Journey into Dnv Hospital Accreditation and the Implementation of an Electronic Contract Management System (Ecms)

By Schmidt, Ryan N.; House, Morgan et al. | Journal of Business and Educational Leadership, Fall 2019 | Go to article overview

Journey into Dnv Hospital Accreditation and the Implementation of an Electronic Contract Management System (Ecms)


Schmidt, Ryan N., House, Morgan, Rodriguez, Olga O., Journal of Business and Educational Leadership


INTRODUCTION

An organization must evolve in order to be both adaptive and responsive to changes in an every-changing environment. UMC aims to provide the highest quality of care while fully considering patient safety. Efforts must be made to improve organizational efficiency and effectiveness at every opportunity while creating a system-based collaborative for which each member is completely situationally aware and focused on the patient. The Lubbock County Hospital District ("the District") is a political subdivision of the State of Texas. The District's purpose is "providing medical and hospital care" (The Special District Local Laws Code, 2009). The District owns and operates University Medical Center (UMC), a general hospital licensed under Texas Health & Safety Code Chapter 241. UMC is a public hospital, and it is a tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code. The District operates the hospital and its affiliated entities under the assumed name "UMC Health System." At UMC Health System, the vision, "To Serve Our Patients in the Best Teaching Hospital in the Country" creates a culture of constant change with the intent of improving our processes and maximizing efficiency (University Medical Center, 2017). In 2013, the hospital began exploring options in accreditation and made the change from The Joint Commission (TJC) accreditation to DNV GL - Healthcare USA, Inc. (DNV GL) accreditation. This was the first step in the journey to the eCMS implementation.

MEETING ACCREDITATION STANDARDS

Hospitals participating in the Medicare program must meet the requirements of the Conditions of Participation to assure quality of care for Medicare and Medicaid beneficiaries receiving care in hospitals. The federal government monitors hospitals' compliance with the Conditions of Participation through periodic on-site surveys (Institute of Medicine, 1990). U.S. Centers for Medicare & Medicaid Services (2016), states "Section 1865 (a)(1) of the Social Security Act (the Act) permits providers and suppliers 'accredited' by an approved national accreditation organization to be exempt from routine surveys by State survey agencies to determine compliance with Medicare conditions." The Joint Commission and DNV GL are national accrediting organizations approved by the Centers for Medicare & Medicaid Services (CMS) as having standards that meet Medicare's survey requirements. Prior to 2013, UMC was accredited through Joint Commission.

The Joint Commission (TJC) also previously known as the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and the Joint Commission on Accreditation of Hospitals (JCAH) was founded in 1951 "to act as an independent accrediting body for hospitals nationwide" (The Joint Commission, 2011). The Joint Commission has a patient-centered accreditation process and has developed the Tracer Methodology. The "Tracer Methodology utilizes the patient care experience to assess standards compliance" (The Joint Commission, 2011). This happens by selecting a patient from the organization's file and tracing that patient's experience at every point of care. TJC has a priority focus process that focuses on an organization's "challenge areas" during their on-site visit.

DNV GL - Healthcare (DNV) became an option for accreditation in 2008 when the company received deeming authority from CMS (DNV GL - Healthcare, 2018). DNV provides a new approach to examining quality and patient safety. DNV has an emphasis on National Integrated Accreditation for Healthcare (NIAHO) and International Organization for Standardization (ISO) 9001 standards, which focus on quality management through continuous process improvement. ISO 9001 standards, first introduced in the automobile industry, is described as a quality management system that "provides for work performance consistency, enables the discovery of poor performance, and stresses the process approach" (Levett, 2005, p. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Note: primary sources have slightly different requirements for citation. Please see these guidelines for more information.

Cited article

Journey into Dnv Hospital Accreditation and the Implementation of an Electronic Contract Management System (Ecms)
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen
Items saved from this article
  • Highlights & Notes
  • Citations
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Search by... Author
    Show... All Results Primary Sources Peer-reviewed

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.