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DNV conducts a survey every year instead of every three years. 0000004038 00000 n DNV Accreditation is based on the companys innovative NIAHO standards. DNV Healthcare introduces a hospital accreditation program for stand-alone Psychiatric Hospitals, part of our dedication to helping hospitals improve quality, patient safety and healthcare delivery. All Rochester Regional Health labor and delivery hospitals. The Joint Commission Lon Berkeley . 0000009113 00000 n Four years on, upstart nears 350 clients. Available at: www.iso.org/iso/home. DNVs accreditation program is the only one to integrate the ISO 9001 Quality Management System with the Medicare Conditions of Participation. As an example, a hospital could have its Joint Commission accreditation renewed for three years on July 10, 2010. This decision is made based on a review of the certification process and associated documentation. The focus areas should be linked to the management system and reflect the risks or opportunities that are most important to you. v4?fBHQ [C. % wG xR^[ochg`>b$*~ :Eb~,m,-,Y*6X[F=3Y~d tizf6~`{v.Ng#{}}jc1X6fm;'_9 r:8q:O:8uJqnv=MmR 4 %%EOF Learn About Accreditation Survey These surveys, often routine or planned to certify our specialty programs, look at our communication processes, governance, processes, standardization, safety precautions and outcomes. This accreditation underscores our commitment to developing and continually improving quality and safety for employees, patients and visitors throughout our system. Admin, South Central Family Medicine & Urgent Care, Directions to South Central Regional Medical Center, Where to Get the Best Care and When to Go. Top management should be involved at this stage. Academic & Personal: 24 hour online access, Corporate R&D Professionals: 24 hour online access, https://doi.org/10.1016/j.mnl.2009.10.004, Comparisons of the NIAHO and Joint Commission Approaches to Accreditation, Available at: http://www.cms.gov/SurveyCertificationGenInfo/downloads/SCLetter09-02.pdf, Available at: http://www.dnv.com/binaries/NIAHO%20Accreditation%20Requirements-Rev%20307-8%200(2)_tcm4-347543.pdf, Available at: http://www.jointcommission.org/NR/rdonlyres/2F04C126-906D-4155-B16F-1F1A6570C387/0/jconlineAug1209.pdf, For academic or personal research use, select 'Academic and Personal', For corporate R&D use, select 'Corporate R&D Professionals', Association for periOperative Registered Nurses. TCI certification. Our Risk Based Certification approach tailors the process to evaluate your select business risks in addition to compliance with the standards requirements. The annual survey model keeps hospitals moving forward on the path of continued improvement. The trademarks DNV GL, DNV, the Horizon Graphic and Det Norske Veritas are the properties of companies in the Det Norske Veritas group. Webparticipation was based on Joint Commission accreditation issued prior to that date will continue to participate in Medicare via deemed status until the normal expiration date of its accreditation. The outcome is still a certificate if the management system is found compliant but with added dimension to your improvement journey. 0000001372 00000 n hbbd```b``= "@$nDEH`=d`L""@$?/O@o_@H b4l4k#%4#3` , 0 Accreditation | PMID: 12085409 Joint Commission on Accreditation of Healthcare Organizations* / history %PDF-1.4 % See upcoming training courses. The initial visit can be combined with the documentation review. [fy^Mx_6vbvX,'Mqtr)yzQn.^%~&PdXfbpqxu5Y)Vwuq_DO1ou{)v]tiply/m}+s[(E}Zyc"F%x.%i%NW?VE\gcuJ[Q[Ka/.W. N')].uJr AORN Guidance Statement: Perioperative Staffing. We have to get a clear understanding of your business strategy and conditions that affect your ability to reach said strategy. Lesho, E., Walsh, E., Gutowski, J., Reno, L., Newhart, D, Yu, S., Bress, J., Bronstein, M. A Cluster-Control Approach to a SARS-CoV-2 Outbreak on a Stroke Ward with Infection Control Considerations for Dementia and Vascular Units. The certification decision is taken after an independent DNV GL internal review. 