Periodic Performance Review George Mason University College of Nursing and Health Science Regulatory Requirements for Health Systems Summer 2004 Used with.

Slides:

Advertisements

Similar presentations

The Role of Certification in Demonstrating Quality Programs The Third National Disease Management Summit Maureen Connors Potter Executive Director Disease-Specific.

Advertisements

The Aged Care Standards and Accreditation Agency Ltd Continuous Improvement in Residential Aged Care.

Credentialing, Accreditation, Certification, Registration, and Licensure: What does it all mean? Donna Nowakowski, MS, RN Associate Executive Director.

Entities Covered by HIPAA Privacy Rule George Mason University College of Nursing and Health Science Regulatory Requirements for Health Systems Summer.

The importance of a Compliance program is to ensure that our agency meets the highest possible standards for all relevant federal, state and local regulations,

Joint Commission Accreditation For Healthcare Organizations &

1 The aim…. ‘to enable assessors to objectively assess a laboratory’s compliance with the new standards’

David Garr, MD Executive Director South Carolina Area Health Education Consortium Associate Dean for Community Medicine Medical University of South Carolina.

SACS CASI Background Dedicated to advancing excellence in education worldwide, AdvancED provides accreditation, research, and professional services to.

Supervised by: Dr- Fatmah Baddar. 2 Health Care Service Accreditation Accreditation Accreditation is the process of assessing health institutions against.

© Copyright, The Joint Commission Quality Tools Available for Critical Access Hospitals December 16, :00-3:00pm CST.

Medication Reconciliation Networking Session Steve Rough, MS., RPh. Director of Pharmacy University of Wisconsin Hospital and Clinics.

HOSPITAL ACCREDITATION NUR 781, SPECIAL TOPICS IN NURSING PRESENTED BY: HUSNI ROUSAN SUPERVISED BY DR. ARWA OWIES JUST, 2002 / 2003.

INSTITUTIONAL PHARMACY PRACTICE STANDARDS

WELCOME. Connecting the Dots Using MAPP to Accomplish the Goals of Live Well, San Diego! County of San Diego Health and Human Services Wilma Wooten, M.D.,

Step 3 ： Analyze nursing diagnoses relationships  Draw lines between nursing diagnoses to indicate relationships.  Prepared to verbally explain to your.

7/16/20151 Quality Assurance Overview. 7/16/20152 Quality Assurance System Overview FY 04/05- new Quality Assurance tools implemented  included CMS Quality.

Nursing Quality Assurance Issues in CVVH Timothy L. Kudelka, RN, BSN Pediatric Dialysis Program C.S. Mott Children’s Hospital University of Michigan.

Healthcare Human Resource Management Flynn Mathis Jackson Langan

TRU Waste Processing Center Culture and Successful Implementation of an ISO Certified Environmental Management System Presented at the DOE ISM Conference.

Hospital Patient Safety Initiatives: Discharge Planning

New Staff Orientation 1 CMS Role of the State Agency Role of the Surveyor Stephanie Senior, RN Branch Manager, Survey Region 2. New York.

[Hospital Name | Presenter name and title | Date of presentation]

Healthcare Human Resource Management Flynn Mathis Jackson Langan

Quality Education for a Healthier Scotland Celebrating 10 years of Practice Education Facilitation in Scotland Dr Colette Ferguson Director of Nursing,

Welcome ISO9001:2000 Foundation Workshop.

Introduction to JCAHO George Mason University College of Nursing and Health Science Regulatory Requirements for Health Systems Summer 2004 Used with Permission.

Diagnostic Accreditation Program Using Tracer Methodology to Conduct Internal Assessments Brenda Watson, RTR RTMR Accreditation & Research Development.

Hospital Sensitive Analysis

JCAHO UPDATE June The Bureau of Primary Health Care is continuing to encourage Community Health Centers to be JCAHO accredited. JCAHO’s new focus.

The Post-Survey Process George Mason University College of Nursing and Health Science Regulatory Requirements for Health Systems Summer 2004 Used with.

PERFORMANCE IMPROVEMENT. Performance Improvement (PI) Guided by the Mission, Vision, and Goals of the Organization Responsibility of Everyone Data collection.

“Crosswalking” Hospitals for a Healthy Environment (H2E) & the Joint Commission for the Accreditation of Healthcare Organizations (JCAHO) Catherine Zimmer,

Registrant Engagement Through CPD Aoife Sweeney, Head of Education, CORU - Health and Social Care Professionals Council, Ireland.

2012 Role Delineation Study: What is it, and why do it?

How to Get Started with JCI Accreditation. 2 The Accreditation Journey: General Suggestions The importance of leadership commitment: Board, CEO, and clinical.

Update on New CHNA Regulations/ Community Health Improvement Scott Dahl, MBA Director of Business Development East Region Healthy Communities Institute.

JCAHO Accreditation/Survey Process for Ambulatory Surgical Center (ASC) By F O HSCI 547 Fourth Assignment.

JCAHO The Joint Commission for Accreditation of Healthcare Organizations By K. Bufka, R. Jones, W. Mckinley & J. Ziemba.

Assessing Regional Blood Centers Using Foreign or International Standards Abdulla A. Alkhashan MS, ASCP, NCA King Abdulaziz Medical City-Riyadh For the.

Accreditation Standards George Mason University College of Nursing and Health Science Regulatory Requirements for Health Systems Summer 2004 Used with.

Evaluation Overview: Rochelle Schultz Spinarski, Rural Health Solutions Community Care Learning Collaborative October 29, 2014.

Chapter 25 Management and Policy Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc. Quality in Healthcare: A Glimpse of the.

