Hospital Peer Review – August 1, 2004

August 1, 2004

• Quality managers: Periodic performance review can be a powerful quality tool

  Do you shudder to think of the workload involved in completing the periodic performance review (PPR) now required by the Joint Commission on Accreditation of Healthcare Organizations? Are you finding yourself solely responsible for all the data collection this entails? Is your goal to do the minimum required to pass muster with surveyors?

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• Should you submit your PPR results to JCAHO?

  To share or not to share? Thats the question for many organizations currently in the thick of the decision-making process for whether to send in the results of their periodic performance review (PPR) to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).

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• Accreditation Field Report: Key aspects of a recent Joint Commission survey

  Throughout a recent Joint Commission survey at Paradise Valley Hospital in National City, CA, surveyors zeroed in on two key areas: staff knowledge and patient care, reports Catherine M. Fay, RN, director of performance improvement.

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• Dramatically reduce your surgical infection rates

  Would you like to be able to boast that your organization performed hundreds of surgeries without a single infection or reduced rates of surgical infections dramatically? By making specific process changes, these impressive results can be achieved.

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• The Quality-Cost Connection: Worst practices used in conducting FMEA projects

  Health care practitioners now have had a couple years of experience in doing failure mode and effect analysis (FMEA) projects. Now that weve got some know-how in how to do a FMEA, it is clear that these projects arent easy.

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