new hospital accreditation process
federal accrediting authority
(October 2008) DNV Healthcare Inc., an auditing
company based in Houston, was granted authority on Sept. 26 by the U.S.
Department of Health and Human Services Centers for Medicare and
Medicaid Services to accredit hospitals for governmental reimbursement.
This is the first company to receive accreditation authority in more
than 40 years, and several Madison, Ind., residents and former residents
have played a prominent role in developing the companys new program,
the National Integrated Accreditation for Healthcare Organizations.
There are more than 6,000 hospitals in the United States, and more than
40 percent of all patient claims are derived from governmental reimbursement.
All hospitals must be accredited by Center for Medicare and Medicaid
approved organizations in order to receive government reimbursement.
There hasnt been a new company approved since Medicare began in
DNV Healthcare combined elements of the internationally recognized ISO
9001 Quality Management System with Medicares Hospital Conditions
of Participation. ISO 9001 is the globally implemented standard used
in manufacturing for providing assurance about the ability to satisfy
quality requirements and to enhance customer satisfaction in supplier-customer
Our new program puts in elements to the accreditation process
that will improve care and safety, said DNV Healthcare Executive
Vice President of Regulatory and Legal Affairs Darrell Scott. The
bottom line is that will help hospitals make fewer mistakes, which will
ultimately save lives and money. Scott was a former chief executive
officer at Kings Daughters Hospital and Health Services
Rebecca Wise, a former radiologist at KDHH and now the chief operating
officer at DNV, was one of the developers of the new National Integrated
Accreditation for Healthcare Organizations program. It was while she
worked at the Joint Commission on Accreditation of Healthcare Organizations,
which most hospitals go through for accreditation, that she realized
there had to be a better way to assess hospitals. The entire accreditation
process for hospitals had become unpleasant and negative, she
said. We knew another way was needed.
Another former Madison resident, Patrick Horine, was business partners
for years with Wise in TUV Healthcare Specialists, a Cincinnati-based
hospital consulting firm. Hospital shortcomings in the past were
often not taken care of, he said. In our new program, we
address any problems with positive solutions and a friendly delivery.
We are on the hospitals side. We want to keep them on their toes
so they can deliver maximum healthcare.
Dr. Leon Michl, recently retired after more than 32 years as a surgeon
in Madison, is one of the new surveyors for the company. He and wife,
Gerry, a former registered nurse, were approached by Wise to participate
in the new program.
I retired last October and started training for the new opportunity
in November, he said. I realized this new program would
be a significant step towards improved healthcare around the world.
The Michls will travel to India in the fall to assess hospitals there
for accreditation through the new program.
Michl explained that the new National Integrated Accreditation for Healthcare
Organizations is more objective than subjective. There are specific
written standards and guidelines for hospitals to follow. The
accreditation process prior to our new program had veered away from
actual participation by hospital employees, staff and patients,
he said. Hospitals had become nervous about auditor visits because
they had become punitive. Many problems were hidden and there was no
quality improvement. Our program works with hospitals, not against them.
In the new program, auditors visit the hospital each year, as opposed
to the current three-year auditing system. Surveys are taken from people
in every aspect of the hospital from patients to housekeeping staff.
The whole process is proactive, said Michl.
Dana Riddle, a former KDHH employee who left the company to write not-for-profit
grants, is now also surveyor for DNV Healthcare. It was Madisonians
who worked for years to develop a new program to change the way healthcare
is administered to improve quality, said Riddle. Our community
should be very proud of the fact that the new accreditation program
is being adopted by hospitals worldwide. It has given hospitals a fresh-eye
to help improve quality care.
Back to October 2008