Originally posted by denicke
Can anyone tell me what is the regulatory agency in Canada that surveys hospitals (similar to JCAHO in US)? I saw it on another posting, but cannot find it now. Also, I understand that bills are not sent to individuals, but do the hospitals get reimbursed for services/care given to patients? If so, are there certains standards of documentation required of the hospitals (MD's or nurses) to validate? Thanks in advance for the information.
I work in LTC, not hospital, but as far as I know, the Ministry of Health, Compliance Division, is the regulatory agency that does the inspections.
Our LTC facility is funded by the government, based on our Case Mix Index. Our care plans
, progress notes, quarterly summaries, and daily records are all checked by the classifiers, to validate the care level documented in the care plan. Accordingly, our charting is extensive, as is our work on our care plans, especially in the fall, when they come around to gather information to get our CMI.
If our CMIs drop, that means that the gov't thinks we don't need as much staffing, and they cut funding, and the facility cuts staffing hours. And on the rare occasion that the CMIs go UP, we get more funding, therefore more staffing.