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Is the Joint Commission enough for accrediting the health care organizations? Agila Elsaid   Professor: Cynthia Conrad Health Care Delivery  PA 642
What is the accreditation of the health care? “ a process whereby a professional association or nongovernmental agency grants recognition to a school or health care institution for demonstrated ability to meet predetermined criteria for established standards”  ,[object Object]
What is the Joint Commission? the  Joint Commission on Accreditation of Healthcare Organizations  is a private not-for- profit USA organization. The JCAHO operates accreditation programs for a fee to subscriber hospitals and healthcare organizations ,[object Object],[object Object]
How JCAHO works: ,[object Object],[object Object],Why hospitals seek accreditation :  ,[object Object],[object Object]
The cost of accreditation: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Literature Review:  ,[object Object]
Some of Criticism to the Joint Commission: ,[object Object],critics have attacked them for being too lenient. According to the Washington Post, the Joint Commission certifies nearly all hospitals that it inspects -- about 99 percent. 2. Controlled by one who regulate: Three-fourths of the seats on the board are occupied by corporate members from the health care industry. 3. Increase the health care cost: the Joint Commission takes in about $113 million in revenue each year, most of it deriving from the fees it charges hospitals. This cost ultimately gets passed on to patients in the form of higher fees, making health care less affordable.
The Joint Commission Response:  ,[object Object],[object Object],[object Object]
Are these changes actually improved the quality of the health services?  ,[object Object],[object Object]
Table shows the number and the type of the reported sentinel events from 1995 to 2009
Some stories which raise the question about the Joint Commission Accreditation: Gilbert M. Gaul Washington Post writer (July 25, 2005) wrote that “Norwalk Hospital in Connecticut won accreditation from the joint commission in May 2004. Less than a month later, state regulators reported numerous violations at the hospital. One patient received 10 times the prescribed dosage of a painkiller, according to state records. Another had his left testicle mistakenly removed. Still another, experiencing suicidal thoughts, was given a taxi token and told to find a treatment center. He hanged himself hours later, according to a November 2004 consent agreement between the hospital and state. Norwalk officials agreed to pay the state a $50,000 fine without admitting wrongdoing”.
Conclusion: the Joint Commission is doing a very good job specially in making a national and international health care standard, and it plays an important role in improving the quality of the health care. However, as everything in the world, it needs to reevaluate the whole system.  In my opinion, the Joint Commission must take some of the responsibility in pre-decided quality event that occur in the accredited organization such as paying part of the fine required due to this event.  Furthermore, it should take more serious decision against the sentinel events. And the federal government should take an action toward the Joint Commission in case of serious quality problem in any accredited organization.
References: Joint commission ,   March 15, 2010.   Facts about the Joint Commission . Retrieved from http://www.jointcommission.org/facts_about_the_joint_commission/ Allan Tobias , MD JD. (n.d).  Need JCAHO , Retrieved from  http://www.medicalaw.net/new_page_11.htm Kate Jackson ,   May 31, 2004,  Beyond JCAHO: There’s More Than One Path to Accreditation, For the Record,  Retrieved from  http://www.fortherecordmag.com/archives/ftr_053104p30.shtml Joint Commission International , (n.d),  Costs of Accreditation.  Retrieved from http://www.jointcommissioninternational.org/Cost-of-Accreditation/ Michael Wolfe ,   September 3, 2010,  Benefits & Disadvantages of the Joint Commission,  eHow, Retrieved from  http://www.ehow.com/list_6900079_benefits-disadvantages-joint-commission.html Liz Kowalczyk ,  March 17, 2007 ,  Surprise check faults MGH quality of care,  Boston Globe, Retrieved from http://www.allbusiness.com/health-care/health-care-facilities-nursing/11897140-1.html Quality Check  (2010)  Facts about Quality Check and Quality Reports,  Retrieved from  www.qualitycheck.org/help_qc_facts.aspx Health care quality news  (2009)  The Joint Commission updates sentinel event statistics,  Retrieved from http://www.hcqualitynews.com/home/2009/10/25/the-joint-commission-updates-sentinel-event-statistics.html  The Washington Post  (2005)  Accreditors Blamed for Overlooking Problems,  Retrieved from http://www.washingtonpost.com/wp-dyn/content/article/2005/07/24/AR2005072401023.html  Top of Form    
 

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Joint Commission

  • 1. Is the Joint Commission enough for accrediting the health care organizations? Agila Elsaid   Professor: Cynthia Conrad Health Care Delivery PA 642
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10. Table shows the number and the type of the reported sentinel events from 1995 to 2009
  • 11. Some stories which raise the question about the Joint Commission Accreditation: Gilbert M. Gaul Washington Post writer (July 25, 2005) wrote that “Norwalk Hospital in Connecticut won accreditation from the joint commission in May 2004. Less than a month later, state regulators reported numerous violations at the hospital. One patient received 10 times the prescribed dosage of a painkiller, according to state records. Another had his left testicle mistakenly removed. Still another, experiencing suicidal thoughts, was given a taxi token and told to find a treatment center. He hanged himself hours later, according to a November 2004 consent agreement between the hospital and state. Norwalk officials agreed to pay the state a $50,000 fine without admitting wrongdoing”.
  • 12. Conclusion: the Joint Commission is doing a very good job specially in making a national and international health care standard, and it plays an important role in improving the quality of the health care. However, as everything in the world, it needs to reevaluate the whole system. In my opinion, the Joint Commission must take some of the responsibility in pre-decided quality event that occur in the accredited organization such as paying part of the fine required due to this event. Furthermore, it should take more serious decision against the sentinel events. And the federal government should take an action toward the Joint Commission in case of serious quality problem in any accredited organization.
  • 13. References: Joint commission , March 15, 2010. Facts about the Joint Commission . Retrieved from http://www.jointcommission.org/facts_about_the_joint_commission/ Allan Tobias , MD JD. (n.d). Need JCAHO , Retrieved from http://www.medicalaw.net/new_page_11.htm Kate Jackson , May 31, 2004, Beyond JCAHO: There’s More Than One Path to Accreditation, For the Record, Retrieved from http://www.fortherecordmag.com/archives/ftr_053104p30.shtml Joint Commission International , (n.d), Costs of Accreditation. Retrieved from http://www.jointcommissioninternational.org/Cost-of-Accreditation/ Michael Wolfe , September 3, 2010, Benefits & Disadvantages of the Joint Commission, eHow, Retrieved from http://www.ehow.com/list_6900079_benefits-disadvantages-joint-commission.html Liz Kowalczyk , March 17, 2007 , Surprise check faults MGH quality of care, Boston Globe, Retrieved from http://www.allbusiness.com/health-care/health-care-facilities-nursing/11897140-1.html Quality Check (2010) Facts about Quality Check and Quality Reports, Retrieved from www.qualitycheck.org/help_qc_facts.aspx Health care quality news (2009) The Joint Commission updates sentinel event statistics, Retrieved from http://www.hcqualitynews.com/home/2009/10/25/the-joint-commission-updates-sentinel-event-statistics.html The Washington Post (2005) Accreditors Blamed for Overlooking Problems, Retrieved from http://www.washingtonpost.com/wp-dyn/content/article/2005/07/24/AR2005072401023.html Top of Form    
  • 14.