1 27. All surveyors have a healthcare background and specialize in one of three areas: clinical care, physical environment, or quality management. WebIntro to DNV and NIAHO. WebOne of the large number of accreditation schemes in the United States, the Joint Commission (TJC) currently being the best known, has created Joint Commission International, or JCI. DNV draws on its wide technical and industry expertise to help companies worldwide build consumer and stakeholder trust. Our leading medical education and research are at the forefront of healthcare innovation. In case of expanding the scope the process will restart at section 2 with a documentation review (if needed) and will further follow the normal process from section 4 with a (scope extension) certification audit. Compliance is viewed as a 3-year dnvaccreditation. WebCommission, Healthcare Facilities Accreditation Program (HFAP) and Det Norske Veritas Healthcare, Inc. (DNV) for hospitals; gives deeming authority to NCQA for Medicare Advantage health plans Accrediting Organizations Targets for Accreditation Types of Standards Accreditation Categories NCQA Joint Commission Health plans WebWe have a variety of resources to help you explore and master the accreditation process. Although the costs of Joint Commission and DNV are about the same, according to health experts, there are some big differences between the two: The organization surveys the hospitals that use their commissioning services annually, while the Joint Commission extends its survey periods from 18 months to three years. 127 30 These audits confirm your companys on-going compliance with specified requirements of the standard while re-evaluating performance in focus areas. Find the location that's most convenient for you! South Central is a public, not for profit hospital owned by Jones County, MS, who has an economic impact to our local community annually of almost $200 million. WebThe more variables and inter-dependencies in you organization, the more relevant ISO becomes. Certification by DNV Healthcare is key step toward establishing your hospital's reputation for excellence. To check your readiness for the certification audit, i.e. %PDF-1.6 For more information about DNV, visit www.dnvcert.com/healthcare. DNV has accredited about 300 hospitals with another 80 or so awaiting accreditation, according to Horine. hbbd``b` @)H0A@"*HpE$> oL,F6~0 d After the three years are up, your certification will be extended through a re-certification audit. 0000020794 00000 n 630-792-5787 | lberkeley@jointcommission.org. Contact South Central Regional Medical Center, Hospital Affiliation Request | 121 0 obj At Rochester Regional Health, our dedication to quality is reflected in the teams we hire, the care we provide and the services we offer. Accessed August 5, 2009. Midland Memorial happy with DNV shift. Senior Account Executive . By 1991, TJC had learned that it was not possible to ensure quality and had moved on to quality improvement and its many iterations, now known as performance improvement. Det Norske Veritas (DNV) is a global quality DNV is a global independent certification, assurance and risk management provider, operating in more than 100 countries. SCRMC has three years from the date of its accreditation to achieve compliance with ISO 9001, the worlds most trusted quality management system used by performance-driven organizations around the world to advance their quality and sustainability objectives. 0000000913 00000 n Country-wide, more than 5000 hospitals are permitted to provide Medicarefinanced services solely 23, Sections 1-6 1-7 commission and graduated commission, What are the defects of existing curriculum, Joint commission oxygen cylinder storage 2019, DNV Managing Risk DNV corporate presentation Elzbieta BitnerGregersen, JOINT COMMISSION PANEL DISCUSSION REGARDING RECENT JOINT COMMISSION, COMPARISON AND CONTRAST COMPARISON CONTRAST Comparison points out, Aligning Accreditation and Quality The DNV Perspective The, Introduction to IDSADI 15926 Resources Ian Glendinning DNV, DNV Healthcare Top Survey Findings Medical Staff National, SOLAS requirements DNV interpretations Jan Tore Grimsrud February, Mobile Technology in Ships Inspections Thomas Mestl DNV, RBI Intro some activities at DNV Fatigue Workshop, INTRODUCING INTUMAXEP 1115 XHP DNV CERTIFICATE NO F16685, CBCD Cloned Buggy Code Detector Jingyue Li DNV, DNV a Norwegian company in Korea with focus, DNV GL studie LNG in de scheepvaart verlagen, KNEE JOINT ANKLE JOINT HIP JOINT Prof Ahmed, Shoulder Joint Shoulder Glenohumeral Joint The shoulder joint, Elbow Joint Elbow Joint Type Synovial hinge joint, SYNOVIAL JOINT Dr Iram Tassaduq SYNOVIAL JOINT Joint. )CL:E8 $@eB5(ABRg]._e p`'ih]ao]|. Agreeing on focus areas is a collaborative effort, and our auditors can help suggest focus areas if necessary. 