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

2. 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

3. 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

4. Sepsis Programs nationwide
Sepsis Certification
Currently 70 certified
Sepsis Programs nationwide

5. 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

6. 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.*

7. 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

8. 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 (630)

9. Questions?

10. THE JOINT COMMISSION DISCLAIMER
These slides are current as of 10/11/2018. The Joint Commission reserves the right to change the content of the information, as appropriate.
These slides are only meant to be cue points, which were expounded upon verbally by the original presenter and are not meant to be comprehensive statements of standards interpretation or represent all the content of the presentation. Thus, care should be exercised in interpreting Joint Commission requirements based solely on the content of these slides.
These slides are copyrighted and may not be further used, shared or distributed without permission of the original presenter or The Joint Commission.