Joint Commission

The role of accreditation in the hospital setting. The history of the Joint Commission on Accreditation of Hospitals is a story of the health professions’ commitment to patient care of high quality in the 20th century. According to Dr. Ernest Codman, founder of the accreditation system, which would enable hospitals to track every patient it treat long enough to determine whether or not the treatment was effective. If not, the hospital would figure out how to prevent similar failures in the future

participation requirements– the Joint Commission, the American Osteopathic Association (AOA), or the state certification agencies [1]. More than 80% hospitals in the country voluntarily use the Joint Commission for accreditation purposes. Majority of US hospitals use Joint Commission because it has deemed status from CMS

The Similarities between the joint commission and DVN are: Both the DNV and Joint Commission are organizations that conduct inspections and accreditations. Accreditations have an impact on the way hospitals operate only because a hospital makes critical decisions of how it treats diseases, assigns clinical staffing and stores its medications. The DNV and the Joint Commission have the same goals and that is to provide the safest, highest-quality care possible to the patients. When it comes to cost

Executive Summary Joint Commission Standards Compliance Prepared by: AK- Joint Commission Priority Focus Area: Communication RAFT Task 1 The Joint Commission Priority Focus area for Nightnigale included the four areas: • • • • Information Management Medication Management Infection Control Communication All these priorities focus on the national patients safety goal as the most important in patient management and treatment, and guide the hospitals toward appropriate policies and protocols

Joint Commission- National Patient Safety Goals Kathy Linkous University of West Florida Joint Commission- National Patient Safety Goals The Joint Commission focuses on certain goals each year. For patient safety and positive outcomes, hospitals are required to follow certain standards. National Patient Safety Goals were established in 2002 to help identify areas of concern with patient safety. This group is made up by a panel of experts including nurses, doctors, pharmacists and many other

13 months away from our next Joint Commission inspection. Although the overall state of compliance for the organization is good, there are several areas that have been identified as “Priority Focus Areas” due to a past history of nonconformities. All these areas are related to Information Management and Record of Care, Treatment, and Services, in particular:  A utilization of standardized terminology, definitions and abbreviations, as described in Joint Commission Accreditation Standard IM.02

Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Introduction JCAHO is an abbreviation for Joint Commission on Accreditation of Healthcare Organizations is a non-for-profit organization that seeks to continuously improve the safety and quality of care provided to the public through the provision of health care accreditation and related services that support performance improvement in health care organizations. It is an organization made up of individuals from the private medical

13 months away from our next Joint Commission inspection. Although the overall state of compliance for the organization is good, there are several areas that have been identified as “Priority Focus Areas” due to a past history of nonconformities. All these areas are related to Information Management and Record of Care, Treatment, and Services, in particular:  A utilization of standardized terminology, definitions and abbreviations, as described in Joint Commission Accreditation Standard IM.02

• Which organization(s) accredit this facility: Joint Commission International, Centers for Medicare and Medicaid Services (CMS), Lab is accredited by College of American Pathologist (CAP) (K.E., personal communication, 2016). • What community outreach/activities does this facility sponsor or support: Ladies night out, Breast Cancer; Survivor’s Day once a year; Mission Arlington, Arlington Night Shelter, Cuisine for Healing, Health Fairs with city of Arlington and senior centers (K.E., personal

commission survey as one of the resources to fixe irregularity. Joint commission tools will help the clinic keep up with updates, alerts, and information for improvement efforts. Quality and safety are Six Sigma and Joint commission main focus. Literature findings are very informative, but they should also provide strategies for health care providers’ motivation. Further, there are many aspects of improvement and quality care that go with safety. I will discuss with consumers and providers then