Noncompliance And Compliance Case Study

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