Where is JCAHO in all of this mess?? - page 2

According to the JCAHO website, their mission statement is as follows..."The mission of the Joint Commission on Accreditation of Health Care Organizations is to continuously improve the safety and... Read More

  1. by   Charles S. Smith, RN, MS
    Originally posted by cmggriff:
    RNSue,
    Go back to the web site and look dowwn toward the bottom of the page "About Us". There you will find a list of the "corporate members". I believe this will answer the question. There are no nursing or nurse friendly groups mentioned. Essentially Joint Commission is a branch of the industry it purports to be inspecting. This is like letting the prisoners run the jail.
    JCAHO was founded by MDs. Up until recently there were no RNs on the governing board. There clearly are no nursing friendly organizations represented. Why? Again, it is a control mechanism. MDs found a way to exploit dollars from hospitals and healthcare organizations (with their permission, I might add) in a way that is palatable to the public and to governmental regulatory agencies. What we, as nurses, must do, is to educate the public and our legislators about the multiple failings of the JCAHO to accurately assess an institution, and the fallacy about JCAHO accreditation guaranteeing quality, especially where nurses are concerned. JCAHO
    accreditation is required for certain governmental reimbursement. Is this wise? I think not. A stellar examination can and is bought every day for a price tag of $10,000 to $30,000 per day per visit. Who ultimately suffers? The patients and the nurses. The JCAHO is invited into a institution for a fee. There are hospitals who are rebelling against the monopsony power of this organization and nurses must also inform their legislators at the state and federal levels. Did you know that your state government can close down a hospital? If you have whistleblower protection in your state, use it. Call your state regulatory agency and give them facts. They are required to assess the situation. Any hospital can be sanctioned negatively for unsafe conditions, but the state has to know about them, before they can investigate.

    just my thoughts
    best regards
    chas
  2. by   Windy
    Originally posted by NorthNurse:
    Hi Sue,
    Some hospitals are more concerned with trying to promote agenda's such as therapeutic touch and bringing prayer to the bedside, not that there isn't a place for alternative therapies, BUT, I think they should spend time/effort/money on meeting the basics of care FIRST, that are substantially lacking ie.. having enough staff to make sure the patients call light gets answered timely and patients get bathed, rather than who can perform TT and pray with the patient. I think they use this stuff to be impressive for JCAHO visits, and somehow hide the real issues. I can't tell you how many home care patients have complained that no one helped them do anything in the hospital, but they did get a tape recorder, headphones, and music tapes to help them relax. This patient came home with crusted betadine all over his back, because no one helped him bathe, and he was in the hospital over a week. Unbelieveable eh?
    Government intervention/regulations have their place in health care but it has become a massive tangle of red tape. Nurses cannot do the job they wanted to do when they went into nursing because they are back logged with a paper/computer trail. I work in a small but very busy emergency department and have found that if I record what JACHO wants to see I have not given the care to my patients I like to give. If I spend the time with my patients my charting sadly lacks. Any suggestions?


  3. by   Mijourney
    Hi. All of you make valid points. I do feel that some sort of external mechanism of policing quality is needed and some of the licensing/accrediting agencies may have been planned with good intentions.

    The problem, in my opinion, is that the job consists mainly of generating boring or interesting reports (depending on your point of view) off of accumulated written information from someone else's job (namely mine and yours if you're in the trenches) making that agency representative's job justifiable in some way. The underlying problem never gets addressed and someone gets to keep a good paying 9-5 job.

    Charles, I like what you had to write on this topic.

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