solved I don’t understand this Management question and need help to

I don’t understand this Management question and need help to study.

In your post, consider the impact of one of the following topics and how it influences safety and quality:

The Affordable Care Act
Pay for performance/value-based reimbursement
Meaningful use
Core measures
Joint Commission accreditation
CMS reimbursement requirements

Select one of the topics listed above and indicate how that factor influences safety and quality in the healthcare industry.

In responses to your peers, share if you believe their arguments are sound. Use the literature and your learnings from previous modules to support your observation.
Post 1
The CMS reimbursement requirements has greatly impact the quality of health care due to facilities receiving inadequate reimbursement for services rendered due to failure to meet the requirement. This topic has forced facilities to prioritize quality areas and change process to meet the standards for optimal reimbursement. Preventable and sentinel events are no longer covered under the CMS reimbursement guidelines, as such facilities have adopted rigorous proactive approaches versus the previous reactive approaches. The HAI was noted to be absent on admission and occurred during utilization of services. CMS also made sure the facility could not bill the beneficiary for the difference in reimbursement due to the acquired infection. According to Stone et al., (201), the Healthcare Associated Infection (HAI) affect 2 million patients per year or about 5% of acute hospital admissions. Due to the change in payments a conceptual model was adopted including provider behaviors, organization culture, and environmental factors. Each domain was noted to affect clinical outcomes and in return reimbursement for services. The CMS reimbursement requirements affected facilities’ bottom line which in turn promoted meaningful change to alter clinical outcomes and ensure quality of delivery of services.
Post 2
I am sure many of us who are in this class have nightmarish thoughts when the term “JHACO” is heard. Healthcare workers typically attempt to be off of work when JHACO tours, or hides in various nooks and crannies within the hospital. However, JHACO accreditation is associated with higher quality of care and a higher level of patient safety. It has been shown that there was significant improvements in regulatory compliance when medical centers become accredited (Alkhenizan & Shaw, 2011). To further support this, patients treated in accredited medical institutions receiver a higher amount of quality care when compare to those that were not (Alkhenizan & Shaw, 2011).
Due to the Joint Commissions enforcement of quality measures and ability to report their findings to governmental agencies, it is in their best interest, both publically and financially, to follow all of the quality measures set forth (Kobayashi, et al., 2021). 

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