dnv accreditation vs joint commission

Webknown as DNV Accreditation, they came equipped with the experience of TUVs previous effort to become deemed and their National Integrated Accreditation for Healthcare Accreditation Canada accredited its first organization internationally in 1967 in Bermuda. Before the audit starts, you provide input on what operational processes are most crucial to your business success. DNV prides itself in the ability to relate to frontline staff and leadership, thus putting them at ease. Hospitals are no longer stuck in a cycle of addressing the same issue every three years. %,,`0,XA!rd{ey` F7 The ability to integrate ISO 9001 quality standards with our clinical and financial processes is a major step forward.. The International Standards Organization (ISO) Web site. Learning happens when staff are comfortable and not intimidated by the process. Blood use Prescribing of medications Surgical Case Review Specific departmental indicators Moderate Sedation Outcomes Anesthesia events Appropriateness of care for noninvasive procedures/interventions Utilization data Significant deviations from established standards of practice Timely and legible completion of patients medical records Variants analyzed for statistical significance 19, Addressed by TJC, Not NIAHO Verification of applicant identity Use of CVO (DNV does allow is addressed under telemedicine) Health status (DNV only under surgical privileges) Applicant required to provide info re: previously successful or currently pending challenges to licensure or voluntary relinquishment, felony convictions Leadership standards place additional responsibilities on MS Residency program requirements 20, Addressed by NIAHO, not TJC Receipt of database profile from OIG Medicare/Medicaid Exclusions initial/reappointment/temporary privileges 21, Resources Standards: NIAHO Standards, Interpretive Guidelines, or Accreditation Process www. This is a list of the hospitals accredited to the international standard by DNV. It is widely recognized as the gold standard in healthcare accreditation, and its standards are considered rigorous and comprehensive. com Jointcomission. The Joint Commission on the Accreditation of Healthcare Organizations. Webparticipation was based on Joint Commission accreditation issued prior to that date will continue to participate in Medicare via deemed status until the normal expiration date of its accreditation. Certification by DNV Healthcare is key step toward establishing your hospital's reputation for excellence. N')].uJr Through its broad experience and deep expertise, DNV advances safety and sustainable performance, sets industry benchmarks, drives innovative solutions. Medical Student SOAP Note | endstream endobj 128 0 obj <>/Metadata 20 0 R/PieceInfo<>>>/Pages 19 0 R/PageLayout/OneColumn/StructTreeRoot 22 0 R/Type/Catalog/LastModified(D:20081002145347)/PageLabels 17 0 R>> endobj 129 0 obj <>/ColorSpace<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/ExtGState<>>>/Type/Page>> endobj 130 0 obj <> endobj 131 0 obj <> endobj 132 0 obj <> endobj 133 0 obj [/Indexed 148 0 R 255 149 0 R] endobj 134 0 obj <> endobj 135 0 obj <> endobj 136 0 obj <> endobj 137 0 obj <>stream ISO is the International Organization for Standardization. Innovative hospitals have started embracing ISO as a way to identify and focus on the most successful approaches to patient care, billing and other critical aspects of running a modern hospital system. doi:10.1017/ice.2020.295. We evaluate how well your management system supports your focus areas. Clifton Springs Hospital and Clinic recently was awarded an A grade for safety. 2002 Jun;75(6):1179-82. doi: 10.1016/s0001-2092(06)61621-9. The outcome is still a certificate if the management system is found compliant but with added dimension to your improvement journey. Provides a framework for organizational structure and management Accreditation involves preparing for a survey and maintaining a high level of quality and compliance with the latest standards. Joint Commission accreditation provides guidance to an organizations quality improvement efforts. TCI certification. The scope of certification is agreed at an early stage in the certification process. After the audit you need to address and respond to non-conformities within an agreed deadline. The Joint Commission Lon Berkeley . DNV Healthcare, Joint Commission emphasize differences. 