Class: Regulations and Compliance
Subject: Evaluating Accreditation Requirements
Half I Evaluating Accreditation Requirements Throughout Well being Care Settings
Requirements that tackle acceptable documentation of affected person care and efficient administration of well being data will be discovered amongst accrediting our bodies at every stage of well being care. Whereas the requirements cowl the identical space, their scope and necessities for compliance can differ broadly.
Assessment the requirements for authentication (signing) and timeliness of medical file entries for acute care hospitals, ambulatory services, long-term care services and psychological well being hospitals. Create a desk to check and distinction the requirements, choose which accrediting physique’s commonplace you’d suggest if just one commonplace might be utilized to all well being care supply techniques and Help the explanation to your choice. the place you describe the corresponding commonplace for every kind of facility. Deal with these at a minimal the “standards” beneath in your desk:
1. Are there necessities which might be the identical for every commonplace?
2. Which medical staffs are allowed to make entries within the medical file in every kind of facility? (e.g. doctor, nurse, doctor Helpant)
three. Which accreditation requirements tackle using digital signatures?
four. Clarify how the requirements differ when it comes to the kind of the entries that needs to be authenticated (i.e. consultations, process notes, progress notes).
5. How is compliance with every commonplace to be evaluated (e.g. medical file audit, abstract reviews)?
Half II Transitioning from Situations of Participation to Joint Fee Requirements
A healthcare facility is interested by pursuing Joint Fee accreditation. Senior administration has requested departments to submit reviews in regards to the implementation of relevant Joint Fee requirements of their areas of accountability. You’re the HIM director who will draft a report for implementation of procedures to adjust to requirements associated to Info Administration (IM) and Document of Care, Therapy and Providers (RC).
Utilizing the phrases beneath do an web search to find the requirements and Situation of Participation wanted. Create a doc, spreadsheet or desk that compares the COP and Joint Fee requirements, and tackle variations in preparation (e.g. accreditation cycles, sources wanted) and coaching and making ready of employees. The report also needs to embody how compliance is reported to and monitored by the Joint Fee.
Joint Fee Commonplace IM
Joint Fee Commonplace RC
Situations of Participation 42 CFR 482.24 Medical Document Providers
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