The May 2 issue of MODERN HEALTHCARE contains a report on what I believe represents the future of the Joint Commission on Accreditation of Healthcare Organizations (Ark. hospital forgoes JCAHO, p. 4).
As hospitals continue to search for ways to cut the bottom line, they're beginning to understand that there are options and that JCAHO inspections represent a significant expense in preparation, personnel costs and fees for the privilege of being inspected. Yet the mandate for cost cutting continues.
But licensed staff can be cut only so far. The kitchen can only lose so many cooks. Housekeepers now report directly to the CEO. In the quest for further savings, hospital executives are beginning to ask, "Just how much bang for my buck do I really get from the JCAHO?" The answer, I feel, for many organizations is going to be: very little.
A free Medicare inspection is certainly easier on the checkbook than a costly JCAHO inspection. And what's really the outcome of not being JCAHO accredited?
JCAHO may be that dinosaur whose time of extinction is just a few more of those expensive inspections away.
STEPHEN T. MONTELLI
Health Management Services