2y.-;!KZ ^i"L0- @8(r;q7Ly&Qq4j|9 Public Records Policy | Since accreditation is a must-have credential for just about every hospital in this country, why not make it more valuable, and get more out of it? About 200 hospitals have switched to DNV Accreditation over the past two years. Access our full portfolio of public and private courses, including CHOP Certification. The annual survey model keeps hospitals moving forward on the path of continued improvement. WebAssistant Director - Accreditation Services . This is the authorities way of auditing the auditors, such as certification bodies like DNV. 0000020794 00000 n Available at: http://www.cms.gov/SurveyCertificationGenInfo/downloads/SCLetter09-02.pdf. 0000007824 00000 n *This product is a downloadable document and does not ship. As DNV hospitals often say, ISO provides the structure for the staff to focus on xb```f``ue` ea *(ltSa{+ 9QQ (MHKX*?6Y ,8v'83rXrE0C;;[70^} Ua vHCO4@ZT Dr g$ Agreeing on focus areas is a collaborative effort, and our auditors can help suggest focus areas if necessary. Contact South Central Regional Medical Center, Hospital Affiliation Request | At Rochester Regional Health, our dedication to quality is reflected in the teams we hire, the care we provide and the services we offer. Senior Account Executive . Comparison of The Joint Commission and DNV- GL HCs National Integrated Accreditation for Healthcare Organizations (NIAHO) MS Standards Kathy Matzka, CPMSM, CPCS 1, History TJC 1952 began Unique statutory hospital deeming authority 1965 Medicare statute July 15, 2008, the Medicare Improvements for Patients and Providers Act of 2008 became law 11/09 CMS approval 4, 546 Hospital and CAH in 2011 4, 429 Hospital and CAH in 2013 (90% of accredited hospitals) 4, 032 Hospital and CAH in 2016 (88% of accredited hospitals) NIAHO 12/19/07 Application to CMS 09/08 CMS approval 94 Hospital and CAH on 7/14/10 393 Hospital and CAH on 4/17/2016 2, Process TJC NIAHO Three year survey Annual Survey Standards directly Most MS standards related to the CMS as directly related to the well as self-defined CMS ISO 9001 quality management 3, Scoring Process TJC NIAHO Three-point scale: 0 = insufficient compliance 1 = partial compliance 2 = satisfactory compliance Icons Documentation required Situational decision rules apply Direct impact requirements apply Category A requirement Category C requirement (based on # of times does not meet standard) Measurement of Success needed Standards Scored as Meets requirements Nonconformity Category I Conditional level Egregious non-compliance Nonconformity Category I Noncompliant Nonconformity Category II Occasional or isolated lapse in compliance Immediate Jeopardy Immediate threat to patient safety No aggregate scoring 4, Appointment Timeframe TJC Two years NIAHO Three years if state law does not address 5, Continuing Medical Education TJC NIAHO LIPs and other practitioners All with privileges participate in privileged through the medical CE that is at least in part staff process must participate related to their clinical in CE privileges Participation must be CME considered in decisions documented and considered in about reappointment or decisions about reappointment, renewal or revision of clinical renewal, or revision of privileges individual clinical privileges Action on an individuals application for appointment /reappointment or initial or subsequent clinical privileges is withheld until the information is available and verified 6, Current Competence TJC The hospital verifies in writing and from the primary source, whenever feasible, or from a CVO, information concerning the current competence Evaluate data from other organizations where the applicant currently has privileges, if available NIAHO Initial - MS qualifications include verification of current competence Reap - Review of individual performance data for variation from benchmark Variations to peer review for determination of validity, written explanation of findings and, if appropriate, an action plan to