The Joint Commission

Introduction

Every 3 years, the Department of Defense receives notice that The Joint Commission (TJC) triennial accreditation surveys will be conducted within a 9 month window. During these surveys, multidisciplinary team consisting of physicians, nurses, ambulatory, behavioral health, and life safety surveyors are on-site for one to five days depending on the size of the organization. Due to NMCSD's size, our specialists will likely be on-site for 3-4 days. The survey focuses on processes and functions related to safety/quality of care, treatment, and services using Tracer Methodology. The Survey Specialists will evaluate NMCSD's functions and processes with focus on reviewing compliance with the National Fire Protection Association, medical gas system requirements, Life Safety standards, Environment of Care standards, and Emergency Management standards.

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