CASA 2014 Accreditation 4-1-1 Essentials of Joint Commission Accreditation Pamela Roark Field Representative, Ambulatory Care Program The Joint Commission.

Slides:

Advertisements

Similar presentations

2014 National Patient Safety Goals

Advertisements

An Imperative for Performance Improvement

MRSA: A Learning and Networking Session Program Overview July 30, 2007 Paula Griswold, Executive Director

Medical Center Hospital is a Joint Commission Accredited Organization.

Supervised by: Dr- Fatmah Baddar. 2 Health Care Service Accreditation Accreditation Accreditation is the process of assessing health institutions against.

© Copyright, The Joint Commission Quality Tools Available for Critical Access Hospitals December 16, :00-3:00pm CST.

Collaborative to Reduce Healthcare Associated Infections

We Support! The Joint Commission’s National Patient Safety Goals Healthcare Technology Foundation The Joint Commission 2015 National Patient.

[Hospital Name | Presenter name and title | Date of presentation]

Continuing Medical Education Program. The University of South Carolina School of Medicine-Palmetto Health Continuing Medical Education Organization The.

Introduction to JCAHO George Mason University College of Nursing and Health Science Regulatory Requirements for Health Systems Summer 2004 Used with Permission.

© Copyright, The Joint Commission 2013 National Patient Safety Goals.

by Joint Commission International (JCI)

Agency for Healthcare Research and Quality Advancing Excellence in Health Care HCAHPS: Update for Trustees Mary Therriault RN MS Senior Director,

Laura Strohmeyer RN, CGRN, CASC AmSurg Corp Dallas, Texas Texas ASCS 2013 Annual Meeting.

© Copyright, The Joint Commission Performance Improvement: Getting Started in Your ASC Dana Dunn RN, MBA, CNOR, CASC Certified Yellow Belt Field Representative,

JCAHO UPDATE June The Bureau of Primary Health Care is continuing to encourage Community Health Centers to be JCAHO accredited. JCAHO’s new focus.

Compliance and Quality Bringing It Together for Your Board Kristin Jenkins, J.D., FACHE October 2008.

Component 1: Introduction to Health Care and Public Health in the US Unit 6- Regulating Health Care Lecture a- Regulatory Agencies— JCAHO, FDA, AMA, &

Marianne Klaas, RN, MN, CHSP Swedish Medical Center Administrative Director Accreditation, Safety, Injury Management, and Clinical Patient Relations Contract.

The Role of the Joint Commission in Health Care Quality Dennis S. O’Leary, M.D. President Joint Commission on Accreditation of Healthcare Organizations.

Accreditation Jill Humes, BSN, RN, Vascular Access Manager Renal Intervention Center, L.L.C.

BENCHMARKING. Definition The process of establishing a standard of excellence and comparing your center’s business or clinical functioning to that standard.

PERFORMANCE IMPROVEMENT. Performance Improvement (PI) Guided by the Mission, Vision, and Goals of the Organization Responsibility of Everyone Data collection.

“Crosswalking” Hospitals for a Healthy Environment (H2E) & the Joint Commission for the Accreditation of Healthcare Organizations (JCAHO) Catherine Zimmer,

OPERATING ROOM DASHBOARD Virginia Chard, RN, BSN, CNOR

© Copyright, The Joint Commission Accreditation Panel – Your Success Factors from The Joint Commission Michael Kulczycki Executive Director Ambulatory.

© Copyright, The Joint Commission Integration: Behavioral and Primary Physical Health Care FAADA/FCMHC August, 2013 Diana Murray, RN, MSN Regional Account.

1 Elements Transforming the Delivery System Accountable Health Networks Receive payment for value not volume Drive quality and efficiency by providing.

Vermont Department of Banking, Insurance, Securities and Health Care Administration Act 53 of 2003 Hospital Community Reports Community Needs Assessments.

JCAHO Accreditation/Survey Process for Ambulatory Surgical Center (ASC) By F O HSCI 547 Fourth Assignment.

Mandatory Accreditation: Can We Afford It? AARC 51 st International Respiratory Congress Bob Floro, RRT, Associate Director Joint Commission December 3,

Health Care Quality & Safety February 26, 2013 Thomas E. Hamilton, Director Survey & Certification Group Centers for Medicare & Medicaid Services Essential.

The Joint Commission’s 2011 National Patient Safety Goals.

JCAHO The Joint Commission for Accreditation of Healthcare Organizations By K. Bufka, R. Jones, W. Mckinley & J. Ziemba.

Ongoing Professional Practice Evaluation Joel T. Patterson, MD University of Texas Medical Branch.

H AND H YGIENE Everyone is already at 100%, so why are we talking about this?!

The Joint Commission What You Need to Know. What is It? Joint Commission created in 1951 Non-profit organization dedicated to raising the level of safety.

Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 10Safety Concerns in Healthcare.

The Survey Process in 2011 Healthcare Engineering Consultants Typical Survey Activities in 2011 will Include:  Communication to hospital by JC liaison.

Copyright © 2006 Elsevier, Inc. All rights reserved Chapter 22 Quality Patient Care.

On-site Survey Debriefing CASA Child, Adolescent and Family Mental Health 21/10/ /10/2013.

