Friday, July 22, 2011

Employing Hospital Compliance Software to Manage JCAHO Accreditation Requirements


Accreditation is very important for organizations nowadays. Rewards and recognition are afforded to those able to reach accreditation requirements; apart from the innate benefit of making effective working systems in the organization making more clients satisfied and in turn, driving more profit for the company.

JCAHO Requirements and Benefits

The most sought after accreditation for hospitals is the JCAHO or Joint Commission on Accreditation of Healthcare Organizations. JCAHO evaluations mainly check on the level of compliance of the hospitals on the quality of care and safety they provide their patients. It aims to increase the quality of care given to patients as well as ensure that patient rights are adhered to.

All hospitals vie for this type of accreditation because it is one of the requirements of the Center for Medicare and Medicaid Services (CMS) to achieve Medicaid/Medicare certification and be authorized for reimbursement. And once a hospital is JCAHO accredited, it ensures its clients with the best care and safety while the hospital who violates it receives citation for non - compliance. The noncompliance is to be rectified within the specified period of rectification to avoid revocation of the accreditation of the hospital. Hospitals are strictly evaluated on their adherence to the set standards of the commission for accreditation. The said standards are discussed in depth in The Comprehensive Accreditation Manual for Hospitals (CAMH).

JCAHO Accreditation Process

However, achieving JCAHO accreditation is not easy. Most hospital administrators panic at the thought of a JCAHO evaluation especially these days that evaluations are unannounced. It also affects the medical and the rest of the staff because of the details that they would have to take into consideration.

The accreditation process involves an on-site, unannounced survey to be conducted by a survey team from the Joint Commission. It is done every after 18 to 39 months of the previous conduct of survey. The survey evaluates the actual care processes of the hospital from care, treatment and services rendered to the patients. While doing so, the staff are also informed and guided on how to initiate and establish hospital performance improvements. With all these processes, several documentation are necessary to check on the compliance of the hospital.

Managing the Accreditation Process

Documentation of hospital processes and improvements usually take a toll on the hospital staff. Without the appropriate system of doing so, the staff will either end up exhausted or the other care and safety processes will be left undocumented. To avoid such circumstance, hospitals should employ hospital compliance software to streamline and manage patient care and operational performance. The good thing is the availability of hospital accreditation software that manages not only JCAHO accreditation but as well as other accreditation agencies.




Hospital accreditation is highly beneficial not only for the organization but most specially for its clientele. Qualtrax, Inc. is the first Intranet product made available to support and maintain regulatory requirements for document and data control which has now grown into a true compliance software package.





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2 comments:

  1. This was a really interesting article. My mom works in a hospital and I think that she would really find this intriguing, I will have to show this to her and see what she thinks. I am so glad that there are hospitals around that are full of people to help serve and take care of people who need medical care. All the nurses and doctors that work in hospitals deserve a big round of applause!
    Emily Smith | http://www.harrisonmedical.org/home/insurances-accepted-at

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