ramanan50

Posts Tagged ‘Boston Globe’

Joint Commission(Medicine)-A Fat cat That Helps itself.

In Uncategorized on June 16, 2011 at 13:32

This  organisation, for fee US $ 46,00,000 plus the inspecting teams expenses like Travel ,accredits Hospitals.

In return this body inspects Hospitals unannounced and conducts Survey.

There have been scandals and manipulations as well.

Any Doctor/Hospital knows or must know what is needed by way of systems,procedures, knowledge updating for patient Care.

If you require some body to tell you that you are deficient in an area which is basically your Specialty, I do not know what a Professional you are.

Note the Fees.These Fees are collected from the patients.

Hospitals no longer are Hospitals but Five Star Lodgings where every whim of yours is catered to with minimum patient care.

These professional;(?) Corporate Hospitals seems to indoctrinate Doctors to look grave before the patient,pretend to listen to what you have to say and write out costly prescriptions.

I am yet to see a corporate hospital declaring the Patient completely fit and recovered.

Always, please come back after 3/6/Months.

Hippocrates must be turning in his Grave.

The Joint Commission (TJC), formerly the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), is a United States-based not-for-profit organization. The Joint Commission accredits over 19,000 health care organizations and programs in the United States.[1] A majority of state governments have come to recognize Joint Commission accreditation as a condition of licensure and the receipt ofMedicaid reimbursement. Surveys (inspections) typically follow a triennial cycle, with findings made available to the public in an accreditation quality report on the Quality Check Web site….

The declared mission of the organization is “To continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value…

All health care organizations, other than laboratories, are subject to a three-year accreditation cycle. With respect to hospital surveys, the organization does not make its findings public. However, it does provide the organization’s accreditation decision, the date that accreditation was awarded, and any standards that were cited for improvement. Organizations deemed to be in compliance with all or most of the applicable standards are awarded the decision of Accreditation.

The unannounced full survey is a key component of The Joint Commission accreditation process. “Unannounced” means the organization does not receive an advance notice of its survey date. The Joint Commission began conducting unannounced surveys on January 1, 2006. Surveys will occur 18 to 39 months after the organization’s previous unannounced survey.[

There has been criticism in the past from within the U.S. of the way the Joint Commission operates. The Commission's practice had been to notify hospitals in advance of the timing of inspections.[13] A 2007 article in the Washington Post noted that about 99% of inspected hospitals are accredited, and serious problems in the delivery of care are sometimes overlooked or missed.

Similar concerns have been expressed by the Boston Globe, stating that “The Joint Commission, whose governing board has long been dominated by representatives of the industries it inspects, has been the target of criticism about the validity of its evaluations”.[11] The Joint Commission over time has responded to these criticisms. However, when it comes to the international dimension, surveys undertaken by JCI still take place at a time known in advance by the hospitals being surveyed, and often after considerable preparation by those hospitals…

Joint Commission International, or JCI, is one of the groups providing international healthcare accreditation services to hospitals around the world and brings income into the U.S.-based parent organization. This not-for-profit private company currently accredits hospitals in Asia, Europe, the Middle East and South America, and is seeking to expand its business further).[28]

JCI also offers a variety of educational programs, especially “Practicums” – more information, including attendance costs, is available through their Web site.[29]

There are other accreditation organisations based in countries other than the USA which fulfill a similar internationally-orientated role to JCI. These include:

  • In INDIA National Accreditation Board for Hospitals and Healthcare Providers or NABH

Cost of accreditation

JCI publishes an average fee of $46,000.00 USD for a full hospital survey.Reimbursement for surveyors’ travel, living expenses and accommodations is required in addition to the fee.

There may be additional costs related to consultancy work etc. directed towards assisting a hospital to be successful in the accreditation process.

Other international accreditors incur different levels of costs, some costing less than JCI….

n 2008, the Joint Commission collected $165 million in revenue, mainly from the fees it charges U.S. health care organizations for evaluating their compliance with federal regulations. Its expenses during this period were $162 million. Its total return on investments in 2008 was -$27 million (loss), and the total value of its investments was $83 million. In 2007, its collected revenue was $149 million. Its expenses were $148 million. Its total return on investments was $5 million, and the total value of its investments was $107 million. The Joint Commission’s primary investments in 2007 and 2008 were in stocks (about 50% of investments) and trusts (about 40% of investments

http://en.wikipedia.org/wiki/Joint_Commission#Operation

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