The Joint Commission recently made a visit to Northwest Community Hospital (NCH), bringing with it a team of certified surveyors who performed a rigorous evaluation of NCH’s facilities, technologies, safety measures and patient care processes. The Joint Commission’s on-site survey – conducted every three years – is a critical step in the accreditation process for medical facilities seeking to earn or maintain the Gold Seal of Approval™.
Both the Hospital setting and NCH Home Healthcare program were evaluated by the Joint Commission for compliance with standards of care, infection prevention and control, leadership, and medication management. According to Cindy Dougherty, director of Quality Measurement & Improvement at NCH, the on-site visit was an overall success.
“The surveyors were thoroughly impressed with the high level of care and collaboration seen among clinicians and doctors in the patient care settings,” says Dougherty. “We want to especially thank the medical staff for their time, expertise and support throughout the entire accreditation process. A job well done!”
Opportunities for Improvement
While the Hospital left a good impression with the Joint Commission, the survey revealed specific areas in which improvements could be made. In an effort to achieve and/or exceed compliance measures set forth by the Joint Commission and the Centers for Medicare and Medicaid Services (CMS), please take note of the following updates and reminders:
“The Joint Commission surveyors reminded us that the site visit, in part, is intended to inspire the Hospital through its journey in quality,” says Dougherty. “By addressing these areas of need, our goal is to raise quality performance at NCH, ultimately impacting patient care and creating an even better environment for doctors to practice.”