Lecture 3 JTC and JCAHO

JTC

the joint commission

JCAHO

joint commission accreditation of healthcare organizations

JTC/JACHO is the oldest and largest…

standards-setting & accrediting body in US health care

JTC/JACHO is governed by

21-member Board of Commissioners including physicians, administrators, nurses, employers, quality experts, educators & a consumer advocate

what year did the formation of the American college surgeons occur in

1913

what year was the hospital Standardization Program founded

1918

in 1951, what happened lol

JCAH Joint Commission on Accreditation of Hospitals was formed

which came first JCAHO (Chicken) or TJC (the egg)

JCAHO

mission of JTC/JACHO

Continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations & inspiring them to excel in providing safe & effective care of the highest quality & value

vision of JTC/JACHO

All people always experience the safest, highest quality, best-value health care across all settings

TJC accredits which organizations

Hospitals

Home Care

Nursing Care Centers

Behavioral Health Care

Ambulatory Care

Laboratory services

JTC accreditation helps organizations to receive funding from

CMS

JTC accreditation helps organizations to

organize and strengthen patient safety efforts

JTC accreditation helps organizations strengthen the communities confidence in…

quality & safety of care, treatment & services

JTC accreditation helps organizations have a _____ in the market place

competitive edge

JTC accreditation helps organizations improve their

risk management & risk reduction

JTC accreditation helps organizations to reduce thier

liability insurance costs

JTC accreditation helps organizations by providing

education to improve business operations

professional advice & counsel, enhancing staff education

customized intensive review

site visit

evaluate an organizations commitment to implementing and maintaining standards set by TJC

how often do site visits occur

every 3 years

how often do site visits occur for labs

every 2 years

institutions are required to use ____ and ____ to achieve the NPSGS

do not use list

universal protocol

do not use list

Compilation of medical abbreviations that have been identified as the most likely sources of error found when orders are either miswritten or misinterpreted (or both)

universal protocol

Developed by The Joint Commission to prevent “wrong site, wrong person, wrong procedure” surgery

programs that must be used to get accreditation

1994 medication use evaluation

1995 made pharmaceutical care planning a requirement

TJC assesses the outcomes of its core measures which allows the public to

compare core measurement activity from one institution to another

performance measures are evaluated based on the

therapeutic outcomes