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Revisiting Accountability Concept and Practices in Makassar, Indonesia (A Study on 2 Private and Public Hospitals)
Revisiting Accountability Concept and Practices in Makassar, Indonesia (A Study on 2 Private and Public Hospitals) Indrianty Sudirman1, Andi Indahwaty Sidin2, dan Nurdjanah Hamid3 {[email protected]} Universitas Hasanuddin, Indonesia1, 2, 3 Abstract. Public and private hospitals have their own characteristics and uniqueness in their management. This research aims to develop an accountability model of public and private hospitals that are able to meet the interests of multi-stakeholders, especially in the era of health service reform. The result shows that the management system in the Public Hospital tends to be systematic and measurable compared to the Private Hospital which tends to be more independent. Keywords: Accountability, Public and Private Hospitals, Health Care Reformation 1 Introduction Hospital accountability is important to accommodate changes and pressures in healthcare reform [1][2][3][4][5], especially with the existence of a national health financing institution whose role is to control accountable health management for multi stakeholders [3][6]. Accountability reporting policies of government agencies are still generic and vertical. Accountability literature is still traditional because it focuses more on vertical accountability and financial aspects, therefore it is less effective in assessing hospital accountability in accordance with the demands of the New Public Management [7][8]. In Indonesia, the adoption of Presidential Regulation No. 12 on National Health Insurance can have implications for hospital quality, ethics, and management. There is no specific and comprehensive mechanism and dimension of accountability assessment for hospitals even though an accountable hospital can provide effective, efficient and equitable health services. Government and private hospitals have their own characteristics and uniqueness in its management. -
Tracheal Intubation Following Traumatic Injury)
CLINICAL MANAGEMENT UPDATE The Journal of TRAUMA Injury, Infection, and Critical Care Guidelines for Emergency Tracheal Intubation Immediately after Traumatic Injury C. Michael Dunham, MD, Robert D. Barraco, MD, David E. Clark, MD, Brian J. Daley, MD, Frank E. Davis III, MD, Michael A. Gibbs, MD, Thomas Knuth, MD, Peter B. Letarte, MD, Fred A. Luchette, MD, Laurel Omert, MD, Leonard J. Weireter, MD, and Charles E. Wiles III, MD for the EAST Practice Management Guidelines Work Group J Trauma. 2003;55:162–179. REFERRALS TO THE EAST WEB SITE and impaired laryngeal reflexes are nonhypercarbic hypox- Because of the large size of the guidelines, specific emia and aspiration, respectively. Airway obstruction can sections have been deleted from this article, but are available occur with cervical spine injury, severe cognitive impairment on the Eastern Association for the Surgery of Trauma (EAST) (Glasgow Coma Scale [GCS] score Յ 8), severe neck injury, Web site (www.east.org/trauma practice guidelines/Emergency severe maxillofacial injury, or smoke inhalation. Hypoventi- Tracheal Intubation Following Traumatic Injury). lation can be found with airway obstruction, cardiac arrest, severe cognitive impairment, or cervical spinal cord injury. I. STATEMENT OF THE PROBLEM Aspiration is likely to occur with cardiac arrest, severe cog- ypoxia and obstruction of the airway are linked to nitive impairment, or severe maxillofacial injury. A major preventable and potentially preventable acute trauma clinical concern with thoracic injury is the development of Hdeaths.1–4 There is substantial documentation that hyp- nonhypercarbic hypoxemia. Lung injury and nonhypercarbic oxia is common in severe brain injury and worsens neuro- hypoxemia are also potential sequelae of aspiration. -
Association Between Patient Outcomes and Accreditation in US Hospitals
