Medicare and Medicaid Week 5 Discussion

Medicare and Medicaid Week 5 Discussion

The Joint Commission, or simply “TJC,” is an organization formed to accredit medical facilities. It is a private organization composed of physicians, nurses, pharmacists, risk managers, and other professionals. The main concern of TJC is patient safety. The Joint Commission Accreditation is voluntary. However, CMS states that, in order to receive reimbursement from Medicare and Medicaid, a health care provider must have completed the accreditation survey and be approved by The Joint Commission. Typically, TJC will visit every 18-24 months to ensure compliance.

HIM Professionals should be aware of what TJC evaluates to accredit a medical facility, because he/she may be called upon to provide needed information or otherwise assist in a TJC audit.

Suppose you worked at a medical facility and were given the assignment to prepare the facility for a Joint Commission audit. Watch the video on the TJC again, and download and view the TJC Readiness Checklist.Preview the document

What to Expect from THC Surveyor (6:59)

Assignment:

A patient came to Dr. Bayberry’s office. She was diagnosed with pneumonia. She was given an antibiotic injection. Before the injection, she was asked the appropriate questions and denied having any allergies to medications. The medical assistant had the patient wait the allowed 15 minutes, and there was no visible adverse reaction. The patient was released to go home with her daughter. Five minutes after leaving the office, the daughter came back in a panic: the patient was unconscious in the car. Dr. Bayberry and the medical assistant went to the car to find that the patient had gone into cardiac arrest. EMS was called and the doctor and medical assistant did CPR until they arrived.

According to the article about sentinel events from TJC, what takes place now? Is there a need to do any reporting? Is TJC involved? Write a four-paragraph paper on what takes place after a sentinel event such as the above occurs. Save the file as “SentinelEvent”

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.