No subject

Marjorie Thomas mwestthomas at GMAIL.COM
Thu Dec 27 20:57:15 UTC 2018


A rather important  issue that affects the care of so many patients. I
trust this effort will bear fruit.

Marjorie Thomas

On Fri, Dec 21, 2018 at 9:52 PM Nelson Toussaint <ntoussaint at tamarac.com>
wrote:

>
>
>
>
> December 21, 2018
>
> 8:45 PM
>
> *Ruth*
>
>
>
> Earlier this year a concerted effort was put forth to engage TJC -
> specifically Dr. Andy Bland, Medical Director - in discussions about things
> they could do to help Improve the Diagnosis element.  After many
> discussions, I found him a proponent of moving forward with some diagnostic
> process improvements “that would result in actual clinician actions”.  We
> put together a very noteworthy Team focused on Diagnosis, including some
> members of SIDM.  The goal was to engage key TCJ management with Diagnosis
> Experts and result in deployable improvements.  Unfortunately, this got a
> little bit off-track in timing; however TJC issued a call for feedback
> (closed Dec. 15) on an initiative to require all Test Results to be
> communicated amongst those involved with tests and diagnostic results for
> all patient care.  Mark Graber provided that data in a Nov. 27 message to
> the Listserve.
>
>
>
> “The Joint Commission’s National Patient Safety Goal 02.03.01 requires
> healthcare organizations to: “Report critical results of tests and
> diagnostic procedures on a timely basis”. Because this NPSG is focused on
> critical results alone, TJC is now seeking input on how to ensure
> appropriate follow-up of *all* diagnostic test results and consults. This
> would include results that may not be critical but could lead to a
> different diagnosis or a change in management plans.”
>
>
>
> This represents a foot-in-the-door, but hopefully leads to additional
> improvements.  I expect this activity to include an Expert Team (SIDM
> members and others) to assist them in this new development.  Stay tuned!
>
>
>
>    Nelson Toussaint
>
>
>
> TAMARAC LLC
>
> 860-844-0199
>
> ntoussaint at tamarac.com
>
>
>
> *From:* Ruth Ryan [mailto:ruth at RYAN-GRAHAM.COM <ruth at RYAN-GRAHAM.COM>]
> *Sent:* Friday, December 21, 2018 11:04 AM
> *To:*
> *Subject:* [IMPROVEDX] Joint Commission Safety Goals and Accreditation,
> do they relate to quality of care>?
>
>
>
> Hello All,
>
>
>
> The Joint Commission or TJC has been much in the news of late, e.g., Wall
> Street Journal (Hospital Watchdog Gives Seal of Approval, Even After
> Problems Emerge 9.6.17), AMA News (Trump administration weighing possible
> financial conflicts in hospital accreditation process, 12.19.18), and now
> this article by Ashish Jha:
>
> Accreditation, Quality, and Making Hospital Care Better. The JAMA Forum
> December 18, 2018 Ashish K. Jha, MD, MPH.
>
> JAMA. 2018;320(23):2410-2411. doi:10.1001/jama.2018.18810.
>
> referring to this new study:
>
> Lam MB, Jha, A et al. Association between patient outcomes and
> accreditation in US hospitals: Association between patient outcomes and
> accreditation in US hospitals: observational study
>
> Jha concludes from this recent comparative study that *accreditation by
> TJC, the states or any other body is not associated with improved outcomes
> or patient experience. *
>
>
>
> He states, “The problem, it seems, is that accrediting organizations are
> not focusing on what actually matters to patients. The criticism that these
> organizations spend enormous amounts of energy requiring hospitals to focus
> on things like signs in the hallway or how documentation is done appears to
> have some merit. We need to reexamine the standards required for
> accreditation to ensure that they are promoting what’s actually important:
> the health, safety, and optimal experience of patients.”
>
>
>
> Diagnosis is largely unaddressed by the patient safety goals and measures
> of either TJC  or CMS.  How can we who are advocates of improving diagnosis
> participate in this discussion of changing the quality measures used by
> accrediting bodies?
>
>
>
> *Ruth*
>
>
>
> Ruth Ryan RN, MSW, CPHRM
>
> Telephone (504) 256-8797
>
> Email ruth at ryan-graham.com
>
> Save the Date: Diagnostic Error in Medicine Conference, November 10-13,
> 2019, Washington, D.C.
>
> Save the Date: Australasian Diagnostic Error in Medicine Conference, April
> 28-30, 2019, Melbourne, Australia
>
>
>
>
>
>
>
> ------------------------------
>
>
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>
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>
> Moderator:David Meyers, Board Member, Society for Improving Diagnosis in
> Medicine
>
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/






Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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