Joint Commission update: equipment management in the environment of care.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to O R Keil.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
As the Agenda for Change unfolds, several major changes will take place. Organizations seeking accreditation will face potentially greater pressure to improve as accreditation and performance data become more available to the public and payers. Future accreditation decisions will be based more on observed, demonstrated, and measured performance than on statements of policy and practice. Key to this in the survey process are the new unit-based survey and the use of indicators. Finally, accreditation evaluation activities provided by the Joint Commission will become a more persistent part of the life of accredited organizations. New activities will include an annual contact to update demographic information, the random, unannounced survey process, and frequent data and information exchanges based on the indicator database. The goal of these changes is to get closer to the real work of patient care through measurement and assessment of organizational competence, performance, and ability to change. The challenge facing clinical engineers as equipment or technology managers is to extend their vision of the equipment management process beyond the engineering needs of medical equipment. The key focus of the new Joint Commission standards and accreditation process is the acquisition and use of information. Equipment, as it becomes more complex, requires more user knowledge to be applied effectively. As part of the information highway, the clinical engineer of tomorrow must focus on the information content of the equipment being introduced and determine the most effective method of transferring the information into user "brainwave."
In summary, the entire JCAHO manual is built around the concept of "know thyself." This expectation creates the need to engage in a substantial rework of existing practices to remove communication barriers and to eliminate turf warfare. The focus of the standards is on the patient. All aspects of the patient-care delivery cycle are examined during survey, as are key elements of the business-management activities. The EC standards are a case study of business management. They expect leadership and planning, development of human resources, management of information, and improvement of performance. They expect that all four of these management tools will be exercised by all managers and staff members who have an impact on or are impacted by the seven elements of the EC function. The primary focus is on teamwork among providers and maximizing benefits to patients.