The Joint Commission’s Gold Seal of Approval® and other Quality Measures

Achieving accreditation by The Joint Commission reflects an organization’s dedication and commitment to meeting standards that facilitate a higher level of performance and patient care. By meeting these standards, we received The Joint Commission Gold Seal of Approval® – an internationally recognized symbol of quality.The Joint Commission accredits more than 20,500 organizations worldwide and focuses on continually improving health care by setting the highest standards for health care quality throughout the world. In setting the standards, The Joint Commission consults doctors, nurses, and quality and safety experts to review the current standards and make recommendations for improvements.Joint Commissionrev

The Gold Standard: The Joint Commission

Accreditation means that our staff has made an extra effort to review and improve the key areas that can affect the quality and safety of your care. Accreditation by The Joint Commission is considered the gold standard in health care. Specially trained health care professionals who are experts in their fields visited Hospice Savannah to conduct a review that monitors how well our staff:

  • provide a safe environment for your care
  • educate you about the risks and options for your diagnosis and treatment
  • protect your rights as a patient, including your privacy rights
  • evaluate your condition, before, during and after diagnosis and treatment
  • protect you against infection
  • plan for emergency situations.

Other Quality Measures:

CAHPS

As a consumer, evaluating the quality of care among various hospice providers can best be achieved by looking at the results of the  Consumer Assessment of Healthcare Providers and Systems Hospice Survey (CAHPS). This is a post-death family caregiver survey developed and required  by the Center for Medicare and Medicaid (CMS). CMS maintains a Hospice Quality website where data showing comparisons between various hospices will eventually be available for the public’s review.Bill and Debra at NHCPCO Deyta awards 2013

The Deyta company is Hospice Savannah’s chosen vendor to collect data and provide results and comparisons at a state and national level. For the second time, we have received the Deyta Caregiver Satisfaction “Hospice Honors” award for being one of the only hospices in the United States based on responses received from caregiver satisfactions surveys.

Below are  results of Deyta surveys completed during 2016: Consumer Assessment of Healthcare Providers and Systems (CAHPS) Quality Survey 2016. During that period, 238 surveys were returned: A rate of return of 35.2%; the national return rate was 35.3% for that period.

Survey Category Hospice Savannah Inc. Deyta National Deyta State
Getting Timely Care

Received help during evenings, weekends or holidays   (Always)

Received help as soon as wanted (Always)

 

80.5%

80.2%

 

76.9%

77.3%

 

77.9%

79.3%

Getting Help With Symptoms

Patient got as much help with pain as needed (% responding ‘Yes, definitely’)

 

87.8%

 

84.8%

 

87%

Rating Of Care

Rating of patient care from this hospice (‘9’ or ‘10’ on a scale of 10)

Would recommend this hospice (% responding ‘Definitely yes’)

 

89.6%

91.5%

 

84.6%

86.4%

 

86.6%

86.5%

Hospice Item Set

Additionally,  the Hospice Item Set (HIS) is a patient-level data collection tool developed by the Center for Medicare and Medicaid (CMS). We are required to submit a HIS Admission record and a HIS Discharge record for each patient which are used to compare quality measures between various hospices. Find out how we compare to other local and national hospices here.

National Certification in Hospice and Palliative care

We are proud that so many of our clinical staff members have achieved certification as a token of their  commitment to provide the very best care:

  • Our Chief Medical Officer and two physicians are Board Certified in Hospice and Palliative Medicine
  • One social worker has achieved national certification as an Advanced Certified Hospice and Palliative Social Worker (ACHP-SW)
  • 17 registered nurses have achieved national certification as Advanced Certified Hospice and Palliative Care Nurses (CHPN)
  • One administrator has achieved national certification as a Certified Hospice and Palliative Care Administrator (CHPCA)

A Culture of Patient Safety

We want all our staff, volunteers, patients and their families to know that if they feel Hospice Savannah has not adequately prevented or corrected problems that can have, or have had, a serious adverse impact on patients, they are encouraged to report concerns to Debra Anthony Larson, CEO (pictured above) or directly to The Joint Commission.