Accreditation

Joint Commission survey brings positive insight to hospital's policies and procedures

Accreditation Connection, January 15, 2009

When Joint Commission surveyors came to St. Luke’s Hospital in Chesterfield, MO, the morning of November 10, 2008, St. Luke’s Joint Commission Task Force was prepared, says Jan Hess, vice president for quality improvement at St. Luke’s.

The facility’s prior survey was in September 2005, so the hospital was anticipating its next survey around September 2008. “We were expecting them back in September, so when they arrived in November, the staff was definitely prepared and we were ready to get it on and over with,” Hess says.

St. Luke’s underwent a typical survey, in which surveyors from The Joint Commission (formerly JCAHO) stayed for five days, November 10–14.

“Our entire hospital campus was surveyed, which includes 100% of the areas that offer moderate sedation and then all 14 of our off-campus locations, including the off-campus sites that were urgent care or imaging centers,” Hess says.

Access the full story in the January issue of Briefings on The Joint Commission. Access is free for BOJ subscribers; nonsubscribers can purchase a copy of the story for $10 by clicking here.

 

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