Among accredited hospitals, 30 day mortality rates for the 15 selected medical conditions were similar among TJC hospitals and non-TJC hospitals, but 30 day mortality rates for the six selected surgical conditions were significantly lower for TJC hospitals than for non-TJC hospitals. The Joint Commission’s report of the top five standards for 2012, which was issued earlier this year, differs from DNV’s top 15 challenging standards only in the rank order—not in content. DNV GL. And in so many ways we are the gold star of accreditation in America. In the US, Medicare is available for people aged 65 or older, younger people with disabilities, and people with end stage renal disease.4142 Patients with Medicare often have multiple chronic conditions and lower median income than the rest of the population.43 Beneficiary characteristics and death date were obtained from the Medicare beneficiary summary file. Thirty day mortality rates for the selected medical and surgical conditions were similar among hospitals accredited by The Joint Commission and those accredited by other independent accrediting organizations (10.1% v 10.3%, P=0.18 and 2.4% v 2.4%, P=0.92, respectively; table 3). No patients were involved in setting the research question or the outcome measures, nor were they involved in developing plans for the design or implementation of the study. With DNV, surveys still will be unannounced, but more frequent, and surveyors will all be cross trained in ISO methodology. A Danish nationwide population-based study, Quantifying geographic variation in health care outcomes in the United States before and after risk-adjustment, Patient mortality during unannounced accreditation surveys at US hospitals, Association between patient outcomes and accreditation in US hospitals: observational study, http://creativecommons.org/licenses/by-nc/4.0/, https://www.cms.gov/Regulations-and-Guidance/Legislation/CFCsAndCoPs/index.html?redirect=/CFCsAndCOPs/, https://www.jointcommission.org/benefits_of_joint_commission_accreditation/, http://www.modernhealthcare.com/article/20101129/MAGAZINE/101129992, https://www.jointcommissioninternational.org/about-jci/jci-accredited-organizations/, http://www.jointcommissioninternational.org/assets/3/7/06-Accreditation-Fee-Policies.pdf, https://www.jointcommission.org/assets/1/6/Fee_examples.pdf, https://www.wsj.com/articles/watchdog-awards-hospitals-seal-of-approval-even-after-problems-emerge-1504889146, https://www.buzzfeed.com/rosalindadams/shadow-mountain, https://www.wsj.com/articles/house-panel-probes-organizations-that-accredit-most-u-s-hospitals-1520871334, http://www.modernhealthcare.com/article/20180313/NEWS/180319970, https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/index.html, https://www.dnvgl.us/assurance/healthcare/standards/accred-process-dl.html, https://www.dnvgl.us/assurance/healthcare/standards/faqs-dl.html, https://www.jointcommission.org/facts_about_the_on-site_survey_process/, https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/som107c02.pdf, http://www.turner-white.com/pdf/jcom_sep03_mortality.pdf, https://www.medicare.gov/sign-up-change-plans/decide-how-to-get-medicare/whats-medicare/what-is-medicare.html, https://www.hhs.gov/answers/medicare-and-medicaid/who-is-elibible-for-medicare/index.html, https://www.kff.org/medicare/issue-brief/an-overview-of-medicare/, https://www.ruralhealthinfo.org/topics/critical-access-hospitals, https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/Downloads/2015-ACR-MIF.pdf, https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/Downloads/HospitalHCAHPSFactSheet201007.pdf, Cambridgeshire and Peterborough NHS Foundation Trust: Consultant General Adult Community Psychiatry, Sherwood Forest Hospitals NHS Foundation Trust: Consultant Rheumatologist, Elysium Healthcare: Consultant Psychiatrist, Elysium Healthcare: Associate Specialist Psychiatrist, Birmingham City Council: Assistant Director x2, Women’s, children’s & adolescents’ health.
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