Attach to Form 990 or Form 990-EZ.
See separate instructions.| (i) Name of supported organization |
(ii) EIN |
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) |
(iv) Is the organization in col. (i) listed in your governing document? |
(v) Did you notify the organization in col. (i) of your support? |
(vi) Is the organization in col. (i) organized in the U.S.? |
(vii) Amount of support? |
|||
|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| Total | |||||||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3.. | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public Support. Subtract line 5 from line 4. | ||||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets.. | ||||||
| 11 | Total support (Add lines 7 through 10). | ||||||






| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 207,000 | 151,000 | 77,000 | 3,498,197 | 1,698,023 | 5,631,220 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | 46,525,853 | 50,983,955 | 43,556,528 | 44,517,298 | 46,991,163 | 232,574,797 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | 0 | |||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | |||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 6 | Total. Add lines 1 through 5. | 46,732,853 | 51,134,955 | 43,633,528 | 48,015,495 | 48,689,186 | 238,206,017 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | 0 | 0 | 0 | 0 | 0 |
| 8 | Public Support (Subtract line 7c from line 6.) | 238,206,017 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 46,732,853 | 51,134,955 | 43,633,528 | 48,015,495 | 48,689,186 | 238,206,017 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 746,395 | 591,293 | 392,169 | 423,197 | 465,635 | 2,618,689 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 46,039 | 49,363 | 26,466 | 17,322 | 9,803 | 148,993 |
| c | Add lines 10a and 10b. | 792,434 | 640,656 | 418,635 | 440,519 | 475,438 | 2,767,682 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | 0 | 0 | 0 | 0 | 0 | 0 |
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 47,525,287 | 51,775,611 | 44,052,163 | 48,456,014 | 49,164,624 | 240,973,699 |




| Facts And Circumstances Test |
|---|
| Explanation |
|---|
| Software ID: | 11000230 |
| Software Version: | v2011.1.0 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990, PART III, LINE 1 | (CONTINUATION FROM FORM 990, PART III, LINE 1) JOINT COMMISSION INTERNATIONAL HAS EXTENSIVE EXPERIENCE WORKING WITH PUBLIC AND PRIVATE HEALTH CARE ORGANIZATIONS, MINISTRIES OF HEALTH, AND LOCAL GOVERNMENTS IN MORE THAN 90 COUNTRIES. JCR OFFERS A FULL SPECTRUM OF RESOURCES TO ACCOMPLISH ITS MISSION INCLUDING SEMINARS, CONFERENCES, HARD COPY AND ELECTRONIC BOOKS, WEBINARS, HARD COPY AND ONLINE PERIODICALS, AND MULTIMEDIA PRODUCTS. JCR OFFERS COMPREHENSIVE PROGRAMS SUCH AS THE CONTINUOUS SERVICE READINESS INITIATIVE, HEALTH CARE CONSULTATIVE TECHNICAL ASSISTANCE, CUSTOMIZED THIRD-PARTY REVIEW AND EVALUATION SERVICES, AND ACCREDITATION BASED ON INTERNATIONAL STANDARDS AND HAS EVALUATED MORE THAN 400 HEALTH CARE ORGANIZATIONS IN MORE THAN 50 COUNTRIES. JCI ALSO PROVIDES TECHNICAL ASSISTANCE ON A WIDE RANGE OF QUALITY AND PATIENT SAFETY TOPICS SUCH AS PERFORMANCE IMPROVEMENT, PATIENT SAFETY, INFECTION PREVENTION AND CONTROL, MEDICATION SAFETY, ENVIRONMENT OF CARE, AND MANY OTHER CRITICAL