Regulation takes part in a critical position in the healthcare business and healthcare insurance coverage. Throughout many regulatory organizations, the Department of Health and Human Services (HHS) guards the community from many health threats through making available programs for public health and welfare. There are agencies that exist like the Center for Medicare and Medicaid (CMS), American Hospital Association (AHA), Health Insurance Portability and Accountability Act (HIPAA), National Committee for Quality Assurance (NCQA), the Joint Commission and Accreditation of Healthcare Organizations (JCAHO), and many more agencies that protect and legalize public health at every point.
There are such a variety of features and areas of regulation involving in healthcare, including the regulations of the medical doctors and practitioners, financiers, drug, and healthcare items, healthcare facilities, hospitals, and public health and research facilities. Since healthcare is one of the majority regulated industries in the United States, every feature of the system is subject to inspection of the federal and state intensity. The regulatory agencies have great objectives of creating a healthy country and people. Sometimes they are looked at as laboring adjacent to their objectives and targets. Some regulations may seem to be all to restricted and have found a middle ground to the type of healthcare given to the community, some have delayed the competent delivery or medical care. The Role of Regulatory Agencies
The Term Paper on Infectious Disease and Health Protection Agency
The guidance is divided into sections as follows: Section 1Introduces infection control and explains notification; Section 2deals with general infection control procedures; Section 3gives guidance on the management of outbreaks; Section 4describes specific infectious diseases; Section 5contact numbers and sources of information; Section 6contains additional detailed information and a table of ...
The roles of these agencies are much regulated. They have every level to protect the community health and safety. The department of Health and Human Service (HHS) is the U.S. government’s standard agency for guarding the health of every American and supplying the necessary human services, especially for the ones who are less able to aid themselves. The department of Health & Human Service (HHS), is liable for approximately a one fourth of all federal out lays and administers additional grant monies than every other federal agencies combined (HHS, 2014).
The Health Insurance Portability and Accountability Act (HIPAA), in 1996, it was passed by Congress. The HIPAA regulation is to defend privacy. This is in Title IV, which identifies rules for protection of all patients’ medical information. Every healthcare suppliers, health association, and government health arrangements that use, store, uphold, or put out patients’ health care information are vital to meet the terms with the privacy regulations of the HIPAA law.
The National Committee for Quality Assurance (NCQA), is not a not for revenue association that was founded in 1990. Its function is to develop the quality of care supplied by the managed care industry, consisting of health plans, MCOs, preferred provider organization (PPOs) and disease management organization. The National Committee for Quality Assurance (NCQA) has a very popular symbol of quality. Associations that includes the seal into promoting and marketing materials must in the beginning, surpass a rigorous wide-ranging reviews and must yearly report on their performance. When a consumer or employers see the seal, they know that it is an indicator that that particular organization is well managed and they distribute high quality care and service.
American Hospital Association (AHA) is an organization that represents the awareness of hospitals and other organizations in national policy advancement. It has been in tact since 1917 and still addresses healthcare matters right today. AHA make sure that members’ viewpoints and needs are listened to and approached in national health policy development, legislative and regulatory debates, and judicial matters. The AHA is engaged in several issues that affect hospitals including readiness for disasters, HIPAA, issues relating to Medicare, and patient communication. It also attends to issues of personal privacy and confidentiality of records, and continuity of care. Billings and assistance with insurance claims is also discussed (AHA, 2003).
The Term Paper on Accountable Care Organization ACO
Accountable care organization is composed of a group of care providers, hospitals, and doctors who join up collaboratively together to provide high-quality care to the patients. The goal of an Accountable Care Organization is to ensure that they provide coordinated care to the patients ensuring that the chronically ill especially will get the right care at the right time while avoiding unnecessary ...
Joint Commission on Accreditation of Healthcare Organization (JCAHO) had begun in 1951 and in the beginning the focus was on hospital accreditation. In addition to hospitals, it sanctions long-term care facilities including assisted living facilities. It is also engaged in the accreditation of ambulatory care facilities, clinical laboratories, rehabilitation facilities, and behavioral medicine organization involving residential treatment centers and foster care. JCAHO give accreditation for home health agencies and healthcare associations. It also certifies disease –specific programs and disease management companies. The involvement in the JCAHO process is voluntary for facilities; it is frequently looked at as essential for healthcare organization. Specific Cases
A hospital patient, daughter received a phone call that gave her all of her mother’s medical information (hhs gov).
An investigation was done and the results indicated that the privacy act was not implemented. Later the employees were trained in keeping all medical information concealed (hhs, 2012).
This had broken the HIPAA law. In calling the hospital for information about a relative of mine, I was able to get all of her medical information thru the phone. The HIPAA law was the farthest thing from my mind. Conclusion
As stated before there are a variety of regulation institutions that will protect and service the community. What would help the community is that everyone who is in the healthcare field should learn the laws, that why as an administrator, they can be knowledgeable of all the laws.
The Essay on Communication and Information Technology 2
Technological advancement have improved and eased the communication process. With the world revolving around technology, almost all tasks have been simplified consequently reducing the number of hours that one can perform a certain task. It has helped in the organizing information, thus enabling access and retrieval of information easy. The use of technology has helped many organizations cut on ...
Reference
Health Information Privacy, Retrieved from www.hhs.gov/ocr/privacy/hipaa/ enforcement/examples/allcases.htm/#case1
Health Insurance Portability and Accountability Act: What is HIPPA? Retrieved from http:www.dhcs..ca.gov/formsandpubs/laws/hipaa/Pages/1.00Whatis HIPAA.aspx
Morris, Eileen E. (2011).
Ethics in Health Administration: A Practical
Approach For Decision Markers. (2ed).
Retrieved from University of Phoenix eBook
