Joint Commission Sucks Again


Many of you know my hatred for the Joint Commission.   They are a third party used by the government to accredit hospitals.  People think they are the government and the law.  They are not.  They are nobodies who are in love with their own power.   They started sliding into accrediting outpatient offices a few years back as more and more hospitals owned these office.  These are the same idiots who made me remove taped Christmas cards from my office door because they could spontaneously combust.  Yup, not lying.  Anyway, with more mandates come more desires from administrators to brag about their new awards or certificates.  That makes them look better.  The  prize du jour is the ACO or accountable care organization.  And guess who is getting involved with accrediting these ACOs?  Yes, the Joint Commission.  Recently, as described in Modern Healthcare, the AMA is fighting with the JC because the JC wants to allow nurses to lead the ACOs.  This is now the third group trying to undermine physician power in the new ACA (Affordable Care Act). Sorry for all the bullshit abbreviations.  I didn’t make them up.  Anyway, we have the VA, the JC and the PQRS trying to put nurses in charge.  Why?  Money.  Oh, and don’t forget the administrators.  They would love to save money by not paying doctors so they can eventually make more money themselves. Get it?  I have said all along that there is a conspiracy to take doctors down.  This is just another example that proves it.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  5 comments for “Joint Commission Sucks Again

  1. Pat
    June 16, 2014 at 1:44 pm

    I spent Saturday night at a small-town ER, watching the childish, demoralizing effects of the JCHAO parasites. I mentioned to the nurses that I had some fresh doughnuts in the break room and that as far as I was concerned they could eat them right at their work station. Oh nooo, they said, directing my attention to the security cam overhead. JCHAO forbids eating in a patient-contact/”contaminated area”, which apparently includes the desks behind counters behind which no patient goes. The idiot DON is well-seized of JCHAO’s good works, and has even begun monitoring the security cam to see who might be sipping coffee or having a snack at their desk, where they spend hours and hours entering useless data, rather than caring for the patient at bedside. Are the nurses exaggerating? Maybe, but I doubt it. This DON is a real believer, which is to say a true idiot. Moreover, both nurses state that she has told them that she is watching on her office cam feed and randomly reviews the evening. All I could do is wave the Dunkin’ Doughnuts box repeatedly at the cam, ostentatiously eating, and making poor begging and pleading hand motions toward the nurses. They had a good laugh and I just got more depressed. The only appropriate way to deal with JCHAO is for everyone at a facility to smile, agree to follow all the rules, and LIE, yes, LIE their asses off. Then when those commissars leave, pop the corks, throw popcorn on the floor, and do what makes sense. In the midst of these abusive, systemic, daily assaults, medical personnel should have each other’s backs and protect their teammates. What does it say about a system and mindset that a physician would publicly advocate lying? There is no pride, no dignity in being the bitch for these people. All I can do, as I’ve told incredulous DON’s and administrators before, is that there will be no meal trays for patients in my ER. If it’s too dangerous for the nurses to have a snack or drink, we can’t possibly take a similar chance that would endanger patients.

    I hope JCHAO agents everywhere, along with malpractice attorneys, run into doctor shortages, and have long, ER waits that are excruciating, painful, and fearful. And no, I’m not lying about that.

  2. June 14, 2014 at 9:52 pm

    Yes, yes and sadly, the fantasy – it is a fantasy – is that the creation of a managed group medical home would allow for depersonalized care from a care-administration team. We have reinvented the troika of blind intellectual optimism, proclivity for bureaucracy, and thuggishness that swept the Bolsheviks into power in the old Soviet Union.
    Yes, at least for a while, they believed similar nonsense. Machines condition their operators – why have a specialized eye surgeon, we all have eyes! That’s enough to become an eye expert – times two! And for bureaucracy – the person with the clip-board who’s watching your actions and behavior is thought to have more prerogative and higher ranking than the poor slob who’s actually DOING the surgery!
    And the inevitable political law of organization states that opportunists displace the ideologues. Of course, they will tell you that JCAHO is a good idea – and may have been so once, when in the hand of the true believers. When it’s in the hands of brachiating, vile bureaucrats who believe that the power to shut something down deserves respect as well as fear – then, we’re screwed. We are.

  3. politovski
    June 14, 2014 at 7:08 pm

    as predicted. perhaps we will have to be certified by the ‘HO (i do remember that they were JCHO once upon a time) in order to bill medicare and medicaid? wouldn’t that be fun? as for nurses, they do not have the education and wherewithall to stand up to these craven idols, and will bow on command. we know too much and question authority and thus need to be eliminated and made to bow down.

    • June 15, 2014 at 8:07 am

      However…. nursing was the first profession to take the shock of the assault, and has crumbled. That’s because nursing addresses topics of wellness, and thus of humanity and society – and they were crushed down fast by overwhelming force.

      The tactics of maneuver in crushing nursing were studied, to crush the independent doctor next. I do not believe we are smarter, or even luckier. One defeats the force sequentially, and MD’s are next. We ought not claim of nursing “a lack of education and wherewithall” (sic) – they were just at the tip of the spear, and were annihilated.

      Nursing today, whatever that is, has no meaningful connection to nursing of twenty years ago. It used to be a profession. Now, it is a dog-chore. We will wear different color collars, but we will all be on the leash.

      • politovski
        June 15, 2014 at 2:33 pm

        i could not agree more that we will all eventually be on a leash. and yes, nurses were the tip of the spear, the low hanging fruit so to speak. they were the easiest target for a reason. why does the dea go after marijuana instead of cocaine dealers? why do the RAC’s go after doctors rather than fly-by-night medical equiptment companies? all low hanging fruit…

Comments are closed.