RESEARCH Association between patient outcomes and accreditation in US BMJ: first published as 10.1136/bmj.k4011 on 18 October 2018. Downloaded from hospitals: observational study Miranda B Lam,1,2 Jose F Figueroa,3,4 Yevgeniy Feyman,2 Kimberly E Reimold,2 E John Orav,5 Ashish K Jha2,3,4 1Department of Radiation ABSTRACT RESULTS Oncology, Brigham and OBJECTIVES Patients treated at accredited hospitals had lower Women’s Hospital/Dana Farber 30 day mortality rates (although not statistically Cancer Institute, Boston, MA, To determine whether patients admitted to US USA hospitals that are accredited have better outcomes significant lower rates, based on the prespecified P 2Department of Health Policy than those admitted to hospitals reviewed through value threshold) than those at hospitals that were and Management, Harvard T H state surveys, and whether accreditation by The reviewed by a state survey agency (10.2% v 10.6%, Chan School of Public Health, Boston, MA 02115, USA Joint Commission (the largest and most well known difference 0.4% (95% confidence interval 0.1% to 3Department of Medicine, accrediting body with an international presence) 0.8%), P=0.03), but nearly identical rates of mortality Harvard Medical School, confers any additional benefits for patients for the six surgical conditions (2.4% v 2.4%, 0.0% Boston, MA, USA 4Department of Medicine, compared with other independent accrediting (−0.3% to 0.3%), P=0.99). Readmissions for the Division of General Internal organizations. 15 medical conditions at 30 days were significantly Medicine, Brigham and lower at accredited hospitals than at state survey Women’s Hospital, Boston, DESIGN MA, USA Observational study. -
Emergency Department Resuscitation of the Critically Ill Review by Stephen C
BOOK AND MEDIA REVIEW Emergency Department Resuscitation of the Critically Ill Review by Stephen C. Morris, MD, MPH 0196-0644/$-see front matter Copyright © 2018 by the American College of Emergency Physicians. Emergency Department Resuscitation of the crashing morbidly obese patient reviews some of the nuanced Critically Ill management we should be striving for as more of our patients become obese, such as specific airway and ventilation Winters ME, Bond MC, Marcolini EG, et al management and use of ideal versus total body weight American College of Emergency Physicians calculations for critical-care-specific medications. Consider It was with great pleasure that I agreed to review the another example from the chapter on left ventricular assist second edition of Emergency Department Resuscitation of the devices. Although these patients have long been the domain Critically Ill, by Michael E. Winters. I had read and relied of specialty centers, with complex physiology and on the first edition posttraining. Like most who work in complications, the longevity now offered by the devices will emergency medicine, I practice a great deal of critical care; ultimately make them the domain of the community however, I have not completed a fellowship in critical care, emergency department. Additionally, at the cutting edge of nor do I review critical care literature with the level of our practice, the text contains a chapter on extracorporeal scrutiny that I would like. For those of us who want to membrane oxygenation, with a discussion of the practical ensure that we are up to date to guarantee clinical and clinical aspects of implementation. -
Lunch and Learn Series
Joint Commission Update 2017 PharMEDium Lunch and Learn Series LUNCH AND LEARN Joint Commission Update 2017 June 9, 2017 Featured Speaker: Kurt A. Patton, MS, RPh President Emeritus Patton Healthcare Consulting, LLC CE Activity Information & Accreditation ProCE, Inc. (Pharmacist and Tech CE) 1.0 contact hour Funding: This activity is self‐funded through PharMEDium. It is the policy of ProCE, Inc. to ensure balance, independence, objectivity and scientific rigor in all of its continuing education activities. Faculty must disclose to participants the existence of any significant financial interest or any other relationship with the manufacturer of any commercial product(s) discussed in an educational presentation. Mr. Patton has served as a consultant for Patton Healthcare Consulting. 2 ProCE, Inc. www.ProCE.com 1 Joint Commission Update 2017 PharMEDium Lunch and Learn Series Online Evaluation, Self-Assessment and CE Credit . Submission of an online self‐assessment and evaluation is the only way to obtain CE credit for this webinar . Go to www.ProCE.com/PharMEDiumRx . Print your CE Statement online . Live CE Deadline: July 7, 2017 . CPE Monitor – CE information automatically uploaded to NABP/CPE Monitor upon completion of the self‐assessment and evaluation (user must complete the “claim credit” step) Attendance Code Code will be provided at the end of today’s activity Attendance Code not needed for On‐Demand 3 Ask a Question . Submit your questions to your site manager. Questions will be answered at the end of the presentation. Your question. ? 4 ProCE, Inc. www.ProCE.com 2 Joint Commission Update 2017 PharMEDium Lunch and Learn Series Resources . -
