PublicPrivate Partnerships

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Public/Private Partnerships

• CLEAR Conference
• September 12, 2002
• Anthony J. Tirone, Director, Federal Relations
• Joint Commission on Accreditation of Healthcare
  Organizations

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Joint Commission on Accreditation of Healthcare
Organizations

• Private, not for profit corporation
• Oldest and largest accreditation organization
• Founded in 1951

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Mission of the Joint Commission

• To continuously improve the safety and quality of
  care provided to the public through the
  provisions of health care accreditation and
  related services that support performance
  improvement in health care organizations

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Joint Commission

• Currently accredit 18,000 health care
  organizations in 8 program areas
• Hospitals
• Health care networks
• Home care, including hospice and DME
• Nursing homes

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Joint Commission

• Behavioral health care
• Ambulatory care
• Assisted living
• Clinical laboratories
• Recently inaugurated a Disease Management Program

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Public/ Private Partnership

• Congress established the basis for the public
  private partnership in the original Medicare
  legislation
• Hospitals accredited by the Joint Commission are
  deemed to meet health and safety requirements
• Secretary could approve other organizations if
  standards and process equivalent to Medicare

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Federal Recognition of Joint Commission
Accreditation

• Medicare program
• Hospitals
• Home care
• Hospice
• Ambulatory surgical centers
• Clinical laboratories
• Medicare choice
• Critical Access Hospitals

8
State Recognition of Joint Commission
Accreditation

• Hospitals 45 states
• Behavioral care 45 states and D.C
• Home care 20 states
• Laboratories 28 states
• Ambulatory care 18 states
• Assisted living 1 state
• Net works 21 states

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Basis for Partnerships

• Need for expertise
• Ability to perform service not otherwise
  available
• Provides credibility or authority
• Funding
• Shared Mission or goals

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Evolving Partnerships

• Contracts to do External Quality Review for State
  Medicaid Agencies
• Contracts or Grants to perform accreditation
  services for particular providers
• Community health centers
• Methadone clinics

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Evolving Partnerships

• Collaboration on development of performance
  measures
• for hospitals
• Other providers
• Public information
• Public Policy Forums

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Speak Up Campaign

• Collaboration
• the result of a shared mission to improve
  patient safety, and
• to improve information to assist individuals in
  making choices
• Collaboration on the message
• The presentation of the message

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Speak Up Campaign

• Results from the Joint Commissions work in
  preventing medical errors
• Intended to empower patients to be involved in
  their care
• Lets us as patients know that it is not only ok
  to ask questions it is a necessity

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Speak Up Campaign

• Speak up if you have questions
• Pay attention to the care you receive
• Educate yourself about your diagnosis
• Ask someone to be your advocate
• Know what medication you take

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Speak Up Campaign

• Use a hospital, clinic etc. that has undergone a
  rigorous review by an organization like the Joint
  Commission
• Participate in all decisions about your treatment

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Result of Collaboration

• Campaign well received
• Extensive news coverage
• Video with comments of support by CMS
  Administrator

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Result of Collaboration

• Video news release was picked up in over 74
  cities
• Hospitals and other providers reprinted the
  brochure to share with their patients

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Summary

• Public/Private partnerships work
• They require a mutuality of interest and the
  recognition that each has a role to play
• Now for the video that was done for Speak up