1327 0 obj <> endobj A successful management system is one that is improved on a continual basis. ".*RK6"zf9ss~3 AARJA=Z\&6c@+|dk{GKY B_],IEmmq_rS}gX;L9nL%)5Ek&$;mcUeEP*wb\yaA.eW:OS3hoRqgi^Ygv`l!7/vou$VZ(T&d$iq-kUh_4<7\R+vi)e35elpG[piiqN#@t9Z]Y?})#=[8GOCb+1QKU,HY WWcVr y"=uOsb%V xOy^N?+OHG'9%[qdF]guPa("2Hbs=Kt0 :J~O|JGn n~ Our lead auditor evaluates your management system documentation. Using an accredited third party certification body/registrars demonstrates that the auditing company is meets the required quality standard set by the accrediting authority. In short, accreditation impacts the way hospitals operate. This process ensures a full and timely understanding of the standards. 0 0000007461 00000 n Based on a positive outcome, he/she will recommend certification. %%EOF WebAccreditation and certification are important accomplishments and we are here to help your organization throughout the entire process. 0000002975 00000 n WebIn addition to Department of Health and Joint Commission program compliance, all of our hospitals are accredited by DNV Healthcare. Published by Elsevier Inc. All rights reserved. 0000003710 00000 n I*Rt>[?Yim*>"1t>hvYJa`h0vh` 2+@,F0)fP`c6e,ITWhLVJCXLFu @B@h6{E@E"% @lT- g Hu.5LL00~gPdpMej8 PClY~p=Tt n`xH108Y * ~ D\z At Newark-Wayne, Rochester General Hospital, United Memorial and Unity Hospital. At this stage you have completed the initial certification and can move on to maintenance of your certification. Clifton Springs Hospital and Clinic recently was awarded an A grade for safety. Search our services and programs offered by our experts at our hundreds of locations throughout Western New York and the Finger Lakes region. "F$H:R!zFQd?r9\A&GrQhE]a4zBgE#H *B=0HIpp0MxJ$D1D, VKYdE"EI2EBGt4MzNr!YK ?%_&#(0J:EAiQ(()WT6U@P+!~mDe!hh/']B/?a0nhF!X8kc&5S6lIa2cKMA!E#dV(kel }}Cq9 This is much more than an accreditation program, its a catalyst for our ongoing commitment to patient safety and clinical quality.. cuup}c~*_3:!RvpgI(@6a^@IiPo}f$@ L9qdzD AY:RR' 4PQqhxitI3\! 847-324-7487 | msweeney@aaahc.org . HtTKo0Wh( 630-792-5509 | rzordan@jointcommission.org. Driven by its purpose, to safeguard life, property, and the environment, DNV helps tackle the challenges and global transformations facing its customers and the world today and is a trusted voice for many of the worlds most successful and forward-thinking companies. As with all accreditation programs, surveyors from the organization will visit the hospital on regular annual intervals to monitor the organizations progress in implementing the new requirements. Subsequently 1-3 focus areas on which the audit will focus are identified. BPHC Accreditation Initiative . The Joint Commission on the Accreditation of Healthcare Organizations. 0000003960 00000 n 8644 0 obj <>/Filter/FlateDecode/ID[<80A28E873128684998433581F605455E>]/Index[8618 50]/Info 8617 0 R/Length 123/Prev 1023342/Root 8619 0 R/Size 8668/Type/XRef/W[1 3 1]>>stream Our lead auditor will verify that you have properly addressed the nonconformities. This 2.5-day course is a basic course designed to train healthcare professionals in the principles and requirements of DNV's approach to hospital accreditation. I've just been hired on at a hospital that is Det Norske Veritas (DNV) accredited as opposed to the Joint Commission. WebAccredited hospitals. Accreditation verifies the certification body/registrars competence. Provides a framework for organizational structure and management Accreditation involves preparing for a survey and maintaining a high level of quality and compliance with the latest standards. Joint Commission accreditation provides guidance to an organizations quality improvement efforts. 156 0 obj <>stream endobj endobj to review your manual, check procedures, to see your facilities, and briefly check the implementation of your management system. This product includes updates that will be made by NAMSS over the next 12 months. Biocor Hospital De Doencas Cardiovasculares LTDA. Before the audit starts, you provide input on what operational processes are most crucial to your business success. After the audit you need to address and respond to non-conformities within an agreed deadline. This electronic reference tool provides plain-language interpretations of the credentialing standards for The Joint Commission, NCQA, Healthcare Facilities Accreditation Program, DNV, URAC, the Accreditation Association for Ambulatory Health Care, as well as the Medicare Conditions of Participation. 