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If the thought of The Joint Commission surveying you on your environment of care or building safety makes you squirm, you're not the only one. And there's good reason.
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Clutter. It's a huge problem. "It's probably the second most scored standard," says Kurt Patton, MS, RPh, CEO of Patton Healthcare Consulting in Glendale, AZ, and former executive director of accreditation services at The Joint Commission.
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In its latest sentinel event alert, issued Nov. 17, The Joint Commission calls attentions to preventing suicide risks in the emergency department and medical/surgical unit and recommends educating clinicians, noting that many of these suicides are committed by patients who had no prior psychiatric history.
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In the first part of this four-part series, we introduced the four basic elements of clinical privileging:
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If you're not using your patient satisfaction data to develop process improvement projects, you're missing a chance to improve patient care, says Quint Studer, CEO of Studer Group, a health care consulting firm based in Gulf Breeze, FL.
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While you wish that no patient ever had to wait in any registration area, that's not realistic due to patient volumes and other factors beyond the control of your department.
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"We look at a variety of things as most departments do, but I think we're trying to collect some data that there aren't good benchmarks for and can have significant variability from institution to institution or at least trying to look at our [department] numbers... to compare ourselves to our colleagues here at the hospital.
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"The good news is, I see hospitals all over the country, and a lot of them are doing a dramatically better job in disclosures.
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(Editor's note: In this issue, we will deal with determination of the scope of services that an organization decides to provide. Future issues will deal with steps 2-4 of privileging.)
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Before Crozer-Chester Medical Center (PA) engaged in a four-year study to eliminate incidents of ventilator-associated pneumonia (VAP) from its surgical unit, the medical director of Crozer Regional Trauma Center, Riad Cachecho, MD, MBA, FACS, admits he was a naysayer.