include improvement strategies 7, Malpractice History TJC NIAHO MS evaluates Review of involvement in a any professional liability action at initial and action, including final reappointment judgments and settlements involving a practitioner Must evaluate any evidence of an unusual pattern or an excessive number of professional liability actions resulting in a final judgment against the applicant 8, Peer Recommendations TJC NIAHO Required at initial, reap, consideration of termination, or revision/revocation of clinical privileges Address the relevant training and experience, current competence, and any effects of health status on privileges being requested Include evaluation of the applicants medical knowledge, technical and clinical skills, clinical judgment, communication skills, interpersonal skills, and professionalism Obtained from a practitioner in the same professional discipline as the applicant with personal knowledge of the applicants ability to practice List of appropriate sources Two peer recommendations required at initial appointment 9, Clinical Privileges TJC NIAHO PSV for current licensure or All permitted by the certification organization and by law to PSV of relevant training provide patient care services Evidence of physical ability to independently have delineated perform the requested privilege clinical privileges If available, data from If available and/or required by professional practice review the MS, a review of individual from other organization where performance data variation the applicant currently has from criteria determined by the privileges medical staff to identify need Recommendations from for training or proctoring that peers/faculty may be required On renewal, review of the applicants performance within the hospital 10, Telemedicine TJC NIAHO 3 choices The originating site can fully privilege and credential the practitioner according to MS standards or Use credentialing information from the distant site if the distant site is a Joint Commission-accredited organization or Use credentialing and privileging decision from the Joint Commission-accredited distant site Medical staff at both sites make recommendation for services to be provided via telemedicine For non-deeming, can be via contract only if TJC accredited entity 2 choices The originating site can fully privilege and credential the practitioner according to MS standards or Use credentialing and privileging decision from telemedicine entity or distant site Medicare participating hospital When services provided by a contracted entity, GB must identify criteria for selection and procurement of services and how to evaluate the entity 11, Temporary Privileges TJC NIAHO 120 days for new applicant with complete file awaiting MEC approval Time as specified in bylaws for patient care need On recommendation of MS President or designee No successful challenges to licensure or registration; involuntary termination of MS appointment; involuntary limitation, reduction, denial, or loss of clinical privileges Not exceed 120 days Locum tenens not to exceed 6 months On recommendation of a MEC member, MS president or medical director (as defined by MS Urgent patient care need Complete application w/o negative or adverse information before action by the medical staff or governing body 12, Temporary Privileges TJC NIAHO Patient care need verify Current licensure Current competence New Applicant verify Current licensure Relevant training or experience Current competence Ability to perform the privileges requested Other criteria required by medical staff bylaws NPDB In all cases verify education (AMA/AOA Profile OK current competence primary verification of State professional licenses professional references (including current competence) Database profiles from AMA, AOA, NPDB, and OIG Medicare/Medicaid Exclusions 13, Allied Health Professionals TJC NIAHO LIPs through MS process Non-LIP APRNs and PAs HR or MS if not providing a medical level of care If State law allows, MS may include DPM, OD, DC, PA, CRNA, NM, APRN, DMD, PHD or other designated professionals approved by MS and Board and eligible for appointment 14, Executive Committee TJC NIAHO 10 EPs outlining responsibilities, structure, function