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Expect a lot of interaction with unit staff but no control over where surveyors go or who they talk to. Thats what quality managers who participated in the pilot surveys for the Joint Commission
on Accreditation of Healthcare Organizations Shared Visions New Pathways process are saying.
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Perhaps the hardest thing to get used to about the Joint Commission on Accreditation of Healthcare Organizations new survey process is the lack of any set agenda, says Helena Feather, vice president of compliance and health information at Trident Health System in Charleston, SC.
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Some of the key aspects of the Joint Commission on Accreditation of Healthcare Organizations 2005 infection control standards are summarized here:
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Its a frequent tactic of physicians: claiming that quality data are imperfect, invalid, or otherwise misleading. When physicians are not acting on proven data, the quality manager has to stand up to the physicians and protect the integrity of the data, says Frederick P. Meyerhoefer, MD, principal of the Canton, OH-based Meyerhoefer Organization, a consulting firm that specializes in compliance with Joint Commission on Accreditation of Healthcare Organizations standards.
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Discharge planners at some facilities apparently are either unaware of -or are ignoring - a federal requirement that hospitals offer patients a choice of home care providers and that they tell patients when there is a financial interest between the hospital and an agency to which the patient is being referred.
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As hospital discharge planners and case managers struggle to place patients with complex care needs in skilled nursing facility (SNF) beds amidst the challenges of the prospective payment system (PPS), many are keeping their heads above water with a mix of timely planning, community collaboration, and creative thinking.
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The Joint Commission on Accreditation of Healthcare Organizations has issued new infection control standards for 2005, emphasizing at a conference in Chicago that hospital executives not quality managers or infection control practitioners are going to have to take ultimate responsibility for enacting them.
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Health care organizations have been improving processes for years. Recently, however, the Joint Commission on Accreditation of Healthcare Organizations mandated that organizations use a proactive risk assessment technique failure mode and effect analysis (FMEA) to improve the safety of patient care activities.
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The Partnership for Human Research Protection recently announced the approval of final standards for a new accreditation program to safeguard the interests of human subjects participating in research efforts.
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As quality improvement professionals tackle the Joint Commission on Accreditation of Healthcare Organizations patient safety goals, one of the goals is proving to be more challenging and confounding than the others.
