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22 Cards in this Set
- Front
- Back
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What is the Joint Commission mission
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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
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Significance of Ernest Codman, M.D.
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In 1910 he proposed the "end result system of hospital standardization"
He started to look at the problems with hospitals at the time |
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When was JCAH founded
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1951
Beginning of Joint Commission |
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What organizations came together for form JCAH
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American College of Physicians (ACP)
AHA AMA Canadian Medical Association (CMA) American College of Surgeons (ACS) |
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What does JCAH stand for
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Joint Commission of Accreditation of Hospitals--an independent, non-profit organization whose primary purpose is to provide voluntary accreditation
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Why is approval by Joint Commission so important
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If you dont have accrediation approval by JCAH you wont get reimbursed by medicare
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When did the ACS officially transfer its Hospital Standardization Program to JCAH
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1952--began offering accreditation to hospitals in Jan 1953
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What was significant in the history of Joint Commission in 1965
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SS amendments of 1965 with provision that hospitals accredited by JCAH are deemed to be in compliance with most of the Medicare conditions of participation for Hospitals and, thus, able to participate in the Medicare & Medicaid programs
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What occurred in 1987
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JCAH to JCAHO--went from accrediting only hospitals to other organizations
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What is a Sentinel events
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Any life threatening event--emergency like wrong drug dosage, fire, rape, kidnap, incorrect surgery
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Describe the Sentinel events policy for self reporting of medical errors
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Deals with creating a situation in which any part of the staff can step up & report medical errors by challenging the physician
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About how many hospitals/programs participate in JCAHO
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18,000
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Main job of JCAHO
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Evaluates an organizations compliance with state of the art standards
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How often does JCAHO do an onsite survey
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JCAHO's Gold Seal of approval requires onsite survey every 3 yrs
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What is the Board of Commissioners
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29 members of diverse experience that run JCAHO
Physicians, administrators, lawyers, healthplan leaders, ethicists, nurses, labor representatives, quality experts, educators, & consumer advocates |
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What organization does JCAHO work with
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Government
Allows JCAHO to interface with congress on a regular basis to make changes & laws to improve quality of Healthcare |
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What types of organizations does JCAHO provide evaluation and accreditation services for
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1. General, psychiatric, children's, and rehabilitation hospitals
2. Critical Access Hospitals-- specific small community hospitals that is only one citizens have access too 3. Medical equipment experts, hospice services and other home care organizations 4. Nursing homes and LTC Facilities 5. Behavioral health care organizations & addiction services 6. Rehabilitation centers, group practices, office-based surgeries, and other ambulatory care providers 7. Independent of freestanding laboratories |
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How surveyors does JCAHO have that do onsite evaluations
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1,800
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What resources does JCAHO provide to assist organizations
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ORYX-- outcome measurements
-Organizations can choose to elect to get this; have to pay extra $ Joint Commission Resources-- affiliate to help organizations, education, consulting -Have strict policies on sharing info--kept confidential between JC & JCR-- Joint Commission Resources can't tell Joint Commission where your organization had flaws? |
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Describe what the outcome measures like ORYX do?
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Help determine which individual PTs/therapists are best with pt getting better quicker
Were heading toward having these outcome measures for reimbursement FOTO is another outcome measure used by OhioHealth |
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Describe the benefits of have accreditation and certification by JC
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1. Strengthens community confidence in the quality and safety of care, treatment, & services
2. Provides competitive edge in the marketplace 3. Improves risk management and risk reduction 4. Provides education of good practices to improve business operations 5. Provides professional advice and counsel, enhancing staff education 6. Enhances staff recruitment and development 7. Recognized by select insurers and other third parties 8. May fulfill regulatory requirements in select states |
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What is the Standards and performance measurement
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Standards address organizations' level of performance in key functional areas such as:
-Patient Rights (should know where these are in you're facility) -Patient Treatment -Infection control |
