Sepsis Certification Achieving Excellence Beyond Accreditation ICAHN Sepsis Kick Off Loren Salter Associate Director, The Joint Commission Hospital Certification October 11, 2018

Disease Specific Care Certification When it comes to accreditation, no organization can match The Joint Commission’s experience and knowledge. This legacy of excellence and robust expertise is applied with equal passion and rigor to Sepsis certification program. STANDARDS PERFORMANCE MEASURES CLINICAL PRACTICE GUIDELINES

Sepsis Certification While all of our certifications can help your organization achieve new levels of excellence, Sepsis certification is a low cost effective way to help build the foundation for your Sepsis program.   Sepsis Certification encompasses our core standards model which allows for interpretation specific to your program. One of the many benefits of Sepsis certification is the choice of performance measures coinciding with performance improvement initiatives. Program Management Delivery and Facilitation of Care Supporting Self Management Clinical Information Management Performance Measurement and Improvement

Sepsis Programs nationwide Sepsis Certification Currently 70 certified Sepsis Programs nationwide www.qualitycheck.org

THE POWER OF SINGLE - PROVIDER PARTNERSHIP With a suite of certification offerings covering your entire spectrum of services, The Joint Commission provides benefits no a la carte provider can, including: Avoiding costly and inefficient disparate processes Creating seamless logistical implementation Tailoring certification efforts to the specific needs of each site Measures Improvement Plans Establishing a unified platform for consistent care delivery Long term collaboration

YOUR SOURCE FOR DISEASE SPECIFIC CERTIFICATION With a comprehensive suite of offerings to choose from—backed by the expertise and insight of our robust health care experience—you will find the guidance, knowledge and framework you need to achieve improved outcomes and continued success at The Joint Commission.   Comprehensive and Core Cardiac programs Primary, Thrombectomy, Comprehensive Stroke Centers Advanced Joint Replacement and Core Ortho programs Advanced Perinatal Care Advanced In-Patient Diabetes Sepsis 152 programs total 92% of our customers tell us Joint Commission certification directly impacts the safety and quality of patient outcomes.*

CERTIFICATION LOGISTICS Pre Gap analysis to standards and guidelines; resolution of any gaps Identify CPGs, PI Plan and Performance Measures Apply 4-6 months before desired review date Visit 30 days advance notice of date Data Upload (four months at a minimum) One reviewer for one day Post Data collection and submission Intracycle conference call 12 months after visit Apply for recertification Recertification visit occurs 2 years after initial visit To be scheduled within 90 day window around anniversary date 7 days advance notice of visit

Illinois Critical Access Hospital Network Designated Associate Director Single point of contact throughout application process Assistance with application Support with standards interpretation Provide materials pertinent to certification Coordination of multi-site system certifications Loren Salter Associate Director, Business Development, Hospital Certification lsalter@jointcommission.org, (630) 792-5143

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