Bryn Mawr Hospital Orthopedics Receives Joint Commission "Gold Seal of Approval" for Hip & Knee Replacement

Thursday, January 22, 2009

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joint commission gold seal(BRYN MAWR, Pa.) – The Bryn Mawr Hospital Orthopedic Center has earned the Gold Seal of Approval for healthcare quality. The Joint Commission awarded Bryn Mawr Hospital with the Disease-Specific Care Certification for Hip & Knee Joint Replacement. The hospital is the first in the Main Line Health system to receive Joint Commission Certification recognition.

“Achieving the Gold Seal from the Joint Commission confirmed that we have a great program focused primarily on patient needs,” said Debbie Shuster, manager of the orthopedic floor. “The staff, physicians and hospital were excited to receive this honor, which was given with no recommendations. We are constantly improving and making changes to elevate quality of care while remaining in tune with patients and family members.”

To earn this distinction, the Orthopedic Center underwent an extensive, announced, on-site evaluation by Joint Commission reviewers. The program is evaluated against Joint Commission standards for Disease Specific Certification through an assessment of the program’s processes, the program’s ability to evaluate and improve care within its own organization, the emphasis on patient self-management, and interviews with patients and staff. The tracer methodology process, used in the interview process, tracks the patient’s progression through the program, facility, and ultimately discharge and sometimes post discharge.

“Leading up to receiving the Gold Seal of Approval for hip and knee replacement, our team focused on standardizing processes among the orthopedic staff and physicians,” said Laura Tansey, Quality Improvement Director for Bryn Mawr Hospital. “We worked closely with all the staff involved in the continuum of care of hip and knee replacement patients, including the physician offices, the department of surgery areas, and the inpatient unit, to ensure specific interventions were documented and standards consistently met. Our physicians and staff embraced the journey and as a team we achieved success.

To achieve the Gold Seal of Approval, the Orthopedic Center must consistently meet four specific quality measures for patients undergoing a hip or knee replacement for the next two years:

  • Compliance with the Surgical Care Improvement Project (SCIP)—Ensuring antibiotics are appropriately and timely administered pre-and post-operatively
  • Compliance with the Surgical Care Improvement Project (SCIP) for the implementation of appropriate and timely venous thromboembolism prophylaxis
  • Patient Satisfaction—Garnering high patient satisfaction scores in regard to pain management
  • Diabetes Intervention—Monitoring patient glucose levels pre- and post-operatively and intervening appropriately to decrease risk of infection

The Joint Commission surveyors granted the Orthopedic Center with the disease-specific certification in hip and knee replacement without any deficiencies or recommendations for improvement.

“At the Orthopedic Center, we live by the philosophy, ‘we’re with you every step of the way,’” said Sharon Register, Joint Replacement Program Manager at Bryn Mawr Hospital. “In addition to meeting the rigorous Joint Commission standards for disease-specific care, what distinguishes us is the high level of patient satisfaction. We attribute our success on the quality of care and clear communication among staff, physicians and patients. We emphasize patient education in a supportive environment and go the extra mile to meet patient’s needs.”
The orthopedic specialist team in Bryn Mawr Hospital’s Orthopedic Center performs more than 1,200 procedures annually, and is ranked a Center of Excellence in Orthopedic Care by Philadelphia Magazine. 

The Joint Commission’s Disease-Specific Care Certification Program, launched in 2002, is designed to evaluate disease management and chronic care services that are provided by direct care providers such as hospitals and home care vendors, as well as health plans and disease management service companies. Organizations may seek certification for clinical programs for virtually any chronic disease or condition.


Frieda Schmidt

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