International Healthcare Accreditation: an Analysis of Clinical Quality and Patient Experience in the UAE
International Healthcare Accreditation: an Analysis of Clinical Quality and Patient Experience in the UAE Subashnie Devkaran, FACHE, MScHCM, BSc (Physiotherapy), CPHQ, Edinburgh Business School, Heriot-Watt University Submitted for the degree of Doctor of Philosophy April 2014 The copyright in this thesis is owned by the author. Any quotation from the thesis or use of any of the information contained in it must acknowledge this thesis as the source of the quotation or information. I ABSTRACT A mixed method research design was used to answer the question; ‘does accreditation have an impact on hospital quality, clinical measures and patient experience?’ The thesis contains three study components: 1) A case study determining the predictors of patient experience; 2) a cross-sectional study examining the relationship of hospital accreditation and patient experience and 3) A four year time series analysis of the impact of accreditation on hospital quality using 27 quality measures. A case study analysis of patient experience, using a piloted, validated and reliable survey tool, was conducted in Al Noor Hospital. The survey was administered via face- to-face interviews to 391 patients. Patient demographic variables, stay characteristics and patient experience constructs were tested against five patient experience outcome measures using regression analysis. The predictors of positive patient experience were the patient demographics (age, nationality, and health status), hospital stay characteristics (length of stay and hospital treatment outcome) and patient experience constructs (care from nurses, care from doctors, cleanliness, pain management and quality of food). Recommendations were made on how hospital managers can improve patient experience using these modifiable factors. -
The Nebraska Office of Emergency Health Systems Trauma Program Is Pleased That You Wish to Participate in the Statewide Trauma System
Revised July 2019 INSTRUCTIONS FOR FILLING OUT PRE-REVIEW QUESTIONNAIRE (PRQ) The Nebraska Office of Emergency Health Systems Trauma Program is pleased that you wish to participate in the statewide trauma system. The Nebraska Statewide Trauma System is comprised of hospitals and clinics striving to improve trauma patient care. Through this system all facilities offering trauma care may become centers of excellence. Thank you for participating in this process. In order to prepare for your on-site review, please complete this questionnaire. All answers should directly follow the questions. The entire questionnaire is available on the web in a downloadable format @ http://dhhs.ne.gov/Pages/EHS-Statewide-Trauma-System-of-Care.aspx. The PRQ should be completed electronically if possible otherwise, you may submit a hard copy. Note: If a hard copy is printed a color printer should be used so that information and questions printed in blue appear on the page to the applicant. Return the completed questionnaire to: Sherri Wren EHS Trauma Program Manager Office of Emergency Health Systems P.O. Box 95026 Lincoln, NE 68509-5026 Phone: (402) 471-0539 E-mail: [email protected] If you have questions or concerns while filling out the PRQ, please contact: State of Nebraska Trauma Nurse Specialist OR your Regional Trauma Program Manager (please reference website list of Designated Trauma Centers on the website cited above for names and contact information). I. PURPOSE: A. The purpose of this questionnaire for Consultation Visits is: 1. To provide your institution with an outline of what site visitors will be discussing with you. -
THE BUSINESS of EMERGENCY MEDICINE … MADE EASY! Sponsored by AAEM Services, the Management Education Division of AAEM
