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From new and revised standards to new levels of accreditation, this year will bring some changes in Joint Commission expectations.
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When Intermountain Healthcare's LDS Hospital joined with the Joint Commission Center for Transforming Healthcare and nine other hospitals to work on hand-offs, the health system's associate chief medical officer says the first step was identifying which hand-offs the hospital wanted to work on.
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[In the first two articles of this series, Vicki Searcy, president, consulting services at Morrisey Associates Inc. in Chicago, introduced the four basic components of clinical privileging as well as creating criteria for privileges:
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It was the first Joint Commission survey for Elizabeth Donnenwirth, RN, accreditation/sharps safety specialist at Winchester Hospital in Winchester, MA. But she says there weren't many surprises.
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Michael P. Starkowski, commissioner of Connecticut's Department of Social Services, says that he sees "opportunities galore" in the health care reform legislation. "We are looking at a number of initiatives that are coming down the pike; some of those have pros and cons," says Mr. Starkowski.
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States may have a fairly accurate picture of the number of individuals who will be newly eligible for Medicaid as of 2014, but getting them to actually enroll may be more difficult than expected.
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A Personal Health Advisor kiosk is being piloted in Georgia's Early County by the Georgia Department of Community Health and Atlanta's National Health Museum. Residents can now access current, personalized health assessments.
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Health care reform "is extraordinarily complex a massive, truly unprecedented social experiment," says Kip Piper, MA, FACHE, president of the Health Results Group in Washington, DC. "As Rick Foster, the CMS [Centers for Medicare & Medicaid Services] Chief Actuary, has correctly pointed out, there really is no way to precisely estimate enrollment."
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California's Department of Health Care Services' (DHCS) anti-fraud program is regarded among the top programs in the nation, reports department spokesman Anthony Cava.
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Is it a foregone conclusion that for many states, the expansion of Medicaid in 2014 will be next to impossible, fiscally speaking? In fact, some analysts, and also some state Medicaid directors, say that Medicaid programs should come out ahead.
