Accreditation Program Profiling

Part
01
of six
Part
01

The Joint Commission’s Chest Pain Accreditation Overview

OVERVIEW

The Joint Commissions Disease-Specific Care Certification for Chest Pain is a combination of two previously separate programs into one (1) certification award, the two programs combined to make up this award are Acute Myocardial Infarction (AMI) and Acute Coronary Syndrome (ACS). Certifications for the Chest Pain program are sub certifications under the Standards for Disease-Specific Care. This certification along with other Disease-Specific Care Certifications are built on a framework aimed at establishing strong foundations for well-run disease management programs.
The certification process is categorized into three areas which are "Compliance with consensus-based national standards", "Effective and consistent use of appropriate, evidence-based clinical practice guidelines for the AMI and ACS patient populations" and "Collection and analysis of a minimum of four performance measures specific to the chest pain patient population (a minimum of two performance measures must be clinical in nature.)" The certification is valid for two (2) years.

Task Overview

Following the criteria specified in the request, we have completed Column C of the attached spreadsheet with detailed information on the website of the Joint Commissions Chest Pain Accreditation Program, a description of the program, accreditation requirements, launch year, information on program pricing, sample hospital press release, reviews, marketing collateral, FAQ's, length of accreditation and source links.

Conclusion

Column C of the attached spreadsheet has been completed with all information requested on the overview on the Joint Commission's Chest Pain Accreditation Program.



Part
02
of six
Part
02

The Joint Commission’s Comprehensive Cardiac Center Certification Overview

Full relevant information can be found on this spreadsheet. Therefore, this write-up will contain a brief summary detailing the information found on the Joint Commission’s Comprehensive Cardiac Center Certification.

Summary


On the main website, and the facts about page, the certification is listed as a 'voluntary' and 'independent award' for hospitals with 'robust cardiac care facilities.' There are many more details, but it seems like this certification is primarily a way for health systems or hospitals to gain prestige and recognition for their excellent cardiac care.

There are several qualifications needed (see slides 7-13) that include both administrative requirements, such as existing accredition by the Joint Commission, as well as requirements for the provision of specific medical treatments and standards.

This certification was officially begun in January 2017 but had been in planning for years. So far, only the University of Kansas and Tennessee Medical systems have attained this certification. The University of Kansas Health System describes the process as taking two years of work, of sometimes being 'overwhelming', and requiring multiple interdisciplinary teams to complete. They seem, however, to be quite satisfied with the results and are utilizing it for their publicity. The accreditation last for two years. Price is unknown, but even getting the basic guide for the program is listed as 1,390 dollars for the hospital system.

For full information, see the spreadsheet.




Part
03
of six
Part
03

American Heart Association's Cardiovascular Center of Excellence Overview

According to the Cardiovascular Center of Excellence's (CVCOE) website, the organization works as an accreditation program in conjunction with the American Heart Association (AHA) and the American College of Cardiology (ACC). Hospitals who choose to undergo the accreditation process and are approved must pay a total of $60,000 over the span of three years ($20,000/year) as the membership fee. Accredited hospitals work to integrate patient care across cardiovascular departments in order to provide better patient care. Hospitals that have been accredited by the CVCOE state that the program has helped them to tie together cardiovascular services, in addition to providing better resources and opportunities to increase the quality of patient care that they provide. Additionally, the program has worked to provide educational opportunities for staff and focus efforts on communities and patients that are in desperate need of cardiovascular care. Further details including links to specific press releases and fact sheets can be found in the attached spreadsheet.
Part
04
of six
Part
04

Chest Pain Accreditation Hospitals

There are hundreds of hospitals in the United States that have received Chest Pain Accreditation. Some, such as the Medical Center of South Arkansas, were certified as long ago as 2009. Others, such as El Centro Regional Medical Center received certification only this year, in this case, January 2018. The requested information has been entered into the attached spreadsheet.

