Regulatory surveys 2008-2011:
Regulatory surveys 2008-2011
Food and Drug Administration (FDA):
Food and Drug Administration (FDA) Unannounced visit — May 2008 Response to a complaint about sterile processing Three follow-up visits through July 2008 March 11, 2011, letter; “ inspection closed ”
The Joint Commission:
The Joint Commission Regular accreditation visit — April 10, 2010 Received three-year accreditation with plan accepted Follow-up survey to validate action plan — August 2010 Women ’ s and Children ’ s Hospital/ Missouri Orthopaedic Institute survey — October 2010 Received full accreditation
Centers for Medicare & Medicaid Services (CMS):
Centers for Medicare & Medicaid Services (CMS) Unannounced visit — November 2010 Response to a complaint Follow-up visit — Jan. 18-25, 2011 Follow-up visit – March 28-30, 2011 Final letter – April 21, 2011 “ In compliance with all health and life safety codes. ”
CMS survey response:
CMS survey response Sterile Processing — validation review by outside expert Operating Rooms — replaced floors/walls Housekeeping — added 25 new housekeeping positions Supplies — tightened inventory/supply-chain process Hand hygiene — increased observations MUPC renovations Posted all inspection visits on website Quality measures on website
Financial Performance:
Financial Performance 10 Months Ended April 2011