According to Issel, & Wells, (2017) monitoring and evaluation refers to the processes aimed at monitoring, assessing and evaluating the quality of health care. The process involved in evaluation and monitoring include accreditation and certification. The main organizations that are involved in monitoring and evaluation of health care in the United States include the joint commission, United States Food and Drug Administration (FDA) and the Accreditation Commission for Health Care. (ACHC). This paper describes the purpose of each organization and how each of these organizations conducts its duties and methods of quality monitoring.
To begin with, the Joint commission is a non-profit organization based in the United States. The organization is recognized by the United States government in its role of accreditation of health care organizations. The main goal of the joint commission is to see the continuous improvement of the quality of health to the members of the public. Joint commission also purposes to inspire hospitals and health care organizations to continually improve the quality of health care to meet the needs of the population and to improve safety of the patients. The duties and the methods employed by the Joint Commission in fulfilling their work includes subjecting health care organizations and pharmacies to a three years and two years accreditation cycle respectively (McGrath, Taenzer, Karon, & Blike, 2016).
The commission then conducts surveys and accredits the organizations that comply with its standards. The organization usually updates the accreditation standards with time in order to accommodate changes in service delivery, new policies and techniques in the health sector. The joint commission also achieves their mandate by involving patients in the formulation of their policies and accreditation standards. The joint commission also updates patients on their accreditation standards annually for the patients to be able to demand better services in the health facilities. The joint commission also focuses on specific challenges facing patients in the realm of health and invites solutions that are expert based and those that provides a terminal solution to the problem at hand.
The United States food and drug administration (USFDA) is not primarily charged with the role of accreditation and monitoring but in its mandate, it is able to also ensure this role. The main work of FDA is protection and promotion of general public health through control and supervision of drugs, food and food supplements. The primary role is the enforcement of laws and regulations that improve the quality of health services, drugs and food. The work and scope of FDA however extends to the health sector where it carries out several other quality assessments such as blood transfusion and other medical services. In sectors not related the human medical activities, FDA regulates cosmetics, electromagnetic radiating devices such as mobile phones, condoms and animal health services.
According to Robbins, (2017) FDA fulfils its mandate by enforcing laws passed by the US congress such as the Federal, Food, Drug and Cosmetic act. FDA also focuses on other laws, legislations and policies such as the laws stipulated in section 361 of Public Health Service Act and all other associated laws. FDA also regulate various products and services that may be known to cause diseases and provides legislation on use and handling such products by the manufacturers and consumers alike. the main method FDA uses to fulfill is mandate is through approving and disapproving various goods and services to ensure what consumers receive has met high quality standards and has no threat to health. Ensuring that laws are followed is also among the methods through which the FDA uses to achieve its mandate.
Finally, the Accreditation Commission for Health Care (ACHC) is another non-profit organization that performs the role of monitoring and evaluation of Health care services in the United States. The main role of ACHC is to monitor evaluate and accredit small health care providers. Initially, during the mid-eighties when the organization was formed, the main center of concern was North Carolina and only finally providing national services in 1996. ACHC accredit several programs which include behavioral health, hospice, private duty, pharmacy, sleep, DMEPSOS and sleep. After accreditation, ACHC provides several benefits to the organizations as a result of accreditation.
Woods, (2015) explains that the accreditation process is almost similar to that of the joint commission in that the organization has also a 3 years cycle. In these three years, ACHC provides the various organizations with information on how they can improve their service delivery and overall best suited practices and norms that can suite well the needs of consumers. ACHC also looks at the organizations’ norms, policies laws and regulations which are included in the report during the review. Surveys are conducted randomly in the organizations whereby the organizations are monitored evaluated and rated. Those that seem not to conform to conventional standards are urged to make changes on a plan of correction that enables the organizations to improve their service delivery in order to also enjoy the full benefits of accreditation.
Drummond, et al (2015) explains how monitoring and evaluation has played a vital role in the transformation and improvement of health care in the United States. This is because, it has led to the adoption and evolution of the best possible and the best suited services and products in the health organizations. Evaluation has also assured consumers of the best value for money on the products and services they receive in health care organizations which has impacted positively in the population by encouraging people to seek services from all accredited health facilities irrespective of their size. Finally monitoring and evaluation has also helped the government and other policy makers to make relevant policies and legislation regarding the delivery of health care services in the United States explains Gertler, et al (2016).
In conclusion, it is of great essence to point out that the role of monitoring and evaluation is important in order to assure patient safety in health care. Organizations conduct the role of monitoring and evaluation include the joint commission, the ACHC and USFDA among others. The major impact of evaluation and monitoring is that it helps regulate health services and also assures consumers on the quality of services being provided by the health care institutions.
Burch, J. (2017). Compounding Pharmacists Provide Customized Care. North Carolina medical journal, 78(3), 191-194.
Drummond, M. F., Sculpher, M. J., Claxton, K., Stoddart, G. L., & Torrance, G. W. (2015). Methods for the economic evaluation of health care programmes. Oxford university press.
Gertler, P. J., Martinez, S., Premand, P., Rawlings, L. B., & Vermeersch, C. M. (2016). Impact evaluation in practice. World Bank Publications.
Issel, L. M., & Wells, R. (2017). Health program planning and evaluation. Jones & Bartlett Learning.
McGrath, S. P., Taenzer, A. H., Karon, N., & Blike, G. (2016). Surveillance Monitoring Management for General Care Units: Strategy, Design, and Implementation. Joint Commission journal on quality and patient safety, 42(7), 293-302.
Robbins, K. C. (2017). Food and Drug Administration (FDA). Nephrology Nursing Journal, 44(4), 362-363.
Woods, P. J. (2015). Health Care Quality. Concepts for Nursing Practice-E-Book, 472.