Geoffrey L. Beausoleil Assistant Manager, Office of Operational Support DOE Idaho Operations Office September 12, 2006 Presentation to DOE ISM Champions.

School of Health Sciences Week 4! AHIMA Practice Brief Fundamentals of Health Information HI 140 Instructor: Alisa Hayes, MSA, RHIA, CCRC.

MOST™ Measure of Success Tracking Behavioral Health Compliance Solutions, LLC Presents.

What is a Care Pathway? Ali El-Ghorr Implementation Advisor.

Shared Visions – New Pathways George Mason University College of Nursing and Health Science Regulatory Requirements for Health Systems Summer 2004 Understanding.

The Accreditation Survey On-Site Agenda George Mason University College of Nursing and Health Science Regulatory Requirements for Health Systems Summer.

nigADvZrM.  Means doing the right thing At the right time (when) In the right way (what) For the right person (to.

1 Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 7 Health Care Regulatory and Certifying Agencies.

MAKING CARING CONNECTIONS: CONTINUITY OF CARE TRANSFER PROJECT Management Presentation Hospital Presenter’s Name Date.

Sunnybrook Health Science Centre SSCL. About SHSC Academic Teaching Centre Tertiary Care Centre Regional Trauma Centre 2 Campuses 16,000 OR’s per year.

Warfarin Management South Seas Healthcare Trust Safety in Practice March 2015.

QUALITY: Driven through Accreditation Susi VonBergen, RN Clinical Informatics Nemaha County Hospital.

Validated Self Evaluation of Alcohol and Drug Partnerships Evidencing Implementation: The Quality Principles – Care Inspectorate/The Scottish Government.

Standard 10: Preventing Falls and Harm from Falls Accrediting Agencies Surveyor Workshop, 13 August 2012.

This action-based research study used a descriptive triangulation process, which included quantitative and qualitative methods to analyze nursing students’

©2002 by the National Committee for Quality Assurance NCQA: HIPAA Business Associate Presentation to the 6th National HIPAA Summit March 28, 2003 Patricia.

1 Copyright © 2009, 2006, 2003, 2000, 1997, 1994 by Saunders, an imprint of Elsevier Inc. Chapter 15 The Health Care Organization and Patterns of Nursing.

Leveraging technology to strengthen Continuous Quality Improvement C. BERNARD MANAGING DIRECTOR IBHAR HEALTHCARE

Documentation Requirements for Hospital Accreditation -By Global Manager Group.

NICU Communication Improvement University of San Francisco Mater of Science of Nursing Clinical Nurse Leader Joy Lawley “The single biggest problem in.

CASA 2014 Accreditation Essentials of Joint Commission Accreditation Pamela Roark Field Representative, Ambulatory Care Program The Joint Commission.

Overview of Education in Health Care

© Genesis of ACT on Alzheimer’s 2009 Legislative Mandate for Alzheimer’s Disease Working Group (ADWG) Legislative Report Filed.

OUR FOCUS FOR 2011 TO 2012 The CfWI produces quality intelligence to inform better workforce planning, that improves people’s lives.

Civic Engagement Meets Academia: Incorporating Service Learning and Social Media in Quality Management –performance improvement project Laura Douresseaux,

Indiana Regional Long Term Care Collaborative Project

Key Indicator System Overview.

Presentation transcript:

Periodic Performance Review George Mason University College of Nursing and Health Science Regulatory Requirements for Health Systems Summer 2004 Used with Permission

PPR is Elementary... Shifts emphasis to a more continuous accreditation process by incorporating an additional form of evaluation Uses the extranet to ensure efficiency Creates an environment for educational opportunities

Is an accreditation participation requirement Must be completed between the 15th and 18th month point – no on-site review Includes HCO self-evaluation of all applicable standards, and development of corrective action plans for any standard evaluated as noncompliant Involves telephone interaction between the HCO and the Joint Commission for review and approval of corrective action plans Will not impact accreditation status, if HCO has an approved corrective action plan PPR...

For each non-compliant standard the HCO will: Describe the planned action for each Element of Performance marked as partial or not compliant Develop a measure of success PPR requires a Corrective Action Plan

A numerical or other quantitative measure usually related to an audit that validates that an action was effective and sustained Measure of Success defined as...

At the triennial survey, focus is on validating the implementation of corrective action plans Surveyor asks for data related to the measure of success for each corrective action plan Track record requirements remain in effect Linkage between the PPR and On-Site Survey

Periodic Performance Review for ABC Hospital

Periodic Performance Review for ABC Hospital

Periodic Performance Review for ABC Hospital

Compliant Not Compliant Not Applicable Standards will be shown as:

Periodic Performance Review for ABC Hospital

Periodic Performance Review for ABC Hospital

Periodic Performance Review for ABC Hospital

Periodic Performance Review for ABC Hospital

Periodic Performance Review for ABC Hospital

Uses the same tool employed by the surveyors Increases intra-cycle interaction with JCAHO Facilitates continuous operational improvement Helps the HCO in quest for 100% compliance, 100% of the time Benefits of Periodic Performance Review

Sources Blomme, Jane (2002) ppt. Shared Visions – New Pathways: Sharpening the focus of the accreditation process on care systems critical to the safety and quality of care. Joint Commission on Accreditation of Health Care Organizations. Massaro, Russ (May 2003) ppt. Executive Briefings, JCAHO Shared Visions—New Pathways: 2004 Accreditation Process, Joint Commission on Accreditation of Health Care Organizations. SMART: Staff Maintaining Accreditation Readiness Together (2003) ppt. Shared Visions – New Pathways: Update on the Survey of the Future. Inova Health System.