Accreditation

ANA lawsuit tackles HHS, JCAHO nurse staffing requirements

Accreditation Connection, June 26, 2006

The American Nurses Association (ANA) and two of its state affiliates filed a lawsuit in U.S. District Court on June 15 against the Department of Health and Human Services (HHS) claiming that HHS allows hospitals that fail to meet federal nurse staffing requirements to participate in Medicare, thereby endangering patients.

The ANA along with the New York State Nurses Association and the Washington State Nurses Association also seek to prevent HHS from allowing the private, nonprofit JCAHO, which accredits 82% of all hospitals, to use "its own, minimal standards for nurse staffing in its accreditation of hospitals," according to an ANA press release.

The lawsuit charges HHS has "unlawfully delegated its authority to JCAHO" by allowing it to use standards that are not equivalent to standards set by HHS for participation in the Medicare program. The lawsuit seeks a court order to require that HHS assures that JCAHO uses standards that are "at least equivalent" to HHS standards.

HHS and JCAHO guidelines both include requirements for nurse supervisory personnel, but the lawsuit claims they fall short. Click here to see a copy of the lawsuit.

"Our goal is . . . to ensure that hospitals participating in Medicare do not endanger the health and well-being of patients," said Barbara A. Blakeney, MS, RN, president of the ANA. "This lawsuit will make HHS accountable for ensuring that JCAHO meets the standards set out in federal law."

The JCAHO responded to the lawsuit in a press release on its Web site that included this statement: "The Joint Commission surveys to accreditation standards that meet or exceed HHS requirements. Furthermore, HHS conducts an annual review through its validation program to ensure applicability and consistency with all federal requirements for participation in the Medicare program. Numerous HHS validation surveys demonstrate the adequacy of Joint Commission standards in the area of nurse staffing."

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