Staying in Ready Mode and a Joint Commission Visit
November 12, 2013
Last Monday, two surveyors from The Joint Commission, Lynnette Mundey, M.D., and Terri
Sharp, R.N., APN, arrived at TTP for an unannounced survey. While we had been expecting
it, we admit the visit came a bit sooner than anticipated. However, that was not a
problem. Because for the past few years, we have tried to stay in a ready mode when
it comes to accreditation surveys. And, for the most part, I think we are doing fairly
well.
We received good marks (including some nice kudos) along with a few opportunities
for improvement, which are never totally unexpected. As long as humans work in health
care organizations, I think opportunities for improvement will be issued. In fact,
if we are not improving, we are sliding backwards and none of us want that situation.
Our vision, of course, is to be a top-tier medical practice nationally recognized
in quality patient care, satisfaction and value. I think we are well on our way …
but it is a journey on which we may never fully reach our destination, simply because
we can always do better. That is life and reality in a complex and dynamic industry
like ours.
For those new to health care, The Joint Commission is an independent, nonprofit group
in the United States that administers accreditation programs for hospitals and other
health care-related organizations. They provide performance standards that address
crucial elements of operation, like patient care, medication safety, infection control
and consumer rights. I am a firm supporter of The Joint Commission for the reason
that it is an industry-sponsored entity. It represents our industry’s best efforts
to police ourselves. I think that is what professionals do — they police themselves
using high standards. Or, put another way, it is a rigorous form of peer review.
Furthermore, there is no other organization that has as its corporate members the
American College of Physicians, the American College of Surgeons, the American Dental
Association, the American Hospital Association and the American Medical Association.
Their board also includes a consumer advocate, a labor representative, administrators,
employers, educators, ethicists, health plan leaders and quality control experts as
well as doctors and nurses.
I would be remiss if I did not thank Ahnna Parker, R.N., C, MSN, CIC, senior director
of School of Medicine Nursing Services. She does a wonderful job of keeping us ready
for surveys and facilitating them when they occur. Drs. Lampe and Dunn were also very
helpful and rearranged their schedules to make themselves available and participate
in the survey. Dennis Lamb played a key role in the survey, as did Dana Garay, R.N.,
J.D. In fact, a great big shout out to all who prepared and prepare each day. Some
of you were ready and not visited and I understand the mixed feelings that can result
— on one hand, relief; but, on the other hand, a strong desire to show the good things
happening in your area. You are appreciated whether your area was visited or not.
And remember, it is really not about the survey, per se — it is the day-to-day pursuit
of doing the best work we possibly can in the safest environment possible for our
patients — that is the goal. And, that, in itself, is our reward.
Dr. Mundey ended the closing conference by saying,“Texas Tech Physicians is well on
its way to reaching its vision and being a high-reliability organization.” That was
music to my ears and made it all worthwhile.