Two rural hospitals in Missouri have rejoined the ranks of fully accredited healthcare organizations after successfully appealing accreditation denials.
A third hospital is starting from scratch with the Joint Commission on Accreditation of Healthcare Organizations after its appeal was denied.
The JCAHO late last month notified Nevada (Mo.) Regional Medical Center and Hedrick Medical Center in Chillicothe that they were restored to full accreditation.
Nevada Regional was slapped with an "adverse accreditation decision" on March 4 over documentation of patient care (May 2, p. 4). Louis Gordon, administrator of the 87-bed hospital, said "every policy and procedure from top to bottom" was examined and revised in the months after that decision.
"Sometimes you have to hit a low to get to a high," Mr. Gordon said.
The JCAHO re-surveyed Hedrick Medical Center in July after the 64-bed facility came up one violation short of passing muster in April. A problem with delinquent medical records was the only "Type I" violation remaining from an original list of 95 dating back to 1991, but it triggered the adverse decision (May 16, p. 3).
Hedrick's administrator, Richard L. Conklin, said the July survey was a much different process from the one that prevailed during the three-year accreditation saga of surveys and follow-up visits. "We were much more pleased with what we saw" in July, he said.
In flood-ravaged southeastern Texas, 29-bed Baptist Hospital Liberty (Texas) has more immediate problems than the accreditation denial that was upheld on appeal in May.
Last week, administrators huddled with contractors to determine the extent of damage caused by a flood level of four to six inches throughout the facility that closed it down last month.
Without accreditation, Baptist needed a Medicare inspection to substitute for the JCAHO's automatic federal certification. But it will need the inspection anyway before the facility can reopen for inpatient operation, which won't be until mid-December at the earliest, said Ben Tobias, interim administrator.
As of last week, Baptist had established temporary emergency-department service and was doing some outpatient procedures, said Mr. Tobias, who joined the hospital April 1.
Baptist immediately reapplied for accreditation after receiving word in May that the appeal of its adverse decision was denied, Mr. Tobias said. The adverse decision was handed down in September 1993 (Oct. 18, 1993, p. 3). A survey is tentatively set for Jan. 25, 1995.