THE BUSINESS OF EMERGENCY MEDICINE … MADE EASY! Sponsored by AAEM Services, the management education division of AAEM UDisclaimer The views presented in this course and syllabus represent those of the lecturers. The information is presented in a generalized manner and may not be applicable to your specific situation. Also, in many cases, one method of tackling a problem is demonstrated when many others (perhaps better alternatives for your situation) exist. Thus, it is important to consult your attorney, accountant or practice management service before implementing the concepts relayed in this course. UGoal This course is designed to introduce emergency physicians with no formal business education to running the business of emergency medicine. The title “The Business of Emergency Medicine Made Easy” is not meant to be demeaning. Instead, the course will convince anyone with the aptitude to become an emergency physician that, by comparison, running the business of emergency medicine is relatively simple. With off- the-shelf software and a little help from key business associates, we can run an emergency medicine business and create a win-win-win situation for the hospital, patients, and EPs. By eliminating an unnecessary profit stream as exists with CMGs, we can attract and retain better, brighter EPs. AAEM’s Certificate of Compliance on “Fairness in the Workplace” defines the boundaries within which independent groups should practice in order to be considered truly fair. Attesting to the following eight principles allows a group the privilege -
Dnv Gl - Healthcare Accreditation Program Frequently Asked Questions
DNV GL - HEALTHCARE ACCREDITATION PROGRAM FREQUENTLY ASKED QUESTIONS Who is DNV GL - Healthcare? DNV GL - Healthcare is an operating company of DNV GL – Business Assurance and The DNV GL Group. DNV GL - Healthcare has corporate offices in Houston, Texas and Cincinnati, Ohio. DNV GL is an international organization with 300 offices in over 100 countries and more than 16,000 employees. DNV GL was established in 1864 in Oslo, Norway and has had operations in the United States since 1898. The corporate purpose of DNV GL is safeguarding life, property, and the environment. DNV GL has a worldwide reputation for quality and integrity in certification, standards development and risk management in a wide range of industries, including extensive international healthcare experience. On September 26, 2008 the US Centers for Medicare and Medicaid (CMS) approved DNV GL - Healthcare by granting it deeming authority for hospitals. Any hospitals accredited by DNV GL - Healthcare after that date is deemed to be in compliance with the Medicare Conditions of Participation (CoPs). Who manages DNV GL - Healthcare? DNV GL - Healthcare is managed by a dedicated group of degreed professionals, each with many years of experience in their respective field of healthcare management, clinical services, health law, ISO certification and engineering. The accreditation management team has extensive healthcare operational experience in the U.S. and understands the dynamics of a complex healthcare organization. What does NIAHO® stand for? NIAHO® is the acronym for the National Integrated Accreditation for Healthcare Organizations. NIAHO® is the name of the DNV GL’s hospital accreditation program. The NIAHO® standards integrate requirements based on the CMS Conditions of Participation (CoPs) with the internationally recognized ISO 9001 Standard for the formation and implementation of the Quality Management System. -
Michigan Hospital Guide to Emergency Management: Linking the Hospital Preparedness Program with Joint Commission Success
