Hospital Standardization Report

The NSF and NICE create a means by which NHS trusts ensure the provision of quality standards by making NHS employees accountable for setting, maintaining and monitoring standards of care (DoH 1997). The National Institute for clinical excellence was founded in 1999 and consists of a number of specialized organisations: the NHS centre for reviews and dissemination, national prescribing agency, medical devices agency and institutes of public health. All aimed at creating and maintaining national standards through effective management and cost effectiveness, through audits and reviews of health policies. The commission for health improvement (CHI) aims to monitor the delivery of these standards provided by NICE and NSF through national surveys of the patients experience (Freedom D, 2002). This commission (CHI) sets out to review all NHS trusts including community care. Each NHS trust will be visited over three to four years and be reviewed to decide whether or not national standards are being met and NICE guidelines are being adhered to.

Health care organizations generally volunteer to seek accreditations from the Joint Commission by allowing expert surveyors evaluate their facility. The surveyors are made up of a multi-disciplinary team that spends an average of two days inspecting health care facilities. The purpose for the inspection is to evaluate a health care facilities standards, staff, regulations, policies and procedures, and quality improvement, and performance measurement. The Joint Commission surveyors generally look to see if the organizations governing board is taking part in ensuring that the facilities has facilitated safety and quality assurance program.

The third long-term goal of a health care organization like a hospital is remain compliant and achieve and maintain accreditation. This can be achieved through other long and short-term goals. If the short-term goals of self-assessments, education, and implementation of quality improvement processes are put into place, the organization can be successful with their quality management program. Upper-level management will need to address this success and work to ensure that the policies and procedures put into place are maintained.

In order for a hospital to be eligible for reimbursement through Medicare, they have to show that they are compliant by way of the Conditions of Participation. One way to show this is by getting an accreditation through The Joint Commission who meets the Medicare Condition of Participation standards. (La Tour, 2013).

The surveys are meant to be specific and consistent and are not just used to evaluate the organizations for improvement but are also to educate in the best practice standards adopted throughout health care and to help staff in ways to continually improve an organizations performance. For this purpose, in 1996 the Quality Check website was launched to help the Joint Commission provide information regarding the performance of accredited organizations to consumers and organizations. Users are able to search for accredited or certified organizations; they can locate organizations by either type of service or geographical area and lists of certified organizations as well as a hospital’s performance measures can be obtained.

Since it’s founding in 1951, The Joint Commission has set standards and completed evaluations and accreditations for over 20,000 health facilities. Though not a government agency,The Joint Commission has a great level of authority in the field of healthcare and approval from the organization is often required by local health departments and CMS. Receiving the Commission’s seal of approval also goes a long way with potential clients familiar with the high standard of

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," 2016). Joint Commission creates performance standards for certification and accreditation programs that healthcare organizations and hospital facilities are demanded to pass to get accreditation from the body. These standards are

The Joint Commission accredited Holy Cross hospital and Shady Grove’s, and the scores given based on quality improvement goals/measures in these areas:

“While accreditation is technically a voluntary process, through which accrediting bodies like The Joint Commission visit a facility to perform quality and process checks, it is also relied upon by state agencies in all fifty states in lieu of specific state licensure requirements (Hay, n.d.).” All organizations must meet certain standards in order to even open its doors. It is very important for healthcare organizations to be accredited by someone. The Joint Commission is the most popular and well known. Facilities that are accredited by someone other than The Joint Commission many not give the highest care which leads to more readmissions costing more. “In a retrospective analysis at 24 accredited trauma centers in the United States, accreditation was significantly associated with higher survival rates for patients presenting with six types of trauma injuries (Alkhenizan,

The Joint Commision (a not-for-profit) is known as a symbol of quality for performance standard in hospitals and organization in the United States. Their purpose is to accredit and certify that nearly 21,000 health care organization are providing safe and effective care. If a hospital or organization chooses to maintain their accreditation they are provided with a manual which includes a list of chapters such as, the environment of care, leadership, provision of care, treatment and services, life safety, and information management. In each chapter, it describes specific standards/requirements that must be met to maintain compliance. The Joint Commission also addresses health record documentation standards and elements that include, legibility,

"With Joint Commission certification, we are making a significant investment in quality on a day-to-day basis from the top down. Joint Commission accreditation provides us a framework to take our organization to the next level and helps create a culture of excellence,” said Winnie Cullens, Accreditation Coordinator. “This is our fourth Joint Commission certification for our organization, and it shows that we are committed to maintaining excellence and continually improving the care we provide.”

Accreditation provides a competitive advantage in the health care industry and strengthens community confidence in safety of care and treatment. Accredited hospitals provide higher quality of care to patients. It improves risk management and risk reduction and helps in organizing and strengthens patient safety efforts. It enhances recruitment and staff education and provides education on god practices to improve healthcare operations. The paper discusses how The Joint Commission assists in having better outcomes in terms of safety in Western Medical Center Hospital. In today’s society, every health care organization should provide a proof of accreditation and are subject to a three-year accreditation cycle. The Commission develops performance standards that address some of the important elements of operation, such as patient care, infection control, medication safety, and patient rights.

The Joint Commission is a nonprofit organization that certifies more than 18,000 health care organization and programs throughout the world. Founded in 1951, the Joint Commission provides a national symbol of quality for health care as well as analyzes each organization’s commitment to meeting high quality performance standards. The Joint commission focuses on accrediting Acute Care Hospitals, ambulatory, behavior health, long term care, health care facilities, clinical laboratories, health care networks and hospice. Numerous of accreditation organization is also taking place within the United States, but the Joint commission remains the largest The Joint commission accredits 20,000 organization” which” one third are Hospitals.

The Joint Commission is an accrediting agency that evaluates the services provided by health institutions and recognize that after their assessments meet all requirements. This visit is requested by the institution and after being accredited are visited every three years. “The Joint Commission is working to align and improve how accreditation and certification work together to enhance their value to organizations” (Horn, 2012, p.243). It is a prestige by being accredited by the Joint Commission. The hospital institution is evaluated in all aspects evaluated from the triage is performed in the ER, permits, documentation, security, administration of drugs, surgical procedures, to infection control and other aspects that are related to the safety

The Joint Commission is currently the leader in creating and implementing the greatest standards for safety and quality in health care delivery and organizational performance evaluation. Currently, a majority of healthcare organizations use the standards developed by the JC as a guide for how to manage care and improve quality and safety standards. Due to this reputation, the Joint Commission is the only accrediting establishment with the abilities to appraise healthcare organizations. Accreditation is an acknowledgement of proficiency and compliance that can be given to an entire healthcare organization. This includes nursing homes, hospitals, home healthcare providers, and outpatient surgery establishments. Certification on the other hand