If MS has an executive committee, a majority of the members of the committee shall be doctors of medicine or osteopathy CEO and the nurse executive of the organization or designee shall attend each meeting on an ex-officio basis, with or without vote 15, TJC Notifications NIAHO The decision to grant, A current roster listing deny, revise, or each practitioners revoke privilege(s) is specific surgical disseminated and privileges must be made available to all available in the appropriate internal surgical suite and external persons scheduling area or entities, as defined Include surgeons with by the hospital and suspended surgical applicable law privileges or whose surgical privileges have been restricted 16, Surgical Privileges TJC NIAHO Included in general category for privileges All practitioners performing surgery have surgical privileges established by the department of surgery and medical staff and approved by the governing body Privileges for general surgery and surgical subspecialties defined with established criteria approved by MS Privileges correspond with established competencies of each practitioner 17, Automatic Suspension TJC NIAHO The medical staff bylaws include description of indications for automatic suspension or summary suspension of a practitioners medical staff membership or clinical privileges description of when automatic suspension or summary suspension procedures are implemented The medical staff will define the criteria and have a mechanism for consideration of automatic suspension of clinical privileges of a practitioner at a minimum when: revocation/restriction of professional license DEA certificate has been revoked, suspended or on probation Failure to maintain the minimum specified amount of professional liability insurance non-compliance with written medical record delinquency or deficiency requirements Mechanism for immediate and automatic suspension of clinical privileges due to the termination or revocation of the practitioners Medicare or Medicaid status 18, QA/PI Data TJC FPPE OPPE Medical Assessment Blood Medication Operative and other procedure(s) Appropriateness of clinical practice patterns Significant departures from established patterns of clinical practice Use of criteria for autopsies Sentinel event data Patient safety data NIAHO Practitioner specific performance data is required and must be ratebased with comparative peer or national data available for comparison. WebIntro to DNV and NIAHO. x- [ 0}y)7ta>jT7@t`q2&6ZL?_yxg)zLU*uSkSeO4?c. R -25 S>Vd`rn~Y&+`;A4 A9 =-tl`;~p Gp| [`L` "AYA+Cb(R, *T2B- Findings, including non-conformities, and conclusions are presented at the end of the audit in a closing meeting and included in the audit report. Using an accredited third party certification body/registrars This is applicable in situations where an organisation persistently and seriously fails to maintain compliance with the management system standard or due to other situations, as defined in the procedure for suspension and withdrawal of certificates. DNV Healthcare introduces a hospital accreditation program for stand-alone Psychiatric Hospitals, part of our dedication to helping hospitals improve quality, patient safety and healthcare delivery. Medical Student H&P | 0 Lab Specimen Guideline | 0000006234 00000 n Country-wide, more than 5000 hospitals are permitted to provide Medicarefinanced services solely DNV understands the important role Psychiatric Hospitals play in caring for the underserved and underinsured population. hb```b``c`201 +s0 These audits confirm your companys on-going compliance with specified requirements of the standard while re-evaluating performance in focus areas. After each survey there is a detailed report which is easy to follow and describes, with objective evidence, where your organization is not in compliance with the standard. Before the actual certification audit, we will normally make a preliminary visit to your organisation. The purpose of the initial visit is twofold: Based on this, the scope and audit plan are agreed upon. v4?fBHQ [C. Centers for Medicare and Medicaid Services. HtTKo0Wh( South Central was the first DNV accredited healthcare organization in Mississippi. There is