So, although Joint Commission accreditation is not mandatory, many healthcare organizations apply for accreditation in order to prove they meet the standards required to receive payments from the federally funded programs. Therefore, organizations pursuing accreditation and those wishing to maintain accredited status need to be permanently prepared for a surprise visit. In this blog, we share five tips to help healthcare organizations pass accreditation surveys.
For example, if a laboratory has applied for Joint Commission accreditation, the inspection is carried out by a certified and experienced laboratory medical technologist. The environments in which the patients are cared for are also inspected to ensure compliance. Repeat surveys take place at month intervals, but healthcare organizations are not warned in advance when they will take place — hence the importance of always being prepared for a successful Joint Commission accreditation survey.
Reset Your Password Username or Email. New to HospitalRecruiting. Get Started Create My Account. Sample questions may include: Describe the process you follow when conducting the assessment for a new patient. What pain assessment tools do you use for initial assessment and re-assessment? How often is pain re-assessed?
If a patient were to have a latex allergy, where would this be noted? How would it be communicated to other disciplines? How are patients screened for possible abuse for example, elder, child, domestic violence, etc. What resources are available to you? How do you educate patients? Since then, it has grown to be the largest accreditation commission in the United States. The Joint Commission consists of a member Board of Commissioners that include health care providers, educators and advocates.
The commission employs over surveyors dedicated to improving the quality of patient care. A major objective of the Joint Commission is to continually improve and enhance the quality and safety of healthcare delivery in the United States.
Towards this end, the Joint Commission makes a concerted, consistent effort to engage patients in issues associated with improving the quality and safety of healthcare delivery across the country. For example, JCAHO has focused intensely on the matter of infections that arise in healthcare settings, including surgical site infections and multidrug-resistant or MRSA infections. The Joint Commission has grown to include accreditation and safety protocols to improve patient safety in a wide range of healthcare settings.
Hospitals, of course, are the original focus but over the years the Joint Commission has expanded their focus to include surgical centers, pharmacies, nursing home and long-term care facilities, ambulatory health care centers, assisted living communities, behavioral health and human resource facilities, laboratories and many more. They have work continuously to improve safety protocols and have developed many specific practice area certifications.
Education is also an important function of the commission. Standards are constantly evolving with input by the Board of Commissioners and feedback from healthcare providers, the latest scientific literature, government agencies and consumers all with the goal of improving health care quality.
These standards are designed to help organizations assess, measure, and improve performance. Standards provide a method for surveying an organization and set expectations for organizations to achieve performance goals.
The Joint Commission also provides a certification process for programs and services within the organization. These certifications are program or treatment area specific. The benefits of certification include reduction in clinical process variations to improves patient care and a structural and management framework for the program. This visit is called a survey. All regular Joint Commission accreditation surveys are unannounced. Joint Commission surveyors are highly trained experts who are doctors, nurses, hospital administrators, laboratory medical technologists, and other health care professionals.
During the survey, surveyors select patients randomly and use their medical records as a roadmap to evaluate standards compliance. Surveyors also observe doctors and nurses providing care, and often speak to the patients themselves. Joint Commission accreditation does not begin and end with the on-site survey.
It is a continuous process. Every three months, hospitals submit data to the Joint Commission on how they treat conditions such as heart attack care and pneumonia — data that is available to the public and updated quarterly on qualitycheck.
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