HCA 255 Is enforcement fully funded?

HCA 255 TOPIC 4 DQ 1 (Three Responses)

Compliance with health care policies protect patients, staff, and the public. Provide one example of a health policy that protects patients as well as other stakeholders, and identify the agency that enforces the policy.  Is enforcement fully funded? Why or why not?


Health care policies protect patients, staff, and the public. Violation of health care policies can lead to a breach of the physical, psychological and emotional safety of hospital or healthcare providers. The Joint Commission enforces most health care policies in hospitals. A Health Care Compliance Checklist is possible for this purpose. This checklist is simple in nature and useful for all organizations.

Health care policies must be tailored to the individual practice setting and include federal, state, and local rules. The Joint Commission and Ohio Board of Nursing require policies that protect patients, staff, and the public. The Joint Commission has a free policy template on its Web site that can be customized. It is important that policy authors understand what the standards require. By adding funding to the policy and having the discipline committee enforce violations, the need for health care quality improvement activities can be increased.

The Centers for Medicare & Medicaid Services (CMS) has several health care policies, such as the Center for Clinical Standards and Quality (CCSQ) and the Center for Program Integrity (CPI) that are in place to protect both patients and staff. The CCSQ works to improve the quality of health care by developing standards and performance measures, using a national network of skilled subject matter experts to continuously create new knowledge in clinical standards and quality. The CPI works to identify and stop abuse of government health care systems. What we all need to remember is that MCMS policies help protect patients out of concern over safety issues.

The health care system is difficult to navigate, but policies created by the agencies that oversee its functions protect patients, patients’ family members or friends acting as caregivers, and nursing staff.

It is important for policies and procedures to be in place when providing care to any patient. Even at the end of life these are crucial, yet they are often ignored by way of family members simply needing relief from their suffering. The Agencys and their funding that provide support and enforcement to this policy to ensure patient safety can greatly affect your career.

In 2009, the Department of Health and Human Services enacted the “Preventing Information Technology-Assisted Cyber Threats to Health Care Providers and Patients Act of 2009,” to reduce the risk of cyber attacks on the health care industry by increasing cybersecurity within that industry by requiring certain health care industry entities to report security breaches. These entities include hospitals, doctors’ offices, pharmacies, and ambulance services (Health Care and federal Worker Identity Credential Monitoring Task Force 2009). Although this law was enacted in 2009 and states were supposed to have put this into practice by 2010, very few entities have complied with it. One hospital in California refused to comply with this policy because they felt that it would be too expensive for them; however, other hospitals have taken a different approach. By implementing encryption on their medical devices and also having a security system in place in their software programs, they are able to protect their patient’s personal information better than if they had no program in place (Gostin 2011). It is evident that there are more benefits to having this policy in place than not; however, there is no true enforcement of this act because health care providers do not want to spend money on implementing this into their system.

In the United Kingdom, patients can be assured that they are in a secure environment. The Health Trust Acts of 2001 would place the responsibility and duty on each nursing unit to have mandatory foundations of care. The purpose is to secure patients and maintain people’s rights to privacy and equity in the public health sector. This is enforced by the healing bodies commission, who has the obligation of supporting and also advising on patient rights. In addition, approval of nursing units will be withdrawn if there’s any violations of this act.

The HIPAA laws and policies protect the privacy of patient health information by requiring those who view, calculate, or otherwise come into contact with what is called Protected Health Information (PHI) to keep the information private. It is not allowed to be used for anything other than the original purpose. Enforcement of these policies are required of all U.S. health care facilities that hold this information, including hospitals and medical offices. Although there is no funding requirement per se, enforcement would also apply to criminal prosecution if any private medical records were inappropriately dispersed to individuals who should not have had access to them.

All health care providers are obligated by law to have a written plan. This is true whether you are in a hospital, nursing home, or clinic. These plans include: Treatment Protocols- and EMS Guidelines.

The Centers for Medicare and Medicaid Services (CMS) is an agency within the U.S. Department of Health and Human Services that enforces the Health Insurance Portability and Accountability Act (HIPAA) Security Rule on all covered entities, health plans, and business associates.

The Americans With Disabilities Act (ADA) protects people with disabilities in the workplace by ensuring that they are not discriminated against because of their disability. The U.S. Department of Justice, Civil Rights Division (DOJ) enforces compliance with the ADA and its implementing regulations, including through lawsuits filed on behalf of individuals alleging discrimination or on behalf of the government where DOJ has determined that there is reasonable cause to believe there has been a violation.



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