The healthcare industry is one of the important industries in any given state. It forms the biggest percentages in many countries and gives ten plus percentage of the gross domestic products in most developed states. Its role is vital to all the citizens. It takes care of the health status of the rich and the poor, the employed and the unemployed, adults and children are all entitled to have close link with it. The core duties and activities are geared towards provision of services that are related to the preservation or improvement of the health of the citizens.

It takes the initial action on searching for new medical treatments and takes the sole duties of caring of individuals who might be informed in accidents or who becomes sick through pathogenic invasions or even by nature those who are born disabled. It is therefore a very vital industry which requires highly skilled personnel with sober minds and talents people in the field. This is a key characteristic for those who would like to enter the sector as life of people is non-compensable matter.

Like in any other industry, problems often do arise in the health care industry. These are mostly in connection with the communication barriers between the professionals and patients as well as problems among the professionals themselves. The consequences of problems create an impact on the industry especially in labor force morale, motivation and job satisfaction. When such problems arise, their effects and the impulses are directly or indirectly felt by the patients or clients of the industry.

Poor services as well as goods are delivered to the customers which poses great risk of the survival of the patient. This is one of the way of compromising the goals, mission and vision of the organization, as well as the patient’s loyalty. The discipline of healthcare is thus of great concern to individual nation and to the international considerations. This necessitates its regulation to ensure that it is carried out under specific safe guidelines. (Hulscher, 2003)

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Regulatory Agency: Joint Commision On Accredation Of Health care Organizations
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Due to above facts, the joint commission on accreditation of healthcare organization was created in the year 1910, whose mission was to perpetually improve the safety and quality of care being provided to the public by healthcare industries through the provision of health care accreditation and related services that supported the performance improvements in the healthcare firms. It started with the proposal of end result system of hospital standardization by a great man called Ernest Codman. A colleague to dr.

Codman founded the American college of surgeons (acs) which developed minimum standards for hospitals. The ACS begun its on-site inspection of hospital in the years 1918 where they found out the 692 hospitals surveyed, only 89 of them met the minimum standards. As time elapsed, the ACS continued to grow and advance in its field hence they came up with an 18 page first printed standard manual by 1926. Under their program, more than 3,200 hospitals had achieved the required standards and had been approved.

By this time, many other organizations had seen the rapid growth of the ACS. Some had expressed their interest to join the ACS while others were pending their expression down in the hearts. In 1951 the ACS got a bumper harvest where the American college of physicians (ACP), the American hospital association, the American medical association and the Canadian medical association joint them. This grand coalition formed what was called as the joint commission on accreditation of hospital (JCAH) whose main agenda was to provide voluntary accreditation.

JCAH began its work without delay on the following year of its formation with its publication of their standards on the same period. However, there was a draw back of the organization in 1959 when the Canadian medical association withdrew. The expansion of the joint did not come to an halt due to this self- interest of the Canadians, but it rampantly grew several successes have been achieved. It has worked out many standards for accreditations on the health care industry which includes the above one and other recent ones such as laboratory accreditation.

These achievements are realized with the collaborations with other organization like world health organization collaborating centre on patient safety, the world alliance for patient safety and the common world fund. Due to this great collaboration with enormous number of organization, the JCAHO has recently gone internationally opening its offices outside the United States. This has enabled it to act internationally as it was previous year selected by Dubai healthcare city to accredit hospitals within the DHCC.

The joint commission on accreditation of healthcare is basically empowered to carry out its activities by the department of health care of the federal government. The organization is not solely mandated to carry out its activities on the basis of ascription, but through researches which it carries out to establish the standards required to be complied by those in the healthcare industry. The approval of the standards it establishes by the department of health officers in the federal government laboratory form the basement of its powers to exercise its duties of consultations in the national and international levels.

The scope of its authorities are thus determined by the another body which gives it powers to deter the operation of poorly established healthcare industries. (Joint commission on accreditation of healthcare organizations, 2004) In order to perform its duties effectively, there are sectors which are strategically designated to perform specific responsibilities. These sectors are put in place to make control of the operation with provision of information to the organization agency. While it is necessary to have a counsel of an organization, there are four councils put for help of this organization.

Probable this signifies how much concerns are attached to the healthcare services and products in the states. Included in the councils are the providers of home health, home medical equipments, hospices and pharmacy services. Apart from the above councils, there are additional councils which the long term care / assisted living advisory council. Other group like the business advisory group furnishes the commission with information on the employer priorities. The information provided is utilized on the qualitative analysis in the evaluation of the health care quality.

The same information is more or less useful in other performances evaluation, especial when the agency needs to approve and execute its core responsibility of accreditation. They use this information to identify what is most important to purchasers during the accreditation and certification. Such information is used in measuring the quality and safety of health care The organization recognizes the need of having stratification of the powers. The overall leader in the organization who is highly adored person is the president. In order to make the management a easy task, many other subordinates works under him.

These subordinates are not subject to dictatorship leadership, so there is mutual running of the agency with a lot of contributions from all parties. With such amicable kind of norm, there is the general counsel who works hand in hand with the executive vice president. Other eminent parties’ involved in the management level includes the people in the quality measurement and search, executive vice president of business developments, government and external relations as well as executive vice presidents in accreditation and certification operations.

The JCAHO day- to- day activities involves basically three functions. The main responsibilities are carrying out the triennial surveys which result in to accreditation. This being the core activity of the agency, it keeps on researching on the data from their clients which is valuable for accreditation. The majority of these clients are sourced from national hospitals, home health agencies, clinical laboratories, ambulatory surgical centers and hospices. It is thus the chores of communication and getting information from these clients.

The commonness of the triennial surveys makes the employees in the JCAHO to be fed up with it, as a routine job. But the amazing thing is that they have not given up with the work. They are usually routine work which has to be done for the safety of people. Once they are completed they often announced and put on-site. The process does not last long but it takes only several days for its completion. This is quite demanding job, hence it requires the involvement of a number of surveyors. The number is determined by the intensiveness and extensiveness of the survey and vastness of the site.

Larger hospital and health care facilities consumes more time than the small ones. This kind of survey is more routinely because it leads to self accreditation as it is voluntary. So, it is a self regulation of the health care industry. Other activities which are assigned to the agency is the responsibility of carrying out random surveys. These in particular are narrow in their scope as compared to triennial ones. It is approximated that only 5% of the accredited facilities are done through this methodology.

They take the shortest period lasting for only one day. The third duty which is done by this agency is to track complaints which are rarely done. There is limited or no attention given to this. The general way of achieving all this survey work is by gathering the information from workers and employers. The information gathered are supported and complemented by reconciling them with those records from the regulatory agencies. (Cretin, 1999) There has been a great impact to the health care industry as result of the activities of the JCAHO.

Most people are nowadays praising the improved quality services they are receiving from many accredited healthcare firms. The fear of many practitioners in the healthcare industry has made them to improve on their carelessness mistake. They always make sure that they act with dignity and prudence to avoid law suits from the clients in case of mistreatments. The focus of the JCAHO on the issues such as those concerning the employees required as nurses has help the government to consider the work force to be put in place.

It is also noted that through the consultation and campaign of the JCAHO, most companies involved in the healthcare industry have taken an initiative to see that they satisfy the needs of their patients. Their consideration has helped the disabled people to have special consideration in the provision of health services. It the efforts put to attain the accreditation level and standards that people with disabilities have been offered special buildings where they can access their medical care services. (Glezerman, 2000)


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