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Navy clinic first MHS GENESIS site to complete accreditation

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Oak Harbor, WA – One of the first military health clinics to field the MHS GENESIS system learned June 22 it achieved another historic milestone when it was the first clinic using the new electronic health record to pass several certification and accreditation inspections.

Naval Health Clinic Oak Harbor passed a Joint Commission and Navy Medicine Medical Inspector General accreditation survey and inspection process, and it was the first MHS GENESIS facility to successfully complete a Primary Care Medical Home survey, passing with zero findings.

“The fact that we had no high risk findings at the conclusion of several years of significant Information Technology changes, the most obvious being the fielding of MHS GENESIS, along with multiple departmental moves, construction noise/delays, leadership changes and rebranding with the new name, is truly incredible,” said Navy Capt. Christine Sears, Oak Harbor Commanding Officer. “Our dedication to each other and our patients shone through as we welcomed the JC Surveyors and the MED IG inspectors and showed them how we keep our patients and ourselves safe every day.”

The JC and IG inspections evaluate Oak Harbor’s compliance with nationally established JC and Navy standards. The results then determine whether, and the conditions under which, accreditation should be awarded to NHCOH.

Of particular note was that JC surveyors found no significant problems in the areas of leadership, administrative, infection control, emergency management, and provision of high quality care. Surveyors and inspectors commented on the professionalism and dedication of the staff, said Cmdr. C.J Kucik, NHCOH Chief Medical Officer.

“(The staff) continued to perform their daily duties at the same high standard as always and were not overwhelmed being in the spotlight of inspection,” Kucik said. “That is the very essence of a Highly Reliable Organization (HRO) and I'd like to extend my sincere appreciation for everyone's sustained level of effort and professionalism culminating in last week's success.”

There is a difference between the JC and MED IG survey teams, although their focus does overlap in some areas.

The JC Survey takes place every three years and is a hospital accreditation carried out by a civilian organization based on demonstrated high standards of patient safety and quality. JC standards deal with organizational quality of care issues and the safety of the environment in which care is provided. The surveyors evaluated specific Oak Harbor compliance with established standards and identified strengths and weaknesses. The overall goal was not only to find problems, but also to provide education and consultation so health care organizations could improve.

The Med IG inspection also takes place approximately every three years to assess a command’s effectiveness, efficiency, readiness, capability, and quality of healthcare services in accordance with Secretary of the Navy, Office of the Chief of Naval Operations and the Navy’s Bureau of Medicine and Surgery directives and instructions. Med IG also assesses interoperability, integration and collaboration with DoD, other federal government, and civilian organizations.

The JC accredits nearly 16,000 health care organizations in the United States and many other countries. The DoD uses accreditation as a benchmark for national standards set by health care professionals. An accredited organization such as NHCOH substantially complies with JC standards and continuously makes efforts to improve the care and service it provides.

“I'd like to thank everyone who helped make this space shine, both physically, and with your warm welcoming attitude. It set the tone for learning and collaboration, rather than adversarial inspection. From the moment we greeted the team, the surveyors were smiling because of your dedication and positive first impression,” said Command Master Chief Stanley Kaneshiro.

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