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148 unit 2 | Working Within the Organization CikguOnline
describes the work of the International Center for box 10-9
Patient Safety. These tools developed by the Joint
Organizations and Agencies Supporting
Commission offer health-care organizations goals Quality and Safety
and strategies to prevent harm and death based on
Government Agencies
what has been learned from sentinel events.
• U.S. Department of Health and Human Services
http://www.hhs.gov/
Organizations, Agencies, and Initiatives • Food and Drug Administratoin (FDA) http://www.fda.gov/
Supporting Quality and Safety in the • Initiatives: Medwatch and Sentinel Initiative
Health-Care System • Health Resources and Services Administration (HRSA)
http://www.hrsa.gov/
The ongoing movement to improve quality and • Initiatives: Health Information Technology and National
safety has led to the development of governmental Practitioner Database
and private organizations (see Box 10-9) in addition • Center for Medicare and Medicaid Services (CMS) http://
to those mentioned in the historical perspective www.cms.hhs.gov/
• Initiatives: Hospital Quality Initiative, MedQIC, American
at the beginning of this chapter. These organiza-
Health Quality Association (AHQA),
tions and agencies currently monitor, evaluate, • Agency for Healthcare Research and Quality (AHRQ)
accredit, influence, research, finance, and advocate http://www.ahrq.gov/
for quality within the health delivery system. Each • Initiatives: Health IT, Improving Health Care Quality,
organization works inside and outside the system Medical Errors and Patient Safety, Measuring Quality
• VA National Center for Patient Safety http://www.
to drive change leading to improved health out-
va.gov/ncps/
comes and improved system quality. Each organi-
Health-Care Provider Professional Organizations
zation works within its mission to address various • American Nurses Association http://nursingworld.org/
characteristics of the health-care system or to • Initiative: National Database of Nursing Quality
address patient needs. Some organizations serve Indicators (NDNQI)
multiple roles beyond their primary mission. • Association of Perioperative Registered Nurses (AORN)
https://www.aorn.org/
• Initiative: Patient Safety First and AORN Toolkits
Government Agencies
• American Hospital Association (AHA)
Federal and state-level government agencies pro- http://www.aha.org/
vide tools and resources for improving quality and • Initiative: AHA Quality Center
• Association of Academic Health Centers
safety within the U.S. health-care system.
http://www.aahcdc.org/index.php
Government agencies also oversee regulation, • Priorities: Health Profession Workforce and Health Care
licensure, and mandatory and voluntary reporting Reform
programs. Non-Profit Organizations, Foundations, and Research
Within the U.S. Department of Health and • The Leapfrog Group http://www.leapfroggroup.org/
Human Services (HHS) reside multiple agencies • Kaiser Family Foundation http://www.kff.org/
that support quality and safety. HHS is the U. S. • Markel Foundation-Connecting for Health http://www.
connectingforhealth.org/aboutus/index.html#
government’s principal agency for protecting the
• Robert Wood Johnson Foundation-Quality Equality in
health of all Americans and providing essential Healthcare http://www.rwjf.org/qualityequality/
human services,including health care (HHS,2008). index.jsp
HHS works closely with state and local govern- • National Patient Safety Foundation http://www.
ments to meet the nation’s health and human needs. npsf.org/
• The Commonwealth Fund http://www.commonwealthfund.
In addition to administering Medicare and
org/aboutus/
Medicaid, the Center for Medicare and Medicaid
Quality Organizations
(CMS) administers quality initiatives intended “to • Institute for Healthcare Improvement (IHI) http://
assure quality health care for all Americans through www.ihi.org/ihi
accountability and public exposure” (CMS, 2008). • The Joint Commission http://www.jointcommission.org/
Initiatives include: • National Committee for Quality Assurance (NCQA) http://
web.ncqa.org/
■ MedQIC. This initiative aims to ensure each • National Quality Forum http://www.qualityforum.org/
Medicare recipient receives the appropriate level
of care. MedQIC is a community-based QI
program that provides tools and resources to