Healthcare managers must deal with three components of healthcare delivery: Access to care, quality of care, and the cost of care. With the move to a value-based care model from fee-for-service, there is a stronger connection between quality of care and payment. Organizations that accredit healthcare facilities, such as The Joint Commission, focus on quality standards. These organizations may also hold what is called deemed status. This means that the Centers for Medicare and Medicaid Services(CMS) will accept accreditation of a healthcare facility by an accrediting organization such as The Joint Commission as meeting the Conditions of Participation (CoPs). Healthcare organizations that meet the CoPs are eligible for reimbursement for the care of Medicare and Medicaid beneficiaries. Thus, the standards for accreditation include those that align with the CoPs. Managers must ensure that their organization meets these standards.
Prepare a PowerPoint presentation of 1215 slides, not including the title and reference slides, with 150300 words of speaker’s notes. Review the CMS Conditions of Participation for the type of healthcare organization that you chose in Week 1 and that you have used throughout this course. Include the following in your presentation:
Identify at least 2 sections of the CoPs (e.g., patient rights, medical record services).
Explain how these sections are implemented in your selected healthcare facility.
Compare and discuss how these sections might be implemented differently in another type of healthcare facility.
Make recommendations for how your healthcare facility could make improvements to ensure meeting these CoPs.
In addition to the two CoPs that you have chosen, describe the Emergency Preparedness CoP and how your healthcare facility will implement this standard.
Slide 1
Title Slide
Speaker Notes Good morning/afternoon everyone. Today, I’m presenting on how our healthcare facility, [Facility Name], ensures we meet the standards set forth by the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (CoPs). These standards aim to guarantee quality care for all patients, particularly Medicare and Medicaid beneficiaries.
Slide 2
Introduction
Speaker Notes [Facility Name] is committed to providing high-quality, compassionate care to all our patients. We achieve this by adhering to various healthcare standards and regulations, including the CMS CoPs. These CoPs outline specific requirements healthcare facilities must meet to participate in Medicare and Medicaid programs.
Slide 3
CMS Conditions of Participation
Speaker Notes The CoPs encompass a wide range of areas, ensuring comprehensive quality standards across different healthcare settings. Today, we’ll focus on two specific sections: patient rights and medical record services. We’ll also explore the Emergency Preparedness CoP and its implementation in our facility.
Slide 4
Patient Rights
Speaker Notes The patient rights CoP guarantees patients various rights throughout their healthcare experience, including:
Slide 5
Patient Rights at [Facility Name]
Speaker Notes At [Facility Name], we take patient rights seriously. We ensure patients are informed, involved, and respected throughout their care journey. We provide patients with access to information and resources they need to make informed decisions about their health. We also prioritize patient privacy and confidentiality of their medical records.
Slide 6
Comparing Patient Rights Implementation
Speaker Notes While the core patient rights remain consistent across different healthcare settings, the specific implementation strategies may vary. For example, in a large hospital setting, a dedicated Patient Advocate might be readily available, while smaller facilities might offer this support through other staff members trained in patient rights.
Slide 7
Recommendations for Improvement
Speaker Notes We continuously strive to improve our patient rights implementation. Here are some recommendations:
Slide 8
Medical Record Services
Speaker Notes The medical record services CoP ensures accurate, complete, and secure documentation of patient information. This includes:
Slide 9
Medical Record Services at [Facility Name]