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As more research heads for underdeveloped countries, there are greater challenges and opportunities for research institutions and IRBs located in the United States that may be connected to the research done in these countries through sponsorship or multisite clinical trials.
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A few years back, the Office of the Inspector General (OIG) released a report that referred to the IRB process as A System in Jeopardy.
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Expect a lot of interaction with unit staff but no control over where surveyors go or who they talk to. Thats what quality managers who participated in the pilot surveys for the Joint Commission
on Accreditation of Healthcare Organizations Shared Visions New Pathways process are saying.
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Perhaps the hardest thing to get used to about the Joint Commission on Accreditation of Healthcare Organizations new survey process is the lack of any set agenda, says Helena Feather, vice president of compliance and health information at Trident Health System in Charleston, SC.
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Some of the key aspects of the Joint Commission on Accreditation of Healthcare Organizations 2005 infection control standards are summarized here:
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Its a frequent tactic of physicians: claiming that quality data are imperfect, invalid, or otherwise misleading. When physicians are not acting on proven data, the quality manager has to stand up to the physicians and protect the integrity of the data, says Frederick P. Meyerhoefer, MD, principal of the Canton, OH-based Meyerhoefer Organization, a consulting firm that specializes in compliance with Joint Commission on Accreditation of Healthcare Organizations standards.
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Discharge planners at some facilities apparently are either unaware of -or are ignoring - a federal requirement that hospitals offer patients a choice of home care providers and that they tell patients when there is a financial interest between the hospital and an agency to which the patient is being referred.
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As hospital discharge planners and case managers struggle to place patients with complex care needs in skilled nursing facility (SNF) beds amidst the challenges of the prospective payment system (PPS), many are keeping their heads above water with a mix of timely planning, community collaboration, and creative thinking.
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