Last month, BWFH had a four day visit from the Joint Commission, the independent, not-for-profit organization that accredits and certifies healthcare organizations and programs in the United States. Over the course of their visit, a team of 5 surveyors inspected and toured nearly every area of the hospital, spoke to dozens of staff members and reviewed numerous patient charts and employee files. Collectively this translated to 104 hours of surveyed time!
“During our surveyor wrap up session,we had a good feeling that the results of the survey would be overwhelming positive,” states Christi Barney, RN, MSN, Executive Director of Clinical Compliance. “Now that we have our official report I can say for certainty that this was the most positive Joint Commission survey I’ve been part of.”
While there were findings that will need to be addressed with some corrective action planning in the next 60 days, there were no significant findings that would trigger another survey until our three year window reopens in 2023.
Among the areas that Barney suggests keeping a close eye on are:
“Perhaps one of the most positive aspects of the survey was that each surveyor went out of their way during their visit to tell us how impressed they were with the cleanliness of the building, the attention to our surgical instrument cleaning, our outreach to the community, our mission to educate, our attention to the emotional health of our staff, our innovation in addiction treatment, the fantastic food and the extraordinary kindness and enthusiasm of our staff,” continues Barney. “And they certainly noticed how actively we work to create a safe environment for our patients, visitors and each other in every inpatient and ambulatory practice throughout our facility.”
In fact, some of the processes and innovative ideas they witnessed, especially around our COVID-19 surge planning, are being brought back as best practices to share with other institutions across the country.
“While this survey is a validation of the exceptional care we provide here at the Faulkner, it’s really about how each and every person plays a role in taking care of our patients and visitors,” continues Barney. “Without the extraordinary dedication that each staff member displays, a positive survey of this magnitude is simply not possible.”
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