Wednesday, May 30, 2007

Doloresco discusses Joint Commission findings

[From WAKG]
"Three months ago, Danville Regional Medical Center (DRMC) received a preliminary denial of accreditation from the Joint Commission On Accreditation Of Healthcare Organizations (JCAHO). Today, hospital CEO Art Doloresco spoke to local business leaders, telling them that all of the major problems cited by the Commission have been addressed and/or corrected. He cited 22 of the 500+ standards that were judged to be non-compliant by the Commission. Some of the problems dealth with the hospital's method of keeping records, but the medical staff was also called to task for things like failing to put dates and times on orders and using unapproved abbreviations on orders that could be misinterpreted, thereby threatening patient safety. Other problems included expired or unlabeled medications, small holes in the firewalls of the hospital's oldest building and the credentialing of physicians. While Doloresco has not presented the Commission's report in its entirety, he believes they will upgrade the hospital's position to "conditional accreditation" next month."

[From the Register & Bee]
Hospital CEO shares Joint Commission's evaluation with business leaders
Danville Register and Bee - Wednesday, May 30, 2007
DANVILLE -- Art Doloresco, CEO of Danville Regional Medical Center, shared details of the Joint Commission's March evaluation of the hospital with business leaders at a Chamber of Commerce breakfast this morning.
"It is only the second time in the United States that a hospital has revealed the Joint Commission's decision," he said.
For details about what earned the hospital a preliminary denial of accreditation, read Thursday's Register & Bee.

16 comments:

Anonymous said...

The best they can do is "provisional" ,spin spin spin.

Anonymous said...

I'm tired of this and Danville .
Goodbye.

Anonymous said...

"It is only the second time in the United States that a hospital has revealed the Joint Commission's decision,"

I thought that was a pretty brazen statement.

Anonymous said...

"all of the major problems cited by the Commission have been addressed or corrected."

Addressed = "Hello major problem, we are lifepoint."

"minor problems we might address you later."

Anonymous said...

The one thing this does reveal is the pressure from the public might actually be making some progress.

Anonymous said...

"While Doloresco has not presented the Commission's report in its entirety"

more spin "We'll tell you what we want you to know"

Anonymous said...

You've all missed the point. Buried in this nonsense is Doloresco's prediction NOT that we will be accredited, but that we will be given a CONDITIONAL accreditation. So we move from a preliminary denial to a conditional accreditation. It is a disgrace, pure and simple.

==GONE AT LAST!

Anonymous said...

People should calm down and give Doloresco the benefit of the doubt on this one. He does happen to have the facts, and he did not have to come forward. It is morally and ethically wrong to criticize the man and then turn up the heat when he might be trying to do better.

SIGNED: CASWELL

Anonymous said...

It's an attempt to negate the arrogance of the past , nothing more nothing less. He is still a millionaire at the expense of the hard working people of Danville. The hospital was built by the mandatory salary deductions of our fathers mothers and grandparents and sold by a group of old rich guys who also benefitted by pillaging our parents etc..
Watch this closely you'll hear what he wants you to hear.

Anonymous said...

Hospital unveils evaluation


By SUSAN ELZEY
Register & Bee staff writer
May 31, 2007


Give your opinion on this story



DANVILLE - Portions of Danville Regional Medical Center’s Joint Commission evaluation were unveiled to area business leaders Wednesday, but the complete results have not been made public.

The hospital received a “preliminary denial of accreditation” from the national health care accreditation organization in March.

Art Doloresco, CEO of Danville Regional Medical Center, presented the results of the survey Wednesday morning at a Chamber of Commerce breakfast.

Doloresco, however, would not allow members of the media to have a copy of the presentation and did not want it to be recorded by radio station WBTM.

“This is only the second time in the United States that a hospital has revealed a Joint Commission decision,” he said. “This is a unique opportunity for businesses to take a look.”

He explained that the Joint Commission’s scoring was based on the number of standards with which hospitals are not in compliance.

“There are more than 500 standards and we have 21 of those not in compliance,” he said.

There were 22 RFIs, “Required for Improvements,” but the hospital successfully appealed one.

The areas the commission cited as needing improvement include home health, medical staff, nursing, data tracking, pharmacy and leadership.

Doloresco said the hospital is not only scored on compliance but on how long it has been compliant.

“You could be doing the right thing, but not doing it long enough,” he said. “For example, last August there were 180 patient restraint situations a month. Now we are having less than 30 patient restraint encounters a month, but when the Joint Commission was here, it was one of the 21 RFIs because (the decrease) had been less than six months.”

The survey uses a method known as “tracer methodology” that gives the commission a view of a patient’s stay in the hospital from the minute the patient enters to when he leaves and scores how the hospital processes functioned during that stay.

Nurse to patient ratio is not one of the areas scored, Doloresco said.

“We have sent an eight-page letter to the commission with an explanation of mitigating circumstances,” he said.

The commission will meet on June 14 and issue a decision the next day. The hospital could be moved from preliminary to full denial, conditional accreditation or full accreditation, according to Doloresco.

He said the hospital expects it will be conditionally accredited. Even if accreditation is denied, however, there is still an appeals process available.

