Wednesday, January 29, 2020

Joint Commission Accreditation, Certification, and Licensing Essay Example for Free

Joint Commission Accreditation, Certification, and Licensing Essay Given health record completion policies, correctly apply accreditation or licensing standards to determine the organization’s compliance. Write a 1-page paper on how you think Joint? organization’s compliance. Commission’s standards impact health record completion and organizational compliance. Be sure to discuss advantages/disadvantages of being accredited by Joint Commission. The Joint Commission on Accreditation of healthcare organizations (JCAHO) is a non-profit and independent accreditation organization that provides accreditation and certification for various healthcare organizations, health plans, health packages and hospitals in the US. It has been functioning in the US, and is recognized throughout the world. More than 15, 000 healthcare organizations in the US have been accredited and certified by the Joint Commission. An organization that subscribes to accreditation by the JCAHO would constantly have to make an effort to reach certain performance standards. JCAHO gives greater importance to maintaining patient safety standards and improving the quality of care (The Joint Commission, 2008). The Joint Commission has accredited several aspects of medical care including ambulatory care, assisted living, behavioral healthcare, critical care, laboratory services, home care, surgeries, old age clinics, staff and employees, disease-management, long-term care, etc (The Joint Commission, 2008). It is very important that the healthcare organization complies with the specifications mentioned by the JCAHO. Firstly, the healthcare organization has to understand the importance of having these specifications in place. It would benefit the organization and also the patients, insurance companies, government and the general public. The litigations against malpractice are significantly fewer when a hospital has accreditation. Flowsheets that record detailed information and observations of the patients vitals and care administered would help in precise documentation. An electronic system would act as an aid in ensuring that the specifications of the joint Commission are enforced and followed. Studies have demonstrated that the compliance levels of the JCAHO specifications are around 50 % in all healthcare organizations that subscribe to accreditation by this organization. The outcome of any case would certainly be better if the specifications laid down by the JCAHO are followed. Frequently, the Joint Commission would be conducting surveys and suggested measures to be implemented in order to improve the status of the employees and the patients. One way of ensuring that the organization complies with the JCAHO specifications is to have several monitoring devices in place. These include surprise checks, regular visits, inspection of the records, etc. The information transmitted and stored in the hospital database should be accessible to the JCAHO for the purpose of monitoring. Patient surveys are another method of ensuring compliance by the JCAHO. Another way would be to record the cases of malpractice against the healthcare organization (Massachusetts General Hospital, 2007). There are several requirements a hospital or a healthcare organization has to follow in order to get accredited to the JCAHO. These include: ? Following the recommendations launched by the AMH and the BHC ? Following the requirements of the HIPAA ? Having a system that fulfills the recommendations lay down by the JCAHO regarding flow of information (using software tools such as TIER). ? Some of the important criteria regarding the information management system includes: 1. Maintain confidentiality of the patient information 2. The internal and the external needs have to be addressed through comprehensive planning 3. Security of the information – accessibility only to the relevant staff members 4. Data, which can be collected, analyzed and decisions-made. 5. Addressing the education and training needs – Information should be presented to the staff members and the patients in an automated manner 6. Information and clinical records presented to the patients should be comprehensive and specific. The Joint Commission accreditation has several advantages and disadvantages. Advantages: †¢ The patients would be having greater confidence in the healthcare organization and health plan. †¢ In the market, there would be greater competition between the healthcare organizations. †¢ The risk management would be more efficient. †¢ The business practices and ethics would improve. †¢ The human resource management process would be better. †¢ Insurance companies and third parties would have better relationships with the healthcare organization. †¢ Compliance with the terms and conditions mentioned by the regulatory bodies would be better. Disadvantages: †¢ Information provided to the JCAHO could be potentially misused. †¢ The hospital would be spending huge sums of money for the purpose of accreditation and would actually not be involved in improving patient care. †¢ Unhealthy competition may be propagated. References: Brink, L. J. (2004). â€Å"JCAHO Information Management Standards and TIER† Retrieved on February 18, 2008, from Hospitals for a Healthy Environment Web site: http://www. sequest. net/articles/TIER%20and%20JCAHO%20IM%20Standards. pdf Hospitals for a Healthy Environment (2007). â€Å"Guide to JCAHO Environment of Care Standard 1. 10.1† Retrieved on January 29, 2008, from Hospitals for a Healthy Environment Web site: http://www. h2e-online. org/regsandstandards/jcahoEC1. 10. 1. html Masshecutes General Hospital (2007). â€Å"Massachusetts General Hospital Summary of the Joint Commission Findings. † Retrieved on January 29, 2008, from MGH Web site: http://www. massgeneral. org/findings_summary. html The Joint Commission (2008). â€Å"Joint Commission Requirements. † Retrieved on January 29, 2008, from The Joint Commission Web site: http://www. jointcommission. org/Standards/Requirements/

Tuesday, January 21, 2020

Australia :: Australia Research Papers

Australia Australia, the continent down under, filled with kangaroos, koala bears, and many more unique creatures. I always wanted to go to Australia, but never knew much about it, like the history behind it, and what there really is to do. So I decided to research it and talk to people that are familiar with it. I started my search off by looking in an encyclopedia called Encyclopedia International and looked up Australia. The encyclopedia was written back in 1970 but things have changed since that time. The general information about Australia did not change though, such as the temperatures, the types of animals and birds that live there, and geographic facts. This article did not give me enough information so I kept on looking. I then got online and went to the search engine Dogpile and looked up "Australia." I got tons of matches for my search, but found an interesting site. (www.australia.com) This was the official site for Australia, so that is why it is so reliable. It was loaded with information about almost everything in Australia that I wanted to learn more about. It discussed the places to see, things to do, exotic experiences, food and wine, and the nightlife in Australia. The site still left some details out that I was still looking for such as what kinds of shopping is there to do, what the Australians are like, etc. After learning more about Australia, I called Liberty Travel in Harrisburg and spoke to a very nice lady named Helen Andrews. Helen explained that she was once there many years ago, but has sent numerous people there recently. So Helen could give me a lot of great information I was looking for. She gave me a website to look up. She said it is wonderful and has very good information. Thanks to her, I found out what airline to take to Australia and what the best way to get around the continent is. Helen was a huge help! I got back online to check out the website (www.trafagar.com) that Helen gave to me. It was loaded with all types of tours of Australia. It had all the prices, what you would be doing, how long the trip would be and so on. Each tour was very different and exciting. It also had the full itinerary of each tour as well, which was very helpful! I still remained online to discover another interesting and informative website.

