Noncompliance And Compliance Case Study

Superior Essays
Joint Commission on Accreditation of Healthcare Organizations (JCAHO) evaluates hospitals on their compliance of pain control of patients, in particular the emergency department. Many hospitals that I have worked at feel that they have to give the patient what they want for pain or will face the consequences of retribution from JCAHO. Patients are very aware of this standard that has been set so if they do not feel their pain was treated appropriately they threaten to call JCAHO to report noncompliance. This is what in my opinion has led to the abuse of the opioids prescriped by providers. This is a multi-organizational problem, in addition to JCAHO setting the limits it led to Press Ganey to add it to their requirements of hospitals …show more content…
So here come more policies about how and what we can give, prescribe patients. This is why I am really writing this letter, am I the only one who doesn’t understand the real reason behind the problems. We allow agencies to govern the way we treat patients. They are the ones who will mandate that we don’t get accredited again without ensuring we have a policy to treat patient’s pain. Institutions do not get reimbursed because the patients score them low due to not giving them enough for their pain. Now we have another agency saying it is all the hospital physicians fault for giving so many opioids that we have such a high overdose and addiction rate. So now we are developing policies in healthcare of how to not prescribe narcotics to patients. Yet, the policy is still going to stay in effect that you have to treat their pain to their desired level. It isn’t going to change the Press Ganey score if the patient doesn’t get the narcotic they are insisted for their toothache they have had for 3 months, they score us low because we will only give them acetaminophen or ibuprofen for their pain with a order to follow up with the …show more content…
My argument is when governmental agencies insist on changes, but not assist with the appropriate teaching. JCAHO has campaigns to inform people that pain reduction is their right to expect from healthcare providers. As a healthcare provider we understand what they are trying to portray, but the average person hears that, as they should leave completely pain free. They state they have the right to not be in pain, they saw the advertisement about it. They threaten to report you to JCAHO if you don’t comply with it. The healthcare team tries to explain to the patient that this is meant to be we reduce their pain, maybe end the pain, but in some cases that is almost impossible to do. This typically makes the patient become upset and now the worry is focused on Press Ganey scores and not being scored high. We made the patient upset so now we won’t get reimbursed, but we also have the bad rating that other patients can see. This leads to administration of the hospital to come down on the providers that they need to ensure better pain control for the patients. Then the CDC is on the news telling the whole world that the doctors are prescribing too much pain medicine. Chasing his or her tail around, and does anyone know who is

Related Documents

  • Improved Essays

    Overall there was a 26% increase in the number of providers who correctly answered the first question, 9% for the second, and 36% for the third. The study also examined the number of prescriptions written for opioids pre and post education. There was a decreased from 889 per 10000 residents to 785 per 10000 residents. This study highlights potential ways to reduce morbidity and mortality in prescribing opiates while still allow for the writing of the prescriptions for acute pain. Limitations for this study is the small sample size and the area in question; with this burrow having more opioid prescriptions than any other burrow in New York, would others have…

    • 1013 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Hospital Case Management

    • 1361 Words
    • 5 Pages

    The continued quality improvement programs incorporated in HH continue to prove the appropriate care deleting unnecessary treatments. In turn, maximizing the patient’s healthcare benefits or value results in cost savings and higher quality care (Porter & Lee 2013). According to HH’s Brenda Brooks, “we (case management/quality assurance) have merged supply driven, fragmented care into a patient outcome delivery system, assisting the consumer in maximizing benefits with high value care. An example of a chronic back pain, expensive and disabling ailment, patient provides an excellent example of previously fragmented care receiving portions of care from various clinicians and locations resulting in unneccesary or duplicate treatments, such as x-rays or medications.…

    • 1361 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    The State of American Healthcare Based on the technology and innovation of the twenty-first century, one would like to think that the American health care system is healthy and always in the best interest of the patients. However, this is not always the case. Susannah Cahalan tells her own story through the eyes of a patient being drastically affected by America’s crippled healthcare system. Upon completion of medical school, most medical doctors will take the Hippocratic Oath, essentially pledging to not knowingly harm patients.…

    • 841 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Agp Core Competencies

    • 1221 Words
    • 5 Pages

    The American Organization of Nurse Executives (AONE) indicate that, excellent leadership is crucial to ensure outstanding patient care. As a leader, the Nurse administrator (NA) is required to acquire the necessary competences to help them in their careers. The core competencies required for the NA include but not limited to communication and relationship-building, knowledge of the health care environment, leadership, professionalism, and business skills (AONE, 2011). According to the American Association of Colleges of Nursing (AACN), the adult-gerontology primary care nurse practitioner (NP) applies evidence to provide patient-centered quality care to adults and older adults population.…

    • 1221 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    Opioids In Drugs

    • 1180 Words
    • 5 Pages

    Opioids have been used in pharmaceutical drugs as a painkiller. Opioids are in medications like morphine, hydrocodone and oxycodone, which have been praised for their effectiveness for patients suffering extreme pain However, there have been downsides to using opioids in drugs. The use of opioids has lead to addictions and to deaths in the United States. After people take opioids as a painkiller, they can become addicted to the drug. This addiction they get can lead them deeper into addiction or even death.…

    • 1180 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    Opioids In America

