Over the years, JCAHO has established hundreds of standards, with categories, or chapters, ranging from Document and Process Control (DC), to Infection Prevention and Control (IC), to Medication Management (MM), and many more. Together they are aimed at holding healthcare facilities responsible for high-quality care. These standards are all focused on setting hospital performance expectations that are reasonable, achievable, and surveyable. The Joint Commission performs on-site surveys once every three years, but hospitals must also perform annual self-assessments. In addition, they establish standards for safe, effective, and comprehensive patient care. They also employ approximately 1,000 people in its surveyor force.Īll of these people work together to influence national healthcare policy, funding priorities, performance measurement, and future legislation. It is governed by a 21-member Board of Commissioners that includes physicians, administrators, nurses, employers, quality experts, a consumer advocate and educators. The Joint Commission is an accreditation body that focuses on quality care for the American public through a voluntary and independent evaluation process. In the United States, nearly 23,000 health care organizations are evaluated and accredited through the Joint Commission, one of the few accreditation organizations accepted by the Centers for Medicare and Medicaid Services (CMS).Īt A P Fire we will help you understand and tackle JCAHO and the standards it uses to determine fire safety in hospitals – large and small. However, each of them goes about determining that in their own way, with a different set of standards. This means they can determine which healthcare facilities meet Medicare and Medicaid certification requirements. While they can display this in their day-to-day operations, most choose to take things a step further by earning accreditation from The Joint Commission (JCAHO) or another accrediting organization.Īccrediting organizations have applied for and received “deeming authority” from the Centers for Medicaid and Medicare Services (CMS). The resources available in this toolkit include tactics to proactively minimize risks to patients, staff and visitors from known hazards or risks that may exist in the physical environment or activities connected to its operations and/or properties.It’s important for hospitals to demonstrate their dedication to safe, effective, and comprehensive patient care. Having standardized, hardwired best practices and processes in place can decrease environment of care risks and help your organization remain prepared for a regulatory survey. Environmental risks occur in many areas, including safety and security, fire, infection control, hazardous materials and waste management, medical equipment management and utility systems management. Patient, staff, visitors and anyone else who enters the organization, all of whom have a role in minimizing risks.Īny healthcare organization, regardless of its size or location, faces risks in the environment of care area. The building or space, including how it is arranged and specific features to protect patients, staff and visitors.Įquipment used to support quality patient care or to safely operate the building or space. The environment of care in a healthcare organization consists of three elements:
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