Accreditation

Oregon hospitals have a choice on accreditation. See below for details.

Joint Commission

The mission of The Joint Commission is to continuously improve the safety and quality of care provided to the public through the provision of health care accreditation and related services that support performance improvement in health care organizations.

  • For the Joint Commission accreditation and regulatory page, click here.
  • For a list of current Joint Commission accredited hospitals in Oregon, click here.

Sentinel Events

Sentinel events are defined as the unexpected loss of life, limb, or function or the potential thereof. Accredited hospitals are required to complete a root cause analysis when a sentinel event occurs. The Joint Commission aggregates sentinel event data and posts it to their website. This information, along with other sentinel event statistics and detailed reports, can be accessed by going to the Joint Commission website by clicking here.

DNV

DNV Healthcare Inc. (DNVHC) is an operating company of Det Norske Veritas (DNV). Established in 1864 in Oslo, Norway, DNV has been in this country since 1898. DNV is an international, independent, self supported, tax-paying foundation that has more than 300 offices in over 100 countries and more than 9,000 employees.

The corporate purpose of DNV is safeguarding life, property, and the environment. DNV has a worldwide reputation for quality and integrity in certification, standards development and risk management in a wide range of industries, including extensive international health care experience.

On September 26, 2008, the Centers for Medicare and Medicaid Services (CMS) approved DNVHC by granting it deeming authority for hospitals. DNV’s NIAHO hospital accreditation program provides hospitals with a survey process that integrates accreditation to standards that conforms to the Conditions of Participation (COPs) with ISO 9001 certification , the universally accepted international standard for a quality management system. DNV Healthcare also has deeming authority granted by CMS to accredit critical access hospitals.

HFAP Accreditation

Healthcare Facilities Accreditation Program (HFAP) is authorized by the Centers for Medicare and Medicaid Services (CMS) to survey hospitals for compliance with the Medicare Conditions of Participation and Coverage.

Originally created in 1945 to conduct an objective review of services provided by osteopathic hospitals, HFAP has maintained its deeming authority continuously since the inception of CMS in 1965 and meets or exceeds the standards required by CMS/Medicare to provide accreditation to all hospitals, ambulatory care/surgical facilities, mental health facilities, physical rehabilitation facilities, clinical laboratories, critical access hospitals, and primary stroke centers.

HFAP's surveying process and standards benefit from oversight by a wide range of medical professionals, including both allopathic and osteopathic disciplines.

To read more about HFAP, click here.

Quality Contact Info

Barbara Wade, MS, BSN, RN, CPHQ, CPPS
Director of Quality Improvement
barbara.wade@
apprisehealthinsights.com

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