TOPICS THAT ORGANIZATIONS FACE IN THEIR EFFORTS TO IMPROVE SAFETY AND QUALITY IN THE CHALLENGING HEALTH CARE ARENA. JCR OFFERS COMPREHENSIVE CONSULTATIVE TECHNICAL ASSISTANCE SERVICES DESIGNED TO IMPROVE SAFETY AND QUALITY OF PATIENT CARE TO THE TYPES OF HEALTH CARE ORGANIZATIONS THAT THE JOINT COMMISSION ACCREDITS OR CERTIFIES: AMBULATORY CARE AND OFFICE-BASED SURGERY, BEHAVIORAL HEALTH CARE, CRITICAL ACCESS HOSPITALS, DISEASE-SPECIFIC CARE CERTIFICATION, HEALTH CARE STAFFING SERVICES CERTIFICATION, HOME CARE SERVICES (INCLUDES HOME HEALTH, PERSONAL CARE, HOSPICE, DME, AND PHARMACY), HOSPITALS, LABORATORIES, LONG TERM CARE AND PRIMARY STROKE CENTER CERTIFICATION. MORE THAN 10,000 ORGANIZATIONS HAVE RELIED ON JCR TO HELP THEM IMPROVE SAFETY AND QUALITY. JCR OFFERS NEARLY 50 SEMINARS AND CUSTOMIZED EDUCATION PROGRAMS A YEAR ON A VARIETY OF DIFFERENT TOPICS. COVERING A RANGE OF STANDARDS COMPLIANCE AND PERFORMANCE IMPROVEMENT SUBJECTS, SEMINARS ARE HELD FOR THE DIFFERENT HEALTH CARE SETTINGS AND DISCIPLINES. JCR ALSO HOSTS AN ANNUAL EMERGENCY PREPAREDNESS CONFERENCE. MONTHLY SATELLITE BROADCASTS ARE OFFERED AS PART OF THE JOINT COMMISSION RESOURCES QUALITY AND SAFETY NETWORK, A SUBSCRIPTION SATELLITE BROADCAST SERVICE THAT PROVIDES CURRENT INFORMATION ON THE JOINT COMMISSION STANDARDS, SURVEY PROCESS, AND STRATEGIES FOR COMPLIANCE. JCR ALSO OFFERS APPROXIMATELY 50 WEBINARS ANNUALLY ON STANDARDS COMPLIANCE, INFECTION PREVENTION AND CONTROL, AND HEALTH CARE QUALITY AND SAFETY. JCR SERVES AS THE OFFICIAL PUBLISHER FOR THE ACCREDITATION MANUALS AND RELATED BOOKS, PERIODICALS, AND ELECTRONIC PRODUCTS OF THE JOINT COMMISSION. JCR ALSO PUBLISHES A ROBUST LINE OF BOOKS AND TOOLKITS ON PATIENT SAFETY AND HEALTH CARE QUALITY. JCR HAS APPROXIMATELY 140 TITLES ON ITS BACKLIST AND PUBLISHES APPROXIMATELY 60 NEW TITLES PER YEAR AS WELL AS 48 ISSUES OF PERIODICALS. SOLUTIONS PRODUCTS AND SERVICES SINCE 2009, JCR HAS OFFERED SAFETY, QUALITY SOLUTIONS PRODUCTS AND SERVICES IN FOUR PRACTICE AREAS: INFECTION PREVENTION AND CONTROL, MEDICATION SAFETY, PATIENT SAFETY AND ENVIRONMENT OF CARE. JCR HAS PURSUED THE DEVELOPMENT OF VARIOUS TOOLS AND TECHNIQUES TO HELP ORGANIZATIONS ADDRESS PATIENT SAFETY ISSUES, FROM UNDERSTANDING JOINT COMMISSION STANDARDS AND EVIDENCE BASED PRACTICES, TO IMPLEMENTING AND PLANNING FOR SUSTAINED IMPROVEMENTS. RESOURCES INCLUDE BOOKS, TOOLKITS, CONFERENCES, AND WEBINARS IN ADDITION TO CUSTOMIZED CONSULTATIVE TECHNICAL ASSISTANCE. JOINT COMMISSION RESOURCES HAS ALSO FOCUSED ITS CONSULTATIVE TECHNICAL ASSISTANCE SERVICES ON SUPPORTING HOSPITALS THAT ARE BUILDING NEW FACILITIES AND RENOVATING EXISTING HEALTHCARE STRUCTURES. THE DESIGN/BUILD PROCESS AND THOSE STAKEHOLDERS INVOLVED OFTEN NEED JCR SERVICES TO SUPPORT THE DEVELOPMENT AND ANALYSIS OF REGULATORY COMPLIANCE, SAFETY & PROCESS IMPROVEMENTS. THE INCLUSION OF THE JOINT COMMISSION REQUIREMENTS, EVIDENCE BASED PRACTICES, AND PERFORMANCE IMPROVEMENT SPECIFICALLY RELATED TO AREAS OF PATIENT SAFETY AND QUALITY IN COMBINATION WITH THE REGULATORY REQUIREMENTS RELATED TO THE PHYSICAL STRUCTURE ARE AREAS OF PROVIDED JCR SERVICES. JCR HAS BEEN ANNOUNCED AS A HOSPITAL ENGAGEMENT NETWORK (HEN) AND HAS BEEN CONTRACTED TO VIRTUALLY COACH 40 HOSPITALS TO KEEP PATIENTS FROM GETTING INJURED