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Risk Management Implementation and the Regulatory Environment

Risk Management Implementation and the Regulatory Environment

Topic 1 DQ 1

Accreditation is extremely important in healthcare. Accreditation refers to the official review process that allows healthcare organisations to demonstrate the ability to meet official regulatory standards and requirements. Accreditation is awarded upon successful completion of an on-site survey. The on-site survey is conducted by a specially trained Joint Commission surveyor or team of surveyors who assess your organization’s compliance to our standards. Accreditation for most types of organizations is a three year award. The exception is laboratory accreditation, which is a two year award.
Cambridge Behavioral Hospital was placed on probationary status on November 25, 2019 after Ohio Mental Health and Addictional Services (OMHAS) concludet investigation on death at the hospital and six complaints about sexual abuse and allegation. The report cited serious deficiencies found during the OMHAS on-site investigation related to failure to obtain medical clearance, lack of medical history and assessment, lack of medical oversight by a psychiatrist and failure to obtain medication informed consent of a psychiatric patient. The state agency has determined the Cambridge facility cannot treat patients until issues are corrected.
Denial of Accreditation is recommended when there’s an immediate threat to health and safety, a submission of falsified documents or misrepresented information, a lack of a required license, or significant noncompliance with Joint Commission standards.
Explain the role of accreditation in mitigating risk compliance issues. Provide an example of a health care organization that was placed on probation by its accrediting body or by CMS within the last 3 years for a risk compliance issue. What caused the probation or loss of accreditation and how could it have been prevented?

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years

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