Joint Commission

patients receive discharged medications instructions. Nursing staff educates patients on the importance of managing medications currently ordered from the discharge list. In compliance with Joint Commission, Nightingale staff ensures that the alarm system in proper working condition. According to Joint Commission, “Identify the most important alarm signals to manage, based on the following: - Input from the medical staff and clinical departments - Risk to patients if the alarm signal is not attended

patients can always be assured of having unsurpassed healing and care services in the hospital. In line with its mission to provide and assure patients of its commitment to the provision excellent care and services to its patients, N.C.H gets the joint commission periodically to come in and rate all

performance on a consistent basis to ensure compliance with Joint Commission standards. A PPR concentrates attention on procedures, methods, and processes that contribute an environment that provides for proper care and emphasizes patient safety. NCH has shown to be 100% compliant with the majority of standards including: Infection Prevention and Control, Right and Responsibilities to Patients, Human Resources, Transplant

Executive Summary - Infection Control and Prevention Current Compliance Status for Joint Commission Accreditation Nightingale Community Hospital is committed to providing healthcare excellence, a healing environment and to be the choice for patient care. In order to continue to provide quality healthcare services in accordance with our values of safety, community, teamwork, and accountability Joint Commission Accreditation provides guidelines and standards for the Priority Focus Areas (PFA)

to discuss the Joint Commission findings, to present a business case for why there needs to be an improvement plan in place and to gain full buy-in and support from each of the involved department leaders. In the ongoing facilitation of the development of an improvement plan, meetings were set for bio-weekly to share findings and update doing baseline data collections and investigation. After extensive investigation of the contributing factors for repeat tri-annual Joint Commission negative findings

such as, “resume pre-op medication.” The use of this “resume pre-op medication” has been prohibited by the Joint Commission due to the many complications it can produce including increasing the chances of adverse effects. Furthermore, it has been discovered that most discharged patients have been found to have insufficient knowledge regarding their medications upon returning home (Joint Commission, 2006). Medical reconciliation provides the patient with crucial information regarding the dosage, route

The Joint Commission is a self-governing, nonprofitmaking organization that accredits and certifies over 21, 000 health care organizations, hospital, and programs in the United States. The body was formed in 1951. Since its creation, the organization has been working relentlessly to augment healthcare for the people of U.S. and have continued inspiring healthcare organizations with an aim to promote and advocate for quality as well as value in the healthcare ("About The Joint Commission | Joint Commission

Unit Nurse Managers, wanted procedural sedation cases to be scheduled with the Physicians completing the pre-sedation checklist prior to procedure per The Joint Commission standards. They wanted a less time consuming process for documentation per procedure and to have adequate learning modules. Requested a system that will allow them to better track procedures and RN competencies within their departments. Frontline staff RNs, stated that they wanted less time consuming user-friendly system with

important because it allows organizations such as the government to determine whether or not an institution meets or exceeds minimum standards relating to the quality of care. The main organization in charge of overseeing these standards is the Joint Commission. Here it is their job to help organize and strengthen patient safety efforts, strengthen the quality and safety of care, provide improvement to business operations, and most importantly, accredit these health care organizations in order for them

Discuss the current compliance status of the healthcare facility. Nightingale Community Hospital is compliant with The Joint Commission standards except the following areas: Accreditation function of environment of care and life safety, it was documented that more than 3 smoke wall penetrations were found on the 1st floor and one on the 4th floor. The hospital is to minimize the potential for harm from fire, and smoke (TJC, 2013). A review of documentation showed appropriate ILSM was not initiated