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House committee probes CMS, Joint Commission over accreditation process

Republican members of the House Energy and Commerce Committee have launched an investigation into the hospital accreditation process following a Wall Street Journal report final yr that discovered the Joint Commission accredited hospitals with main questions of safety.

The committee despatched letters to the CMS and 4 accreditation organizations together with the Joint Commission requesting they supply detailed details about how they accredit hospitals and different amenities.

The committee wrote within the letters that it’s “concerned about the adequacy of CMS’ oversight” of accreditation organizations and the rigor of their survey processes. In addition to the WSJ article, the committee pointed to a 2015 congressional report that discovered accreditation organizations missed 39% of situation degree deficiencies at hospitals that had been subsequently reported by state survey companies in validation surveys.

About 90% of U.S. hospitals—or three,500—are accredited by personal organizations. The WSJ investigation discovered that the Joint Commission, which accredits about 80% of U.S. hospitals, not often pulls its accreditation. In 2014, the Joint Commission revoked accreditation for simply 1% of amenities in 2014.

The committee has asked the organizations to offer copies of hospital functions for Medicare accreditation; copies of efficiency opinions, survey suggestions, corrective motion plans and responses to these plans; and any correspondence with the CMS.

In addition to the CMS and the Joint Commission, the letters had been despatched to the Bureau of Healthcare Facilities Accreditation, the Center for Improvement in Healthcare Quality and DNV GL Healthcare.

The Joint Commission plans to reply to the committee’s request, stated Kim McCullough, the fee’s affiliate director of communications, in an e-mail. The probe “is an opportunity to share more on the work we do to improve healthcare quality and patient safety by facilitating high reliability,” she added.

In an interview with Modern Healthcare in December, Joint Commission CEO Dr. Mark Chassin stated the group views denial of accreditation as a “failure.” The fee prefers to work with hospitals to assist them enhance on deficiencies.

The CMS, which is charged with overseeing the accreditation organizations and the state survey companies, has been asked to present copies of the newest contracts with state survey companies that element tasks for the healthcare suppliers to adjust to certification; any correspondence between state surveyor companies and accreditation organizations; and copies of any complaints the CMS has obtained since fiscal 2012 that allege affected person hurt or misconduct in acute-care hospitals in addition to actions the CMS took in response.

A CMS spokesman stated in an e-mail Tuesday afternoon that the company will overview and reply to the committee’s requests.

The letters had been despatched by Reps. Greg Walden (R-Ore.), Gregg Harper (R-Miss.) and Michael Burgess (R-Texas). The organizations and the CMS have till March 23 to reply.

About Zeeshan Iqbal Soomro

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