The Gap Analysis and Action Plan

2005 ◽  
Vol 40 (2) ◽  
pp. 184-188 ◽  
Author(s):  
Scott W. Savage ◽  
Tad A. Gomez ◽  
Richard Burrell

Abstract-USP <797> is the culmination of the pharmacy professions’ low adoption of “recommended” Compounded Sterile Products’ (CSPs) guidelines and medication compounding incidents that were a result of these preparation practices. Currently, the Joint Commission on Accreditation of Health care Organizations (JCAHO) expects accredited health care agencies to comply with the provisions within USP <797>. This article depicts the Gap Analysis and subsequent Action Plan of a Level 1 trauma, academic medical center's structural and operational processes for the preparation of CSPs. The objective of this article series is to increase awareness, resources, and the body of information available for facilities’ assessing and strategically planning compliance and implementation of USP <797>.

PEDIATRICS ◽  
1995 ◽  
Vol 95 (3) ◽  
pp. A44-A44
Author(s):  
J. F. L.

The American Hospital Association (AHA) declared a "crisis of confidence" in the Joint Commission on Accreditation of Health-care Organizations, which accredits most of the nation's hospitals. The AHA said its 5,000 member hospitals are so frustrated by the Commission's performance that more than ten of its state chapters are considering alternatives. Defections could lead to the Commission's collapse, said Richard Davidson, president of the AHA. The AHA's unusual public criticism comes as the Joint Commission scrambles to revamp its procedures to respond to vast changes under way in the US health-care system. It also comes amid growing demands by consumers and employers for accountability among health-care providers. The Commission inspects most of the nation's hospitals every three years as part of its accrediation process. Hospitals must be accredited to receive Medicare reimbursements for treating the elderly. At a press conference in Chicago, officials of the AHA said its members have expressed broad concerns about the quality of the agency's inspections and the costs of the services. In addition, they said a "relentless marketing of education programs" and other products aimed at helping hospitals prepare for the surveys has clouded the Joint Commission's mission with conflicts.


2005 ◽  
Vol 40 (10) ◽  
pp. 921-924 ◽  
Author(s):  
Sondra K. May

Learning from the experiences of others is one of our most effective tools for improving patient safety. This column will inform readers about how various health care organizations have effectively implemented the Joint Commission on Accreditation of Healthcare Organizations’ (JCAHO) Medication Management Standards. Practical information on what worked and how organizations have been surveyed regarding the Medication Management Standards will be provided along with updates on standard revisions and recommendations being established by JCAHO.


2003 ◽  
Vol 38 (5) ◽  
pp. 490-496 ◽  
Author(s):  
Sondra K. May

Learning from the experiences of others is one of our most effective tools for improving patient safety. This column will describe how some health care organizations have effectively implemented the Joint Commission on Accreditation of Healthcare Organizations' (JCAHO's) National Patient Safety Goals (NPSGs). The articles will focus on practical strategies for meeting the NPSGs and on JCAHO surveys related to the NPSGs. Updates on new goals and recommendations established by JCAHO will also be provided.


Author(s):  
Joseph V. Penn

Numerous challenges confront correctional health staff in serving the needs of incarcerated adults and juveniles. Effective screening, timely referral, and appropriate treatment are critical. Their implementation requires interagency collaboration, adherence to established national standards of care, and implementation of continuous quality improvement practices and research on the health needs of this vulnerable patient population. Effective evaluation and treatment during incarceration meets important public health objectives and helps improve health services and effective transition into the community upon release. Many types of ‘free world’ health care organizations—such as hospitals, nursing homes, and psychiatric facilities—are accredited by the Joint Commission. Similarly, jails, prisons, juvenile detention, and other correctional facilities may be accredited by the National Commission on Correctional Health Care (a spinoff from the American Medical Association), the American Correctional Association, the Joint Commission, or a combination of the above. Although national accreditation is typically voluntary, it is often a contractual requirement for universities, other health care systems, and private vendors who provide health care services to correctional systems. In addition, when facilities undergo investigation or litigation, or are placed in receivership or federal oversight, they are often mandated to establish and maintain national accreditations. This chapter presents a brief historical narrative of the events that resulted in the development and adoption of national jail, prison, and juvenile correctional health care standards; a cogent review of jail and prison standards with particular relevance to psychiatry and mental health; and discussion of accreditation programs.


2000 ◽  
Vol 13 (3) ◽  
pp. 118-123
Author(s):  
Kenneth R. Ong ◽  
Jaycinth Blackman ◽  
Maureen Barron ◽  
Jimmie Ahmed ◽  
Catherine Corbelli ◽  
...  