OR SICKER. BY THE END OF 2013, WITH THE IDENTIFICATION, EDUCATION AND DISSEMINATION OF SOLUTIONS THAT REDUCE HEALTHCARE-ACQUIRED CONDITIONS, PREVENTABLE HOSPITAL-ACQUIRED CONDITIONS WILL DECREASE BY 40% (COMPARED TO 2010). THE SECOND AIM WILL BE TO HELP PATIENTS HEAL WITHOUT COMPLICATION; BY THE END OF 2013, ALL HOSPITAL READMISSION WILL BE REDUCED BY 20% COMPARED TO 2010. CONTINUOUS SERVICE READINESS PROGRAM THE CONTINUOUS SERVICE READINESS (CSR) PROGRAM IS A SUBSCRIPTION SERVICE THAT PROVIDES ON-GOING GUIDANCE WITH A DEDICATED CONSULTANT TO HELP ORGANIZATIONS ACHIEVE AND MAINTAIN JOINT COMMISSION ACCREDITATION AND/OR DISEASE-SPECIFIC CARE CERTIFICATION. CSR SERVICES ARE AVAILABLE TO FREESTANDING BEHAVIORAL HEALTH CARE, HOME CARE, AMBULATORY CARE, AND LABORATORIES. MORE THAN 800 ORGANIZATIONS ARE ENROLLED IN THE CSR PROGRAM. (CONTINUED BELOW) |
| ORGANIZATION'S MISSION | FORM 990, PART III, LINE 1 | (CONTINUATION FROM ABOVE) ELECTRONIC STANDARDS MANUAL ALL JOINT COMMISSION ACCREDITED ORGANIZATIONS ARE PROVIDED A COMPLIMENTARY "E-DITION" LICENSE. THE E-DITION IS A WEB-BASED FULLY SEARCHABLE VERSION OF THE JOINT COMMISSION COMPREHENSIVE ACCREDITATION MANUAL. USERS CAN DEVELOP A SERVICE PROFILE THAT REFLECTS THE TYPE OF HEALTH CARE SERVICES THEY PROVIDE, SO THAT ONLY THOSE APPLICABLE STANDARDS ARE INCLUDED IN THEIR PERSONALIZED VERSION. HOSPITAL RISK MANAGERS, ACCREDITATION SPECIALISTS AND COMPLIANCE OFFICERS MUST KEEP UP TO DATE ON FEDERAL AND STATE REGULATIONS AND JOINT COMMISSION REQUIREMENTS. NOT KEEPING CURRENT CAN HAVE SERIOUS PATIENT SAFETY CONSEQUENCES. E-DITION COMPLIANCE MONITOR, POWERED BY JOINT COMMISSION RESOURCES (JCR) AND MEDIREGS, OFFERS A DAILY UPDATED, PRE-SELECTED LIBRARY OF INDUSTRY REGULATIONS, SUCH AS THE CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), CENTERS FOR MEDICARE AND MEDICAID SERVICES, FOOD AND DRUG ADMINISTRATION (FDA), OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION (OSHA) AND STATE REGULATORS. E-DITION COMPLIANCE MONITOR PLUS (ECM PLUS) FEATURES INTERACTIVE SMART CHART TECHNOLOGY AND ALL OF THE FUNCTIONALITY AND CONTENT CONTAINED IN ECM. SMART CHART IS A WORKFLOW TOOL THAT ENABLES SIMILAR TOPICS TO BE MAPPED ON ONE SCREEN FOR EASY VIEWING. THE SMART CHART FEATURE HAS HELPED DECREASE TIME SPENT RESEARCHING VARIOUS TOPICS, THUS IMPROVING PRODUCTIVITY, REDUCING COST, AND CREATING OPPORTUNITIES FOR HEALTH CARE PROVIDERS TO SPEND MORE TIME ON PATIENT CARE AND LESS ON RESEARCHING VARIOUS REGULATIONS. JOINT COMMISSION INTERNATIONAL ACCREDITATION JCI STANDARDS AND EVALUATION METHODS ARE DESIGNED TO PROVIDE QUANTIFIABLE BENCHMARKS FOR PATIENT CARE QUALITY AND IMPROVEMENTS IN THE HEALTHCARE ORGANIZATION. JCI STANDARDS AND EVALUATION METHODS WERE DESIGNED TO STIMULATE AND SUPPORT SUSTAINED QUALITY IMPROVEMENT AND TO PROVIDE A FRAMEWORK FOR RISK REDUCTION. THE STANDARDS WERE DEVELOPED AND ARE CONTINUOUSLY REVISED BY HEALTH CARE EXPERTS FROM AROUND THE WORLD. JCI PROVIDES INTERNATIONAL STANDARDS AND ACCREDITATION PROGRAMS FOR HOSPITALS, CLINICAL LABORATORIES, AMBULATORY CARE, LONG TERM CARE, HOME CARE, PRIMARY CARE, AND MEDICAL TRANSPORT ORGANIZATIONS. JCI ALSO PROVIDES DISEASE-SPECIFIC AND CLINICAL CARE PROGRAM CERTIFICATION IN PROGRAMS SUCH AS PRIMARY STROKE, HEART FAILURE, CHRONIC KIDNEY