Journal Article•
The Joint Commission's agenda for change
01 Jan 1989-Current concepts in hospital pharmacy management (Curr Concepts Hosp Pharm Manage)-Vol. 11, Iss: 2, pp 6-14
TL;DR: The Joint Commission on Accreditation of Healthcare Organizations' "Agenda for Change" is creating more effective means to improve the quality of healthcare provided to the American people.
Abstract: The Joint Commission on Accreditation of Healthcare Organizations' "Agenda for Change" is creating more effective means to improve the quality of healthcare provided to the American people. Through its Research and Development department, the Joint Commission is working to carefully define its own goals and direction, both as an accrediting agency and as the voice of healthcare professionals in the debate about quality.
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TL;DR: Prior to 2004, only two states, Pennsylvania and Illinois, had enacted legislation requiring healthcare facilities to collect nosocomial or healthcare-associated infection data intended for public disclosure, but currently, several other states are considering similar legislation.
Abstract: Prior to 2004, only two states, Pennsylvania and Illinois, had enacted legislation requiring healthcare facilities to collect nosocomial or healthcare-associated infection (HAI) data intended for public disclosure. In 2004, two additional states, Missouri and Florida, passed disclosure laws. Currently, several other states are considering similar legislation. In California, Senate Bill 1487 requiring hospitals to collect HAI data and report them to the Office of Statewide Health Planning was passed by the legislature, but was not signed into law by Governor Schwarzenegger, effectively vetoing it. The impetus for these laws is complex. Support comes from consumer advocates, who argue that the public has the right to be informed, and from others who view HAI as preventable and hope that public disclosure would provide an incentive to healthcare providers and institutions to improve their care.
53 citations
TL;DR: The continuous quality improvement process can be used to prevent “concept creep” and ensure internal consistency of concept definitions, attributes, and exemplars.
Abstract: As concept-based nursing education gains popularity, there is little literature on how to sustain quality after initiation of the curriculum. Critical appraisal of concepts in a university program revealed varying definitions, attributes, and exemplars resulting in student confusion. The Plan, Do, Study, Act (PDSA) cycle for continuous quality improvement was used for concept evaluation. The goals of the evaluation project were: 1) to develop common definition and attributes for concepts and 2) to develop horizontal and vertical leveling of exemplars to build on prior student learning. The continuous quality improvement process can be used to prevent "concept creep" and ensure internal consistency of concept definitions, attributes, and exemplars.
16 citations