This is the email I received from Jacho (notice the spelling
Beginning December 4, 2000, please follow the instructions listed below .
If you require an answer on how to interpret a standard relative to what
you currently do in your health care organization (HCO), please E-mail
email@example.com and be sure to include the following information:
1. Your full name
2. Name of your Health Care Organization
3. Manual(s) under which you are accredited
4. Full address including City, State and Zip Code
5. Phone Number (with time and date when you can be reached by phone)
6. Fax Number
Staff in the Standards Interpretation Group (SIG) will try to call you to
answer your questions. If you are not available when called, SIG staff will
leave their phone number and fax number for your next attempt to return
If you require a written interpretation, please check the Clarifications
and Frequently Asked Questions (FAQs) sections on the JCAHO Home Page. You
are also welcome to fax your question to the Standards Interpretation Group
including all of the information requested above at 630-792-5942.
SIG staff will not respond to E-mail inquiries. Unfortunately, in the past
our responses have been edited. Therefore, formal written responses to any
standards interpretation question will have to be provided in a letter
mailed to you at your organization or faxed back to your organization at
the fax number provided.
Thank you for your cooperation with these procedures.
Jacho has some articles on their website about pain management if you do a search for pain. They are vague in nature in that studies are underway or have been done.
I agree that pain management is important. It is very subjective on our part and unless we are in the patient shoes, how do we know without asking. Speaking from an ER standpoint, most people come to us in pain and want relief.
There is a portion of our population that abuse the system. Drug seekers in particular. I had a patient change the refill number on a prescription and tried to fill it. I now chart how many refills we wrote to cover my self and the doc. I could sit here and write all kinds of situations, but you too know of stories.
I would hope Jacho addresses this more. We should be allowed to keep a record of repeat offenders of narcotics and pain medicine. Hey, if sex offenders are posted on websites, let's post drug seekers on the website. May be a bit extreme...