How TJC Arrives at Accreditation Decisions: A Clarification

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The article, “Accreditation Options: National Integrated Accreditation for Healthcare Organizations,” recently posted in this journal, presented some of the ways that National Integrated Accreditation for Healthcare Organizations (NIAHO), offered by Det Norske Veritas, differs from accreditation by The Joint Commission (TJC). TJC has since provided further information to clarify their formula for reaching an accreditation [...]

Accreditation Options: National Integrated Accreditation for Healthcare Organizations

DNV NIAHO Accreditation

The newest hospital accreditation option is National Integrated Accreditation for Healthcare Organizations (NIAHO), developed by DNV Healthcare, an operating company of Norway’s Det Norske Veritas (DNV). So far, approximately 160 hospitals have pursued NIAHO accreditation. Because this option is relatively new, little has been written about it. Thus, it should be noted that much of [...]

TJC Releases Most Challenging Requirements List

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The Joint Commission (TJC) has again released its list of “Most Challenging Requirements,” and there are few surprises when compared to Compass Clinical Consulting’s findings for clients. But, there are steps to take to assure your hospital isn’t found deficient at survey. First on the list, at a citation frequency of 65%, is accuracy and [...]

Accreditation: A Hospital CEO’s Strategic Choice

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The decision to maintain accredited status with one particular source (TJC, HFAP, or DNV) is rarely questioned, much less examined from a strategic perspective. But, perhaps it is time for hospital leaders to evaluate the decision to pursue accreditation and view it as a key element of their hospitals’ strategies.

13 Warning Signs of Impending CMS Compliance Trouble

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Performance improvement and quality specialists know that regulatory compliance is about more than numbers. It is about using the numbers to identify opportunities to better meet patient needs and improve hospital performance relative to patient safety and quality of care. Paying close attention to the “symptoms” listed below can help your organization detect early warning [...]

Report to Congress May Presage Increased CMS Scrutiny & Risk for Hospitals

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This week, the Department of Health and Human Services (HHS), in compliance with the Affordable Care Act, released the “Report to Congress: National Strategy for Quality Improvement in Health Care,” which provides guidance to federal, state and local governments.

The interesting—and perhaps foreboding—part is Section III, Item 4, titled “Certification, Accreditation and Regulation.” …

The Impact of Healthcare Reform on Hospitals?

Fox Business News anchor Dagen McDowell interviews Compass Clinical Consulting CEO Kate Fenner on the impact of the healthcare reform law on the nation’s hospitals.

What is a Hospital Near-Death Experience?

The idea of a hospital near-death experience might sound a bit strange. What would cause a hospital to “die,” and how could it “come back to life?”

Hospital Leaders Face Another Accreditation Challenge

The Executive's Perspective

The July edition of “The Joint Commission Perspectives” contained an ominous signal for hospital executives facing survey and accreditation decisions in the coming months. Of particular concern is the mention of situations in which the “surveyor has identified leadership changes over the past 12 to 18 months.”

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