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Accrediting Agencies and Hospital Quality

NR544 Quality and Safety Core Elective

Week 6 Discussion

Accrediting Agencies and Hospital Quality

Sunny Valley Medical Center is accredited by The Joint Commission (TJC). The last survey was in 2016. Consistent with TJC tracer methodology approach to surveying, the survey was unannounced. The hospital worked diligently and continuously to prepare for this survey. Sunny Valley Medical Center and The Joint Commission are interested in customers’ concerns, problems, and any feedback at all times. If you have any problems, The Joint Commission encourages you to call the hospital. Sunny Valley Medical Center is committed to working out any concerns or problems that any customer may have.


During an official survey visit, Sunny Valley Medical Center demonstrated compliance with The Joint Commission’s national dimming status for the CMS standard for quality and safety. “The official survey visit was an intense three days, with extensive data review for most of their clinical processes, but the staff was ready,” the quality manger said.


Please use the case above to reflect on the following questions.


Briefly describe and differentiate between the TJC accreditation and CMS guidelines. Evaluate how these guidelines might influence the survey preparation.’s Hospital Compare has information about the quality of care at over 4,000 Medicare-certified hospitals: (Links to an external site.). Please reflect on the performance of one of your community hospitals using Hospital Compare’s quality matrix.


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