Page 4 - August 2019 Ulupono

Congratulations
on an excellent
Joint Commission
Accreditation survey!
Kaiwi Kamauu, RN, Quality Assurance, and Steve Bovey, Quality Supervisor
In June, Adventist Health Castle was surveyed by The Joint Commission with excellent results. Joint Commission on-site surveys are designed to be organization- specific and consistent, and to support the organization's efforts to improve quality and safety on their journey to achieve zero harm. Being accredited by The Joint Commission helps organizations position for the future of integrated care.
“The surveyors were very impressed with the warmth, professionalism, and knowledge of our associates,” Hospital President Kathy Raethel said after the survey. “They could tell how dedicated everyone is to Chasing Zero harm for our patients and were impressed with the level of performance
we have achieved. I couldn’t be prouder
of the team effort and dedication you demonstrated leading up to this week.”
It is important to note, the Center for Medicare and Medicaid Services (CMS)
can visit us within 60 days of our Joint Commission accreditation survey to complete a CMS validation survey. Each one of us is an important member of the Castle ‘Ohana and our collaborative efforts help to keep our family thriving!
The surveyors emphasized our EXCEPTIONAL WINS, including ZERO findings for any National Patient Safety Goals, ZERO widespread findings and ZERO High Risk findings. This means
we are minimizing potential safety risks and maximizing the quality of care we provide for our patients and community. The surveyors recognized Castle as a BEST PRACTICE organization with a compassionate workforce culture. They also expressed how they had “fun at work” during their survey. LOVE MATTERS here at Castle and we continuously prove this through our collaboration, dedication and our extraordinary results.
Although we love to celebrate our wins,
TJC has helped us to identify missed opportunities. No organization is perfect, so we do appreciate these findings that highlight areas where we can improve our standards of care. Some of the findings are considered “low hanging fruit” that are easy to manage. Preventing problems takes less time than resolving issues after a problem has occurred. As a TEAM, we need to make sure we take the time to:
1. Check our inventory and ensure all supplies are current and have not expired
2. Dispose/Return expired items appropriately (to CS, Pharmacy, etc.)
3. Time/Date and discard expired test strips appropriately
4. Document blood transfusion record completely including all required vital signs
5. Ensure that all logs and QC checks are up-to-date and that corrective actions are documented
To maintain our success, we must continue to live our core competency of Chasing Zero by following policy, documenting appropriately, and complying with National Patient Safety Goals. Congratulations again! And thank you for all you do to keep Adventist Health Castle an organization that’s committed to chasing zero harm.
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On July 1, the hospital associates celebrated the results of the survey with an ice cream and assorted fruit bar.