> ----------
> From: Trauma-EMS Librarian[SMTP:trauma-l@trauma-ems.org]
> Reply To: Trauma-EMS Librarian
> Sent: Thursday, April 17, 2003 9:14 AM
> To: Trauma-EMS Stakeholder Group
> Subject: JCAHO To Shift To Unannounced Surveys By 2006
>
> From: Joint Commission [mailto:JCAHO@jcprdls1.jcaho.org]
>
> JCAHO To Shift To Unannounced Surveys By 2006
>
> Media Contact:
> Charlene D. Hill
> Media Relations Manager
> 630.792.5175
> E-mail: chill@jcaho.org
>
> To view this news releases on-line go to:
> http://www.jcaho.org/news+room/news+release+archives/unannoun
> ced+surveys.htm
>
> (Oakbrook Terrace, Ill. - April 2, 2003) The Board of Commissioners
> of the Joint Commission on Accreditation of Healthcare
> Organizations (JCAHO) today announced its intent to begin
> conducting all regular accreditation surveys on an unannounced
> basis beginning in January 2006. Unannounced surveys will be pilot-
> tested in volunteer organizations during 2004 and 2005.
>
> Joint Commission plans to introduce a substantially new
> accreditation process beginning in January 2004 have been widely
> discussed with accredited health care organizations during the
> past year. The proposal to transition to unannounced surveys -
> approved by the Board of Commissioners at its March 28-29, 2003,
> meeting - was a direct outgrowth of those discussions.
>
> "The new accreditation process - dubbed Shared Visions - New
> Pathways - creates the expectation that each accredited
> organization be in compliance with 100 percent of the Joint
> Commission's standards 100 percent of the time," said Dennis S.
> O'Leary, M.D., president, JCAHO. "Organization leaders whom we
> talked to not only agreed with this expectation but further
> suggested that the next logical step would be the introduction of
> unannounced surveys."
>
> "Shared Visions-New Pathways provide strong incentives for
> organizations to provide safe, high-quality care at all times; such
> organizations should be prepared for a JCAHO survey at any time,"
> says Bernard L. Hengesbaugh, Chairman and Public Member,
> Joint Commission Board of Commissioners. "Being ready for a
> thorough survey at any time is a logical extension of the accredited
> organization's commitment to continuous improvement."
>
> Children's Memorial Hospital, Chicago, is the first hospital in the
> country to seek a totally unannounced accreditation review by
> JCAHO. The hospital requested the unannounced full survey, which
> will take place sometime in 2004, to demonstrate its continuous
> compliance with JCAHO quality and safety standards.
>
> "It is quite an honor to be the first health care organization in the
> nation to experience this new process," said Edward S. Ogata,
> M.D., chief medical officer, Children's Memorial Hospital. "We are
> both exhilarated and eager to once again demonstrate the
> excellent clinical care for which this hospital is known."
>
> During 2004, the Joint Commission expects to initiate pilot testing
> of the unannounced triennial survey process in up to 100 hospitals
> that have volunteered to be among the first participants. Four
> multi-hospitals systems and alliances - Ascension Health, Tenet
> Healthcare, Veterans Health Administration and North Shore-Long
> Island Jewish Health System - have committed to having a number
> of their hospitals participate in unannounced triennial surveys in
> 2004 or 2005 (see accompanying list).
>
> In 2005, JCAHO will continue to conduct voluntary unannounced
> surveys on a limited basis - opening up the option to all types of
> accredited organizations, and then transition to a completely
> unannounced survey program in 2006. During this period, JCAHO
> will work closely with its various advisory groups, accredited
> organizations and other stakeholder groups to gain their input and
> progressively refine the new accreditation process and smooth the
> transition to unannounced surveys.
>
> The Joint Commission plans to continue to conduct one-day
> random, unannounced surveys in an annual five percent sample of
> the health care organizations it accredits through the end of 2005.
> After that time, random unannounced surveys will be discontinued.
>
> Details about the plan to introduce unannounced triennial surveys
> will be shared with accredited organizations in the coming months
> through educational programs, newsletters and other outreach
> activities.
>
> ---
>
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