Joint Commission Case Study

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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
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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.
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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

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