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C H Patterson

Publications and source records attributed to C H Patterson.

25 records · Page 2Linked to original sources

Counseling.

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Counseling↗

Joint Commission perspective: using standards and indicators to monitor performance.

Two activities are concurrently underway at the Joint Commission on Accreditation of Healthcare Organizations: revision of standards for "Infection Control" which will continue to be used for the survey of hospitals development of the "Agenda for Change", a progress report on an extensive research and development project which is expected to use several infection control-related topics in the development of hospital-wide clinical indicators. This article outlines the Joint Commission's scope of services, and discusses the proposed new infection control standards and the topics to be pilot-tested for potential use as hospital-wide clinical indicators. The initiatives defined in the Agenda for Change, which involve several programmatic changes and modifications in the standards and survey procedures for the 1990s, are also addressed.

Accreditation↗

Quality assurance, control, and monitoring. The future role of information technology from the Joint Commission's perspective.

In summary, the Joint Commission's current perspective on "quality assurance" in the 1990s includes three different, but complementary, activities: 1) structure and process triennial reviews (Joint Commission surveys); 2) Case-based reviews conducted by professional review organizations and/or other third parties; and 3) a combination of internal and external data-driven improvement systems. All these systems will work best supported by computers and software programs that foster the manipulation and management of data related to quality of care monitoring systems in addition to those in use today to monitor the hospital's profit and loss position. The Joint Commission's accreditation decision process will continue to be based on surveys of compliance with standards and their key characteristics. Problems related to the organization's performance against the external monitoring systems will not directly impact accreditation status. The Joint Commission will be more interested in how the organization responds to aberrant indicator data and how it conducts problem solving activities. New Joint Commission standards (yet to be developed) will relate to such activity and only then, after standards are written, field tested, and published, could the information generated by the Joint Commission's external indicator monitoring system impact on accreditation status. During a speaking engagement in Florida, a physician on the panel with me from the state's physician monitoring organization shared the following diagnostic label: "Mural Graphic Dyslexia." He defined it as the inability to read the handwriting on the wall. I believe that the handwriting is very clear and can be read very well. Data-driven quality improvement processes are the survival tools of the future.(ABSTRACT TRUNCATED AT 250 WORDS)

Accreditation↗