| |
|
|
|
The Joint
Commission Environment of Care (EC ) |
| Understanding JCAHO's EC Tracer
Methodology |
|
|
|
|
The EC Tracer is one piece of the on-site survey performed by The Joint
Commission during the Accreditation Process. The Site Surveyor uses the "Tracer
Methodology" as the basis for a logical look at the level of compliance and
systems of providing care & services for a particular group of assets.
When a Surveyor is on site, a patient record is
selected. The surveyor will use that record to retrace specific care processes that
an individual experienced during their stay. This "trace" can include interviews
with staff, inspections of facilities, and review of facility maintenance documentation. The
surveyor is gathering information to form a compliance assessment of the hospital's systems
and ability to deliver safe and quality health care.
|
Environment of Care 7.50
|
The section of the EC code dealing specifically with Medical Gas Systems, is
section 7.50, which has been summarized below: section 7.50, which has been summarized below:
- Hospitals should inspect, test, and maintain critical components of the
Piped Medical Gas and Vacuum Systems including panels, alarms, outlets and other
related systems.
- Hospitals should perform these tests and inspections any time a part of the
system is modified or repaired, hospitals should maintain clearly labeled and easy access to emergency
shut-off valves.
|
CHT, The CHx Program, and EC Tracers |
| |
During an EC Tracer, the surveyor may point to a medical gas outlet that has
been used by the patient and request all of the inspection, maintenance, and
repair information for that outlet and every part of the system related to that
outlet (pumps, compressors, manifolds, zone valves, alarm panels, etc.).
With the CHx System, a facility engineer standing by with an xPlore Rugged
Tablet PC would scan the barcode related to that outlet, and all previous test
and repair history for that outlet would be readily available. As well, because
all of the assets are linked from source to outlet, every piece of the system
related to that specific outlet would be easily accessible on the spot during
the inspection.
|
The CHx Program - Building
Management Program
|
In the example above, the Joint Commission surveyor pointed to an
outlet and requested the information. Your facility engineer was
on hand and was able to quickly and easily provide all of the requested
information. But how did that information get there? Who verifies equipment
compliance? How are ALL of those assets linked to all of the requested
information. But how did that information get there? Who verifies equipment
compliance?
The simple answer is that the CHx Program Software is a Building Management
Program (BMP) that is designed specifically for making compliance easy. From
guided questions during testing to pre-programmed schedules for ongoing testing
and maintenance, the CHx Program allows you to "build" your system inside
the database. The software allows you to attach vital information to each piece of
equipment including testing, maintenance, or repair information. User manuals,
equipment relationships, and Distribution and Control Diagrams can also be attached
directly to any piece of equipment.
When a Joint Commission inspector is on site performing an EC Tracer on an outlet in your ICU, with the CHx Program, providing all of the information about the system is available at your fingertips. |
|
|
|
|