0000001195 00000 n Risk Based Certification is our exclusive approach to all management system certification. Before the actual certification audit, we will normally make a preliminary visit to your organisation. 2010 Mosby, Inc. South Central Regional Medical Center operates as a 285-bed hospital, an alcohol and drug inpatient detox facility, a wound care center with hyperbaric oxygen chambers, a cancer center, 22 medical clinics, two large nursing homes, a wellness and rehabilitation center, a home care and hospice division, a full service ambulance service, an emergency department which has 42,000 patient visits annually, and numerous other programs and services. What is hospital accreditation The accreditation programs DNV offers either directly address regulatory requirements for hospitals, such as US Government's Centers for Medicare and Medicaid (CMS), or provide guidance and best practices for clinical specialty organizations across healthcare. DNVs NIAHO standards is approved by CMS. V)gB0iW8#8w8_QQj@&A)/g>'K t;\ $FZUn(4T%)0C&Zi8bxEB;PAom?W= I.3A 8J8rzW&g0( dmOz!%_z+=vkwq/&&p':G~fEG`9.}kh}@%/C7}` 7l South Central Regional Medical Center has been Joint Commission accredited for years and hospital personnel are very familiar with the accreditation process, but Joint Commission does not require ISO certification. The ability to integrate ISO 9001 quality standards with our clinical and financial processes is a major step forward.. x- [ 0}y)7ta>jT7@t`q2&6ZL?_yxg)zLU*uSkSeO4?c. R -25 S>Vd`rn~Y&+`;A4 A9 =-tl`;~p Gp| [`L` "AYA+Cb(R, *T2B- We focus on achieving this aspect at every survey. WebAddressed by TJC, Not NIAHO Verification of applicant identity Use of CVO (DNV does allow is addressed under telemedicine) Health status (DNV only under surgical Hospitals are no longer stuck in a cycle of addressing the same issue every three years. View our list of disease-specific and specialty program certifications. `0 d``_}C!\ |S0\`0[znV$5*c"00z`PwzS\u@_w{wSZ3@`|4iE"'-*5wIsr]gI qyO'WAm)U1Ys96S=ffXTjMJ5P)TTOVyN9xddiV,ey-E% Joint Commission Online, August 12, 2009. Following a positive decision you will receive the certificate shortly thereafter. hb```b``c`201 +s0 The documentation review report summarizes any findings from this process. Blood use Prescribing of medications Surgical Case Review Specific departmental indicators Moderate Sedation Outcomes Anesthesia events Appropriateness of care for noninvasive procedures/interventions Utilization data Significant deviations from established standards of practice Timely and legible completion of patients medical records Variants analyzed for statistical significance 19, Addressed by TJC, Not NIAHO Verification of applicant identity Use of CVO (DNV does allow is addressed under telemedicine) Health status (DNV only under surgical privileges) Applicant required to provide info re: previously successful or currently pending challenges to licensure or voluntary relinquishment, felony convictions Leadership standards place additional responsibilities on MS Residency program requirements 20, Addressed by NIAHO, not TJC Receipt of database profile from OIG Medicare/Medicaid Exclusions initial/reappointment/temporary privileges 21, Resources Standards: NIAHO Standards, Interpretive Guidelines, or Accreditation Process www. Infection Control & Hospital Epidemiology,40(9), 1066-1069. doi:10.1017/ice.2019.164. 8618 0 obj <> endobj DNV is kept apprised of the organization's level of compliance with ongoing organizational reporting. SOUTH CENTRAL REGIONAL MEDICAL CENTER RECEIVES QUALITY-BASED ACCREDITATION FROM DNV. WebAccredited certification of management systems is used to demonstrate compliance to a standard in a trusted way. 0000006234 00000 n %,,`0,XA!rd{ey` F7 Below are several components of our psychiatric hospital accreditation program. Whether certifying a companys management system or products, accrediting hospitals, providing training, assessing supply chains or digital assets, DNV enables customers and stakeholders to make critical decisions with confidence, continually improve and realize long-term strategic goals sustainably. ISO standards ensure that products and services are safe, reliable and of good quality. Lesho, E., Hix, J., Bronstein, M., Shastry, S., Hanna, J., Scroggins, G., & Grieff, M. (2019). COVID-19 Updates: Get the latest information from our experts: Vaccines Testing Visitor & Mask Guidelines Closings. endstream endobj 1328 0 obj <>/Metadata 142 0 R/OCProperties<>/OCGs[1339 0 R 1340 0 R 1341 0 R]>>/Outlines 204 0 R/Pages 1318 0 R/StructTreeRoot 287 0 R/Type/Catalog>> endobj 1329 0 obj <>/ExtGState<>/Font<>/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1330 0 obj <>stream The purpose of the initial visit is twofold: Based on this, the scope and audit plan are agreed upon. Infection Control & Hospital Epidemiology (2020), 41, 13441347. 