January/February 2005
VETERANS AFFAIRS COMMITTEE REPORT |
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Making Your Voice
Heard
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BY BRUCE WHITAKER, CHAIR |
The Veterans
Affairs Committee is the custodian of Convention Resolution
V-6-95—Participation in the Process of Accrediting DVA Medical
Centers. The issue is consumer input into the accreditation
process. The resolution “encourages chapters and state councils to
become familiar with the accreditation standards currently used by
the JCAHO” and encourages chapters and state councils to
participate appropriately in providing consumer input, both
positive and negative, during accreditation surveys by requesting
public information interviews. The VVA Board of Directors insures
that information pertaining to this process is disseminated to all
chapters and state councils.”
In an effort to comply with the resolution, we are providing the
following information:
JCAHO (the Joint Commission on Accreditation of Health Care
Organizations) is an organization that accredits hospitals and
other health care facilities in the United States. Although it is
a private nonprofit organization, JCAHO—with input from
professional and consumer groups—establishes the standards by
which health care facilities are evaluated. Accreditation status
is used to establish eligibility for non-federal institutions to
receive Medicare funds and, in some cases, to determine
eligibility for licensure. Although Department of Veterans Affairs
facilities can continue operating without accreditation, all VA
Medical Centers (VAMCs) participate in the JCAHO accreditation
process. Loss of accreditation or conditional accreditation is
viewed as an extremely serious matter by the VA.
The JCAHO
review process is conducted at least every three years. It
includes on-site visits to health care facilities. JCAHO requires
that hospitals provide an opportunity for the presentation of
information by consumers and the public.
Recent changes
in the accreditation process by JCAHO include unannounced
accreditation surveys. The surveys focus on organization, safety
of care, and safety of the environment in which care is provided.
If you have information on these areas, you can request a public
information interview with a JCAHO field representative. You must
make the request in writing and include the information you wish
to discuss.
The request
should be sent to: Division of Accreditation Operations, Office of
Quality Monitoring, Joint Commission on Accreditation of
Healthcare Organizations, One Renaissance Boulevard, Oakbrook
Terrance, IL 60181. You also can fax the information to
630-792-5636 or e-mail it to
complaint@jcaho.org
JCAHO’s Office
of Quality Monitoring acknowledges requests in writing or by
telephone ten days before a survey begins. If your request is
granted, an account representative will let you know the interview
time and location as well as who will speak with you. The
information you share will be carefully evaluated for relevance to
the accreditation process.
You may also go to the JCAHO web site
www.jcaho.org to find updated
information on the accreditation of the VAMC nearest you.
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