    • 906 Words
    • 4 Pages

    Dr. Okie stated that “The FDA could require such training, but officials said doing so would be costly and would duplicate the DEA's registration system for prescribers of controlled substances. To make pain-management training mandatory for obtaining a DEA number, a change supported by the advisory committee, Congress would have to pass legislation” (Okie). Without proper mandates in place, the American people will constantly be at risk of opioid abuse due to their own uninformed action lead be the slacking FDA. Congress would have to force the FDA to fully do their job as their plans to date have been inadequate to handle this massive spread of opioid-induced panic. The FDA has also been lackluster with their performance in making certain the foods American eat are healthy and informing the public what they are truly…

    • 906 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Opioids In Brave New World

    • 1879 Words
    • 8 Pages

    According to prescription data from the IMS Health, “at the beginning of 2006, there were 47 million prescriptions dispensed per quarter in the United States for the opioid analgesics included in this study. Prescription volume peaked in the fourth quarter of 2012 at 62 million prescriptions dispensed.” (Dart). This increase in prescription directly relates to the substance’s abuse as “the rate of prescription opioid abuse increased from 1.6 per 100,000 population in 2005 to 7.3 in 2010” (Dart). When doctors prescribe these drugs, usually the opioids hurt more than help.…

    • 1879 Words
    • 8 Pages
    Improved Essays
  • Improved Essays

    Patients Are Turning to Medical Cannabis to Get off Opioids The opioid epidemic in North America is a growing public health crisis, causing devastating effects on communities across Canada and the U.S. Canada is the world’s second biggest consumer of pharmaceutical opioids, and in 2016, there were approximately 2,458 apparent opioid-related deaths in the country. What’s being done to counter this deadly health crisis? Learn why more doctors and patients are turning to medical cannabis.…

    • 575 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Prescription Drug Abuse

    • 1366 Words
    • 6 Pages

    Drug abusers use various methods to avoid detection and obtain prescription painkillers for illegitimate uses. Many rogue physicians facilitate the drug abusers by illegally supplying the drugs. Other physicians do not have adequate training to recognize or address prescription drug abuse. Finally, pharmacists, the suppliers of most prescription painkillers, may be unable to detect potential drug abuse or, in the case of rogue pharmacists may promote it. State PDMPs intended to combat prescription drug abuse have made some limited progress but they do not, and cannot, live up to their potential for the numerous reasons outlined in this Article.…

    • 1366 Words
    • 6 Pages
    Great Essays
  • Superior Essays

    Opioid Addiction Research

    • 1001 Words
    • 5 Pages

    Conclusion Already, the President, governors, government organizations and researchers have started to take steps to understand and deter the abuse of opioid addiction. The Associated Press released a statement that President Donald Trump is promising to increase efforts to fight against the country's opioid addiction epidemic. President Trump has been quoted saying that his administration wants "to help people who have become so badly addicted" (AP, 2017). The president announced a new commission to fight against the opioid epidemic at an event Wednesday at the White House with New Jersey Governor Chris Christie leading it (AP, 2017).…

    • 1001 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    The quality improvement movement can be traced back to the 19th century and over time has transitioned from a model to satisfy curiosity to a priority in health care. There have been many attempts made to address the challenges of improving health care quality, but none have been significant enough to address the ever evolving changes associated with reaching an adequate level of quality. As the movement evolved and became more purposeful, the focus was to implement models that relied on data to drive quality.…

    • 461 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    The way we go here is that pain management cannot be determined by doctors is it however the patients feel that we must go by. Drug companies drug representatives have convinced Doctors that opiates such as Vicodin, OxyContin are not addictive drugs. Back in the days according to Dreamland by Quinones, Doctors try to refrain from giving narcotics pain medications to patients because they know how addictive these drugs can be. It is better for patients to abstain from those medications because patients can become dependent on these drugs. Opiates, Vicodin, narco, hydrocodone, oxycodone, Percocet and heroin, morphine, hydromorphine, are all made from the opium plants.…

    • 1218 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    Assignment #1 SAMHSA Patients who are privately insured receive limited follow-up services after opioid- related hospitalizations. The sample size for this report are 18-64-year-old, who have private insurance and were admitted into the hospital for opium. “Nearly 2.4 million people in the United States have a substance use disorder (SUD) related to prescription opioids”. According to the short report. As stated in SAMHSA.gov for Opioid Use Disorder that “opioids reduce the perception of pain, but can also produce drowsiness, mental confusion, euphoria, nausea, and constipation”.…

    • 239 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Ethical Issues with an Aging Population Just last night at work, we had an 84-year-old woman with several comorbidities that fell and broke her hip. She was brought in by family who found her on the floor several hours after she fell. Orthopedics was called in for a consult and apparently deemed her not a candidate for surgery. The family was upset stating that she is a very active person who deserves to be able to walk again. With diabetes, CHF, COPD, CAD with a triple bypass, plus a host of other issues, cardiology could not sign off that she was healthy enough to survive the surgery to replace her hip.…

    • 529 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Emergency Departments (ED) all over the country struggle with over-crowding, and consequently long wait times (WT), extensive length of stays (LOS), high rates of patients who leave without being seen (LWBS), and poor patient satisfaction. This paper will explore the impact of overcrowding and the implementation of a fast-track area (FTA) as a solution to minimize the consequences. Emergency Department Crowding ED crowding is a national problem. The number of patients visiting EDs is growing rapidly. According to the Centers for Disease Control (CDC) there were approximately 136.3 million ED visits in 2015, which is 112.7 million more that in 1993.…

    • 745 Words
    • 3 Pages
    Improved Essays