WGU C803 Task 4 |Latest Update with Complete Solution
A1.The..Joint..Commision..(TJC)..standards..and..Californias..standards.
A2.
Both..The..Joint..Commission..(TJC)..standards..and..California..state..regulations..emphasize..the
..importance..of..timely..and..accurate..History..and..Physical..(H&P)..documentation..to..ensure..q
uality..patient..care...Both..require..that..H&Ps..be..completed..within..specific..timeframes..relativ
e..to..admission..and..prior..to..surgical..procedures..involving..anesthesia...They..also..stipulate..th
at..qualified,..licensed..practitioners..perform..these..examinations,..with..documentation..that..is..
properly..signed,..dated,..and..authenticated...While..TJC..allows..the..organized..medical..staff..to.
.determine..the..specific..content..of..the..H&P,..California..regulations..mandate..the..inclusion..of
..patient..history,..physical..findings,..and..medical..decision-
making...Adherence..to..these..standards..is..crucial..for..maintaining..compliance..and..delivering..
safe,..effective..healthcare..services.
A3.
• The..timing..of..H&P..completion..is..one..key..difference..between..TJC..standards..and..
California..state..regulations...While..TJC..allows..the..H&P..to..be..completed..within..30..da
ys..prior..to..admission..or..within..24..hours..of..admission,..California..regulations..require
..it..to..be..done..within..24..hours..of..admission..and..before..surgery...This..creates..a..more..im
mediate
expectation..for..California..facilities..compared..to..TJC..standards.
• Another..important..difference..is..in..the..qualified..practitioners..permitted..to..complete..t
, 2
he..H&P...TJC..standards..are..more..flexible,..allowing..a..broader..range..of..healthcar
e
professionals..(including..physicians,..nurse..practitioners,..and..physician..assistants)..to..co
nduct..the..examination...California..regulations,..however,..explicitly..limit..the..performanc
e..to..licensed..physicians..or..other..providers..within..the..state's..scope..of..practice..laws,..wh
ich..could..affect..the..availability..of..providers..to..conduct..H&Ps.
• Scope..of..documentation..also..varies..between..TJC..and..California..regulations...TJC..allo
ws..more..flexibility..for..medical..staff..to..determine..the..specific..content,..while..Califor
nia..regulations..mandate..that..the..H&P..includes..specific..documentation..such..as..pati
ent
history,..physical..findings,..and..medical..decision-
making...This..results..in..more..structured..documentation..requirements..i
n..California.
• Finally,..there..is..a..difference..in..how..the..review..of..documentation..is..handled...Californ
ia..regulations..specify..that..a..physician..must..review..the..H&P..documentation..for
..completeness,..while..TJC..places..less..emphasis..on..the..detailed..review..process.
These..differences..highlight..the..need..for..healthcare..organizations..to..be..aware..of..both..nation
al..and..state-specific..standards..to..ensure..compliance..and..maintain..quality..care.
A4.
Social..and..personal..history..are..key..pieces..of..information..to..include..in. . a..patients..history..
and..physical..form..because..they..provide..necessary..information..such..as..mental..health,..soci
al..history,..treatment..plans,..and..lifestyle..to..help..assess..and..diagnose..root..causes..for..patient
..complaints...Mental..health..is..important..by..giving..the..provider..information..on..a..patients..d