Quality Improvement Essay

Write a 1,100-1,500-word essay about quality improvement Essay. Include the following points in your essay:
1.Describe which accrediting body would be most appropriate for your health care organization.
2.Summarize the requirements to obtain accreditation.
3.Based on your research and experience, what performance or quality metrics could you focus on for a quality improvement project to present to the accrediting body?
4.How does the quality performance financially impact the organization?

Include at least three references, including the textbook.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 

 

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The requirements to obtain accreditation in a health organization

Introduction

Accreditation is a process that helps health organizations maintain their standards of care and provides for transparency of the quality of care offered to patients. The National Committee for Quality Assurance (NCQA) accredits 100% of the U.S. health plans and more than 50% of the hospitals in this country.

Approve the application

• The health organization must be approved by the accreditation body.

• The health organization must have a written policy that addresses the following areas:

• Administrative policy, including how decisions are made and communicated to employees and patients/consumers (or their representatives) in writing;

• Medical records management policies and procedures;

• Medical staff organization (including medical directors or equivalent);

• Adverse occurrences or incidents that could have affected patient safety or patient care services should be recorded, investigated and reported promptly so that corrective actions can be taken promptly.

Survey the organization on personnel, policies, and practices in the following areas:

• Personnel.

• Policies.

• Practices.

Administrative policy.

The administrative policy of your organization should be consistent with the accreditation requirements. The board of directors, executive committee, and medical staff should review and approve this document before it can be implemented. If you don’t have a written administrative policy in place yet, consider hiring an outside consultant to help develop one for your organization—they can help give you ideas about how best to structure this document so that it meets both legal requirements as well as industry standards for quality assurance programs.

Medical records.

• Medical records policy. The organization must have a medical records policy that is approved by the governing board and implemented.

• Reviewed annually, this policy should be available to the public at all times, so that anyone can review it if they have questions about what information is contained within it (e.g., patient demographics).

Medical staff organization.

In addition to a medical staff organization, you should also ensure that there is a clear policy on conflict of interest and patient complaints. This can be achieved through the creation of an ethics committee and by having signed documents on this subject. The code of ethics must specifically address the following issues:

• Confidentiality

• Non-discrimination

• Ethical obligations associated with patient care (e.g., confidentiality)

Adverse occurrences or incidents.

Accreditation is a voluntary process that is used to demonstrate compliance with standards and best practices. Accredited organizations are held accountable by their peers through external evaluations, which include surveys and observations.

In addition, accreditation also serves as a means of demonstrating that an organization meets the standards of the accrediting body (e.g., if an institution does not possess ISO 22000:2005 certification). In order for an organization to obtain such certification from an external agency, it must be accredited by a recognized body such as Health Canada or another governmental agency responsible for managing health care services within your jurisdiction (e.g., provincial government).

Takeaway:

You should take away the following:

• The importance of accreditation in a health organization.

• How to get accredited as a provider or facility.

Conclusion

As the above checklist shows, there are many requirements to be met before accreditation can take place. The following tips can help you prepare for your application process so that it goes smoothly without any issues:

Start preparing well in advance by asking yourself if you have enough information to fill out all required forms and documents. These include background checks, training records and more as they ensure quality care for patients. After applying online with online registration system – use an email address so that you receive notification when it’s time to submit additional documents or questions about your application.