Accreditation affords many benefits for hospitals (Accreditation Guide, 2013). One of the most important accreditations comes from the Joint Commission. Joint Commission accreditation leads to national recognition of a hospital’s standards for excellence in healthcare, fulfills state licensing requirements, and can help the facility to positively influence its managed care contracts. Obtaining accreditation is not an easy task; the HIM department alone must submit a lengthy list of documents for review by a surveyor. Some of these documents include performance improvement data no older than twelve months, high-risk process analysis, an infection control plan, organizational charts, facility maps, ORYX data, and medical record delinquency data.
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It is the task of the readiness team to review the Comprehensive Accreditation Manual for Hospitals, the current standards and expectations listed on the Joint Commission website, and then conduct self-assessments of the facility in order to find which areas or departments require improvements. At this point, the readiness team could consult a Joint Commission affiliate for seminars and further education on facility
It is the task of the readiness team to review the Comprehensive Accreditation Manual for Hospitals, the current standards and expectations listed on the Joint Commission website, and then conduct self-assessments of the facility in order to find which areas or departments require improvements. At this point, the readiness team could consult a Joint Commission affiliate for seminars and further education on facility