DISEASE, HIV/AIDS, ONCOLOGY CARE, PALLIATIVE CARE, AND DIABETES CARE. JCI IS ACCREDITED WORLDWIDE BY THE INTERNATIONAL SOCIETY FOR QUALITY IN HEALTH CARE (ISQUA), INCLUDING JCI'S ACCREDITATION PROGRAM/ORGANIZATION, STANDARDS AND SURVEYOR TRAINING PROGRAM. ISQUA IS A NON-PROFIT, INDEPENDENT ORGANIZATION THAT ACCREDITS HEALTH CARE ACCREDITING BODIES. ACCREDITATION UNDER ISQUA'S INTERNATIONAL ACCREDITATION PROGRAM PROVIDES THE ASSURANCE THAT THE STANDARDS, TRAINING, AND PROCESSES USED TO SURVEY THE PERFORMANCE OF HEALTHCARE ORGANIZATIONS BY JCI MEET THE HIGHEST INTERNATIONAL BENCHMARK. WORK WITH MINISTRIES OF HEALTH AS NATIONS AROUND THE WORLD SEEK TO RAISE STANDARDS FOR HEALTH CARE, JCI COLLABORATES WITH MINISTRIES OF HEALTH TO DEVELOP NATIONAL ACCREDITATION PROGRAMS. IN CHINA, TURKEY AND JORDAN, JCI HAS ASSISTED THE MINISTRIES WITH DEVELOPMENT OF THEIR OWN ACCREDITATION STANDARDS AND A SYSTEM TO EVALUATE COMPLIANCE. IN DUBAI HEALTHCARE CITY, JCI SERVES AS THE OFFICIAL ACCREDITATION AGENCY FOR THE GOVERNMENT, AND JCI HAS WORKED WITH REGIONAL HEALTH CARE BODIES IN ITALY ON SEVERAL PATIENT SAFETY INITIATIVES. |
| ORGANIZATION'S MISSION | FORM 990, PART III, LINE 1 | (CONTINUATION FROM ABOVE) INTERNATIONAL ESSENTIALS OF HEALTH CARE QUALITY AT THE REQUEST OF SEVERAL MINISTRIES OF HEALTH, JCI DEVELOPED A NEW PROGRAM IN 2008 - THE INTERNATIONAL ESSENTIALS OF HEALTH CARE QUALITY AND PATIENT SAFETY - WHICH IS A QUALITY AND SAFETY ROADMAP DESIGNED TO HELP HEALTH CARE ORGANIZATIONS IDENTIFY AND FOCUS ON THOSE AREAS THAT POSE THE GREATEST RISK TO PATIENT SAFETY. USE OF THE ROADMAP HELPS INDIVIDUAL HEALTH CARE ORGANIZATIONS INCREMENTALLY BUILD QUALITY CAPACITY, AND HELPS MINISTRIES OF HEALTH EVALUATE QUALITY CAPACITY WITHIN THEIR HEALTH CARE SYSTEM. IN ADDITION, THE PROGRAM CAN GIVE HEALTH CARE PURCHASERS AND INSURANCE COMPANIES THE DATA THEY NEED TO MAKE CHOICES THAT DIRECT PATIENTS TO LOWER-RISK HEALTH CARE SETTINGS. THE INTERNATIONAL ESSENTIALS OF HEALTH CARE QUALITY AND PATIENT SAFETY IS DIFFERENT FROM ACCREDITATION IN THAT IT FOCUSES ON A LIMITED NUMBER OF KEY PROCESSES THAT INFLUENCE CARE QUALITY AND SAFETY. ACCREDITATION EVALUATES THE ENTIRE ORGANIZATION INCLUDING PATIENT CARE AND MANAGEMENT PROCESSES. WORLD HEALTH ORGANIZATION COLLABORATING CENTRE FOR PATIENT SAFETY SOLUTIONS THE WORLD HEALTH ORGANIZATION (WHO) HAS DESIGNATED THE JOINT COMMISSION AND JOINT COMMISSION INTERNATIONAL AS THE WORLD'S FIST WHO COLLABORATING CENTRE DEDICATED TO PATIENT SAFETY SOLUTIONS. SINCE ITS LAUNCH IN 2005, THE COLLABORATING CENTRE HAS BECOME A THRIVING INTERNATIONAL NETWORK THAT IDENTIFIES, EVALUATES, ADAPTS, AND DISSEMINATES PATIENT SAFETY SOLUTIONS WORLDWIDE. NINE PATIENT SAFETY SOLUTIONS HAVE BEEN INTRODUCED TO PREVENT SOME OF THE MOST COMMON MEDICAL ERRORS, INCLUDING: 1. LOOK-ALIKE, SOUND-ALIKE MEDICATION NAMES 2. PATIENT IDENTIFICATION 3. COMMUNICATION DURING PATIENT HAND-OVERS 4. PERFORMANCE OF CORRECT PROCEDURE AT CORRECT BODY SITE 5. CONTROL OF CONCENTRATED ELECTROLYTE SOLUTIONS 6. ASSURING MEDICATION ACCURACY AT TRANSITIONS IN CARE 7. AVOIDING CATHETER AND TUBING MISCONNECTIONS 8. SINGLE USE OF INJECTION DEVICES 9. IMPROVED HAND HYGIENE TO PREVENT HEALTH CARE-ASSOCIATED INFECTION THESE SOLUTIONS ARE AVAILABLE FREE OF CHARGE ON THE COLLABORATING CENTRE'S