The Joint Commission: Home Healthcare 2017
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This document provides information about The Joint Commission (TJC) accreditation process for home healthcare services. It discusses how TJC is the major accrediting body for healthcare organizations and provides the "Gold Seal of Approval." The document outlines the TJC accreditation and survey process, including an on-site visit. It also discusses the benefits and consequences of pursuing TJC accreditation, as well as tips for preparing for the survey process.
The Joint Commission: Home Healthcare 2017
- 1. UC HOME HEALTHCARE SERVICES THE JOINT COMMISSION ACCREDITATION Jenny A. Hunt, RHIT 01/17/2017
- 2. LEARNING OBJECTIVES Demonstrate understanding ofThe Joint Commission (JC) Exhibit comprehension of how the JC survey process functions in Home Health Examine and identify the benefits of JC Accreditation Examine and identify the consequences of JC Accreditation Resolve survey readiness concerns by applying acquired knowledge of JC survey preparation
- 3. WHAT ISTHE ? Majority of states recognize JC participation as a condition of licensure and reimbursement for Medicaid and Medicare (although the JC is a voluntary association) Provides expert-based solutions to problematic areas of Healthcare such as patient care, medication safety, infection control and consumer rights Formerly the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and previous to that the Joint Commission on Accreditation of Hospitals (JCAH) Not-for-profit independent organization founded in 1951 Accredits 21,000 healthcare organizations and programs Nationally recognized as the symbol of quality in healthcare with the ‘Golden Seal’ of approval JC certification is viewed as a commitment to performance standards dedicated to improving: - Safe Care - Effective Care - Valuable Care - Quality Care
- 4. SURVEY PROCESS & SUPPORT Support Provided byThe Joint Commission • Free online information and webinars to help us get started • A specifically-trainedAccount Executive to provide us a single point of contact from application to survey and beyond • Dedicated surveyor teams and pre-survey teleconferences ensure an expedient and efficient on-site survey process • A Standards “Help Desk” staffed with home care experts that can answer requirement-related questions • A secure extranet site that houses all our key Joint Commission communications in one convenient location • Timely scheduling of on-site surveys.They work with us to schedule an on-site survey based on our accreditation needs Member organizations are subject to a 3 year accreditation cycle Exception: Laboratory cycles are every 2 years 18 to 36 months after a full Joint Commission survey, accredited organizations can have an unannounced survey
- 5. SURVEY PROCESS FOR HOME HEALTH The accreditation decisions that can be awarded are: PreliminaryAccreditation Accreditation Accreditation with Follow-up Survey Contingent Accreditation Preliminary Denial of Accreditation Denial of Accreditation THE ON-SITEVISIT PROCESS Survey-planning session Opening conference and orientation to the organization Leadership session The tracer methodology uses actual patients, residents or individuals served as the framework for assessing standards compliance. Individual tracers follow the experience of care for individuals through the entire health care process. System tracers evaluate the integration of related processes and the coordination and Competence assessment process Environment of care session, which includes a building tour Exit conference, during which the survey team presents a written summary of the survey findings
- 6. THE JOINT COMMISSION’S2017 NATIONAL PATIENT SAFETY GOALS (NPSG) The National Patient Safety Goals are unique to the Joint Commission, these goals help providers proactively address key patient safety issues that can affect their business. View this link for official NPSG Guidelines for 2017: Home Care: 2017 National Patient Safety Goals
- 7. BENEFITS OFTHE JC ACCREDITATION Reduce duplicative surveys Minimize staff interruptions Position your business for growth Ensure compliance with state regulations Achieve recognition with payors & referral sources Better outcomes Fewer unplanned ER visits Fewer readmissions More timely start to care Better symptom management Community-Based Palliative Care Certification An optional certification for home health providers to promote better outcomes, build operational efficiencies and position for improved reimbursement or contract access.
- 8. CONSEQUENCES OFTHE JC ACCREDITATION Extended work hours for planning, developing, and redesigning workflows & processes Extended work hours for training on new workflows & processes Adoption of new standards and safety goals by all clinical and administrative staff Practicing Change Management Possible necessity of more FTEs and/or role changes Continuous maintenance of accreditation Must locate and organize all necessary documentation and licenses which can be time consuming
- 9. SURVEY READINESSTIPS Purchase Seminars like the following: Home Care Accreditation Essentials: February 28 - March 1, 2017 Purchase Compliance Assessment Checklists like the following: Home Care Compliance Assessment Checklist • Adapt your survey prep to meet the data-driven and outcome- oriented focus of the survey process • Develop a plan to ensure your agency exists in a perpetual state of survey readiness • Comply with the Conditions of Participation using valuable, cost- effective resources • Coordinate a mock survey to confidently reinforce ongoing readiness using available online mock survey tools • Reduce stress on staff by preparing them for their interaction with a surveyor (Create aTip Sheet!) • Research practical tips from the field, such as how to reduce staff stress on survey day and how to organize survey preparation under one individual
- 10. REFERENCES The Joint Commission. (n.d.). Retrieved January 17, 2017, from https://www.jointcommission.org/accreditation/home_care_accreditation.aspx Commission Resources, J. (2016). 2016 Home Care Compliance AssessmentChecklist. Retrieved January 17, 2017, from http://www.jcrinc.com/assets/1/14/EBAPGHC16Sample.pdf
Editor's Notes
- #2: Discussion on The Joint Commission and deciding whether participation in accreditation would be relevant and valuable to UC Home Healthcare Services.
