LANCASTER – Antelope Valley Hospital has earned The Joint Commission’s Gold Seal of Approval for the Advanced Stroke Program Accreditation by demonstrating continuous compliance with its performance standards. The Gold Seal is a symbol of quality that reflects a health care organization’s commitment to providing safe and quality patient care.
Antelope Valley Hospital underwent a rigorous, unannounced onsite review on September 9, 2021. During the visit, a team of Joint Commission reviewers evaluated compliance with the Stroke program standards spanning several areas including: Clinical Information Management (DSCT), Performance Management (DSPM), Program Management (DSPR), Supporting Self-Management (DSSE), Certification Participation Requirements (CPR), and Delivery of Facilitating Clinical Care (DSDF).
The Joint Commission’s standards are developed in consultation with health care experts and providers, measurement experts and patients. They are informed by scientific literature and expert consensus to help health care organizations measure, assess and improve performance. The surveyors also conducted onsite observations and interviews.
“As a private accreditor, The Joint Commission surveys health care organizations to protect the public by identifying deficiencies in care and working with those organizations to correct them as quickly and sustainably as possible,” says Mark Pelletier, RN, MS, chief operating officer, Accreditation and Certification Operations, and chief nursing executive, The Joint Commission. “We commend Antelope Valley Hospital for its continuous quality improvement efforts in patient safety and quality of care.”
“Antelope Valley Hospital is honored to be recognized for the hard work, and the continuous strides our team take to improve the Stroke program,” said Edward Mirzabegian, CEO of Antelope Valley Hospital. “Earlier this year, we welcomed the AV’s only Interventional Neurologist to perform a new Thrombectomy (clot retrieval) procedure; this is just one of many examples of our commitment to our patients, as we will continue to bring innovative and advanced healthcare options to the AV.”
The stroke team worked collaboratively with stroke designated units including: Education, Emergency, Critical Care, 5-Tower and the Cath-lab/HVA Departments, all work together to ensure staff caring for stroke receives the required annual stroke education. Policies, protocols, order sets, and patient education are reviewed annually prior to the stroke re-certification. The Clinical Coordinator, Clinical Data Abstractor and Data Abstractor complete a concurrent and retrospective review of all stroke patients on the data base, so AVH can provide data pertinent to the stroke program during the survey.
“The Joint Commission certification of the stroke program at Antelope Valley Hospital recognizes the high standards that the hospital and its staff have set for providing stroke care, and continues its tradition of being a part of an elite group of hospitals, which are able to provide complex stroke care,” said Hisham Salahuddin, MD, Interventional Neurologist, Antelope Valley Hospital. “I am proud to be a part of a team providing such efficient and quality care for our community.”
For more information, visit The Joint Commission website.
[Information via news release from Antelope Valley Hospital.]
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Melissa says
I am in tears seeing this. I am not a person to go comment on things usually however I can help but too with this particular situation. My Fiance Went to AV hospital to have a couple disk fused together in the back of his neck he ended up with hospital MRSA and pneumonia in his lungs. For those of you that don’t know the hospital contracted infections are far worse due to being more Resistant to medications Then classifies them as a Gram negative infection. So in short he comes out of surgery after calling over and over and over to find out what’s going on because nobody contacted me ( I was power of attorney over medical), I learn that hes on a ventilator And placed in intensive care unit now he had to test before going in and multiple labs because of where the surgery is located at in his neck and everything came back great and OK clear for surgery. He gets off the ventilator and comes home rather quickly thank God only 4 days later hes right back in the hospital. That time hes in for a month and a half Having 3 l of fluid pulled off of each lung daily. He makes it home from the hospital again and collapses on our kitchen floor as we’re moving into our new home the 1st day of being at our home By call the paramedics they come and get him and hes admitted into the hospital again. His medical records show he is allergic to Heprin however they give him Heprin which Is a blood thinner. A person allergic To this medication Cannot have this medication at all it will coagulate their blood rather than then it. His nurse tells me that He called for help he seemed very out of it so the nurse called the stroke team.. The stroke team was in his hospital room is this a hospital room when Darrell began to have a stroke but yet he still went 6 and a 1/2 hours stroke time. You see the Heprin caused him to have 2 clots in his brain. After going 6 and a 1/2 hours stroke time they finally air lifted him to los roblo’s hospital and did not send his correct medical records down because at that point nobody wanted to take fault To giving this man medication that has damaged his life. Moving forward from there he held on for a few more weeks and doctors could not believe it. He was somehow able to respond, and communicate but only to me. I am terminal and was hooked to i.v’s at home and luckily got clearance to be with him the whole time at hospital. The V.A picked him up and informed me that both hospitals A.V and Los Roblos payed no attention to me telling them, lab results, or charts showing he could not have heprin and therefore he had a clot from his hip to his knee. Darrell was one of the most amazing people ive ever met and A.V hospital along with their stroke team killed him. They push The patient’s out To another hospital so that way it’s not another body on them after they have caused the damage. I am disgusted to see this accreditation and feel that it is [removed]. The stroke team gets to go home and enjoy their families in their life at the end of the day While they cover up their mistakes and Manipulate medical reports to appear however it is they want them to appear.. Their stroke team should be facing legal charges and have their license pulled. The sad part is they change the documentation so that The family or families of the deceased sound like they’re crazy or like they just don’t know what they’re talking about when they are saying things reguarding these types of issues. My health was already bad and and grew significantly worse after losing Darrell Therefore my fight to stay alive myself prevented me from Taking this to the media.. You see they screwed up because it wasn’t until afterwards well afterwards did they try to change the medical records and clean their act up to hide their damage they did however I requested medical records almost every day throughout the course of things and have the original records. Whether statue of limitation is up or not I will be be getting those to whomever I need to to show how much bullshit any accreditation is. Shame on all of you involved. Im disgusted in this and you all deserve no credit at all for anything good but rather truth spoken about intelligent people with hard earned degrees having such ugly moral and losing themseleves in the process of greed for acknowledgment. Any person that has gone through anything similar to what I am speaking please keep watch for my anouncements on A v newscrew facebook page because i will be filing quite a few claims towards A.v hospital, their doctors, and their stroke team. I would be more then happy to include anyone else’s loss with mine.