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VISN 4 Statement of Conditions Surveys

Location: Various Medical Centers, Nationwide Client: Department of Veteran Affairs

JMT conducted a Statement of Conditions survey at nine VISN 4 facilities to assist in the preparation for the triennial Joint Commission accreditation surveys.

To continuously improve health care for the public, the Joint Commission accredits and certifies more than 20,000 health care organizations and programs in the United States. Every three years, the Joint Commission performs an unannounced survey of the hospitals to accredit them.

JMT, in conjunction with Koffel Associates, conducted a Statement of Conditions survey at nine of the VISN 4 facilities to assist in the preparation for the Joint Commission surveys. The Statement of Conditions survey process focused on compliance with the 2009 edition of the National Fire Protection Association's Life Safety Code (NFPA 101 LSC), identifying and addressing LSC deficiencies that must be resolved so that compliance with Joint Commission standards is achieved and maintained. JMT reviewed each facility's records, interviewed staff, and visually inspected each facility during the survey.

Following the on-site survey, a Draft Report was produced that included an executive summary, the methodology used to perform the survey, detailed building profiles, a discussion on code issues that were identified during the survey, and plans for improvement. The Basic Building Information (BBI) was updated for each facility as well as the Life Safety Plans. JMT provided the facility with a Plan for Improvement (PFI) for inclusion on the Joint Commission eSOC website. A Maintenance/Repair Report along with other Non-SOC Recommendations and Findings were also generated and recommended to the facilities.

JMT completed this work in less than three months surveying over 5,700,000 sf across the nine major Medical Centers and 17 community based outpatient clinics.

VA Major Medical Centers:

  • James E. Van Zandt Medical Center, Altoona, PA
  • Butler VAMC, Butler, PA
  • Louis A. Johnson VAMC, Clarksburg, WV
  • Coatesville VAMC, Coatesville, PA
  • Erie VAMC, Erie, PA
  • Lebanon VAMC, Lebanon, PA
  • Philadelphia VAMC, Philadelphia, PA
  • Wilkes-Barre VAMC, Wilkes-Barre, PA
  • Wilmington VAMC, Wilmington, DE
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