Accreditation

Track JCAHO compliance with a dashboard

Briefings on Accreditation and Quality, June 1, 2005

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Although an organizational dashboard can be used to track quality indicators such as patient satisfaction and staff turnover, it may also be used to track JCAHO standards compliance.

"We have a hospital dashboard for quality indicators [such as] patient satisfaction, but it doesn't connote to me what I want to get out to our steering committee and board of directors about JCAHO compliance," says Rebecca Jessie, assistant director of quality and patient safety at Rockingham Memorial Hospital in Harrisonburg, VA (see the March BOJ for a sample organizational dashboard).

Dashboards that track JCAHO standards are powerful tools for survey coordinators who want to monitor standards compliance continually and be able to demonstrate progress to leadership.

Also called scorecards, dashboards are one-page summaries of key indicators that give a snapshot view of where things stand, usually monthly, quarterly, or yearly. They are the front page to all of the charts, graphs, and other data that are collected and plugged into a spreadsheet.

Rockingham Memorial has two dashboards for tracking standards compliance: one that covers all the standards chapters of the Comprehensive Accreditation Manual for Hospitals ( CAMH ) and one for the National Patient Safety Goals.

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