2020 ◽  
Vol 4 (91) ◽  
pp. 59-66
Author(s):  
E.V. Georgievskiy ◽  
◽  
R.V. Kravtsov ◽  

A study of the joint commission of a crime as a legal phenomenon, which is enshrined in the written legislative acts of the first state formations of the Ancient East and some states of the era of antiquity, is carried out. The article considers the norms of a criminal-legal nature, which include certain provisions concerning the joint commission of a crime. Analyzed the basic laws of Ancient Egypt, Sumer, Babylon, Assyria, India, China and Japan, Greece and Rome. The analysis was made of the norms of a criminal-legal nature, in which provisions on joint infliction of harm are mentioned in one way or another. Possible types of joint commission of a crime and persons jointly participating in the commission of unlawful acts, the grounds and limits of criminal responsibility, types of group entities within which crimes are jointly committed have been established. A number of theoretical provisions have been identified and systematized, reflecting the criminal law views of the legislators of the Ancient East and Antiquity on the socially dangerous nature and harmfulness of the joint crime. It is determined that the ancient oriental and ancient legislators consolidate the first provisions concerning the joint commission of a crime casuistically, that is, fixing specific cases in the “body” of the norms; in the legislation such structures of crime are fixed, the commission of which alone seems either unlikely or impossible; Among the possible types of joint commission of a crime, the legislator pays more attention to the implication, expressed in concealment, non-reporting or connivance. It is argued that this is due to the excellent degree of public danger of such cases, since it is they that create the determination in others to commit a crime.


2020 ◽  
Author(s):  
Wei-Min Chu ◽  
Gow-Jen Shieh ◽  
Shi-Liang Wu ◽  
Wayne Huey-Herng Sheu

BACKGROUND The battle against COVID-19 remains ongoing, and social media has played an important role during the crisis for both communication and health promotion, particularly for health care organizations. Taiwan’s success during the COVID-19 outbreak is well known and the use of social media is one of the key contributing factors to that success. OBJECTIVE This nationwide observational study in Taiwan aimed to explore the use of Facebook by academic medical centers during the COVID-19 pandemic. METHODS We conducted a nationwide observational study of all Facebook fan page posts culled from the official accounts of all medical centers in Taiwan from December 2019 to April 2020. All Facebook posts were categorized into either COVID-19–related posts or non–COVID-19–related posts. COVID-19–related posts were split into 4 categories: policy of Taiwan’s Center for Disease Control (TCDC), gratitude notes, news and regulations from hospitals, and education. Data from each post was also recorded as follows: date of post, headline, number of “likes,” number of messages left, number of shares, video or non-video post, and date of search. RESULTS The Facebook fan pages of 13 academic medical centers, with a total of 1816 posts, were analyzed. From January 2020, the percentage of COVID-19 posts increased rapidly, from 21% (January 2020) to 56.3% (April 2020). The trends of cumulative COVID-19 posts and reported confirmed cases were significantly related (Pearson correlation coefficient=0.93, <i>P</i>&lt;.001). Pages from private hospitals had more COVID-19 posts (362 versus 289), as well as more video posts (72 posts, 19.9% versus 36 posts, 12.5%, <i>P</i>=.011), when compared to public hospitals. However, Facebook pages from public hospitals had significantly more “likes,” comments, and shares per post (314, 5, 14, respectively, <i>P</i>&lt;.001). Additionally, medical centers from different regions displayed different strategies for using video posts on Facebook. CONCLUSIONS Social media has been a useful tool for communication during the COVID-19 pandemic. This nationwide observational study has helped demonstrate the value of Facebook for academic medical centers in Taiwan, along with its engagement efficacy. We believe that the experience of Taiwan and the knowledge it can share will be helpful to health care organizations worldwide during our global battle against COVID-19.


Author(s):  
Saskia Maria De Gani ◽  
Daniela Nowak-Flück ◽  
Dunja Nicca ◽  
Dominique Vogt

Dealing with health information and taking care of one’s own health are key aspects of health literacy and a difficulty for nearly half of the population in Europe. Limited health literacy often results in poorer health outcomes. Health literacy is a fundamental health determinant, and its improvement provides great potential for addressing public health challenges. Health care organizations play an important role in improving population’s health literacy. Health literate health care organizations facilitate access, understanding and use of health information and decrease the demands and complexities of the health care system. Few efforts have been taken so far to promote organizational health literacy, especially in German-speaking countries. This project aimed at developing a self-assessment tool, which enables primary care organizations to assess and improve their level of health literacy. The self-assessment tool was developed and evaluated with general practitioners and community care organizations in Switzerland. Here the participative development process, outcomes and the three modules of the self-assessment tool are presented: (1) manual with detailed introduction and instruction, (2) checklist for self-assessment of organizational health literacy and (3) handbook with measures for improvement. The aim of this tool is that organizations are able to identify the need for action, plan and implement improvement measures.


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