always an opportunity to improve. Employee Login | DOI:https://doi.org/10.1017/ice.2020.1437. Det Have questions Contact us DNV Healthcare We focus on achieving this aspect at every survey. This commitment to safe, reliable and high-quality care is also demonstrated through our regulatory compliance and accreditations, awards and recognition and participation in national conferences and journals. DNVs accreditation program, called NIAHO (Integrated Accreditation of Healthcare Organizations), involves annual hospital surveys instead of every three years and encourages hospitals to openly share information across departments and to discover improvements in clinical workflows and safety protocols. Whether youre new to the Joint Read Part 3: Accreditation Options: Understanding the Joint Commission DNV Healthcare originated in Norway in 1864 as a risk management company. The documentation review can be performed prior to or conducted as part of the initial visit. After the three years are up, your certification will be extended through a re-certification audit. Biocor Hospital De Doencas Cardiovasculares LTDA. You will then receive an email that contains a secure link for resetting your password, If the address matches a valid account an email will be sent to __email__ with instructions for resetting your password. WebThe JCAHO and its accreditation programs are described, the history of the Medicare-JCAHO relationship is reviewed, and why the federal Medicare program has relied on accreditation as an indicator of the quality of participating hospitals is examined. In comparison, the Joint Commission has This 2.5-day course is a basic course designed to train healthcare professionals in the principles and requirements of DNV's approach to hospital accreditation. In the few years since DNV Healthcare became the first new DNV Accreditation is based on the companys innovative NIAHO standards. 0000002447 00000 n 2023 Rochester Regional Health. Learn how to plan your visit or hospital stay, pay your bill, contact us, and more information about visiting any of our facilities. [lW7wI/_./-";)n*R+lx-I$,4|t*0#__ l) The certification audit consists of informal interviews, examinations, observations of the system in operation and review of relevant documentation. `0 d``_}C!\ |S0\`0[znV$5*c"00z`PwzS\u@_w{wSZ3@`|4iE"'-*5wIsr]gI qyO'WAm)U1Ys96S=ffXTjMJ5P)TTOVyN9xddiV,ey-E% WebWe have a variety of resources to help you explore and master the accreditation process. HlSn0}W*vHUYii& 3kj`{YiDsqHI)P(J|\*|H X(PnFc'G]=/L$)$M[x6i; `9aDv}~2$eY@5 f'N^O_SFda55,EgsHwJWP'* xi.qDU_4%4reA)4zq0l>vf_R3;hxxlqn=hK`I8BL!eAS$O=pJI`2xKtQ_hv6 bG2u.S?)UIraqn/S#5gCi3+D WmBK%# 847-324-7487 | msweeney@aaahc.org . Our Privacy Policy | The Joint Commissions Stroke Certification Enhancements for 2018. Midland Memorial happy with DNV shift. 0000005251 00000 n Delia Constanzo . The DNV accreditation program provides us the opportunity to simultaneously satisfy our Medicare accreditation requirements and implement the ISO 9001:2015 Quality Management System all at the same time, said Doug Higginbotham, Executive Director at South Central Regional Medical Center. South Central is a public, not for profit hospital owned by Jones County, MS, who has an economic impact to our local community annually of almost $200 million. We use cookies to help provide and enhance our service and tailor content. WebThis approval provides hospitals with another accreditation option in addition to the Joint Commission and the American Osteopathic Association. All Rochester Regional Health labor and delivery hospitals. CMS-2895-FN, September, 26, 2008. Hospital Mater Dei. I*Rt>[?Yim*>"1t>hvYJa`h0vh` 2+@,F0)fP`c6e,ITWhLVJCXLFu @B@h6{E@E"% @lT- g Hu.5LL00~gPdpMej8 PClY~p=Tt n`xH108Y * ~ D\z Infection Control & Hospital Epidemiology (2020), 41, 13441347. Brazil. As with all accreditation programs, surveyors from the organization will visit the hospital on regular annual intervals to monitor the organizations progress in implementing the new requirements. Academic & Personal: 24 hour online access, Corporate R&D Professionals: 24 hour online access, https://doi.org/10.1016/j.mnl.2009.10.004, Comparisons of the NIAHO and Joint Commission