Discuss the difference between licensing and accreditation


Problem

Prepare a report that will cover information regarding HIPAA, patient privacy, the release of information, healthcare licensing, accreditation, safety, and risk assessment.?It is important to understand how all these components work together to protect the healthcare provider and the patient.

Instructions

View the Health Information Committee Scenario for Central City Hospital?and then develop in full detail each of the components listed below.

Ongoing regulatory reviews from organizations such as The Joint Commission serve to raise the bar on healthcare outcomes consistently. As a healthcare leader, you will often be called upon to lead performance improvement initiatives. This assignment is designed to help a person, as a leader, develop policies and procedures related to patient and employee access to patient health information.

Health Information Committee Scenario

Jan Frances

Director of Operations for Administrative Services

Tom Holland

The Chief Executive Officer
The Chief Executive officer, Tom Holland, has asked you to meet with him to discuss the project.
Jan enters Tom Hollands' office.

Jan: "Hello."

Tom:

"Hello, Jan. Thanks for taking the time to meet with me."

Tom:

"I would like to discuss the objectives of the Health Information Management Committee, we have operated informally for quite a while, but times change, and we need to develop more formal policies, processes, and documentation."

Jan:

"I appreciate you covering the details with me, and I have spent some time researching and observing the hospital's daily operations and noticed the informality."

Tom:

"This committee will be responsible for developing policies and procedures to formalize how the process for how patients can access their health information, and appropriate healthcare professionals will be able to access to patient information, communicate, and protect it. Your first initiative is to demonstrate to your committee your knowledge of content related to health information as well as establish content expectations for all committee members."

Jan:

"I have thought about how to present the health information needed for this project to the committee."

Tom:

"Share your idea."

Jan:

"I have decided to prepare a report that I will send to the committee members prior to our first official committee meeting. I have started locating resources for the list of health information content to be presented in the meeting."

Tom:

"That sounds like a good plan, and I am happy you have already started. Could you send me a copy of the report when you have it completed?"

Jan:

"I sure will. Thank you for sharing your insights and listening to my idea."

1) Explain the importance of being accredited by The Joint Commission.

2) Discuss the difference between licensing and accreditation.

3) Explain the difference between privacy, confidentiality, and security in the healthcare setting.

4) Discuss the importance of PHI and the function of the HIPAA Privacy rule.

5) Explain the importance of patients knowing their health information will not be shared without the Authorization for Release of Information.

6) Discuss the importance of ethics and ethical behavior in healthcare.

7) Explain risk management and why it is important in healthcare.

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