With conditional accreditation, the commission will return in six months for another full survey.

“The Joint Commission doesn’t exist to put the hospital out of business but to raise the bar,” he said, adding that the commission has “really raised the bar” and the survey isn’t the same as the one the hospital passed before.

Doloresco said the hospital is in the process of recruiting someone whose only job will be to keep the hospital up to date on accreditation requirements.

Anonymous said...

"The areas the commission cited as needing improvement include ..........leadership"

"Doloresco said the hospital is in the process of recruiting someone whose only job will be to keep the hospital up to date on accreditation requirements."

hmmmmm...someone similar to the person you placed in the pool as "unnecessary"?

Anonymous said...

So this is just the same stuff all over again. Lifepoint was in charge for two years, or maybe this current manager only counts the time that he has been here?

What sort of 'leaders' do we have who would sit through a presentation marked by 'I'll-tell-you-what-you-need-to-know' and not rise up and scream???

As a poster noted yesterday, this is just PR nonsense set up so that whatever happens now, Doloresco can say "Told you so!"

What childish nonsense. It wouldn't play anywhere except in a tired old bedraggled town like Danville, where the real leaders like Landon Wyatt have been kicked out and the new ones are blinded by either greed or incompetence.

Low-hanging fruit ripe for plucking, Lifepoint called us?

They got that part right.

Anonymous said...

From: WBTM

DANVILLE) -- THREE MONTHS AGO, DANVILLE REGIONAL MEDICAL CENTER (DRMC) RECEIVED A PRELIMINARY DENIAL OF ACCREDITATION FROM THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO). YESTERDAY, HOSPITAL CEO ART DOLORESCO (pictured) SPOKE TO LOCAL BUSINESS LEADERS, TELLING THEM THAT ALL OF THE MAJOR PROBLEMS CITED BY THE COMMISSION HAVE BEEN ADDRESSED AND/OR CORRECTED. HE CITED 22 OF THE 500+ STANDARDS THAT WERE JUDGED TO BE NON-COMPLIANT BY THE COMMISSION. SOME OF THE PROBLEMS DEALT WITH THE HOSPITAL'S METHOD OF KEEPING RECORDS, BUT THE MEDICAL STAFF WAS ALSO CALLED TO TASK FOR THINGS LIKE FAILING TO PUT DATES AND TIMES ON ORDERS AND USING UNAPPROVED ABBREVIATIONS ON ORDERS THAT COULD BE MISINTERPRETED, THEREBY THREATENING PATIENT SAFETY. OTHER PROBLEMS INCLUDED EXPIRED OR UNLABELED MEDICATIONS, SMALL HOLES IN THE FIREWALLS OF THE HOSPITAL'S OLDEST BUILDING AND THE CREDENTIALING OF PHYSICIANS. WHILE DOLORESCO HAS NOT PRESENTED THE COMMISSION'S REPORT IN ITS ENTIRETY, HE BELIEVES THEY WILL UPGRADE THE HOSPITAL'S POSITION TO "CONDITIONAL ACCREDITATION" NEXT MONTH.

Hey "leaders" the old DRMC had a person assigned to maintain physician and nurse credentialing....guess she wasn't some of that "waste around every corner" we keep hearing about.

I'm sure we weren't perfect before but at least we operated with some foresight and didn't just eliminate people and positions randomly to meet targets for stock share prices.

Anonymous said...

Excellent letter in today's Chatham paper:

To the Editor:

I'd like to respond to the truly nonsensical letter you ran from someone called Mark Percario attacking Coy Harville, chairman of the Pittsylvania County Board of Supervisors.

The mindless, nearly incoherent attack on Harville would not deserve an answer except for Percario's absurd accusation that "Harville has not offered any constructive solution or guidance regarding hospital-related issues."

As most people gratefully recall, the Pittsylvania Supervisors, under Coy Harville's chairmanship, passed a resolution opposing the sale of Danville Regional Hospital to LifePoint.

This was well before the nightmare we know so well came to pass.

The wisdom of Harville and his co-supervisors stands as a beacon of light in the making of a catastrophe for our region.

Coy Harville is the only elected official in Danville or Pittsylvania who has shown the vision and courage we so desperately need on the hospital disaster.



Whoever now jumps on the bandwagon of dissent-and welcome aboard to all!-should keep in mind that Harville did all he could to warn the region about the obviously disastrous decision by the boys at the bank to sell us down the drain.

Whoever Mark Percario is, he would do well to educate himself about issues critical to this region before attacking a leader like Coy Harville.

Had the elected officials in Danville, all blinded by the promise of the huge tax revenue from a private hospital, listened to Mr. Harville, we would not be struggling today to get out of the mess we're in.

Dixie Doss

Danville

Anonymous said...

Whoah! That attack on Harville has nothing to do with the hospital. Mark Percario was just set up by Harville's opponent to attack him. While Harville was the intended victim, the real victim was Percario for looking like a duped fool.

Anonymous said...

Ive even heard rumours that some bank boys have tried to pay people to run against Harville to "get him out of their hair".