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”When you lose accreditation, you can lose third-party patients and payments. Hospitals usually bring in consultants who put new systems and new leaders into place,” said Doug Scheckelhoff, director of pharmacy practice sections for ASH.
Accrediting agencies like the Joint Commission can also revoke a hospital's accreditation, which would have the effect of cutting off Medicare funding and many private insurers' funding.
If a hospital loses its Joint Commission accreditation, which happens only a few times each year across the country, a hospital could lose its ability to treat commercially insured patients, said Jim Lott, executive vice president of the Hospital Assn.
Joint Commission surveyors visit accredited health care organizations a minimum of once every 36 months (two years for laboratories) to evaluate standards compliance.
Quite simply, hospitals pursue accreditation because it is required in order for their organizations to receive payment from federally funded Medicare and Medicaid programs. The Joint Commission accredits more than 4,000 facilities throughout the United States, which accounts for approximately 78 percent of hospitals.
The public can also submit a complaint to The Joint Commission via The Joint Commission's website: www.jointcommission.org. Scroll down to Filing a Complaint. The Joint Commission also has a complaint telephone number at (800) 994-6610 where you can speak to a Joint Commission representative.
The WSJ investigation found that the Joint Commission, which accredits about 80% of U.S. hospitals, rarely pulls its accreditation. In 2014, the Joint Commission revoked accreditation for just 1% of facilities in 2014.
”When you lose accreditation, you can lose third-party patients and payments. The problems were severe enough that JC AHO issued a preliminary denial of accreditation. Alta Bates Summit successfully rebutted several of the initial findings, Campbell said, but the preliminary denial remains in force.
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