0000000016 00000 n All rights reserved. DOI:https://doi.org/10.1017/ice.2020.1437. H|S[o0~WL3CJ)d[+ej8["ChT(/>| Lr= 1A/?7_]"`WW0 MB%pf4{R)"~"LeC$X8 V+I::'p8%I^H$pfr>8hY6/Fd&JA#aNj,'{?li1z\) Rochester Regional Health is a national leader with the most Beacon Awards from the American Association of Critical Care Nurses, recognizing hospital units that have integrated evidence-based practices to improve patient and family outcomes. The documentation review can be performed prior to or conducted as part of the initial visit. Centers for Medicare and Medicaid Services. Organizations seeking CMS approval may choose to be surveyed either by an accrediting body, such as the Joint Commission, DNV, and HFAP, or by state surveyors on behalf of CMS. We provide services at more than 400 locations across the region. WebDNV offers a number of standards - Hospital Accreditation, Stroke Center, Orthopedic Service Line, Infection Risk and more. We have taken an entirely different approach to accreditation, and hospitals are really responding, says DNV Healthcare USA Inc. President Patrick Horine. hTkSI?ssMl 0000002447 00000 n Web DNV GL Healthcare (DNV GL) The Compliance Team (TCT) The Joint Commission (JC) There are currently another seven AOs approved under CLIA, which are: American Association of Blood Banks (AABB) American Association for Laboratory Accreditation (A2LA) American Osteopathic Association (AOA) I was never aware there were any David Eickemeyer, MBA; Associate Director, Hospital Business Development. The American Nurses Credentialing Center has recognized Clifton Springs Hospital & Clinic, Rochester General, Unity, Newark-Wayne Community hospitals and PCASI with the highest honor available for nursing excellence. The DNV/ISO 9001 process required a lot of hard work on our part, but has provided tremendous benefits for our health system, Higginbotham. (Are minimal standards sufficient in todays healthcare climate? ) 0 H\J@{6fgBA[^Hi M}{voI\]fcuvO1}yPYq:\xvwm,.rsi`at3Xvizx)vnn. 0000004698 00000 n The trademarks DNV GL, DNV, the Horizon Graphic and Det Norske Veritas are the properties of companies in the Det Norske Veritas group. Accreditation can directly affect the quality of hospital care. Project Director, CHC Accreditation . AORN statement on nurse-to-patient ratios. doi:10.1017/ice.2020.295. Det In comparison, the Joint Commission has 2y.-;!KZ ^i"L0- @8(r;q7Ly&Qq4j|9 To fulfill the accreditation criteria, an accrediting authority assesses the certification body/registrar to verify that the certification body/registrar complies with existing requirements. ISO is recognized by businesses around the world as the benchmark for continual quality improvement. Fundao So Francisco Xavier / Hospital Mrcio Cunha. The important role of the Joint Commission AORN J. An integrated health services organization serving the people of Western New York. More than 2,100 individuals are employed throughout health system and approximately 125 providers representing 28 medical specialties provide care to patients. %PDF-1.6 % 0000012414 00000 n Lab Specimen Guideline | Accessed August 5, 2009. You will then receive an email that contains a secure link for resetting your password, If the address matches a valid account an email will be sent to __email__ with instructions for resetting your password. 2019 HIMSS Annual Conference: Clinical Optimization: One Approach to Integration, 2019 Breakthroughs Conference: Clinical Optimization: A Panel Discussion. In recent years, DNV have been challenging TJC in the USA. To update your cookie settings, please visit the. Accreditation Canada accredited its first organization internationally in 1967 in Bermuda. NIAHO is the National Integrated Accreditation for Healthcare Organizations and encourages collaboration between different hospital departments. It is widely recognized as the gold standard in healthcare accreditation, and its standards are considered rigorous and comprehensive. Medical Student H&P | Our Privacy Policy | Lesho, E., Clifford, R., Vore, K., Zenits, B., Alcantara, J., Gargano, B., Phillips, M., Boyd, S., Eckert-Davis, L., Sosa, C, Vargas, R. Riedy, D., Stamps, D., Bhavsar, H., Fede J., Laguio-vila, M., Bronstein, M. Sustainably reducing device utilization and device-related infections with DeCATHlongs, device alternatives, and decision support. 