Joint Commissions Ambulatory Audio Advisor

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Joint Commissions Ambulatory Audio Advisor

• A Complimentary Conference Call series provided
  for Ambulatory Care organizations and
  Office-Based Surgery practices seeking Joint
  Commission Accreditation

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Ambulatory Audio Advisor

• Todays Subject
• The Environment of Care
• Faculty
• Robert Christmas Ambulatory Care Field
  Surveyor
• George Mills Associate Director, Senior
  Engineer
• Standards Interpretation Group
• Moderator
• Mike Dye Associate Director, Business
  Development Ambulatory Care
  Office-Based Surgery

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Audio Advisor

• Topics Well Address
• Healthcare vs. Business Occupancies
• Local, State Federal Guidelines
• Common Compliance Issues
• Ambulatory Settings Impacted
• Primary Care, Diagnostic, Surgical

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Audio Advisor

• What is the Environment of Care?
• In Joint Commission Parlance, EOC refers to
• A variety of key elements and issues that
  contribute to creating the way the space feels
  and works for patients, families, staff and
  others experiencing the health care delivery
  system.

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Audio Advisor

• Healthcare Occupancy
• - Surgical Setting
• - More Than Three (3) Patients Under
  General Anesthesia
• - Ability to Evacuate Sedated Patients
• Examples
• - Ambulatory Surgery Centers (ASCs)
• - Endoscopy Surgery Centers
• - Orthopedic Surgery Centers

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Audio Advisor

• Healthcare Occupancy Guidelines
• - American Institute of Architects (AIA)
• - National Fire Protection Association (NFPA)
  Life Safety Code (LSC)
• - Occupational Safety Health Administration
  (OSHA)
• - State Local Building Regulations

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Audio Advisor

• Facility Documentation Required
• - Statement of Conditions (SOC)
• - SOC is Facility Self-Assessment Tool
• - Supports On-Site Survey Process
• - Provides Ongoing Record of Facility Status and
  Structural Enhancements

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Audio Advisor

• Business Occupancy
• - No Special Building Guidelines/Requirements
• - Local Fire Marshal Oversight Sufficient
• - No SOC Required (Parts 1 4 May Prove
  Useful)
• - Three (3) or Fewer Anesthesia Patients
• Examples
• - Imaging Centers
• - Primary Care / Community Health
• - Rehabilitation Clinics
• - Office-Based Surgery Practices (Plastic,
  Oral, Podiatry, Urology)

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Audio Advisor

• Regardless of Occupancy Types, Joint Commission
  On-Site Survey Process is designed to
• - Ensure Exits Not Blocked or Locked
• - Ensure Fire/Emergency Alarm Access
• - Ensure Fire Extinguisher Access
• - Demonstrate Staff Knowledge is appropriate
  regarding Emergency Evacuation Process
• - Encourage and Emphasize Patient Safety

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Audio Advisor

• Common EOC Standards Interpretation Issues
  Concerns
• Leasing Landlord Issues

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Audio Advisor

• Common EOC Standards Interpretation Issues
  Concerns
• Contracted Services

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Audio Advisor

• Common EOC Standards Interpretation Issues
  Concerns
• Leadership Responsibilities

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Audio Advisor

• Common EOC Standards Interpretation Issues
  Concerns
• Emergency Management

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Audio Advisor

• Common EOC Standards Interpretation Issues
  Concerns
• Performance Improvement

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Audio Advisor

• Why Joint Commission Accreditation?
• Strengthens Patient Safety and Patient Care
  Efforts
• Provides Solid Structure for Facility Risk
  Management Performance Improvement
• Demonstrates to Local, State Federal
  Authorities Your Facility Meets the Nations
  Highest Standards for Healthcare
• Deemed Status Option for ASCs Meets or Exceeds
  Medicare Certification Requirements
• Satisfies Many Managed Care Contract Expectations
• Encourages Community Confidence and Credibility
• All Surveyors are Joint Commission Employees and
  Regularly Trained and Certified as Experts in
  Their Specialty

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Audio Advisor

• Your Turn!
• Were Ready to Respond to Your Questions

Additional Resources Link to Statement of
Conditions (SOC) www.jcaho.org/accreditedorganiza
tions/ambulatorycare/standards/
statementofconditions.htm Link to Environment
of Care (EOC) News www.jcrinc.com/subscribers/ecne
ws.asp?durki92 Link to New Environment of Care
(EOC) Book http//store.trihost.com/jcaho/product.
asp?dept5Fid21catalog5Fitem636
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Audio Advisor

• If Youre Interested in Achieving Ambulatory or
  Office-Based Surgery Accreditation, Were Eager
  to Hear From You!
• Michael Kulczycki, Executive Director
• P. 630.792.5290 / mkulczycki_at_jcaho.org
• Mike Dye, Associate Director
• P. 630.792.5259 / mdye_at_jcaho.org
• For Questions Regarding EOC Standards
  Interpretation
• George Mills, Associate Director - Senior
  Engineer
• P. 630.792.5900 / gmills_at_jcaho.org