The MCDH Blog

The Joint Commission Concludes Hospital Survey
—Posted Monday, September 24th, 2012 at 9:50 am—
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I am very pleased and proud to report that Mendocino Coast District Hospital has completed it’s triennial Joint Commission survey for our critical access hospital and for Life Safety Code.  Our Home Health department is also being surveyed.  Home Health will be completed later today.  The Joint Commission (TJC) conducts a 2-day survey for critical access hospitals, in which patient care is examined closely by having a trained surveyor follow patients as they move from department to department within the hospital.  1 patient was followed from the hospital’s North Coast Family Health Center (NCFHC)  into the hospital for an outpatient procedure.  At last Friday’s Exit Conference, Survey Team Leader, Gayle Nash, RN commended our staff for doing a very good job of providing quality health care.  She said that the NCFHC patient that she followed was extremely appreciative of the care that they received and got emotional when talking about the importance of our hospital.  Ms. Nash said that there were no major deficiencies found during the survey and that the findings were about average for a Joint Commission accredited hospital.   She added that “MCDH did well in that it had only 1 National Patient Safety Goal deficiency, no medication findings, very little findings in infection control and we were perfect in data.”  She concluded her remarks on Friday by saying that she is very impressed by MCDH’s low patient fall rate and our infection control plan. 

As CEO of our hospital, I am very pleased with this positive report and validation of the excellent quality of patient care that we provide at MCDH every day.  I would like to thank the Joint Commission team for the time that they have spent in our facility for the past 3 days, in which they have given us great advice so that we can get even better.  I would especially like to thank Susan Bivins for her leadership in preparing our hospital staff for this survey.  Susan recently resigned her position as Quality and Risk Manager at MCDH in order to return home closer to family in another part of our State.  We could not have planned last week’s survey timing any better.  Our Joint Commission survey took place on Susan’s last 2 days of work at MCDH.  Thank you again Susan and thank you to everyone on staff at MCDH who helped us to achieve these positive results.

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