DNV (Det Norske Veritas): Critical Access Hospital Accreditation
As Helen Newberry Joy Hospital continues to strive to provide the highest quality healthcare to our patients on a consistent basis, we have officially made a switch in our accrediting organization from the Joint Commission (JCAHO) to Det Norske Veritas (DNV).
The DNV’s accreditation program – the National Integrated Accreditation for Healthcare Organizations (NIAHO) – incorporates the International Organization of Standardization (ISO) 9001 quality management standards. According to Kena Nicholson, RN, HNJH Director of Quality, “ISO 9001 standards require hospitals to document and analyze our methods of patient care, emphasizing follow-through with changes to improve performance, correct inconsistencies, and document preventive and corrective actions.”
This is a major change for HNJH and comes after nearly six months of program evaluation by the Hospital’s Quality Improvement & Risk Management team working in conjunction with Administration, Hospital Managers, Medical Staff, and the Board of Trustees.
“Although HNJH has been with JCAHO since the 1960s, after reviewing the DNV accreditation program, and in speaking with a number of other DNV accredited facilities,” says Hospital CEO Scott Pillion, “it was felt that DNV will provide a better fit for Helen Newberry Joy toward meeting our patient care goals.”
DNV looks for the same things as JCAHO - both are tasked by CMS to ensure that hospitals comply with CMS Conditions of Participation - however, DNV has an entirely different approach to accomplish these goals. The focus of the DNV’s accreditation program is on continuous improvement. This focus, and the practice of incorporating ISO 9001 Quality Standards into their survey process calls for yearly surveys (versus JCAHO’s three-year rotation). As discovered by other DNV facilities, yearly surveys have proven to keep all staff on track, not allowing things to lapse because of the lag time between visits.
“Although the DNV approach of accrediting hospitals is more collaborative in nature,” says Mr. Pillion, “the Hospital is not making this switch because it will be an easier process – in fact, it may prove to be more difficult in many respects. However, I truly believe it will be a much more meaningful and helpful experience.”
Adds Nicholson, “because the DNV accreditation program incorporates the ISO 9001 quality management process, we will be able to more effectively accomplish our HNJH Strategic Plan goal to develop a standardized system for problem solving throughout the hospital. This is an exciting time for HNJH. Not only are we moving to a new accreditation process but we have the opportunity to enhance our focus on patient safety and quality outcomes.”
For more information, please visit the DNV website (www.dnvusa.com/industry/healthcare).
DNV Accreditation in brief:
The core of the DNV accreditation process is based on Medicare Regulations and the ISO 9001 Quality Management System. This method of accreditation integrates the hospital's own Quality Management System with a systematic framework and the Medicare Regulations.
Quality Management focuses on standardizing processes and making sure that everyone is skilled, educated and understands the process. At HNJH, we make sure everyone is ready to care for every patient every time by:
· Assuring that all of our policies are up to date, old policies are removed from circulation as
are reference books, charts, and process checklists.
· Assuring safe appropriate equipment by a comprehensive preventive maintenance program.
· Assuring that supplies are not damaged or contaminated.
· Assessing and maintaining accurate retrievable records.
We maintain a rigorous schedule of review for all processes to provide necessary input toward preventive and or corrective action to bring the process into conformity.