Impact of HMD Recommendations on the Joint Commission's Evolution

This report examines the transformation of the Joint Commission in response to Health and Medicine Division (HMD) recommendations, focusing on improvements in safety, effectiveness, and efficiency within healthcare organizations. Key HMD recommendations include establishing a national focus on safety leadership, developing a mandatory reporting system for errors, raising performance standards, and implementing safety systems. The report highlights the impact of these recommendations on nursing care, emphasizing patient-centered care, evidence-based practices, and reduced medication errors. It also discusses quality indicators, the inclusion of HMD's vision in quality measures, changes in care delivery, governance, training, communication, and partnerships, all aimed at enhancing patient safety and healthcare quality. This analysis provides insights into how the Joint Commission integrates HMD's guidance to improve healthcare standards and patient outcomes.

TRANSFORMATION OF THE
JOINT COMMISSION
-based on Health and Medicine Division (HMD)
recommendations

OVERVIEW OF THE JOINT
COMMISSION
 The Joint Commission is an independent and not-for-profit
organization that accredits and certifies almost 21000 healthcare
organizations of USA (Joint Commission, 2015).
 Mission- improving public healthcare in collaboration with other
stakeholders (Joint Commission, 2015).
 Vision- Highest quality, safest, best value health care (Joint
Commission, 2015).

HMD RECOMMENDATIONS
 HMD recommendations are effective enough in improving the safety, effectiveness as well as
efficiency of any organization.
 Recommendation 1: In order to improve the knowledge base about safety, establishment of
national focus to create leadership (Baker, 2001).
 Recommendation 2: Developing a nationwide public mandatory reporting system to identify and
learn from error (Donaldson, Corrigan & Kohn, 2000).
 Recommendation 3: Raising performance standard to improve safety (Donaldson, Corrigan &
Kohn, 2000).
 Recommendation 4: Implementing safety system to improve effectiveness and efficiency of the
organization (Baker, 2001).

RECOMMENDATIONS AFFECTING
NURSING CARE
 Providing patient-centered care which will be respectful and responsive to the
preference, need and value of individual patients (Donaldson, Corrigan & Kohn,
2000).
 Providing service on the basis of scientific knowledge to improve the effectiveness
(Donaldson, Corrigan & Kohn, 2000).
 Reducing waits and delays to improve the efficiency of the organization
(Donaldson, Corrigan & Kohn, 2000).
 Reducing medication error in the healthcare with the implementation of patient
safety system.

QUALITY INDICATORS OF THE JOINT
COMMISSION
 National goal compliance related to patients’ safety.
 Quality improvement goal performance throughout the nation.
 Patients’ safety efforts worldwide.
 Patients’ safety research.
 Quality check and quality reports.
 Raised transparency to promote cultural safety within the organization.
 Legislative efforts to reduce duplication and to focus on the survey activities
in order to improve patients’ safety (Baker, 2001).

INCLUSION OF HMD’S VISION IN
QUALITY MEASURE
 Collaborating with Patients’ Safety Advisory group in order to measure
the safety standards of healthcare.
 The Joint Commission establishes National Patient Safety Goals
programs for the purpose of helping the accredited organizations
regarding the safety of the patients (Greiner & Knebel, 2003).
 Sentinel Event policy was implemented in the year 1996 and was revised
in the year 2014 in order to incorporate patients’ safety concepts (Baker,
2001).

CHANGE IN CARE
 Application of evidence to healthcare delivery.
 Removing the medication error and for this purpose the use of
information technology (Greiner & Knebel, 2003).
 Informing the patient and family members about any decision to
enhance patient and family-centered care (Donaldson, Corrigan
& Kohn, 2000).
 Caring about the valuable time of the patients.

CHANGE IN GOVERNANCE
 The Joint Commission receives report regarding patients’
safety from government agencies.
 Establishing leadership and effective staffs to take care
about patients’ safety (Donaldson, Corrigan & Kohn, 2000).
 Incorporating governing bodies to ensure the safety
standards.

CHANGE IN TRAINING
 Providing proper training for an effective patient care
approach.
 Use of collaborative education models to enhance
patients’ safety.
 Educating the nurses about the management in the
emergency departments of the healthcare organizations.

CHANGE IN COMMUNICATION
 Advancing an effective communication process to provide patient as
well as family-centered care to each and every individual
 The Joint Commission recommends an approach to provide health
information irrespective of the language of the patients (Greiner &
Knebel, 2003).
 In order to improve the communication standard inclusion of language
interpreter and translator that can address the issues regarding
communication barrier (Donaldson, Corrigan & Kohn, 2000).

CHANGE IN PARTNERSHIP
 Partnership is necessary to improve the safety of the patients.
 Partnership with Association for the Advancement of Medical
Instrumentation (Donaldson, Corrigan & Kohn, 2000).
 To make the dialysis safer, The Joint Commission has
partnered with CDC.

WORKS CITED
Baker, A. (2001). Crossing the quality chasm: a new health system for the 21st
century. BMJ: British Medical Journal, 323(7322), 1192.
Donaldson, M. S., Corrigan, J. M., & Kohn, L. T. (Eds.). (2000). To err is human:
building a safer health system (Vol. 6). National Academies Press.
Greiner, A. C., & Knebel, E. Health Professions Education: A Bridge to Quality.
2003 Washington. DC National Academies Press eds. Retrieved from
https://www.nap.edu/read/10681/chapter/1
Joint Commission. (2015). About the joint commission. Sentinel Event
Alert, 48(482011), 1-4.