WEBSITE, WHICH RECEIVES MORE THAN 2,100 VISITORS PER MONTH. THERE WAS AN IDENTIFIED NEED FOR A COMPREHENSIVE EVALUATION OF THE INAUGURAL SOLUTIONS. AN EVALUATION STUDY ADDRESSING IMPACT, DISSEMINATION, AND VALUE OF THE SOLUTIONS WAS UNDERTAKEN BY WHO AND IS IN THE FINAL STAGES. A REPORT OF THE FINDINGS IS ANTICIPATED WITHIN THE NEXT FEW MONTHS. IT IS ALSO ANTICIPATED THAT THE NEXT SET OF PATIENT SAFETY SOLUTIONS WILL BE RELEASED IN 2012. THESE SOLUTIONS WILL TAKE INTO ACCOUNT THE OUTCOME OF THE SOLUTIONS EVALUATION STUDY. THE COLLABORATING CENTRE HAS ESTABLISHED, AND CONTINUES TO EXPAND, A COLLABORATIVE NETWORK TO FACILITATE THE IDENTIFICATION OF HIGH PRIORITY SAFETY PROBLEMS AND POTENTIAL SOLUTIONS AROUND THE WORLD. THE JOINT COMMISSION AND JCI DONATE IN-KIND SUPPORT OF SALARIES, BENEFITS, AND TRAVEL EXPENSES FOR DEDICATED STAFF CONTINUING THE WORK OF THE WHO COLLABORATING CENTRE FOR PATIENT SAFETY. SOLUTIONS AND PROGRESS REPORTS ARE PUBLISHED ON THE WHO COLLABORATING CENTRE FOR PATIENT SAFETY WEB SITE, WHICH IS IN COLLABORATION WITH THE JOINT COMMISSION AND JOINT COMMISSION INTERNATIONAL. THE ACTION ON PATIENT SAFETY: HIGH 5'S THROUGH THE WHO ACTION ON PATIENT SAFETY INITIATIVE, ALSO KNOWN AS THE HIGH 5'S PROJECT, THE COLLABORATING CENTRE IS SUPPORTING A PROGRAM TO ACHIEVE MEASURABLE, SIGNIFICANT, AND SUSTAINABLE REDUCTIONS IN CHALLENGING PATIENT SAFETY PROBLEMS THROUGH THE IMPLEMENTATION AND EVALUATION OF STANDARD OPERATING PROTOCOLS WITHIN A GLOBAL LEARNING COMMUNITY OVER THE NEXT FIVE YEARS. THE INITIATIVE IS A COLLABORATION SUPPORTED BY THE US AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ) AND THE WHO. IN 2008, THE HIGH 5'S COMPLETED PHASE ONE OF THE PROJECT WHICH WAS THE DEVELOPMENT OF STANDARD OPERATING PROTOCOLS AND A DETAILED IMPACT EVALUATION. THE HIGH 5'S SOLUTIONS INCLUDE: 1. PREVENTION OF PATIENT CARE HAND-OVER ERRORS 2. PREVENTION OF WRONG SITE/WRONG PROCEDURE/WRONG PERSON SURGICAL ERRORS 3. PREVENTION OF CONTINUITY OF MEDICATION ERRORS 4. PREVENTION OF HIGH CONCENTRATION DRUG ERRORS 5. PROMOTION OF EFFECTIVE HAND HYGIENE PRACTICES IN 2011, THE HIGH 5S PROJECT CONTINUED THE MANAGEMENT AND SUPPORT OF THE IMPLEMENTATION PHASE OF THE PROJECT. KEY ACTIVITIES THAT WERE COMPLETED DURING 2011 INCLUDED: * SUPPORTING SEVEN COUNTRIES IN THE IMPLEMENTATION OF ONE OR MORE OF THE SOPS. * REFINING THE INFORMATION MANAGEMENT SYSTEM INCLUDING IMPROVING DATA GRAPHING FUNCTIONALITY, REVISING SOP IMPLEMENTATION QUESTIONNAIRES FOR EASE OF ENTRY TO THE INTERNATIONAL REPORTS, AND UPDATING THE HOSPITAL DEMOGRAPHICS PAGE. * DEVELOPING AN EVENT ANALYSIS METHODOLOGY FOR CORRECT SITE SURGERY AND CONTRIBUTED TO THE MEDICATION RECONCILIATION METHODOLOGY, REFINING THE METHODOLOGIES BASED ON PILOT TESTING, PROVIDED TRAINING FOR FULL IMPLEMENTATION OF THE METHODOLOGIES, AND DEVELOPED TEMPLATES FOR REPORTING EVENT ANALYSIS RESULTS. * PROVIDING MULTIPLE WEB TRAINING SESSIONS ON THE FOLLOWING TOPICS: THE SOPS, THE WEBSITE, REGISTERING HOSPITALS, EVENT ANALYSIS, DATA ENTRY, AND DISCUSSION FORUMS. * CONDUCTING GROUP CONFERENCE CALLS TO PROVIDE TECHNICAL ASSISTANCE ON THE SOPS, EVALUATION, INFORMATION MANAGEMENT SYSTEM, LEARNING COMMUNITY, AND OTHER PROJECT-RELATED TOPICS. * CONDUCTING INDIVIDUAL TECHNICAL ASSISTANCE CALLS WITH LTAS OR HOSPITALS. * CONDUCTING