Week 1- Ethics/JCAHO

Question 1

JCAHO principle definition

Answer 1

articulates the broad policy goals of the Joint Commission

Question 2

JCAHO standards definition

Answer 2

set forth specific measures to guide behavior of all personnel

Question 3

JCAHO mission statement? (2 main focus)

Answer 3

SAFETY/QUALITY,. Improve healthcare in collaboration with all stakeholders by evaluating orgs on safety, quality, value. Develop effective solutions to safety/quality problems. Improve safety/quality through edu, pubs, consultation and evaluation services.

Question 4

JCAHO vision statement (lofty)

Answer 4

All people always experience the safest, highest quality, best-value health care across all settings.

Question 5

Principle 1: Legal Compliance - includes?

Answer 5

Antitrust, lobbying, tax exemption, international business, environment, intellectual property

Question 6

Principle 2: Ethics.. includes?

Answer 6

2.1 Information: Honest communication, use of other’s information.
2.2 Ethics of Accounting: internal, financial reporting
2.3 Fraud: embezzlement, forgery, misappropriation…

Question 7

Princ 3: Confidentiality… includes?

Answer 7

3.1 Org-Specific Information: keep docs confidential
3.2 Protected Health information: patient data
3.3 Personnel actions: salary, personnel files, etc are confidential
3.4 Certain financial information: transparency of certain info
3.5 Information security
3.6 Firewall policies
3.7 Data privacy
3.8 teleworker security

Question 8

Princ 4: conflicts and dualities of interest..includes?

Answer 8

Personnel should regulate activities to avoid actual impropriety and/or the appearance of impropriety

Question 9

Define: conflict of interest

Answer 9

financial interest that could impair objectivity or create unfair advantage

Question 10

Define: duality of interest

Answer 10

A duality of interest occurs when an interested person has a significant personal interest or corporate interest which is disclosed as or found under the policy to be a competing fiduciary obligation which could affect the professional objectivity or comittment to service to The Joint Commission. A duality of interest may also occur when an interested person is an uncompensated director or officer position with an entity which competes with The Joint Commission for grants, contributions, or contracts.