Approaches to Accreditation, Available at: http://www.cms.gov/SurveyCertificationGenInfo/downloads/SCLetter09-02.pdf, Available at: http://www.dnv.com/binaries/NIAHO%20Accreditation%20Requirements-Rev%20307-8%200(2)_tcm4-347543.pdf, Available at: http://www.jointcommission.org/NR/rdonlyres/2F04C126-906D-4155-B16F-1F1A6570C387/0/jconlineAug1209.pdf, For academic or personal research use, select 'Academic and Personal', For corporate R&D use, select 'Corporate R&D Professionals', Association for periOperative Registered Nurses. DNV draws on its wide technical and industry expertise to help companies worldwide build consumer and stakeholder trust. The important role of the Joint Commission AORN J. WebThe important role of the Joint Commission. Lesho, E., Clifford, R., Vore, K., Zenits, B., Alcantara, J., Gargano, B., Phillips, M., Boyd, S., Eckert-Davis, L., Sosa, C, Vargas, R. Riedy, D., Stamps, D., Bhavsar, H., Fede J., Laguio-vila, M., Bronstein, M. Sustainably reducing device utilization and device-related infections with DeCATHlongs, device alternatives, and decision support. DNV is kept apprised of the organization's level of compliance with ongoing organizational reporting. All rights reserved. The initial visit can be combined with the documentation review. WebAccreditation and certification are important accomplishments and we are here to help your organization throughout the entire process. H|S[o0~WL3CJ)d[+ej8["ChT(/>| Lr= 1A/?7_]"`WW0 MB%pf4{R)"~"LeC$X8 V+I::'p8%I^H$pfr>8hY6/Fd&JA#aNj,'{?li1z\) About South Central Regional Medical Center. Psychiatric Hospitals are accredited for a three year period, subject to annual survey to verify continuing compliance with NIAHO. In recent years, DNV have been challenging TJC in the USA. 0000006807 00000 n 120 0 obj WebAddressed by TJC, Not NIAHO Verification of applicant identity Use of CVO (DNV does allow is addressed under telemedicine) Health status (DNV only under surgical %PDF-1.6 % Unlike previous approaches to accreditation, DNV focuses on what works best for each hospital and therefore opens the door to innovation. HyTSwoc [5laQIBHADED2mtFOE.c}088GNg9w '0 Jb A successful management system is one that is improved on a continual basis. DET NORSKE VERITAS (DNV) More than 2,100 individuals are employed throughout health system and approximately 125 providers representing 28 medical specialties provide care to patients. We currently have 26 Beacon Awards across our system. The trademarks DNV GL, DNV, the Horizon Graphic and Det Norske Veritas are the properties of companies in the Det Norske Veritas group. Hover over the "Register" button in the top right corner to see the price, 1 Question|Unlimited attempts|1/1 points to pass|Graded as Pass/Fail. An integrated health services organization serving the people of Western New York. endstream endobj 138 0 obj <>stream {(oFA`=My$RqH+#~/aDh4:G}_.Q8f(fVJ7*7/oG|t6FG\kpvaGx2?yxz RlG@-e0&9zWez|U( v Accessed April 23, 2010. NIAHO is the National Integrated Accreditation for Healthcare Organizations and encourages collaboration between different hospital departments. 0000002975 00000 n Whether certifying a companys management system or products, accrediting hospitals, providing training, assessing supply chains or digital assets, DNV enables customers and stakeholders to make critical decisions with confidence, continually improve and realize long-term strategic goals sustainably. 127 30 ".*RK6"zf9ss~3 AARJA=Z\&6c@+|dk{GKY B_],IEmmq_rS}gX;L9nL%)5Ek&$;mcUeEP*wb\yaA.eW:OS3hoRqgi^Ygv`l!7/vou$VZ(T&d$iq-kUh_4<7\R+vi)e35elpG[piiqN#@t9Z]Y?})#=[8GOCb+1QKU,HY WWcVr y"=uOsb%V xOy^N?+OHG'9%[qdF]guPa("2Hbs=Kt0 :J~O|JGn n~ %%EOF endstream endobj 139 0 obj <>stream This process ensures a full and timely understanding of the standards. South Central Regional Medical Center operates as a 285-bed hospital, an alcohol and drug inpatient detox facility, a wound care center with hyperbaric oxygen chambers, a cancer center, 22 medical clinics, two large nursing homes, a wellness and rehabilitation center, a home care and hospice division, a full service ambulance service, an emergency department which has 42,000 patient visits annually, and numerous other programs and services. 