Joint Commission on Accreditation of Healthcare Organization (JACHO) Founded in 1951, The Joint Commission is a not-for-profit, independent organization that strives for constant improvement of health care for the public, in partnership with other stakeholders, by assessing health care organizations and encouraging them to provide the highest quality of safe, efficient and effective patient care. Known as the eldest and biggest standard-setting and accrediting organization in the health care industry, it is their vision that every person through all aspects of healthcare, receive the highest quality of care, that is the safest and at the best value. The Joint Commission assesses and grants accreditation to over 21,000 health care programs and organizations nationwide. In order for an organization such as Thrive Healthcare Company to receive and maintain the “Gold Seal of Approval™” from The Joint Commission, they must go through an on-site survey by a survey team sent by The Joint Commission. This survey takes place every three years without scheduled announcement (Joint Commission, …show more content…
Through the utilization of this tool, I am better able to understand the current workflow and analyze each step within the process by plotting each step to assist in the identification of additional gaps, opportunities, key areas that need improvement and promote better outcomes (NHS Institute, 2008). Furthermore, in conducting a series of process maps per department to analyze the workflow for the procedure, monitoring the patient and documentation, I was able to assess the different challenges that each department faced separately regarding their resources and capacity for documentation. Upon completion and review of each process map, I was able to identify that there were a series of manual steps that were not always being followed and resulting in areas on the patient’s chart being missed and ultimately leading to Joint Commission findings. In additional, I also identified that some departments were still using the out dated paper documentation instead of the use of electronic documentation because they were not upgraded and had to use the paper method to