Code. The impatient coder sends the documentation to HIM Operations for follow-up when Physicians documentation is not clear or straight forward.
The compiled data should be composed of specific measurements, input from employees as to suggestions for improvement and concerns as well as patient care results and input. The eminence and accessibility of the company’s resources must be evaluated first. Quality improvement (QI) measures the delivery of medical services and the outcomes like patient health status, mortality, and patient satisfaction (Hughes, 2012). Total Quality Management (TQM) is a model, which includes the organization’s management, staff working together as a team, outlines procedures, and policies, promotes methods of intellectual rational, and a modification to produce an atmosphere for excellence (Hughes, 2012). The construction of Continuous Quality Improvement (CQI) benefits the process of TQM; with the attitude that every chance an organization has should be an opening for improvement (Hughes,
7 Manufacturers who intend to conduct clinical investigations of a modified device as part of design validation are encouraged to contact the appropriate ODE review division before preparing a Special 510(k). When a clinical investigation is necessary to answer safety and effectiveness questions relating to a particular modification, the Agency believes that the modification is likely to have gone beyond that which is suitable for review as a Special 510(k). In contrast, where design validation involves clinical evaluation intended to ensure that the modified device meets user requirements as opposed to patient safety and effectiveness or to demonstrate continued conformance with a special control or recognized standard, FDA believes that the Special 510(k) may be the appropriate
The medical coder will need to make sure that codes are not being unbundled and the global period pertains to surgical procedures. Next the coder would need to compare the providers evaluation and management codes with the national average. When this is done patterns of fraud may be able to be seen. Using modifiers correctly is also a part of the compliance strategy. Modifiers help with duplicate billing and unbundling of codes.
Employee Hand Book Nondiscrimination Learning Team E HCS/430 August 12, 2013 Mary Louise Dietrich Smithsonian Hospital Nondiscrimination Employee Hand Book Smithsonian hospital is a small health care facility designed to meet and support community health care needs. The hospital is a 64-bed unit that encourages and assists patients in focusing on regaining their strength and independence following a surgery, illness, injury, or disease. The goal of the hospital is to ensure that every experience at Smithsonian is positive and productive. This employee handbooks identifies the facilities mission, goals and is the source to locate workplace policy and
Be sure to elaborate on what would be considered normal and abnormal (thus requiring further medical attention). Include any special tests that might be performed to evaluate the injury (i.e. x-ray, MRI, specific joint tests, etc.). 4. Treatment: This should explain the treatment of your injury, including immediate care and chronic care.
Refer to chapter 7, “Techniques for Managing Safety,” in Risk Management in Healthcare Institutions: Limiting Liability and Enhancing Care. 2. Identify two major categories of risk in your health care organization. 3. Explain how you would apply the three elements of risk management that you selected in the “Elements of a Risk Management Program” assignment.