Northern California, Nevada, Hawaii-Veterans Administration Medical Centers

  • Hospital

FACS conducted Environment of Care Assessments and provided Statement of Conditions Assistance to all VA VISN 21 Medical Centers in Northern California, Nevada, and Hawaii.

These services were provided predominately through Mock Joint Commission surveys.  The primary focus of this project was to evaluate the VA’s current measure of compliance with the 2004 JCAHO standards and to assist each facility prepare for its Joint Commission survey. The visits consisted of three major phases which included:

  • Reviews of plans, programs and records
  • Interviews with key managers of EC- and SOC-related subjects, and
  • Interviews and observations in clinical and support service areas of each medical center

FACS’ primary goal during these mock surveys and assessments was to look for deficiencies in documentation and training and then provide solutions to address identified deficiencies.