Monday, January 13, 2020

Of mice and men dramatically conveys to us the vital importance of dreams in helping us to deal Essay

â€Å"Of mice and men dramatically conveys to us the vital importance of dreams in helping us to deal; with the often difficult realities of our lives.† In this novella by John Steinbeck, some characters had dreams to get them out of difficult realities, their dreams helped them to combat the loneliness and hopelessness of there existence. George Milton and Lenny Small, two poor homeless migrant workers who belonged nowhere and to know one were doomed to a life of wandering and toil, in which they will neve be able to reap the fruits of there labour. The one thing that that kept them strong through this repetitive and useless life was a dream. â€Å"Someday we’re gonna get the jack together and we’re gonna have a little house and a couple of acres an’ a cow and some pigs† (George- pg 14). It was a dream that was shared by every American worker, to have a place of their own, the opportunity to work for themselves and know one to give them orders. For Lenny the dream was very much real, it helped him to cope with the boredom that he faced and he always went to sleep happy thinking about tending the rabbits. For George on the other hand, the dream was at first like a fairytale he told Lenny to bring a smile upon his face and the promise of tending the rabbits helped him to stay out of trouble but all the while he was very optimistic about the dream and felt that there was no way it would become a reality. George’s first views towards the dream were soon changed when Candy found out about what they were planning, he offers financial help and suddenly a new view is seen of the dream. This unexpected offer by Candy means that the dream is no longer a fantasy and finally all the pain and suffering might have payed off for George, Lenny and Candy but the threat to the fulfilment of this dream is ever present in Lenny’s behaviour and in the end its Lenny’s uncontrollable actions which finally destroy dream. The dream is constantly changing, at first it was just a story told by George to cheer up Lenny, then in the middle it seemed like it would come true and finally in the end it was apparent that everyone’s dreams were shattered with Lenny as the only exception, because he dies happy with the picture of the dream in his head. Candy wishes to share in the dream with George and Lenny because he is becoming old and useless like his dog, he has nowhere to go to and now one to care about him and unlike his dog they’re not going to take him out and shoot him, instead there going to put him in an old folks home where he will feel lonely and have no freedom. By joining Lenny and George he can live out his days happy and free, forever safe knowing he won’t be canned. Once Candy realises that the dream is more or less a reality he stands up for what he believes in with dignity and courage, something he didn’t do before he realised the dream was within reach. Candy realises that he doesn’t have to be the useless old cripple anymore because he can live the rest of his life happy, without being told what to do. Candy’s dream ended in a pessimistic way because all he wanted got destroyed leaving him with nothing and hence left in the same way he was before the dream- old, useless and hanging onto his job by a thread. Crooks dream was to be respected and not judged by his colour, he too wanted to live on the ranch with Candy, George and Lenny. Crooks is an example of the bitterness, anger and hopelessness that a black American struggling to be recognised as a human being is faced with. At first Crooks was most cynical about the dream of owning a ranch but the dream was powerful enough to convince him that it was the real thing for a few moments only to be shattered by Curley’s wife who made it clear that there is no way a black, crippled outcast such as himself would ever make such a dream a reality. That statement that Curly’s wife made, made Crooks realise that he was nothing more than an outcast and what she said was in a way true, with that all the hopes and dreams of Crooks were crushed. Like Crooks, Curley’s wife is stricken with isolation and sadness. She was out of place on the ranch and because of that she was a really lonesome person with lonesome feelings and hence was often desperate for someone to talk to. Throughout the novel Curley’s wife stirred up many emotions among the workers of the ranch, such as the way she looked and acted lead other characters in the novel to see her as a â€Å"tart†. Curly’s wife indulged in a dream which had already passed her by, leaving her with a life of empty hope. Like many young women, she aspired to stardom in films after being wrongly told that she was a â€Å"natural†. At first she seemed cold hearted and set herself to make trouble but then it became apparent that she was just lonely adn wanted someone to talk to and as Curley was not interested in hearing about her hopes or dreams, the only person she found willing to listen to was Lenny.

Sunday, January 5, 2020

Is Diabetes Mellitus ( Dm ) Is A Serious Public Health...

Introduction : Diabetes Mellitus (DM) is a serious public health problem in the world that has an adverse effect on the quality of life of several people (Al-Sarayra Khalidi, 2012; Azinge, 2013)1. It is highlighted for morbidity and mortality (Khattab, Khader, Al-Khawaldeh, Ajlouni, 2010; Sagar, 2011)2. World Health Organization (WHO) defines DM as metabolic disorder characterized by chronic hyperglycemia with disturbances of carbohydrate, fat, and protein metabolism that results from disturbances in insulin secretion, insulin action, or both. Diabetes is associated with reduced life expectancy; the significant morbidity associated with diabetes arises from micro vascular complications, increased risk of macro vascular complications (like ischemic heart disease, stroke, and peripheral vascular disease), and diminished quality of life3 (WHO, 1999). 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