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Role Of Regulation And Accreditation In Quality

Role Of Regulation And Accreditation In Quality

Role Of Regulation And Accreditation In Quality

The pursuit and achievement of high-quality healthcare require resources, effort, and commitment.

The collective social norming aspect of the improvement of quality in many healthcare institutions is greatly influenced by accreditation. As they are in charge of enforcing particular standards in the US, regulatory agencies play a crucial role in this. the obligation

Throughout the past century, the number of regulatory agencies has grown quickly along with their power. An organization must meet specific requirements that address the environment of care, the circumstances of care, and the level of care in order to receive accreditation. One such regulatory body is the Healthcare Facilities Accreditation Program or HFAP.

Program for Healthcare Facility Accreditation (HFAP)

HFAP is a well-known accreditation agency with headquarters in Chicago, Illinois. HFAP establishes accreditation requirements that demand comprehensive policies, procedures, and evaluations. Through the Centers for Medicare and Medicaid Services, they are in charge (CMS). Organizations use HFAP to enhance their ability to provide high-quality, safe, and effective care.

Background of HFAP

Since its founding in 1945, the HFAP has been accrediting healthcare institutions and has been covered by Medicare and Medicaid. The American Osteopathic Association (AOA) founded HFAP, the country’s first continuous hospital accrediting agency, to perform an unbiased evaluation of the services provided by osteopathic hospitals. Under the Medicare Conditions of Participation specified in the enabling Social Security Act, HFAP was regarded as an authoritative body with the power to accredit all acute care hospitals. In accordance with the Clinical Laboratory Improvement Amendments (CLIA), HFAP is also permitted to inspect clinical laboratories (Meldi, Rhoades, & Gippe, 2009, p. 12).

Cause for the Existence of HFAP

A comprehensive improvement plan for an organization is provided by an HFAP assessment. The organization focuses primarily on providing high-quality evaluation experiences that are educationally oriented.

Public Reporting of Quality Indicators by the HFAP

Frequency

A hospital or healthcare facility must apply before conducting an initial survey if it decides to pursue HFAP accreditation. As required by CMS, the HFAP evaluates a facility on-site and without notice once every three years.

Their reported locations

Assessors inform HFAP Headquarters of any differences they discover. A complete report of the issues discovered is then submitted to the facility that was under inspection. The facility then provides HFAP with a “Plan of Correction” within a predetermined timeframe.

Why It is Crucial To Publish These Metrics Publicly

The HFAP best practices place a strong emphasis on the need to establish processes that define everyone’s responsibilities and gather up-to-date data to assist decision-making (AHC Media, 2018). HFAP demonstrates how HFAP accreditation aids CMS compliance by “cross-walking” its requirements to CMS CoPs/CFCs. Hospitals may have a better chance of complying because HFAP surveyors talk about ways to address shortcomings when they are discovered during the survey (Fennel, 2017).

How HFAP Works

current performance

The major goal of HFAP is to provide high-quality, educationally focused survey experiences, even though it participates in a number of federal, state, and local support projects to promote patient care and safety (Meldi, Rhoades, & Gippe, 2009, p. 14).

Organizational design

The nonprofit HFAP is committed to assisting healthcare organizations in reaching and upholding the highest standards in patient care. They also support adherence to government regulations that are always changing, as well as the healthcare industry’s ongoing advancement (HFAP.org, 2020).

Governance

A committee of healthcare professionals, including representatives from the American Academy of Osteopathy, colleges of osteopathic medicine, family health, surgery, internal medicine, and other healthcare roles, makes up the AOA Bureau of Healthcare Facilities Accreditation. The HFAP is a vital player in shaping healthcare policy and is represented in all significant healthcare and quality improvement forums.

The Effect of HFAP on High-Quality Healthcare Organizations

With trustworthy standards and ongoing process improvement, HFAP helps healthcare facilities provide the best and highest quality patient care. HFAP gives healthcare facilities a solid framework for measuring practice improvement, enabling them to provide their communities with high-quality patient-centered care.

Medical Practice

In order to prepare their nurses for changing scenarios like epidemiological, obstetric, and mental health crises, hospitals should use ongoing education, according to HFAP surveyors. A contemporary issue is the creation or use of patient screening methods to find those who pose a risk to themselves or others. Hospitals are required to provide orientation and yearly training to all staff on the topic of identifying patients at risk after putting these screening instruments in place (Plunkett, 2019, p. 4).

Customer Care

Discharge planning, utilization review, and infection control procedures are among the patient safety measures that HFAP has refocused on and that are required by CMS. To reflect a wide national spectrum, HFAP integrates safety standards from a number of sources. Using the Medicare CoPs as a foundation, modifying the NQF 30 safe practices, and supporting the “5 Million Lives Campaign” of the Institute for Healthcare Improvement, HFAP accreditation requirements cover all of the most recent patient safety efforts (Meldi, Rhoades, & Gippe, 2009, p. 14).

Conclusion

The purpose of regulating organizations and accrediting authorities is to protect the public’s health and well-being from health-related risks while also offering a wide range of high-quality programs. Quality is a dynamic idea. It is a continual process that is dependent on the evolving societal demands, the knowledge, skill, and innovation of the healthcare team, and the scientific community rather than being a static endpoint (Siarkowski-Amer, 2013, p. 236). Healthcare regulations are carried out by non-governmental organizations and local, state, and federal governments, with the regulatory bodies of the healthcare industry charged with maintaining control over and protecting public health at all levels. One such organization that offers standards and interpretations to its clients is the HFAP.

References

AHC Media. (2018). HFAP Offers Tips on Top Survey Deficiencies. Hospital Peer Review, 43(372). Retrieved from http://ovidsp.ovid.com/ovidweb.cgi?

T=JS&PAGE=reference&D=ovftt&NEWS=N&AN=00004158-201807000-00002.

Fennel, V. (2017). Accreditation options update: Understanding the Healthcare Facilities Accreditation Program (HFAP). Becker’s Hospital Review.

HFAP.org. (2020). Healthcare Facilities Accreditation Program (HFAP). Retrieved July 17, 2020, from https://www.hfap.org/

Meldi, D., Rhoades, F. & Gippe, A. (2009). The big three: A side by side matrix comparing hospital accrediting agencies. Retrieved from https://www.namss.org/Portals/0/Regulatory/The%20Big%20Three%20A%20Side

%20by%20Side%20Matrix%20Comparing%20Hospital%20Accrediting%20Agencies.pdf

Plunkett, A. J. (2019). HFAP 2019 quality review highlights common problems with ligature risk, IC, fire safety. Inside Accreditation & Quality, 1(3), 1-4. Retrieved from https://www.accreditationqualitycenter.com/system/files/issues/IAQ_0819_web.pdf

Siarkowski-Amer, K. (2013). Quality and safety for transformational nursing: Core competencies (1st ed.). Upper Saddle River, NJ: Prentice Hall

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Question 


Post a total of 3 substantive responses over 2 separate days for full participation. This includes your initial post and 2 replies to classmates or your faculty member.

Role Of Regulation And Accreditation In Quality

Role Of Regulation And Accreditation In Quality

Due Thursday

Respond to the following in a minimum of 175 words:

How do regulations and accreditation help enforce quality healthcare? Discuss ways in which they help to improve the healthcare system.

Due Monday

Post 2 replies to classmates or your faculty member. Be constructive and professional.


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