- #3: These are the learning objectives that this PowerPoint will focus on; Guiding it’s purpose to the viewer’s complete comprehension of the above objectives regarding The Joint Commission and it’s survey process.
- #4: Discuss the main points on slide and go into further depth by stating additional facts on the JC such as “The Joint Commission is governed by a 32-member Board of Commissioners that includes physicians, administrators, nurses, employers, quality experts, a consumer advocate and educators.”
- #5: Discuss main points of slide and state the extensive amount of resources available through the Joint Commission's resource center in addition to above listed support services.
- #6: Briefly discuss this slide and emphasize the necessity of proper research and strategic preparation for the accreditation survey.
- #7: In addition to NPSG, discuss that the “Joint Commission accreditation requirements fall into two major categories: Standards and National Patient Safety Goals. Joint Commission’s standards cover a variety of areas that are considered key to providing safe, high quality care to patients and/or clients. Topic areas include medication management to leadership, staffing, equipment maintenance and fall risk reduction.” Provide information on availability of the 60-day trial review of standards on the JC website if a registered user.
- #8: Discuss the main points on slide and add facts that will benefit the staff, patients and organization in whole. Discuss the opportunity to demonstrate ‘an unmatched level of performance excellence’ in this health sector and how accreditation allows the potential of expanded business ventures as well as increased patient satisfaction for the competitive consumer marketplace. Discuss how compliance with these nationally recognized quality standards builds a foundation for home health agencies to run a smarter business and produce enhanced patient outcomes. Discuss some additional benefits listed straight from the JC’s website: Helps organize and strengthen patient safety efforts – Patient safety and quality of care issues are at the forefront of Joint Commission standards and initiatives. Strengthens community confidence in the quality and safety of care, treatment and services – Achieving accreditation makes a strong statement to the community about an organization’s efforts to provide the highest quality services. Provides a competitive edge in the marketplace – Accreditation may provide a marketing advantage in a competitive health care environment and improve the ability to secure new business. Improves risk management and risk reduction – Joint Commission standards focus on state-of-the-art performance improvement strategies that help health care organizations continuously improve the safety and quality of care, which can reduce the risk of error or low quality care. May reduce liability insurance costs – By enhancing risk management efforts, accreditation may improve access to and reduce the cost of liability insurance coverage. Provides education to improve business operations – Joint Commission Resources, the Joint Commission’s not-for-profit affiliate, provides continuing support and education services to accredited organizations in a variety of settings. Provides professional advice and counsel, enhancing staff education – Joint Commission surveyors are experienced health care professionals trained to provide expert advice and education services during the on-site survey. Provides a customized, intensive review – Joint Commission surveyors come from a variety of health care industries and are assigned to organizations that match their background. The standards also are specific to each accreditation program so each survey is relevant to your industry. Enhances staff recruitment and development – Joint Commission accreditation can attract qualified personnel, who prefer to serve in an accredited organization. Accredited organizations also provide additional opportunities for staff to develop their skills and knowledge. Provides deeming authority for Medicare certification – Some accredited health care organizations qualify for Medicare and Medicaid certification without undergoing a separate government quality inspection, which eases the burdens of duplicative federal and state regulatory agency surveys. Recognized by insurers and other third parties – In some markets, accreditation is becoming a prerequisite to eligibility for insurance reimbursement and for participation in managed care plans or contract bidding. Provides a framework for organizational structure and management – Accreditation involves preparing for a survey and maintaining a high level of quality and compliance with the latest standards. Joint Commission accreditation provides guidance to an organization’s quality improvement efforts. May fulfill regulatory requirements in select states – Laws may require certain health care providers to acquire accreditation for their organization. Those organizations already accredited by The Joint Commission may be compliant and need not undergo any additional surveys or inspections. Provides practical tools to strengthen or maintain performance excellence – The Leading Practice Library offers good practices submitted by accredited organizations. The Targeted Solutions Tool, an interactive web-based tool from the Joint Commission Center for Transforming Healthcare, allows accredited organizations to measure their organization’s performance and helps them find customized solutions for challenging health care problems. Aligns health care organizations with one of the most respected names in health care – Being accredited by The Joint Commission helps organizations position for the future of integrated care
- #9: Discuss above main points and express that accreditation may involve a substantial amount of initial work on both staff and administrators, but that the benefits do outweigh the initial impact of making the change.
- #10: Briefly discuss that if JC Accreditation is the direction that is decided, that these tips & ideas are a helpful tool to prepare for the survey. Also state that there is a cost to accreditation that includes two fee components: an annual fee invoiced each year and an on-site fee. “Annual fees for most small, single service home care providers average $1,500 ($1,400 for small, single service hospice providers) with onsite survey fees of approximately $3,240.”
- #11: State that most of my references for this PP came from the JC website and that you would be happy to provide any additional requested material related to Home Health Accreditation. Thank the audience.