The Joint Comission Gives MCDH 3-Year Accreditation

News Media Contact: Bruce Lewis, 707-813-1197

Mendocino Coast District Hospital And Home Health Program Receive Three-Year
Renewal Of Accreditation By The Joint Commission

Three-Year Accreditation Is Maximum Awarded By Nation’s Oldest And Largest
Standards Setting And Accrediting Body In Health Care

FORT BRAGG, Calif. — July 8, 2010 — The Joint Commission (TJC) recently
notified Mendocino Coast District Hospital CEO Raymond Hino that the
hospital and its home health program have officially received a three-year
accreditation — the maximum allowable.

“This is very gratifying news, and something the whole community can take
pride in,” said Hino. “Last fall we received a conditional three-year
renewal of our accreditation after a rigorous two-day inspection, and now
it’s official.”

Hino noted that TJC accreditation is an important way of demonstrating that
Mendocino Coast District Hospital and its home health program follow the
same quality standards that large healthcare organizations follow. “This is
further confirmation that day in and day out our staff and physicians
deliver patient care that meets our industry’s highest standards,” he said.

According to Susan Bivins, RN, Director Quality and Risk Management, who is
responsible for coordinating preparation for the TJC survey, delivering top
quality care and preparing for the accreditation survey are essentially one
in the same.  “The hospital maintains an internal task force that meets
periodically to make sure that the facility stays current on all new
regulations and requirements,” she said. “This helps make sure that we
continuously meet the highest standards for healthcare delivery, and in
doing so, we are ready at anytime for an unannounced inspection by TJC.”

During its inspection last fall, the TJC team focused on three areas:
critical access; conformance with life and safety codes; and home health.
Within these areas surveyors looked at many things, including operating room
procedures — from patient preparation, through surgery and discharge. They
reviewed protocols for administering patient medication in the emergency
room, on nursing stations, and at the North Coast Family Health Center.
Members of the team accompanied home health care staff on several visits,
and one member of the team, an engineer, surveyed building construction,
emergency preparedness, and the status of equipment.

Bivins noted that the hospital has been accredited with TJC since 1973. “It
is really remarkable that MCDH identified the need to meet the quality
standards designated by TJC in the early years and has maintained that
accreditation since then, when many hospitals have chosen to drop their
accreditation,” she said. “The community should be proud of the quality of
care delivered at MCDH as proven by its ongoing commitment to
accreditation.”

About The Joint Commission An independent, not-for-profit organization, The
Joint Commission (formally called Joint Commission on the Accreditation of
Healthcare Organizations or JCAHO), is the nation’s oldest and largest
standards setting and accrediting body in health care. It seeks to
continuously improve health care for the public by evaluating health care
organizations and inspiring them to excel in providing safe and effective
care of the highest quality and value. The Joint Commission evaluates and
accredits more than 17,000 health care organizations and programs in the
United States. To earn and maintain accreditation by The Joint Commission,
an organization must undergo an on-site survey by a Joint Commission survey
team at least every three years.

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