IN-DEPTH BREAK-OUT SESSIONS ON EACH SOP AT THE STEERING GROUP MEETINGS. * UPDATING AND REFINING THE TOOLKITS ON THE HIGH 5S WEBSITE. * SUPPORTING ACTIVITIES OF THE COLLABORATIVE LEARNING COMMITTEE. * PROVIDING TRAINING TO TEAMS IN TRINIDAD AND TOBAGO. WORK WITH WHO TO DECREASE ACQUISITION OF HIV IN AFRICA RESEARCH FINDINGS HAVE SHOWN THAT MALE CIRCUMCISION SIGNIFICANTLY DECREASES TRANSMISSION OF HUMAN IMMUNODEFICIENCY VIRUS (HIV). THESE RESEARCH FINDINGS HAVE PROMPTED COUNTRIES EXPERIENCING A HIGH INCIDENCE OF HIV TO ANTICIPATE A SUBSTANTIAL INCREASE IN ADULT MALES SEEKING CIRCUMCISION. HOWEVER, PERFORMING THE SURGERY SAFELY AND EFFECTIVELY IS CRITICAL. AS A RESULT, THE WHO, WITH ASSISTANCE FROM JCI, EMBARKED TO DEVELOP AND ASSIST COUNTRIES IN IMPLEMENTING STANDARDS FOR MALE CIRCUMCISION SERVICES. THE WHO SELECTED JCI BECAUSE OF ITS EXPERIENCE IN QUALITY IMPROVEMENT AND IN DEVELOPING AND IMPLEMENTING STANDARDS. JCI HELPED DEVELOP THE STANDARDS WHICH HAVE BEEN PUBLISHED BY THE WHO. THESE STANDARDS FOR CIRCUMCISION USE EVIDENCE-BASED GUIDELINES TO PERFORM THE SURGERY CORRECTLY AND MANAGE COMPLICATIONS. THE STANDARDS ADDRESS ASSURING THAT DRUGS, SUPPLIES AND EQUIPMENT ARE AVAILABLE, STAFF ARE COMPETENT, AND INFECTION PREVENTION AND CONTROL MEASURES ARE IN PLACE. THE NEW STANDARDS ALSO ADDRESS PRIVACY CONCERNS AS WELL AS INFORMED CONSENT. AFTER FIELD TESTING THE STANDARDS IN SWAZILAND, UGANDA, KENYA, AND ZAMBIA, JCI IS NOW WORKING WITH WHO TO HELP INDIVIDUAL COUNTRIES IMPLEMENT THE STANDARDS AND MANAGE THE CHANGES NEEDED TO ENSURE SAFE CIRCUMCISION SERVICES. |
| Description of other program services | Form 990, Part III, Line 4d | JCI STANDARDS AND EVALUATION METHODS ARE DESIGNED TO PROVIDE QUANTIFIABLE BENCHMARKS FOR PATIENT CARE QUALITY AND IMPROVEMENTS IN THE HEALTHCARE ORGANIZATION. JCI STANDARDS AND EVALUATION METHODS WERE DESIGNED TO STIMULATE AND SUPPORT SUSTAINED QUALITY IMPROVEMENT AND TO PROVIDE A FRAMEWORK FOR RISK REDUCTION. THE STANDARDS WERE DEVELOPED AND ARE CONTINUOUSLY REVISED BY HEALTH CARE EXPERTS FROM AROUND THE WORLD. JCI PROVIDES INTERNATIONAL STANDARDS AND ACCREDITATION PROGRAMS FOR HOSPITALS, CLINICAL LABORATORIES, AMBULATORY CARE, LONG TERM CARE, HOME CARE, PRIMARY CARE, AND MEDICAL TRANSPORT ORGANIZATIONS. JCI ALSO PROVIDES DISEASE-SPECIFIC AND CLINICAL CARE PROGRAM CERTIFICATION IN PROGRAMS SUCH AS PRIMARY STROKE, HEART FAILURE, CHRONIC KIDNEY DISEASE, HIV/AIDS, ONCOLOGY CARE, PALLIATIVE CARE, AND DIABETES CARE. JCI IS ACCREDITED WORLDWIDE BY THE INTERNATIONAL SOCIETY FOR QUALITY IN HEALTH CARE (ISQUA), INCLUDING JCI'S ACCREDITATION PROGRAM/ORGANIZATION, STANDARDS AND SURVEYOR TRAINING PROGRAM. ISQUA IS A NON-PROFIT, INDEPENDENT ORGANIZATION THAT ACCREDITS HEALTH CARE ACCREDITING BODIES. ACCREDITATION UNDER ISQUA'S INTERNATIONAL ACCREDITATION PROGRAM PROVIDES THE ASSURANCE THAT THE STANDARDS, TRAINING, AND PROCESSES USED TO SURVEY THE PERFORMANCE OF HEALTHCARE ORGANIZATIONS BY JCI MEET THE HIGHEST INTERNATIONAL BENCHMARK. |
