Quality Standards Comparison

Quality Standards Comparison

QualityStandards Comparison

QualityStandards Comparison

Qualitystandards are set by different organizations with the objective ofguiding members of those organizations in ways that can help themdeliver quality services. Although individual organizations have thefreedom to carry out their practice setting standards that arefollowed by all players in a given sector promotes integrity a givenindustry (Nix, 2009). Different organizations may set standards thatgovern the same industry where such standards may have a fewdifferences and some similarities. This paper will compare andcontrast the quality standards set by the Center for Medicaid andMedicare Services (CMS) and the Joint Commission.

Analysisof CMS standards

CMScore measures were set in 2000 and focused on the key types ofdiseases and treatment procedures, such as surgical infectionprevention, heart failure, and heart attack (Nix, 2009). The CMSdefined core measures as the percentage of clients receiving carerepresented by the measure. CMS core measures are divided into adultcore measures (such as a measure for high blood pressure) that areused for adult patients and pediatric core measures (includingChlamydia screening) that focus on child care (Nix, 2009). Theobjective of setting the core measures is to provide hospitals with areliable quality improvement tool that they can use for internal andexternal benchmarking of services. CMS set benchmarks for each core,measure where the heath care facility that benchmark get morereimbursement funds.

Similaritiesand differences

Thequality standards set by CMS and the Joint Commission are similar intwo ways. First, the two sets of standards have a common purpose,which is to help hospitals in improving quality and diseaseprevention (The Joint Commission, 2007). For example, CMS uses itscore measures while the Joint Commission uses its specificationsmanual to collect data in different periods. The data from differentperiods is used to determine the progress made by the organization inenhancing quality in the process of health care delivery (The JointCommission, 2014). Secondly, the two sets of standards focus onsimilar medical conditions. According to the Joint Commission (2007)measures used by the Joint Commission and CMS focus on criticalconditions, such as pneumonia, myocardial infarction, heart failure,and surgical operations.

However,these standards differ in that the standards set by the jointcommission are broader and include multiple factors, such as theenvironment of health care, information management, and leadershipwhile the core measures set by CMS are limited to the safety ofpatients and the overall quality of health care. Therefore, it wouldbe advisable for the health care organizations to supplement the CMSstandards with the standards set by the Joint Commission. This willhelp the health care organizations in considering more factors whenassessing and enhancing the quality of care as well as patientsafety.

Relationshipamong different aspects of safety and quality

Standardsare set to guide the health care facilities in observing measuresthat lead to an improvement in the level of quality as well as thesafety of clients. Similarly, certification and accreditation aremeant to appraise organizations for the efforts they apply inenhancing quality and safety (Center for Medicaid and MedicareServices, 2008). Accreditation and certification are given toorganizations that have complied with certain standards.Credentialing help the health care organizations in determiningqualifications for their health care professions, which creates anopportunity for determining the educational needs. Continuation ofeducation increases the skills of health care providers, which inturn helps these professionals, deliver quality care and observepatient safety.

Inconclusion, quality standards are set to guide health careorganizations in delivering quality care and enhancing the safety ofpatients. Although different organizations set different standards,their primary goal is to ensure that the patient gets the servicesand the treatment outcome they desire.

References

Centerfor Medicaid and Medicare Services (2008). Hospitalquality initiative overview.Woodlawn: CMS.

Nix,E. (2009). Core measures. ClinicalInsight LLC.Retrieved September 14, 2015, fromhttp://www.clinical-insights.com/resources-Apr09CoreMeasures.html

TheJoint Commission (2007). ImprovingAmerica’s hospitals: The Joint Commission’s Annual on quality andsafety.Washington, DC: The Joint Commission.

TheJoint Commission (2014). Core measure sets. TheJoint Commission.Retrieved September 14, 2015, fromhttp://www.jointcommission.org/core_measure_sets.aspx