Joint Commission Case Study

Improved Essays
The Joint Commission and Patient Safety

For more than twenty-five years, The Joint Commission on Accreditation of Healthcare Organization (JCAHO), which is renamed as The Joint Commission (TJC), has published every year The Patient Safety Goals to be implemented by all healthcare institutions nationwide. In 2009, TJC established the Joint Commission Center for Transforming Health Care. As the quality-improvement arm of TJC, the center embarked in addressing patient safety problems in hospitals. On top of the safety issues identified is communication. Although, improved effective communication has been on the Patient Safety Goals lists for many years, there is still much to be desired in improving communication among healthcare
…show more content…
1458). Many hospitals have implemented tools and processes to facilitate effective communication among caregivers, most especially, the nurses. One such tool is the use of SBAR (Situation, Background, Assessment, Recommendation), which serves as a snapshot or patient care summary that nurses use to report to the physician any change in the patient’s condition. The hand-off communication is also used as a “mechanism for transferring information, responsibility, and authority from one set of caregivers to another” (Patient Care Services, 2015, Definition, para. 1). Joint Commission Center for Transforming Health Care defined hand-off communication

As a transfer and acceptance of responsibility for patient care that is achieved through effective communication. It is a real- time process of passing patient-specific information from one caregiver to another or from one team of caregivers to another to ensure the continuity and safety of that patient’s care (para.
…show more content…
31). Although, a constitution at each level exists that provides power and authority to enact health policies, still it is the federal law that stands above all state and local policies. State and local levels of government can pass and enact laws for as long as they are not in conflict with or are as strict as that of the federal laws. One recent example of Federalism in action was the provision for the expansion of the Medicaid program that was proposed by the Affordable Care Act (ACA) 2010. The Supreme Court has ruled that states are free to opt out of the Medicaid expansion “without losing all federal Medicaid funding” (Health Policy of Ohio, 2012, Introduction, para. 2). Centralism, on the other hand, is the concentration of power and authority in one government structure (Porche, 212). As far as health policy formulation is concerned, I believe that federalism would allow for more wiggle room in the implementation of the

Related Documents

  • Improved Essays

    Handoff Report Sample

    • 671 Words
    • 3 Pages

    Author: Wentworth Laura, Diggins Jennifer, Bartel David, Johnson Mark, Hale Jim,Gaines Kim Title: SBAR: Electronic Handoff Tool for Non Complicated Procedural Patients. Journal: Journal of Nurse Care Quality Year: 2012 Volume: 27 Issue: 2 Pages: 125-131 Purpose and/or Problem Statement:…

    • 671 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Joint Commission and CAUTI Prevention Healthcare is in the midst of a paradigm shift in which the focus has transitioned away from patient volume towards patient quality and safety. It is the responsibility of healthcare leaders and professionals to prioritize safety and quality initiatives and to adapt to the evolving healthcare systems (Moran, Harris & Valenta, 2016). To pledge their commitment to quality, healthcare organizations seek accreditation from regulatory bodies that focus on improving safety, efficiency and better outcomes (Kelly, 2014). Accreditation is a formal process that “assesses and recognizes that a healthcare organization meets applicable predetermined and published standards” (Kelly, 2014, p. ).…

    • 804 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Joint Commission Purpose

    • 264 Words
    • 2 Pages

    First who is joint commission and what is there purpose? The joint commission was formed in 1951 as a not-for-profit, private nongovernmental organization by the American College of physicians, American College of Surgeons, American Hospital Association, American Medical Association, and later, the American Dental Association, for the purpose of improving the quality of health care provided to the public. The Joint Commission has changed its mission to not only address the quality of patient care, but also patient safety. Many states have established a patient’s bill of rights for hospital and health care institutions. This bill of rights ensures that all patients-inpatients, outpatients, and emergency service patients- are afforded their rights.1…

    • 264 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    Federalism is a system of government in which power is divided, by a constitution, between the central government and regional government. To the United States, this meant the abuse of powers could be prevented by keeping them separate. Our system of federalism has evolved over time starting from a dual federalism, then cooperative federalism, and now the new federalism. Dual federalism did not allow the federal government to supersede the laws of the state. The cases of McCulloch v. Maryland and Gibbons v. Ogden changed the states’ rights.…

    • 197 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    The SBAR style of reporting is used at Rochester General Hospital and throughout the Rochester Regional Health System as seen in their nursing policies and procedures online. This reporting is used to efficiently communicate with providers when a patient may be deteriorating. The four sections are described as S= Situation, B=Background, A =Assessment, R=Recommendation.…

