Professional Documents
Culture Documents
Commission Standards
Agenda
Definitions
Joint Commission guidelines and
requirements
Survey results
Conclusions
Patient care
Medical/Clinical knowledge
Practice-based learning and improvement
Interpersonal and communication skills
Professionalism
Systems-based practice
Timing
Metrics
Thresholds
Outcome
Policies
Mean = 8.4
8 to 10 Good
100%
5 to 7
1 to 4
80%
60%
40%
20%
0%
JC OPPE
JC FPPE
Hospital
policies
Department
policies
Poor
25%
25
20%
20
15%
15
10%
10
5%5
0
No
formal
N/A
process
Designated
time
Meeting with
supervisor
Remedial
training
We don't have a
formal process
Other (please
specify)
84%*
~30% <70%
<20%
<20%
<20%
92%+
95%
42%
Summary
The level of understanding JC OPPE and
FPPE standards is low