630 endstream endobj 1331 0 obj <>stream startxref This collaborative approach is crucial in continuing to improve and be a quality improvement hospital. DNV has a client drop box feature where questions regarding the standards can be asked directly to our specialists and surveyors. To update your cookie settings, please visit the. hbbd```b``= "@$nDEH`=d`L""@$?/O@o_@H b4l4k#%4#3` , The certification decision is taken after an independent DNV GL internal review. Available at: www.iso.org/iso/home. endstream endobj 1328 0 obj <>/Metadata 142 0 R/OCProperties<>/OCGs[1339 0 R 1340 0 R 1341 0 R]>>/Outlines 204 0 R/Pages 1318 0 R/StructTreeRoot 287 0 R/Type/Catalog>> endobj 1329 0 obj <>/ExtGState<>/Font<>/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1330 0 obj <>stream During this process, we assess your management systems degree of compliance with the requirements of the elected standard and performance in identified focus areas. The focus areas should be linked to the management system and reflect the risks or opportunities that are most important to you. Digital monitoring of medium-voltage cable networks, Offshore classification fleet in service, Electric grid performance and reliability, Reliability, availability and maintainability (RAM), Ship management, operations and ship design, procedure for suspension and withdrawal of certificates. DNV: Det Norske Veritas: DNV: Der Norske Veritas: DNV: District of North Vancouver (British Comparison of Joint Commission and DNV - GL HC NIAHO MS Standards Kathy Matzka, CPMSM, CPCS 8 22 Resources Standards: NIAHO Standards, hYmo6+bwRPI-@fulAMTcg5~w'I :^xXoay-uL3,%a8J#!%@aY%I>)ddJ:ph+*jX 9Q43F:\RzvYV:ibv2gTM]oWjQ)|V?AtYuy[uq]{ 0000012451 00000 n wG xR^[ochg`>b$*~ :Eb~,m,-,Y*6X[F=3Y~d tizf6~`{v.Ng#{}}jc1X6fm;'_9 r:8q:O:8uJqnv=MmR 4 WebThe more variables and inter-dependencies in you organization, the more relevant ISO becomes. DNV understands the important role Psychiatric Hospitals play in caring for the underserved and underinsured population. DOI: https://doi.org/10.1016/j.mnl.2009.10.004, The International Organization for Standardization (ISO), To read this article in full you will need to make a payment. Today, 300 follow DNV Accreditation procedures, and 80 more are in the process South Central Regional Medical Center was the first hospital in Mississippi to be accredited by DNV Healthcare. See upcoming training courses. Based on a positive outcome, he/she will recommend certification. We provide services at more than 400 locations across the region. Therefore, accredited certification consists of a 3-step cycle: To tailor the audit, we need to know what is important to your organisation. These surveys, often routine or planned to certify our specialty programs, look at our communication processes, governance, processes, standardization, safety precautions and outcomes. <>/XObject<>/ExtGState<>/ProcSet[/PDF/Text/ImageC]/Font<>>>/MediaBox[ 0 0 612 792]/Contents 168 0 R /Parent 117 0 R /Type/Page/CropBox[ 0 0 612 792]/Rotate 0/Annots 145 0 R /Tabs/S/Group 166 0 R >> 0000005823 00000 n Knowing where to focus improvement efforts is critical to take control of risk elements that can threaten your business success. endobj 0000038715 00000 n Rochester General Hospital Maternity Care,Unity Hospital Maternity Care,United Memorial Medical Center Maternity Care. 1350 0 obj <>stream DNVs philosophy is to assist Psychiatric Hospitals through compliance with the NIAHO Hospital Accreditation Program and Appendix B standards, encouraging a safe and therapeutic milieu which allows patients to be treated safely and effectively. Both your management system and certificate have to be maintained. endstream endobj 8619 0 obj <>/Metadata 315 0 R/Outlines 731 0 R/Pages 8594 0 R/StructTreeRoot 1070 0 R/Type/Catalog>> endobj 8620 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 8621 0 obj <>stream The scope of certification may however need to be expanded or reduced due to factors such as acquisitions, downsizing, adding new divisions etc. 4NuH.z)z06q?Rt|E"vzQV-\\-U=^4/M6z`| Y, 2mKe59\^9xg6`?,^eaQ)PHwzX=ixf#`x[aA;B|A3 $z(Gc(A%aC@)4"44SY S20L: 2("ukvVhMg9a,"J0$8 1sb s6s[fPE<1I!4XOLv^+d2(i}%C9X

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