MGH prepares for its next Joint Commission survey

The fact that a hospital has a Joint Commission survey due within the next year or so is not ordinarily newsworthy.  However, the Boston Globe spilled some ink today on the Massachusetts General Hospital's upcoming survey and the General's preparations — including a mock survey, which is a standard preparation tool, particularly for facilities that have been working on improving their performance.  Last survey cycle, MGH was dinged for issues including recordkeeping and lax handwashing practices (look down a few grafs), and the mock survey was not quite perfect.  Then again, who's perfect?

The Globe's Jeffrey Krasner reported:

The General seems to be emphasizing the continuous quality improvement approach to hospital operations, which is laudable.  It also brings to mind the focus of the Joint Commission's new rival, DNV.

The article continued:

It found that while there is perfect compliance with universal protocols in operating rooms, throughout the entire hospital the step was only followed 84 percent of the time . . . . In conducting a universal protocol, doctors and nurses review an upcoming procedure, make sure they have all the necessary supplies, and come to a "full stop," in which everyone stops what they're doing and makes eye contact before proceeding.

Survey or no, this is clearly an important effort, and one the General can devote resources to as it strives to maintain its level of clinical excellence.

David Harlow
The Harlow Group LLC
Health Care Law and Consulting