Live Session
Module 7
HCM515
Health Law and Ethics
Instructor Name
Module 7 Learning Outcomes
1. Identify legal and ethical requirements for healthcare workers and organizations.
2. Analyze the impact of accreditation organizations on safety and quality of
healthcare organizations.
3. Assess internal health policies and their importance.
4. Analyze the legal and ethical requirements of medical staff membership in
healthcare organizations.
HCM515: Health Law and Ethics
Patient Care
HCM515: Health Law and Ethics
What is Credentialing?
• Credentialing for medical professionals involves verifying that a
healthcare provider has the requisite education, training, experience,
and licensure to work in a facility.
HCM515: Health Law and Ethics
Saudi Commission for Health Specialties
HCM515: Health Law and Ethics
What is Accreditation ?
• Assesses hospital performance
• Compares the facility with national and global standards of care
• Reviews policies and procedures
• Provides benchmarks
• Improves quality
• Creates Accountability
• Increases consistency
HCM515: Health Law and Ethics
Accrediting Bodies in Saudi Arabia
HCM515: Health Law and Ethics
A Study of Accreditation in Saudi Arabia
• Accredited hospitals perform better than nonaccredited facilities
• Healthcare professionals in KSA are motivated to obtain accreditation
due to benefits
• Motivated employees improve quality
• Accreditation improves delivery of patient care
HCM515: Health Law and Ethics
The Importance of a Safety Culture
• Patient safety and preventing harm is linked to a strong patient safety
culture (PSC)
• Performance is enhanced from strong PSC
• Improves quality
• Incorporates attitude, values, skills, and behaviors of healthcare
providers
• PSC assessments are now apart of the accreditation process
Problems with Medication Errors
Measuring Safety Culture
(Source: https://www.ahrq.gov/sops/surveys/hospital/index.html
HCM515: Health Law and Ethics
Problems with Medication Errors
• 17-33% of medications are prescribed in error in KSA
• Common errors are related to
• Antibiotics
• Intravenous fluids
• Bronchodilators
HCM515: Health Law and Ethics
Correcting Medication Concerns with Safety
Culture
HCM515: Health Law and Ethics
Human Resources
• Healthcare organizations need an efficient and organized HR
department.
• Proper background checks of potential employees
• Hiring employees that support the mission of the organization
• Detailing an employee’s job description
• Providing an employee manual
HCM515: Health Law and Ethics
Summary
• Legal requirements exist in healthcare to protect employees, patients
and facilities.
• Regulations are reflected in the internal polices of healthcare
organizations.
• Credentialing is one way facilities ensure they are meeting national
regulations and ensuring the safety of their patients through hiring
trained and educated healthcare workers.
• Accreditation is the review by an outside body that a facility’s
procedures abide by the standards of the industry.
• In KSA, the Central Board for Accreditation of Healthcare Institutions
must sign off on all facilities.
• Creating a patient safety culture can improve the quality of care for
patients.
HCM515: Health Law and Ethics
Module #7 Assignment Requirements
• Discussion Question
• Identify an accrediting organization in Saudi Arabia
regulating healthcare organizations.
• Discuss the requirements and effects of the requirements
on
• staff,
• patients,
• the healthcare organization, and
• community.
• Include specific examples of the effects.
HCM515: Health Law and Ethics
References
• Agency for Healthcare Research and Quality. (n.d.). Surveys on patient safety culture (SOPS) hospital
survey. https://www.ahrq.gov/sops/surveys/hospital/index.html
• Algahtani, H., Aldarmahi, A., Manlangit, J., & Bader, S. (2017). Perception of hospital accreditation
among health professionals in Saudi Arabia. Annals of Saudi Medicine, 37(4), 326-332.
• Aljuaid, M., Mannan, F., Chaudhry, Z., Rawaf, S., & Majeed, A. (2016). Quality of care in university
hospitals in Saudi Arabia: A systematic review. BMJ Open, 6(2), e008988. Retrieved from
http://doi.org/10.1136/bmjopen-2015-008988
• Alkhazim, M. A., Althubaiti, A., Al-Ateeg, H., Alkhwaiter, M., & AlNasser, M. M. (2015). Delivering
effective continuous medical education in Saudi Arabia: Some critical issues. Health Professions
Education, 1(1), 43–49.
• Almasabi, M., & Thomas, S. (2017). The impact of Saudi hospital accreditation on quality of care: A
mixed methods study. International Journal of Health Planning & Management, 32(4), e261-e278.
• Alomi, Y. A., Almuallem, Z. A., Alslim, M. M., Alamoudi, K. A., Alragas, A. M. H., & Alslim, R. M. (2019).
National survey of medication safety practice: Patient education, quality process and risk management
at primary healthcare centers/community pharmacies in Riyadh, Saudi Arabia. PTB Reports, 5(1), 20-27.
Retrieved from https://www.ptbreports.org/article/2019/5/1/105530ptb201955
• Alswat, K., Abdalla, R. A. M., Titi, M. A., Bakash, M., Mehmood, F., Zubairi, B., Jamal, D., & El-Jardali, F.
(2017). Improving patient safety culture in Saudi Arabia (2012-2015): Trending, improvement and
benchmarking. BMC Health Services Research, 17, 1-14.
• Cooke, M. (2016). Team STEPPS for health care risk managers: Improving teamwork and
communication. Journal of Healthcare Risk Management, 36(1), 35–45.
• Saudi Commission for Health Specialties. (n.d.). Professional classification. Retrieved from
https://www.scfhs.org.sa/en/registration/Regulation/Pages/Doc-Professional-Classification.aspx
HCM515: Health Law and Ethics
Questions
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HCM151: Health Law and Ethics
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HCM151: Health Law and Ethics
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