Hospital Compliance Licensure is required by state law A license allows

Hospital compliance licensure is required by state

This preview shows page 62 - 71 out of 103 pages.

Hospital Compliance: Licensure is required by state law. A license allows operation of a designated number of beds. States usually govern licensing through their Departments of Health. Licensing matters focus on facility compliance with regulations and codes. Standards are often established for equipment and personnel. Licensing is required, but accreditation and certification may not be, but … M-5: In-Patient Hospital Care
Image of page 62
Hospital Compliance: Certification applies to participation in the Medicare and Medicaid programs. HHS controls the conditions of participation. Accreditation is the private-based review process utilizing a set of standards (TJC). TJC may deem accreditation if the hospital achieves CMS certification for participation. TJC is the primary accrediting body but there are others. M-5: In-Patient Hospital Care
Image of page 63
Hospital Compliance: Certification Not mandatory (required only if a hospital wants to participate in Medicare and Medicaid—most do) A federal function: Hospitals must comply with the conditions of participation federal standards for health, safety, and quality Currently revised conditions focus on quality of care delivered and the outcomes of that care M-5: In-Patient Hospital Care
Image of page 64
Hospital Compliance: Accreditation The Joint Commission (see notes) or American Osteopathic Association Accreditation is a private undertaking It is voluntary for the hospital It confers deemed status on hospitals Deemed status is not conferred on nursing homes M-5: In-Patient Hospital Care
Image of page 65
Hospital Designation: Magnet Recognition Program Designation conferred by the American Nursing Credentialing Center Recognizes quality of care, nursing excellence, and innovations in professional nursing practice Organizational environment helps attract and retain well-qualified nurses Visionary leadership, empowerment, and collaboration create healthy work environments, attract qualified nurses, and improve patient care M-5: In-Patient Hospital Care
Image of page 66
Hospital Administration: Legal/Ethical Complex circumstances requiring advanced technology Life and death issues Research and experimental medicine M-5: In-Patient Hospital Care
Image of page 67
Hospital Administration: Basic Ethical Decision- making Respect for others Autonomy: empowerment Truth telling: honesty Confidentiality: privacy Fidelity: duty and promises Beneficence—benefit to the patient Non-maleficence—do no harm; benefits > potential harm Justice—fairness and equality M-5: In-Patient Hospital Care
Image of page 68
Hospital Administration: Vulnerable Populations Challenges arise in treating incompetent and comatose patients Patient Self-Determination Act of 1990 Inform patients of their rights upon admission Main rights: confidentiality consent re: medical care information on diagnosis and treatment right to refuse treatment formulation of advance directives M-5: In-Patient Hospital Care
Image of page 69
Hospital Admin.: Informed Consent Right to make an informed choice regarding medical treatment Right to obtain complete current information on
Image of page 70
Image of page 71

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture