Evaluation of a Health Care Facility Introduction For Calltorp and Bergstrom (1992), the idea of „quality assurance‟ covers the means for describing, measuring, evaluating and taking actions to improvement of quality. Quality assurance indicates the kind of exertion that happens in any work division to report on and improve the division‟s activities and avoid errors and centered on continuing work rather than any concluding result. Moreover, it is frequently illustrated as a sustaining dynamic process and serves as an instrument in the promotion of health which can either be people-welfare promoting and a financially gainful way of dealing with health problems; however, there is an existing problem in having short of methods for methodically reporting and reviewing health promotion programs and projects. Upgrading in quality and cost are attributed to implementation of total quality management (TQM) within the healthcare industry. TQM highlights constant improvement to convene or go beyond customer expectations in all features of management, and has been associated with organizational culture. Even though it has been implemented by acute care hospitals, nursing homes have been deliberate to adopt this method. Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Board of Commissioners had commended a changeover to unexpected surveys for all qualified health care organizations at their meeting last year. JCAHO have confidence that the unannounced survey is an expected development to the new Shared Visions-New Pathways accreditation process that began in January 2004. President of JCAHO, Dennis O‟Leary expressed, “Shared Visions-New Pathways creates the expectation that each accredited organization will be in compliance with 100 percent of the Joint Commission‟s standards 100 percent of the time. Organization leaders
whom we talked to not only agreed with these expectations, but further suggested that the next logical step would be the introduction of unannounced surveys.”
University of Virginia‟s Continuum Home Health Care Service
The University of Virginia‟s Continuum Home Health Care service had very successful survey by a group from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). It was expected within the organization to have received the official report and results from JCAHO on the agenda. In a reconsideration of the latest survey at the Clinical Staff Executive Committee (CSEC) meeting Pamela F. Cipriano, Ph.D., R.N., FAAN, Chief Clinical Officer, affirmed that the surveyors were approving of the quality of care that the facility provided, the UVA Continuum Home Health Care service staff and physicians, and their level of conformity with the standards of JCAHO. They took notice of the health facility‟s capability to administer a compound system as well its functioning association of many various specialists in teams providing patient care. Adding up to the surveyors‟ congratulatory commentary with regard to the quality of care, they also repeatedly commended the organization on the level of benevolent physicians, nurses and other health care providers exhibited to patients and the scope to which a mixture of multidisciplinary groups work together with one another to make available the best possible care to patients. They received some introductory recommendations that necessitated an action plan and an official follow-up within a period of six months. Recommendations A few examples of the preliminary recommendations indicated are to improve systems for documenting, improve the system for routine safety checks on equipment, and revise the
process for documenting required skills during and after orientation of new employees. JCAHO also supplied a number of introductory supplemental suggestions for minor upgrading that have need of no follow-up, but that will call for to be exhibited for the duration of the subsequent JCAHO survey three years from now. Minor improvements comprised of long-term implementation of pain management program with more coherent records of all the characteristics of pain; ensuring that patients and families education is recognizable; improving of physicians‟ signatures to be legible; and the clinical staff and other employees will be updated about strategic areas for upgrading. His information was based on the final JCAHO report. Conclusion The University of Virginia Health System already has completed some of these improvements based on the initial recommendations. They had planned to draw up a total action plan and produce any reactive working groups on an informal basis. Moving forward, they remain steadfast to the high criterion of excellence and will be standing by to exhibit full compliance with quality assurance standards at any time. The recent survey was a substantial success for the organization.
References: Calltorp, J. and Bergström, M. (1992); Medicinsk revision; Stockholms lans landsting: Stockholm Cipriano, P. (2007); Survey at CSEC meeting; Clinical Staff Executive Committee O‟Leary, D. (2006); JCAHO Announces Move to Unannounced Surveys by 2006; Wisconsin Hospital Association; Retrieved October 28, 2007, from http://www.wha.org/pubArchive/valued_voice/vv4-18-03.htm University of Virginia‟s Continuum Home Health Care service; University Of Virginia Health System; Retrieved October 28, 2007, from http://www.healthsystem.virginia.edu/internet/maps/building_detail.cfm?id=55