Kaiser Permanente (N. California) NCQA Accreditation
Kaiser Permanente (Northern California) NCQA Accreditation
Accreditation is a comprehensive evaluation process in which a health care organization's systems, processes and performance are examined by an impartial external organization -- an accrediting body -- to ensure that it is conducting business in a manner that meets predetermined criteria and is consistent with national standards (Iglehart, 1996). The 2010 federal Affordable Care Act (ACA) calls for use of accreditation to ensure quality in the managed health care sector and provide resources to state policymakers through public-private partnerships. Accreditation also helps promote compliance with state law. States use accreditation as a part of their overall effort to evaluate and improve the quality and cost-effectiveness of health care.
The accreditation process seeks to identify best practices and promote continuous quality improvements through ongoing performance measurements (Katzfey, 2004). Specialized advisory groups help to draft and periodically review accreditation standards. The independent evaluation itself typically occurs in two stages, starting with an examination of documentation during an off-site "desktop review" followed by an "onsite survey" of operations (Jaafaripooyan, et. al., 2011). Through the accreditation process, accrediting entities can encourage health care organizations to keep pace with emerging evidence-based clinical and quality improvement standards more readily than if undertaken by legislation or regulation alone (Katzfey, 2004). More than 30 organizations accredit health care companies in the U.S., encompassing all sectors of the
By not taking advantage of these kinds of organizations, doctors and hospitals that do not wish to participate are missing out on cost savings, ease of patient treatment, efficiency, and much more. For patients, looking for doctors and hospitals that participate in accountable care organizations can be a good move, both financially and for ease of treatment. When records are shared and hospitals and doctors agree to be accountable
Even worse, because the negotiated rates for services is so much lower than the non-insured rates for those services, many providers may actually provide services more liberally than necessary to make up for the lower revenue of each service rendered. Eventually, I believe the only way to really address the problem of healthcare costs is to adopt the results-based compensation structure already successfully in use in Britain. Unfortunately, such profound
The healthcare landscape is undergoing a paradigm shift, transitioning from a volume-based system to one focused on value and accountability. Accountable Care Organizations (ACOs) play a crucial role in this transformation, aiming to improve healthcare quality, reduce costs, and enhance patient experience for designated populations. This essay delves into the impact of AdventHealth, a prominent ACO, on healthcare quality and metrics, analyzing its successes, challenges, and overall contribution to a
Medicaid and the ACA Discuss the issues central to the expansion of Medicaid created by the Affordable Care Act. From state policy perspective is this a good way to increase access to healthcare at a reasonable cost? Be sure to discuss the success stories you uncover as you complete your research for this question. Review the following and consider the questions below as part of your initial post. From the State's perspective,
ACA and EMS The implementation of the Affordable Care Act (ACA) is sure to change the way EMS operate in the coming years. Accountable Care Organizations (ACO), for instance, are now responsible for overseeing how reimbursements are paid out to those agencies that provide health care -- and at the same time they are responsible for gauging whether or not quality care is delivered by providers (Koury et al., 2014). This
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