HEALTH CARE ADMINISTRATION

Would Improved Survey Readiness In Health Care Organization Reduce The Number Of Deficiencies Thus Improving The Quality Of Care And Eliminate Monetary Fines?

Abstract

As division of Joint Commission on official approval of Health Care Organizations review groundwork, two prospective,interventional investigations were conducted. The first study contrasted the clinic employees that took part in survey-readiness rounds to employees that did not. The second study contrasted the tallies before and after the informative in-service of the assembly that had not took part in these rounds. The signify total tally of the rounds assembly was 92 percent and for the no-rounds study assembly before in-service learning was 85 per cent. The distinction was statistically significant. The no-rounds group's signify total tally increased 14 percent after in-service education. In-service learning almost increase two-fold the prospect of tallying 90 percent or better. As part of a coordinated survey-readiness program, a challenge can be a helpful and productive procedure to consider and advance employees knowledge.

Table of Contents

Abstract2

Introduction4

Background of the paper4

Problem Statement4

Purpose of the paper5

Hypothesis6

Materials6

Method39

Statistical methods40

Results42

Discussion44

References68

Appendices82

Introduction

Background of the paper

As part of a multifaceted program to prepare for the triennial Joint Commission on Accreditation of Health Care Organizations (JCAHO) survey of our integrated delivery system (IDS) and improve staff knowledge regarding patient care, we developed a contest, the Quality Quiz, to assess and improve knowledge pertinent to survey-readiness. Our IDS is located in Brooklyn and Queens, New York, and is comprised of four acute care hospitals, 20 ambulatory care sites, three long-term care facilities, six substance abuse centers, and a home health care agency. In addition, the IDS serves as a teaching facility for affiliated postgraduate medical, nursing, and physician assistant schools(Barofsky 2007, p51).

Problem Statement

The core activity of the preparation program was multidisciplinary rounds. The rounds began a year before the survey. Each patient care area was visited at least twice by each set of rounds. The format of the rounds varied with their focus. Environmental rounds focussed on the environment of care. Clinical performance improvement rounds evaluated nursing and ancillary staff care in the emergency department and in-patient units. Mock surveys assessed and educated staff on several functions pertinent to survey readiness(Bhat, 2006, p265)

During rounds, variations in staff knowledge inspired creation of a pocket-sized booklet targeting the functional areas where education appeared most needed: patient rights; infection control; and environment of care. The booklet was distributed to all hospital staff. In order to encourage greater interest in survey-readiness, we sponsored a contest based on information provided by the booklet(Ackerman, 2009, pp.16).

Due to time limitations of providing care and training, medical house staff, care managers, physician assistants, and nutritionists were unable to attend most survey preparation rounds. One of the authors provided in-service education at regularly scheduled Departments of Medicine, Surgery, and Nutrition conferences(Beracochea, 2005, 69).

We describe two prospective, interventional studies. The first study compared the hospital staff that participated in survey-readiness rounds to staff that did not. The second study compared the scores before and after the educational in-service of the group that had not participated ...