Regulatory Agencies Paper HCS/437 August 18, 2014 Joyce Wooten Instructor / Nicolas Gross Regulatory Agencies Paper The concept of regulatory agencies has many boundaries and their responsibility is to license long-term care facilities to ensure compliance of laws and regulations. It is stated that in the United States the long-term care (LTC) marketplace is normally recognized as one of the most strongly regulated sectors in the economy, although there are differences in the degree of regulations across long term care establishments (Stevenson & Grabowski, 2006). Therefore, every long term facility are held responsible to abide by the regulations set forth to properly provide accurate …show more content…
State agencies are responsible for annual certification inspections and any complaint investigations. Take for example, when excessive flaws and defects are detected during an inspection; there are penalties that may be placed on facilities, including civil money penalties, denial of payment for new admissions, state monitoring, temporary management, and immediate termination. The CMS funds most of the costs of the certification process and oversees the state agencies to ensure that the federal rules are implemented properly (Stevenson & Grabowski, 2006). Another regulatory agency is Ombudsman program that was authorized under the Older Americans Act and administered by the Federal Administration on Aging, the LTC ombudsman program began in 1972 as a trial program and now every state has upheld its cause. (Stevenson & Grabowski, 2006). The program is mainly comprised of volunteer staff and the initial functions of the ombudsman program are to settle grievances made by or for residents of LTC facilities, in addition to educating providers and the public about residents’ rights and good care practices, and to serve as general advocates for residents in LTC facilities. Although the Ombudsman program has no authority to set or enforce specific standards of care, the program has been found to be a positive, if under-resourced, influence on quality of care. Take for example, the government enforcement of quality
The Regulators were a violent group. The leaders that were involved included Herman Husband, James Hunter, James Few, Charles Harrington, and Benjamin Merrill. They were dissatisfied with the colony’s wealthy, upper class leaders, who they considered corrupt and who imposed high taxes on the colonials. They rose up in rebellion against the Eastern tyrants. The culmination of their frustrations was directing their violence against the local and colonial leaders. After the battle, Tryon’s army traveled through Regulatory territory, where the Regulators sign loyalty oaths and destroyed properties of active Regulators. He raised taxes to pay for his militia’s defeat of the Regulators.
If a service does not perform well, the Care Inspectorate is on hand to lend support, so the service can improve their standard of care. However, if a service still does not improve, the Care Inspectorate have the power to close the service down permanently.
Health care organizations generally volunteer to seek accreditations from the Joint Commission by allowing expert surveyors evaluate their facility. The surveyors are made up of a multi-disciplinary team that spends an average of two days inspecting health care facilities. The purpose for the inspection is to evaluate a health care facilities standards, staff, regulations, policies and procedures, and quality improvement, and performance measurement. The Joint Commission surveyors generally look to see if the organizations governing board is taking part in ensuring that the facilities has facilitated safety and quality assurance program.
department has a Deputy Commissioner who has to report to the Commissioner of the FDA.
When establishing a health agency, there are specific requirements established by the government and professional agencies that we have to adhere to. In addition to state or county rules, there are federal rules and non-government standards that apply throughout the field, regardless of location. These regulations affect both your organization’s revenue and license to provide services.
Long term care facilities use Joint Commission Accreditation as a benefit to show the quality and commitment to the health care organization. A long term care facility that is Joint Commission accredited will have a more appealing look to reimbursement centers and to the patient and families that they care for. Having this accreditation is also a risk management tool. The likelihood of a bad outcome is reduced if a facility is accredited by the Joint Commission. There is a team put together to come up with accreditation standards and to make sure facilities stay compliant with these standards. Performance is evaluated to ensure standards are followed.
This means that not only will the state and federal officials come in to ensure the facility is running up to code but the Joint Commission will go into facilities every three years and do another accreditation survey. The laboratories will be assessed every two years (The Joint Commission, 2016). The results of the surveys are not produced publicly but the facility is then given the option to fix anything that is wrong and pay for their accreditation (The Joint Commission, 2016). The Joint Commission assess all parts of a health facility that are accredited with them. This means that they look at; maintenance, equipment, staffing, patient comfort, patient opinion, the treatments available, hiring, handicap accessibility, and so much more (The Joint Commission, 2016). To be accredited truly means that the best foot of the facility is being put forward in order to help the
Health care is a fascinating industry. So many types of care are included within the industry. Health care can be very broad or very specific. Health care is also comprised of different types of health care. One specific sector is long-term health care. Long-term care plays a huge role in the health care continuum. This paper will define long-term care and a continuum as well as discuss the services provided and how these services fit in the continuum of care, the resources that go along with long-term care and how it contributes to overall health care resources, and how long-term care services
Several regulatory agencies are responsible for licensing long-term care facilities to ensure compliance of laws and regulations. Regulatory agencies also receive and investigate complaints that are related to the facility and the services in which the facility provides (Walsh, 2014). All long-term care facilities are expected to abide by these regulations in an effort to ensure long-term care patients proper care, ethical treatment, safe living environments, and health care reimbursement.
saved than in the U.S. due to the fewer restrictions on new drugs unlike the U.S.
The Elder Justice Act was passed on March 23, 2010 as part of the Patient Protection and Affordable Care Act (PPACA) as the first piece of federal legislation to allow funds to address elder abuse, neglect and exploitation nationwide (Federal Laws, 2015). Part I of the Elder Abuse Act is the Elder Justice Coordinating Council made up of federal government representatives charged with the responsibility of coming up with programs for the promotion of elder justice. They have to provide recommendations to the Secretary of the Department of Health and Human Services on the issues of abuse, neglect and exploitation of the elderly. Then there are 27 professionals from the general public who are to give recommendations to the Coordinating Council as well. Part II of the Elder Justice Act talks about funding and enhancing long-term care. Long-term care is important because you need programs committed to training long-term staff,
This ensures that all organisations under their watch are working to a set of rules and regulations that apply to them. They regulate the care given and inspect institutions to ensure that optimal care that conforms to
Current numbers show substantial growth from the eighties, and estimates suggest that the demand for long term care among the elderly will more than double in the next thirty years. (Feder, Komisar, and Niefeld) This growth will exacerbate concerns about balancing institutional and noninstitutional care, assuring quality of care, and most importantly adopting and sustaining financing mechanisms that equitably and adequately protect the elderly who need long-term care.
This paper will review the many aspects of long-term care problems and many challenges there are within Long-Term care. We will look at rising costs within long-Term Care, patient abuse, will look at the quality of life, shortages of nurses and demand that the elderly are putting on the medical field. The type of care that Long-Term Care had been giving to its patients and the changes within Long-Term Care.
Long term care facilities are first established under state licensing laws and, in most cases, a granted certification that there is a need for nursing home beds in a specific community. Medical professionals and support services providing care and related functions must also operate in the nursing home under the licensing, regulatory, and standards of practice governing their areas of specialty. In addition, each long-term care facility must establish their own policies and procedures for everyday operation to stay within their operating standards and legal limitations (Brady,