9 top causes of preliminary denial of accreditation from The Joint Commission

The Joint Commission may issue a preliminary denial of accreditation to organizations seeking accreditation renewal, according to Compass Clinical Consulting Associate Managing Director Lisa Prytula, RN-BC.

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Ms. Prytula was previously The Joint Commission’s standards interpretation director.

Here are nine events commonly resulting in a preliminary denial of accreditation.

1. Immediate Threat to Health or Safety declared
2. Egregious, pervasive and/or repeat findings throughout the healthcare organization
3. An individual lacked required license, registration or certification, or practiced out of scope
4. Hospital lacked required license, registration or permit
5. Falsification of documents or misrepresentation of information
6. Failure to resolve all requirements for improvement after two “Accreditation with Follow-up” surveys
7. Second failed Medicare Deficiency survey
8. Possible fraud or abuse
9. Failure to abate the risk identified during immediate threat

More articles on accreditation:
USF Health Endoscopy and Surgery Center achieves AAAHC accreditation — 3 notes
Ketamine Clinic of Los Angeles achieves AAAASF certification — 3 quick notes
Your ASC was cited for a standards deficiency — what next? 4 Qs with an HFAP expert

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