The Joint Commission: November 2010 Department of Pediatrics National Naval Medical Center Bethesda, Maryland.

NATIONAL PATIENT SAFETY GOALS INTRODUCTION Mission Statement of the Joint Commission To continuously improve health care for the public, in collaboration.

1 Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 7 Health Care Regulatory and Certifying Agencies.

National Patient Safety Goals (NPSGs)

Ambulatory Surgery Centers NY Metro ASC Symposium October 15,

TCI –OPN/ GS Infusion Ctrs Staff Meeting. Reflection Purpose of the Meetings Communication Epic/Beacon “Post Go Live” Update on Pilot Program Paid Time.

Medical Center Hospital is a Joint Commission Accredited Organization.

We Support! The Joint Commission’s National Patient Safety Goals Healthcare Technology Foundation The Joint Commission 2014 National Patient.

Documentation Requirements for Hospital Accreditation -By Global Manager Group.

Introduction to JCI Standards &

Hospital Accreditation Documentation Process & Standard Requirements

CIS 170 MART Teaching Effectively/cis170mart.com FOR MORE CLASSES VISIT HCA 375 CART Inspiring Minds/hca375cart.com FOR MORE CLASSES.

CASA_2013 © Copyright, The Joint Commission Essentials of Joint Commission Accreditation for Surgery Centers September 12, 2013 Presented by: Dana McGrath,

QUALITY CARE/NPSG’S NUR 152 Week 16. OBJECTIVES Define quality improvement and the methods used in health care to ensure quality care. State understanding.

Agenda NACHC and Health Centers Health Systems Collaboration Models

The Joint Commission’s 2011 National Patient Safety Goals

The Joint Commission’s National Patient Safety Goals

STRATEGY MAP OBJECTIVES BALANCED SCORECARD ACTIONS MEASUREMENT TARGET

Development Policies and Procedures Manual

2017 National Patient Safety Goals

The Joint Commission’s National Patient Safety Goals

ايمني بيمار PATIENT SAFETY حق بيمار و مسئوليت ما

ايمني بيمار PATIENT SAFETY حق بيمار و مسئوليت ما

President and CEO, Joint Commission Resources

Quality Tools Available for Critical Access Hospitals

Free-Standing Emergency Center (FSEC) Accreditation Program

Presentation transcript:

CASA 2014 Accreditation Essentials of Joint Commission Accreditation Pamela Roark Field Representative, Ambulatory Care Program The Joint Commission

The Joint Commission’s Mission To continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value.

Agenda Purpose of Accreditation Standards Applicability Grid for ASCs Deemed Status Survey Standards Changes for ASCs 2014 The most challenging standards for ASCs Burning Questions…..Q&A

Purpose of Accreditation Continually enhance safety and quality of care Reinforce risk management efforts Validate quality of care; engage staff and patients Meet CMS requirements or gain initial Medicare certification Possible discounts on liability insurance

The Joint Commission Ambulatory Surgery Center (ASC) Accreditation Accrediting U.S. healthcare services since 1951… Ambulatory centers, including ASCs, since Joint Commission accreditation helps you demonstrate practice safety, patient safety, quality of care Increases practice efficiency, reduces risk Joint Commission Gold Seal of Approval™ enhances your competitive edge

The Joint Commission Ambulatory Surgery Center (ASC) Accreditation Scheduling & customer service from exclusive Ambulatory team Fully electronic format – from application to post-survey steps Defined, fixed pricing – include all costs, billed over three-years Currently accredit over 600 ASC practices in the U.S.

Ambulatory Care Applicability Grid

CMS “Deemed” Status

Additional Requirements “Deemed Status” Organizations Unannounced survey Life Safety Code applicable CFC Conditions for Coverage Minimum number records/files reviewed – Closed Medical Records – All hospital transfers for past 12 months – Credentials and Privileging Files Infection prevention and control audit

Standards Changes for “Deemed Status” New EPs developed to fully align with CfCs (Changes effective August 25, 2014) – Leadership (LD EP 22) – Leadership (LD EP 10) – Leadership (LD EP 19) – Leadership (LD EP 26) – Performance Improvement (PI EP 12)

Changes for Ambulatory Care Single observation C Elements of Performance included in new section of Report under “Opportunities for Improvement” Open, accepted Plan for Improvements (PFIs) from SOC included in new section of Report Additional action for Life Safety Code equivalencies

Most Challenging Standards for First Half 2014…..

Available Accreditation Resources Perspectives The Source EC News Perspectives on Patient Safety Journal of Quality and Safety Leading Practice Library Jointcommission.org CAMAC Manuals Survey Activity Guide (SAG) Standards Interpretation Group (SIG) Sentinel Event Alerts Standards BoosterPaks

Joint Commission Center for Transforming Healthcare Targeted Solutions Tools (TST) and Projects relevant to ASCs – Hand Hygiene – Hand-off Communications – Wrong Site Surgery – Surgical Site Infections – Safety Culture – Preventing Falls With Injury

Burning Questions??

For More Information Michael Kulczycki, Executive Director, / Mike Dye, Senior Associate director, / (Initial point-of-contact for all incoming inquiries) Jacqueline Franklin, Coordinator, /