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Overview of Joint CommissionAccreditation for PharmaciesMargherita C. Labson, Executive Director Home Care ServicesRobert Campbell, Director for Medication Management
The Gold Standard inPrivate AccreditationWhen it comes to accreditation, no organizationcan match The Joint Commission’s experienceand knowledge.This legacy of excellence and robust expertise isapplied with equal passion and rigor to a widevariety of pharmaceutical settings.4
Why Pursue Joint Commission Accreditation?‒ Strengthens operational effectiveness and performanceimprovement efforts‒ Supports regulatory and payer compliance‒ Standardization promotes efficiencies that translate tocost savings‒ Promotes stakeholder confidence in the pharmacy’sability deliver quality care‒ Fosters alignment between pharmacies and health careproviders‒ Strengthens staff knowledge and competencies5
Eligibility Licensed pharmacy Having served at least 10 patients with 2 active Primarily delivering services to patients in their place of residence Evaluates the practice of pharmacy as applied to:‒ Compounding‒ Specialty‒ Radiological6
Pharmacy Types Served‒ Long term care pharmacies‒ Free standing ambulatory infusion pharmacies‒ Mail-order pharmacies‒ Closed door pharmacies‒ Retail pharmacies7
StructureThe Joint Commission’s nationally recognized standards are: Comprehensive, non-prescriptive‒ Applied by settings and services offered‒ Relevant to your setting‒ Helps maintain consistent service excellence and address themost complex issues8
Unique Approach: People, Product, Environment‒ Holistic Patient-centric‒ Unique Tracer Methodology‒ Focus on Processes and Systems‒ Facilitates customization to your specific needs‒ 100% pharmacist employee workforce mitigates risk ofconflicts of interest‒ Reports help prioritize work‒ Built in processes facilitate your ability to sustain compliance9
The On-Site Survey‒ Patient/Customer centric‒ Real- time event, interactive, evaluative and informative‒ Tracer method involves all levels of staff and patients‒ Address critical areas in both leadership and operations‒ Beginning of Relationship with fixed touchpoints‒ Surveyors‒ Clinical and administrative pharmacy professionals‒ Collaborative and educational; share observations and bestpractices10
The Survey Agenda Opening Conference and Orientation to the Organization Individual tracers Home visit(s) Remote tracer(s) System tracers Emergency Management and Environment of Care Data Management – Includes Medication Management, Infection Control, and Performance ImprovementCompetency Session and Employee File Review Document ReviewStaff InterviewsPatient Record ReviewSurvey Report PreparationExit Conference11
After the Survey Begin correcting any findings from on-site survey Collaborate with Account Executive andStandards Interpretation Group to addressrequirements for improvements 60-day window to submit Evidence of StandardsCompliance (ESC) Electronic approval process expeditesaccreditation decision Accreditation granted upon approval of ESCs Resurvey 3 years, Interim support encouragescontinuous compliance12
Exploring PharmacyAccreditation13 2019 The Joint Commission. All Rights Reserved.
How The Joint CommissionWorks with Key Stakeholders14 2019 The Joint Commission. All Rights Reserved.
Patient Tracer in the Pharmacy Setting15 2019 The Joint Commission. All Rights Reserved.
Top 5 Pharmacy Challenging Areas Proper action taken based on medication order review Proper storage of medications Proper compounding processes Testing and Certification of Engineering Controls withincompounding suites Evaluation of medication errors and events16 2019 The Joint Commission. All Rights Reserved.
Working Beyond Accreditation17 2019 The Joint Commission. All Rights Reserved.
Summary18 2019 The Joint Commission. All Rights Reserved.
Snapshot of the process1. Explore your options with us2. Review the requirements3. Assess your readiness4. Submit application with deposit5. Review & address any identified gaps6. Access resources & prepare for your onsite survey7. Participate in your first Joint Commission survey8. Complete any post-survey follow up9. Celebrate & publicize your accomplishment10. Maintain survey readiness19
Applicant Tools and Resources‒ Account Executive‒ Standards Interpretation Group‒ E-dition electronic Standards Manual‒ Checklists, tools, resources conveniently located in the‒‒‒ manualSurvey Activity GuideFocused Standards Assessments ToolStandards Booster PaksJoint Commission Connect Secure Customer Portal20
The Joint Commission ConnectCustomized securesite for access tocritical resourcesand tools21 2019 The Joint Commission. All Rights Reserved.
Resources: Beyond Accreditation Leading Practice LibraryReal-life solutions fromaccredited organizations Targeted Solutions ToolTMCustomized solutions toprevalent issues including handhygiene, safe surgery, hand offcommunications PerspectivesJoint Commission’s officialmonthly e-periodical22
Home Care Team ContactsMargherita LabsonBSN, MSHSA, CPHQ, CCM, CGBExecutive Director630-792-5284 ormlabson@jointcommission.orgBrenda Lamberti, BSSenior Business DevelopmentSpecialist630-792-5252 orblamberti@jointcommission.orgMelissa Basich, MBAAssociate Director630-792-5276 ormbasich@jointcommission.orgMala VonGunten BSN, MBA, CRNIAssociate Director630-792-5746 ormvongunten@jointcommission.orgPhone: 630-792-5070Email: homecare@jointcommission.orgWeb: www.jointcommission.org/accreditation/home care.aspx23 2019 The Joint Commission. All Rights Reserved.
Time for Your Questions!24
As we conclude A recording and PDF of today’sWebinar will be emailed to allattendees Please complete a brief survey uponexit from today’s presentation For information on accreditation: 630-792-5070 homecare@jointcommission.org Visit our web site Twitter: @TJCHomeCare LinkedIn Showcase Page25
Thank you!26 2019 The Joint Commission. All Rights Reserved.
11 The Survey Agenda Opening Conference and Orientation to the Organization Individual tracers Home visit(s) Remote tracer(s) System tracers
