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.
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:
The CAHPS® Hospice Survey gathers information on the experiences of hospice patients and their informal caregivers’ perspectives of their loved ones’ care with hospice services. Consumer Assessment of Healthcare Providers and Systems Hospice Survey (CAHPS). The Hospice CAHPS® Survey samples the primary caregivers of deceased hospice patients who meet survey criteria. Survey administration will occur several months after the death. The survey includes the following key topics: starting hospice care; help for the patients’ symptoms, communication with the hospice team, caregivers’ own experiences with hospice care services; an overall rating of hospice care, and a question about willingness to recommend the hospice
CMS maintains a Hospice Quality website where data showing comparisons between various hospices is available for the public’s review.
Family Caregivers survey results. CMS data collected between 1/1/2018 – 12/31/2019.
|Hospice Savannah Inc.||National Average|
|Willingness to recommend this hospice||89%||84%|
|Rating of this hospice (scale of 1 to 10, higher the better)||82%||81%|
|Getting timely help||80%||78%|
|Treating patient with respect||91%||91%|
|Emotional and Spiritual support||90%||90%|
|Help with pain symptoms||75%||75%|
|Training family to care for patient||76%||76%|
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.
The Deyta/HealthcareFirst company is Hospice Savannah’s chosen vendor to administer CMS CAHPS Survey. In addition to CAHPS required questionnaire Deyta also collects data on Veterans services and other services provided by Hospice Savannah and Deyta Peers provide results and comparisons at a state and national level. In the most recent survey (1/1/18-12/31/18 data), the national average for “Would you recommend this hospice” (Defintiely Yes) was 86/5% and the Hospice Savannah, Inc. average was 87.3%.
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 Medical Directors 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)
- Nine registered nurses have achieved national certification as 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 Dr. Kathleen Benton, President & CEO, or directly to The Joint Commission.