Quote from MedSurg32RN
I would follow up on what consultants told you to do. You are on provisional status. Someone in your organization should have been have conference calls with JC to see if you are on track.
I'm just a peon, of course, and am not privy to all that transpires, but I'm on a shared governance council and we're the first clinical faces that see the most recent changes. I believe that the hospital administration has groveled, and promised, and performed everything they have been told to do. There has been a bunch of communication back and forth with the JC, in terms of filing their action plans and also explaining why certain things may not be infractions given our particular hospital situation and locality. (However, very little of the latter... mostly the groveling.)
Our hospital has some significant strengths. We have been working out rear-ends off. It's all we've thought about for months and months and months. With the exception of two much smaller hospitals, we are IT for a huge geographical area. Our mock surveyor found a whole long list of things that are outstanding, but found 13 areas that would flunk us (in their view.)
75% or more of all the operating rooms will be gone. I KNOW that if they shut us down, surgeons will be doing stuff in stand-alone surgi-centers that they have no business doing. Patients will have to travel at least 2 hours to the nearest medical center which is, itself stretched to the limit. Our state is one of the worst in nursing shortages. If our hospital closes down any nurse that can leave the area for work will. We'll never get those nurses back.
Dear God help us and thousands of ill patients if they shut us down.
Oh, I forgot. Joint Commission just appointed themselves to be God.