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Joint Commission plans survey changes

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Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
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The Joint Commission has begun the process of refining its survey process, changing the scoring process to make sure that surveyors are accurately measuring how closely healthcare organizations comply with the standards. The changes will apply to ambulatory healthcare, critical access and traditional hospitals, home care and office-based surgery programs. Joint Commission executives aren't being specific about the changes yet, but they did say that they're looking at tying standards to outcome measures. Commission execs are also planning to tweak standards to make them program-specific, consolidating similar standards and deleting redundant or unnecessary standards. The overall goal is to make the standards as relevant as possible, they said. The Joint Commission began accepting feedback on the proposed changes on May 9, and will accept comments for six weeks.

To find out more about the proposed standards:
Comment on the proposals

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The Joint Commission is funded by the hospitals they survey and the Joint Commission will notify the hospitals just before the surveys. There is huge bias in the system for the Joint Commission to favor the hospitals in their surveys. Since the hospitals know when the survey is coming they prepare to look good on paper. The staff is beefed up, employees are coached, the manuals are dusted off and the facilities are spruced up, just for the survey then it all disappears. Finally, most of the survey is about systems and protocols. Little is done to see how actual patients are treated or how nursing staff is treated. Doctors have lost control of the executive boards because to speak frankly labels the doctor as a trouble maker and the hospital deals with them like they deal with outspoken nurses. The whole hospital system has taken a path down the ethical nightmare when physicians where outlawed by Starke to own and control their own facilities. Now hosptials are run by managers and executives who do not suffer malpractice suits themselves or even jail time for malfeasence. In fact, they may get promoted if the corporation makes more profit. It is all about the corporate image. Joint Commission approval sounds so good to the uninformed.

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