| Classes of members or stockholders | Form 990, Part VI, Section A, Line 6 | THE ORGANIZATION HAS ONE SOLE MEMBER, THE JOINT COMMISSION. THE JOINT COMMISSION HAS THE POWER TO: 1) APPOINT ALL DIRECTORS TO THE BOARD AND REMOVE THEM, WITH OR WITHOUT CAUSE. 2) APPOINT THE CHAIRMAN, VICE-CHAIRMAN AND THE PRESIDENT/ CHIEF EXECUTIVE OFFICER (PRESIDENT/CEO) OF THE CORPORATION AND REMOVING THEM, WITH OR WITHOUT CAUSE. 3) APPROVE CHANGES TO THE BYLAWS, MISSION AND/OR VISION STATEMENTS, AND ALL STRATEGIC OR LONG-TERM PLANS OF THE ORGANIZATION. 4) APPROVE ALL CREATIONS OF SUBSIDIARIES OR CONTROLLED AFFILIATES, MERGERS, CONSOLIDATIONS, PERMANENT OR LONG-TERM AFFILIATIONS AND ALL JOINT VENTURES OF THE ORGANIZATION INVOLVING CAPITAL INVESTMENTS IN EXCESS OF $250,000. 5) APPROVE THE SALE OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL THE ASSETS OF THE ORGANIZATION AND ALL LONG-TERM DEBT IN EXCESS OF $250,000. 6) APPROVE THE ORGANIZATION'S ANNUAL OPERATING AND CAPITAL BUDGETS AND MATERIAL AMENDMENTS THERETO. 7) APPROVE THE DISSOLUTION OF AND ALL LIQUIDATIONS FROM THE ORGANIZATION. |
| Members or stockholders electing members of governing body | Form 990, Part VI, Section A, Line 7a | SEE NARRATIVE FOR LINE |
| Decisions requiring approval by members or stockholders | Form 990, Part VI, Section A, Line 7b | SEE NARRATIVE FOR LINE 6 |
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | THE ORGANIZATION'S MANAGEMENT, INCLUDING THE CEO, THE JOINT COMMISSION CFO, CORPORATE COMPLIANCE & PRIVACY OFFICER, AND LEGAL COUNSEL PERFORMED A DETAILED REVIEW OF THE FORM 990 WITH THE PAID TAX PREPARER. ONCE THIS LEVEL OF REVIEW WAS PERFORMED, A THOROUGH WALK THROUGH WAS DONE WITH THE FINANCE COMMITTEE PRIOR TO FILING. A COPY OF THE FORM 990 WAS PROVIDED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING. A FINAL FILED COPY OF THE RETURN WILL BE PLACED ON THE ORGANIZATION'S WEBSITE FOR THE PUBLIC ONCE ACCEPTED BY THE IRS. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | THE POLICY STATES THAT ANY DECISION THAT COULD RESULT IN AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST MUST BE AVOIDED. ALL STAFF AND BOARD MEMBERS REVIEW THE POLICY ON AN ANNUAL BASIS AND COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE EACH YEAR WHICH, IS DESIGNED TO IDENTIFY INTERESTS THAT COULD GIVE RISE TO POSSIBLE CONFLICTS. ALTHOUGH MANY SUCH POTENTIAL CONFLICTS ARE AND WILL BE DEEMED INCONSEQUENTIAL, EVERY INDIVIDUAL OF THE ORGANIZATION HAS AN ONGOING RESPONSIBILITY TO DISCLOSE SITUATIONS THAT INVOLVE PERSONAL, FAMILIAR, OR BUSINESS RELATIONSHIPS THAT COULD BE PERCEIVED AS A CONFLICT OF INTEREST. THE INTERESTS IDENTIFIED ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER AND MANAGER AND APPROPRIATELY MANAGED. ALL DISCLOSURES ARE PURSUED UNTIL 100% COMPLETED. THE BOARD IS REQUIRED TO DISCLOSE A CONFLICT OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER DURING A MEETING AND THEN NOT VOTE OR USE PERSONAL INFLUENCE ON THE MATTER. THE MINUTES OF THE MEETING REFLECTS THAT A DISCLOSURE WAS MADE AND THE MEMBER ABSTAINED FROM VOTING. THE COMPLIANCE OFFICER MONITORS AND REVIEWS THE CONFLICT OF INTEREST POLICY AS WELL AS THE RESPONSES TO THE QUESTIONNAIRES ON AN ANNUAL BASIS. THE ORGANIZATION ALSO HAS AVAILABLE AN INDEPENDENT HOTLINE NUMBER FOR STAFF TO REPORT ANY POTENTIAL CONFLICTS DURING THE YEAR ANONYMOUSLY. |