Michigan Hospital Guide to Emergency Management: Linking the Hospital Preparedness Program with Joint Commission Success January 2012 Michigan Hospital Guide to Emergency Management: Linking the Hospital Preparedness Program with Joint Commission Success January 2012 (c) 2012 Emergency Management Standards and Elements of Performance, The Joint Commission. The Emergency Management Standards and Elements of Performance that appear in this book are reproduced with the permission of The Joint Commission. This material may not be reproduced without the written permission of The Joint Commission. MICHIGAN HOSPITAL GUIDE TO EMERGENCY MANAGEMENT: LINKING THE January HOSPITAL PREPAREDNESS PROGRAM WITH JOINT COMMISSION SUCCESS 2012 Table of Contents Page Tab Introduction 5 1 Matrix Terminology 6 2 Hospital Preparedness Program Joint Commission Background 8 3 Hospital Preparedness Program (HPP) Value 9 3 EM.01.01.01 The hospital engages in planning activities prior to developing its written Emergency Operations Plan HPP & TJC Linkage 10 4 EP 1-EP-8 Opportunities, Resources, and Examples 12 4 EM.01.01.01 Quick Summary 14 4 EM.02.01.01 The hospital has an Emergency Operations Plan HPP & TJC Linkage 15 4 EP 1-EP 8 Opportunities, Resources, and Examples 18 4 EM.02.01.01 Quick Summary 21 4 EM.02.02.01 The hospital prepares for how it communicates during emergencies HPP & TJC Linkage 22 4 EP 1-EP 17 Opportunities, Resources, and Examples 24 4 EM.02.02.01 Quick Summary 27 4 EM.02.02.03 The hospital prepares how it will manage resources and assets during -
The Impact of CBAHI Accreditation on Critical Care Unit Outcome Quality Measures: a Case Study
International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Case Study The Impact of CBAHI Accreditation on Critical Care Unit Outcome Quality Measures: A Case Study Zuber Mujeeb Shaikh1, Dr. Awad Al-Omari2, Adnaan Ahmed3 1FISQua (Ireland), PhD, MPhil, MHM, Director, Corporate Quality Improvement, Dr. Sulaiman Al-Habib Medical Group, Riyadh-11643, Kingdom of Saudi Arabia 2MD, Associate Vice President -Academic Affairs, Medical Director for ICU’s, Dr. Sulaiman Al-Habib Medical Group, AlFaisal University, Riyadh-11643, Kingdom of Saudi Arabia 3MBA, Manager, Corporate Quality Improvement, Dr. Sulaiman Al-Habib Medical Group, Riyadh-11643, Kingdom of Saudi Arabia Corresponding Author: Zuber Mujeeb Shaikh ABSTRACT Quality indicators are the tools to measure the patient safety, effectiveness, equity, patient- centeredness, timeliness, and efficiency as defined by the Institute of Medicine (IOM). These measures are also categorized as structure, process and outcome by Dr. Avedis Donabedian. Objectives: To study the impact of the Central Board for Accreditation of Healthcare Institutions (CBAHI) Accreditation on the outcome measures of critical care units in a tertiary care hospital. Methods: This is a library research methodology, in which the analysis of historical records and data was done before and after the CBAHI Accreditation. Significance of Research: It was observed during pre CBAHI Accreditation (from May 2016 to October 2016) and post CBAHI Accreditation (November 2016 to April 2017) that there was no significant improvement in the outcome measures of Critical Care Units. Hypothesis: Null Hypothesis (Ho) and Alternative Hypothesis (H1) were used and tested to compare the pre CBAHI and post CBHAI impact. -
Emergency Medical Services at the Crossroads
Future of Emergency Care Series Emergency Medical Services At the Crossroads Committee on the Future of Emergency Care in the United States Health System Board on Health Care Services PREPUBLICATION COPY: UNCORRECTED PROOFS THE NATIONAL ACADEMIES PRESS 500 Fifth Street, N.W. Washington, DC 20001 NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. This study was supported by Contract No. 282-99-0045 between the National Academy of Sciences and the U.S. Department of Health and Human Services’ Agency for Healthcare Research and Quality (AHRQ); Contract No. B03-06 between the National Academy of Sciences and the Josiah Macy, Jr. Foundation; and Contract No. HHSH25056047 between the National Academy of Sciences and the U.S. Department of Health and Human Services’ Health Resources and Services Administration (HRSA) and Centers for Disease Control and Prevention (CDC), and the U.S. Department of Transportation’s National Highway Traffic Safety Administration (NHTSA). Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project. International Standard Book Number 0-309-XXXXX-X (Book) International Standard Book Number 0-309- XXXXX -X (PDF) Library of Congress Control Number: 00 XXXXXX Additional copies of this report are available from the National Academies Press, 500 Fifth Street, N.W., Lockbox 285, Washington, DC 20055; (800) 624-6242 or (202) 334-3313 (in the Washington metropolitan area); Internet, http://www.nap.edu.