    • 433 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    On the contrary, one example that does not follow this model is the legalization of Marijuana. Marijuana is illegal under Federal Law, but California, Colorado, Washington, Oregon, and Alaska, and the District of Columbia have legalized recreational marijuana and 19 other states have legalized some form of medicinal marijuana (Wilson 3-1). On the other hand, there are other instances that show that Federalism is compromised through the use of Federal Aid such as Grants, which influences state governments to shape their policies around the national government’s interest. This is how the national government has “gained” more power over the years, although in their eyes it is the federal government just working together with the states, hence Cooperative Federalism. “The federal system limits the ability of the federal government to use state governments as an instrument of the national government, as held in Printz v. United States (Wilson).”…

    • 1219 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    Federalism Although the meaning of federalism has fundamentally changed over time, Anti-federalists of the time have generally been contented on the issue of the Constitution as a direct result of the Bill of Rights. Throughout the major change from the states’ rights approach to federalism to the approach of competitive federalism, that still serves us well to this day. New brands of federalism have emerged, directly influenced by major social or economic events throughout the history of federalism, and while “the US Constitution specifies exclusive and concurrent powers for the national and state governments. Other powers are implied and determined by day-to-day politics” (Paletz, Owen and Cook 91).…

    • 652 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Joint Commission Case

    • 1139 Words
    • 5 Pages

    3. What is the impact of the policy to this institution (economic, implementation, services, etc.)? The objective of the Joint Commission standard is to focus on quality improvement, not blame. The Joint Commission on Accreditation of Healthcare Organizations has recently instituted new standards to encourage facilities to focus on infection control. Factoring in, all hospitals are required by the Joint Commission to demonstrate compliance with hand washing practices.…

    • 1139 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    In nursing care teams, communication has two strong components that correlate directly with each other. Quality improvement impacts safety and vice versa. The goal of improving communication on nursing care teams and consequently maintaining patient safety is the topic of this paper. This significant relationship must be considered, addressed, and embraced in health care systems by each representative member. The connection between safety and quality improvement is strong.…

    • 429 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    With a federal system, the government does not have the upper hand in decision-making. They can only attempt to influence which direction the policy will take by providing financial support or offering ideas, but the decision regarding which services will be covered is still up to the provincial or state governments. In addition to this, there are also several issues that arise from having a federalist government. The first problem has to do with financing the system. In order to contain the costs of health care, the burden of expenses must be transferred to someone else.…

    • 1257 Words
    • 6 Pages
    Improved Essays
  • Decent Essays

    The common purpose for nursing is to help heal people and care for the ill. Good communication is key among your coworkers. It’s a constant cycle of Communication with other nurse or even doctors to update their patients’ health. Nurses often describe mental or physical changes and must update and give feedback to other nurses. Nurses use many methods of conveying…

    • 241 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Federalism is an idea that power is to be divided between the federal, or central, government and the state government. Both governments check each other so that they “control each other, at the same time that each will be controlled by itself”(James Madison, Federalist Paper #51, 1788). In this situation, the state can govern itself while keeping the federal government in line, and vice…

    • 550 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Patient Handoff Case Study

    • 1088 Words
    • 4 Pages

    Background Information A literature review of patient handoff, and communication gaps of patient information during intrahospital patient transfers. The communication of complete and accurate patient information can be challenged, because of increasingly fast-paced and complex health care environments. Patient Handoff refers to, the process of transferring primary authority and responsibility for providing clinical care to a patient from one departing caregiver to one oncoming caregiver. Caregivers include attending physicians, resident physicians, physician assistants, nurse practitioners, registered nurses, and assistant care providers (Patterson, & Wears, 2010).…

    • 1088 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    Federalism Vs California

    • 1526 Words
    • 7 Pages

    The states would have no say over what the citizen’s needs and rights are. The due process and equal protection clause of the 14th amendment states the national government cannot take away the rights and liberties of the people. Therefore, federalism is needed to protect the…

    • 1526 Words
    • 7 Pages
    Improved Essays
  • Decent Essays

    According to the Federalism packet “(Powers reserved to the states) Set up local government” This illustrates that state will take control of the local governments, this helped because the local government manage and secure specific complication in their own area ,but the local government won't have too much power over the citizens and it will improve tyranny. Another excerpt by James Madison from the Federalist paper “The different governments will each control each other, at the same time that each will be controlled by itself” This demonstrates that central government and state government both have equal powers, and these powers can both control the country evenly. Central and state government will have its own separate fair…

    • 508 Words
    • 3 Pages
    Decent Essays