1350 0 obj <>stream xb```f``ue` ea *(ltSa{+ 9QQ (MHKX*?6Y ,8v'83rXrE0C;;[70^} Ua vHCO4@ZT Dr g$ Today, 300 follow DNV Accreditation procedures, and 80 more are in the process Psychiatric Hospitals are accredited for a three year period, subject to annual survey to verify continuing compliance with NIAHO. After each survey there is a detailed report which is easy to follow and describes, with objective evidence, where your organization is not in compliance with the standard. DNV Healthcare, Joint Commission emphasize differences. Frustrated with The Joint Commission, Midland Memorial Hospital (TX) made the shift to DNV this year, says accreditation specialist Lisa Williams, PT, MS, HACP.The hospital had already been looking at the Centers for Medicare & Medicaid Services' conditions of participation in Antibiotic Susceptibility | Because while undergoing the accreditation process, a hospital makes critical decisions about how it provides services, manages medications and allocates resources. Since accreditation is a must-have credential for just about every hospital in this country, why not make it more valuable, and get more out of it? The DNV/ISO 9001 process required a lot of hard work on our part, but has provided tremendous benefits for our health system, Higginbotham. [lW7wI/_./-";)n*R+lx-I$,4|t*0#__ l) The password to view the NAMSS Comparison of Accreditation Standards is: Q7r&Km Whether youre new to the Joint This is applicable in situations where an organisation persistently and seriously fails to maintain compliance with the management system standard or due to other situations, as defined in the procedure for suspension and withdrawal of certificates. We use cookies to help provide and enhance our service and tailor content. Find the residency program, fellowship, or training program that's right for you, or explore our research and clinic trials. The scope of certification is agreed at an early stage in the certification process. n3kGz=[==B0FX'+tG,}/Hh8mW2p[AiAN#8$X?AKHI{!7. We are honored to provide behavioral healthcare facilities the same option provided to their hospital partners - a choice in their accreditation.PsychiatricHospital Accreditation Program Components DNVs accreditation program, called NIAHO (Integrated Accreditation of Healthcare Organizations), involves annual hospital surveys instead of every three years and encourages hospitals to openly share information across departments and to discover improvements in clinical workflows and safety protocols. endstream endobj 1332 0 obj <>stream %%EOF 0000005251 00000 n endstream endobj 1331 0 obj <>stream We evaluate how well your management system supports your focus areas. Please enter a term before submitting your search. 0000038715 00000 n Using an accredited third party certification body/registrars com Jointcomission. Author Frederick P Franko. Available at: http://www.jointcommission.org/NR/rdonlyres/2F04C126-906D-4155-B16F-1F1A6570C387/0/jconlineAug1209.pdf. At least one periodic audit per year is required. The DNV program is consistent with our long-term commitment to quality and patient safety, says Dr. Teresa Camp-Rogers, Chief Quality Officer at SCRMC. We currently have 26 Beacon Awards across our system. <]>> The DNV accreditation program provides us the opportunity to simultaneously satisfy our Medicare accreditation requirements and implement the ISO 9001:2015 Quality Management System all at the same time, said Doug Higginbotham, Executive Director at South Central Regional Medical Center. Innovative hospitals have started embracing ISO as a way to identify and focus on the most successful approaches to patient care, billing and other critical aspects of running a modern hospital system. DNV understands the important role Psychiatric Hospitals play in caring for the underserved and underinsured population. SCRMC serves as the second largest employer in Jones County. org 22, Questions to Consider Will our reputation in the community suffer if we change? Our surveyors employ a variety of methods for assessment, including staff interviews, medical record review, organizational document review, building and offsite visits, as well as patient interviews and feedback.