| Process used to establish compensation of top management official | Form 990, Part VI, Section B, Line 15a | THE OFFICERS' COMPENSATION ARRANGEMENT IS SUBJECT TO AN INDEPENDENT BOARD COMMITTEE REVIEW AND APPROVAL REFERRED TO AS THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. JOINT COMMISSION RESOURCES ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST IN DETERMINING COMPENSATION OF ITS OFFICERS. IN SETTING THE OFFICERS' COMPENSATION, THE ORGANIZATION'S HUMAN RESOURCES AND COMPENSATION COMMITTEE RELIES ON RECENT COMPENSATION STUDIES THAT PROVIDE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN COMPARABLE ORGANIZATIONS TO SUPPORT ITS DECISION-MAKING PROCESS. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ADEQUATELY DOCUMENTS ITS COMPENSATION DETERMINATIONS AND DELIBERATIONS REGARDING COMPENSATION IN ITS COMMITTEE MINUTES ON A TIMELY BASIS. EACH VOTING COMMITTEE MEMBER HAS BEEN DETERMINED TO BE INDEPENDENT IN ACCORDANCE WITH INTERMEDIATE SANCTIONS REGULATIONS AND SIGNS THE BOARD'S CONFLICT OF INTEREST POLICY ANNUALLY TO INSURE THAT HE OR SHE IS INDEPENDENT. THE PROCESS FOR DETERMINING THE ORGANIZATION'S OFFICERS' COMPENSATION IS UNDERTAKEN ANNUALLY FOR ALL OFFICERS. |
| Process used to establish compensation of other officers/key employees | Form 990, Part VI, Section B, Line 15b | JOINT COMMISSION RESOURCES ENGAGES ITS HUMAN RESOURCES DEPARTMENT TO ASSIST IN DETERMINING COMPENSATION OF ITS KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES. IN SETTING THE KEY AND HIGHEST COMPENSATED EMPLOYEES' COMPENSATION, THE HUMAN RESOURCES DEPARTMENT RELIES ON INDEPENDENT SURVEY AND COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN COMPARABLE ORGANIZATIONS AND/OR ON THE INTERNAL JOB EVALUATION SYSTEM TO SUPPORT ITS DECISION-MAKING PROCESS. THE KEY AND HIGHEST COMPENSATED EMPLOYEES' COMPENSATION AGREEMENT IS SUBJECT TO A REVIEW AND APPROVAL BY THE VICE PRESIDENT OF HUMAN RESOURCES. THE COMPENSATION OF KEY AND HIGHEST COMPENSATED EMPLOYEES IS ADEQUATELY DOCUMENTED IN AN ANNUAL PERFORMANCE APPRAISAL WHICH REQUIRES APPROVAL BY A VICE PRESIDENT. THE PROCESS FOR DETERMINING JOINT COMMISSION RESOURCES'S KEY AND HIGHEST COMPENSATED EMPLOYEES' COMPENSATION IS UNDERTAKEN ANNUALLY IN FEBRUARY FOR ALL KEY EMPLOYEES. |
| Governing documents, conflict of interest policy and financial statements available to the public | Form 990, Part VI, Section C, Line 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC ON THE ORGANIZATION'S WEBSITE. |
| Average hours worked per week for related organization | Form 990, Part VII, Section A, Column B | DAVID A. WHISTON, D.D.S. - 4 HOURS A WEEK TO THE JOINT COMMISSION J.B. SILVERS, PH.D. - 3 HOURS A WEEK TO THE JOINT COMMISSION ISABEL V. HOVERMAN, M.D., M.A.C.P. - 6 HOURS A WEEK TO THE JOINT COMMISSION MARK R. CHASSIN, M.D., M.P.P., M.P.H. - 35 HOURS A WEEK TO THE JOINT COMMISSION; 3 HOURS A WEEK TO THE JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE LAMAR S. MCGINNIS, JR. - 5 HOURS A WEEK TO THE JOINT COMMISSION CHRISTOPHER J. QUERAM - 4 HOURS A WEEK TO THE JOINT COMMISSION GERALD M. SHEA - 4 HOURS A WEEK TO THE JOINT COMMISSION |
| Other changes in net assets or fund balances | Form 990, Part XI, Line 5 | NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -616921; CHANGE IN UNRECOGNIZED NET DEFINED BENEFIT PLAN COSTS NOT YET RECOGNIZED IN NET PERIODIC BENEFIT EXPENSE - -282099; TRANSFER OF NET ASSETS TO PARENT COMPANY - -2817970; |
| Software ID: | 11000230 |
| Software Version: | v2011.1.0 |