The Joint Commission

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The standards of the Joint Commission are a foundation for an objective evaluation process the may help healthcare organizations measure, assess and improve performance. These standards are focused on organizational functions that are key for providing safe high quality care services. The Joint Commission’s standards set goal expectations of reasonable, achievable and surveyable performance of an organization. Only new standards that are relative to patient safety or care quality, have positive impact on healthcare outcomes, and can be accurately measured are added. Input from healthcare professionals, providers, experts, consumers and government agencies develop these standards.
The survey process is designed to be unique to each
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The survey team will present a preliminary Summary of Survey findings Report at the exit conference. In that report, the organization does not receive scores or decisions. The final decision is made after the Joint Commission receives and approves the organizations Evidence of Standards Compliance submission. The decision categories for accreditation as of January 2011 are as follows:
Preliminary Accreditation
Accreditation
Accreditation with Follow-up Survey
Contingent Accreditation, Preliminary Denial of Accreditation
Denial of Accreditation
“An organization’s accreditation cycle is continuous, as long as the organization has a full, unannounced survey within 39 months of its last survey, and continues to meet all accreditation-related requirements, including, but not limited to, submission of an annual periodic performance review, and an annual subscription payment. The PPR is an additional requirement of the accreditation process in which an organization reviews its compliance with all applicable Joint Commission standards and completes and submits to the Joint Commission a plan of action for any standard not in full compliance. The plan of action also includes Measures of Success. The PPR facilitates a continuous accreditation process by incorporating an additional form of evaluation.”
St Francis Hospital in Shakopee