METHODOLOGY
Many of the hospitals and the year they were certified can be found here. Some, such as Princeton Baptist Medical Center, Shelby Baptist Medical Center, and Prarie Heart Institute do not have their date of accreditation listed publicly. Dupont Hospital has it’s original certification and reaccreditation dates listed, and as such both have been entered into the spreadsheet.
CONCLUSION
Of the hundreds of hospitals in the US that hold the Chest Pain Accreditation, some have held onto this honor for close to 10 years, and others have just recently received their certification. The requested information is entered in the appropriate tab in the attached spreadsheet.

Part
05
of six
Part
05

Comprehensive Cardiac Center Hospitals

About the Joint Commission Comprehensive Cardiac Centre Certification

In a news release issued on January 10, 2017, The Joint Commission launched its Comprehensive Cardiac Centre Certification program designed for hospitals that desire "independent evaluation and recognition" of their centers cardiac services.
The program has been designed to help these hospitals set up "structures, processes and culture" necessary to attain optimum clinical performance and patient care across all cardiac domains. The program will focus on supporting hospitals in delivering detailed cardiac care through "Compliance with consensus-based standards, Effective integration of evidence-based clinical practice guidelines, organized approach to performance measurement and improvement, Achievement and/or maintenance of required Advanced Disease-Specific Care certification requirements". Minimum requirement for hospitals to qualify for this certification states that their cardiac services must include management in cardiac care domains including;
(a)"Ischemic heart disease, through medical and interventional/surgical care, including acute coronary syndrome treatments, percutaneous coronary interventions, and coronary bypass graft surgery
(c)Arrhythmias, including electrophysiology services and outpatient device clinics

(d)Advanced heart failure, including outpatient services

(e)Cardiac arrest, including prevention of in-hospital arrests, resuscitation, and targeted temperature management for cardiac arrest
(f)Cardiac rehabilitation of patients, as indicated, either on-site or by referral
(g)Cardiovascular risk factor identification and cardiac disease prevention".
Until January 2018, only two (2) organizations have successfully met all requirements and have received the certification.

Request Overview

I have entered the names of hospitals who have received the Comprehensive Cardiac Centre Certification till date in the attached spreadsheet under the Comprehensive Cardiac Centre Hospitals Tab. The information entered also includes source links as well as the dates each organization was certified as requested. After conducting thorough search, I did not find any hospitals that were previously accredited with the Comprehensive Cardiac Centre Certification but no longer have the certification.

Conclusion

I have completed the Comprehensive Cardiac Centre Hospitals tab in the attached spreadsheet with information of hospitals that have received the Comprehensive Cardiac Centre Certification so far including the source links and date of certification.
Part
06
of six
Part
06

Cardiovascular Center of Excellence Hospitals

The Regional Hospital of Scranton (Scranton, Pennsylvania) received accreditation as a Cardiovascular Center of Excellence from the American Heart Association (AHA) in September 2017. At this time, it is the only hospital designated as such. This information has been added to the "Cardiovascular Center of Excellent" tab of the attached spreadsheet.

METHODOLOGY


In order to answer your question, we turned to the AHA and found out that the Cardiovascular Center of Excellence program had been introduced in December 2016. We reviewed press releases from the AHA from the time that the program was launched to the present day, as well as news from reliable media sources and determined that there were no other facilities that are recognized as Centers of Excellence.

The AHA does not provide a time period for which accreditation is earned, however they say that the program involves ongoing partnership between the AHA and the approved medical organizations, whereby the AHA serves as an adviser and resource center.

BACKGROUND


Elaine Walker, Heart and Vascular Institute Program Director at the Regional Hospital of Scranton, prepared a document for the AHA to circulate outlining the process that they followed to get accredited and explaining the benefits they have seen as a result of gaining accreditation. The chief benefits she identifies are:

— Identifying educational opportunities for staff
— Improved communication with referring hospitals
— A concrete achievement to illustrate their dedication to cardiovascular health for the purposes of marketing and community outreach.

SUMMARY


The Cardiovascular Center of Excellence program is still very new and as of February 2018, only the Regional Hospital of Scranton has been certified.
Sources
Sources

From Part 04