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Joint Commission Accreditation

Carle Foundation Hospital is fully accredited by The Joint Commission. 

The Joint Commission is an independent, not-for-profit organization established more than 50 years ago to set the standards by which health care quality is measured in America and around the world. It is governed by a board that includes physicians, nurses, and consumers.

The Joint Commission evaluates the quality and safety of care for nearly 16,000 health care organizations. To maintain and earn accreditation, organizations must have an extensive on-site review by a team of The Joint Commission health care professionals, at least once every three years. The purpose of the review is to evaluate the organization's performance in areas that affect your care.  Accreditation may then be awarded based on how well the organizations met The Joint Commission standards.

The Joint Commission accreditation involves evaluating a health care organization's performance in areas that most affect patient health and safety. These areas are defined in The Joint Commission standards. By achieving accreditation, a health care organization makes a commitment to follow The Joint Commission standards, which provide the framework for safe, quality care.

Steps in the accreditation process:
Step One
  • A health care organization applies for survey.
  • A team of The Joint Commission surveyors conducts an onsite survey including:
    • Opening conference with the organization's leaders.
    • Tour facilities
    • Talk to staff and patients and observe care being provided.
    • Review patient charts, minutes, reports, logs, plans, policies and procedures.
    • Provide educational services to improve compliance with the standards.
    • Surveyors provide written report findings to organization leaders.
Step Two
  • The Joint Commission's Central Office issues:
    • An official survey report
    • An accreditation decision
  • The Joint Commission follows up with organizations to ensure that the organization addressed all requirements for
    improvement.
  • The Joint Commission posts a performance report in Quality Check on The Joint Commission website.

An organization's accreditation is for three years. The only exception is for laboratories, which have a two-year accreditation. Accreditation is not automatically renewed. To become accredited again, an organization must reapply, participate in a survey, and demonstrate compliance with the standards.

To view the latest Carle Foundation Hospital Accreditation Report, click here.

The public may contact the Joint Commission’s Office of Quality Monitoring to report any concerns or register complaints about a Joint Commission-accredited health care organization by either calling 800/994-6610 or e-mailing complaint@jointcommission.org.

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