dnv accreditation vs joint commission

DNV prides itself in the ability to relate to frontline staff and leadership, thus putting them at ease. As an example, a hospital could have its Joint Commission accreditation renewed for three years on July 10, 2010. In comparison, the Joint Commission has WebThe important role of the Joint Commission. We felt that by moving from Joint Commission accreditation to DNV accreditation we were taking our organization to an all new level, he said. Lab Specimen Guideline | Whether certifying a companys management system or products, accrediting hospitals, providing training, assessing supply chains or digital assets, DNV enables customers and stakeholders to make critical decisions with confidence, continually improve and realize long-term strategic goals sustainably. The Joint Commission Lon Berkeley . DNV is a global independent certification, assurance and risk management provider, operating in more than 100 countries. 0000012414 00000 n At this stage you have completed the initial certification and can move on to maintenance of your certification. Employee Login | 0000004038 00000 n 0000000913 00000 n anDkDMMmnZWh|rQl( to review your manual, check procedures, to see your facilities, and briefly check the implementation of your management system. The DNV accreditation program provides us the opportunity to simultaneously satisfy our Medicare accreditation requirements and implement the ISO 9001:2015 Quality Management System all at the same time, said Doug Higginbotham, Executive Director at South Central Regional Medical Center. WebOne of the large number of accreditation schemes in the United States, the Joint Commission (TJC) currently being the best known, has created Joint Commission International, or JCI. Whether youre new to the Joint This is the authorities way of auditing the auditors, such as certification bodies like DNV. doi:10.1017/ice.2020.295. 0000009720 00000 n Certification by DNV Healthcare is key step toward establishing your hospital's reputation for excellence. Rochester General Hospital Maternity Care,Unity Hospital Maternity Care,United Memorial Medical Center Maternity Care. DET NORSKE VERITAS (DNV) Our lead auditor will verify that you have properly addressed the nonconformities. DOI: https://doi.org/10.1016/j.mnl.2009.10.004, The International Organization for Standardization (ISO), To read this article in full you will need to make a payment. During this process, we assess your management systems degree of compliance with the requirements of the elected standard and performance in identified focus areas. nQt}MA0alSx k&^>0|>_',G! Available at: www.iso.org/iso/home. hYmo6+bwRPI-@fulAMTcg5~w'I :^xXoay-uL3,%a8J#!%@aY%I>)ddJ:ph+*jX 9Q43F:\RzvYV:ibv2gTM]oWjQ)|V?AtYuy[uq]{ 0000002012 00000 n <>/Pages 117 0 R /StructTreeRoot 177 0 R /ViewerPreferences<>/PageLayout/OneColumn/Type/Catalog/MarkInfo<>/Lang( E N - U S)/Metadata 262 0 R >> 1338 0 obj <>/Filter/FlateDecode/ID[]/Index[1327 24]/Info 1326 0 R/Length 69/Prev 861584/Root 1328 0 R/Size 1351/Type/XRef/W[1 2 1]>>stream At Rochester Regional Health, our dedication to quality is reflected in the teams we hire, the care we provide and the services we offer. Before the audit starts, you provide input on what operational processes are most crucial to your business success. Det Norske Veritas (DNV) is a global quality 0000003466 00000 n The DNV/ISO 9001 process required a lot of hard work on our part, but has provided tremendous benefits for our health system, Higginbotham. Our leading medical education and research are at the forefront of healthcare innovation. South Central is a public, not for profit hospital owned by Jones County, MS, who has an economic impact to our local community annually of almost $200 million. 0000003710 00000 n Risk Based Certification is our exclusive approach to all management system certification. The focus areas should be linked to the management system and reflect the risks or opportunities that are most important to you. %PDF-1.6 % A successful management system is one that is improved on a continual basis. DNVs accreditation program is the only one to integrate the ISO 9001 Quality Management System with the Medicare Conditions of Participation. SCRMC serves as the second largest employer in Jones County. DNV is kept apprised of the organization's level of compliance with ongoing organizational reporting. WebAccreditation is voluntary and seeking deemed status through accreditation is an option, not a requirement. 0000008466 00000 n The certification audit consists of informal interviews, examinations, observations of the system in operation and review of relevant documentation. <>stream Lesho, E., Hix, J., Bronstein, M., Shastry, S., Hanna, J., Scroggins, G., & Grieff, M. (2019). After each survey there is a detailed report which is easy to follow and describes, with objective evidence, where your organization is not in compliance with the standard. 630-792-5787 | lberkeley@jointcommission.org. 0000001372 00000 n The trademarks DNV GL, DNV, the Horizon Graphic and Det Norske Veritas are the properties of companies in the Det Norske Veritas group. This is much more than an accreditation program, its a catalyst for our ongoing commitment to patient safety and clinical quality.. Organizations seeking CMS approval may choose to be surveyed either by an accrediting body, such as the Joint Commission, DNV, and HFAP, or by state surveyors on behalf of CMS. WebThe more variables and inter-dependencies in you organization, the more relevant ISO becomes. %,,`0,XA!rd{ey` F7 Following a positive decision you will receive the certificate shortly thereafter. The Joint Commissions Stroke Certification Enhancements for 2018. V)gB0iW8#8w8_QQj@&A)/g>'K t;\ $FZUn(4T%)0C&Zi8bxEB;PAom?W= Thats where ISO 9001 comes into play and turns the typical get-your-ticket-punched accreditation exercise into a quality transformation.. 0000039232 00000 n Each issued certificate has a three-year life period. 1 27. DNV understands the important role Psychiatric Hospitals play in caring for the underserved and underinsured population. 131 0 obj WebIntro to DNV and NIAHO. %%EOF Psychiatric Hospitals are accredited for a three year period, subject to annual survey to verify continuing compliance with NIAHO. The documentation review can be performed prior to or conducted as part of the initial visit. We are honored to provide behavioral healthcare facilities the same option provided to their hospital partners - a choice in their accreditation.PsychiatricHospital Accreditation Program Components H\J@{6fgBA[^Hi M}{voI\]fcuvO1}yPYq:\xvwm,.rsi`at3Xvizx)vnn. hVO0W4u~yHZVm6)am|;#\zn$2N'*P1!$''BoD/We/Tze DOI:https://doi.org/10.1017/ice.2020.1437. 0000001195 00000 n AORN Guidance Statement: Perioperative Staffing. 2010 Mosby, Inc. I.3A 8J8rzW&g0( dmOz!%_z+=vkwq/&&p':G~fEG`9.}kh}@%/C7}` 7l WebDNV Healthcare introduces a hospital accreditation program for stand-alone Psychiatric Hospitals, part of our dedication to helping hospitals improve quality, patient safety and healthcare delivery. n3kGz=[==B0FX'+tG,}/Hh8mW2p[AiAN#8$X?AKHI{!7. cuup}c~*_3:!RvpgI(@6a^@IiPo}f$@ L9qdzD AY:RR' 4PQqhxitI3\! endstream endobj 1332 0 obj <>stream `0 d``_}C!\ |S0\`0[znV$5*c"00z`PwzS\u@_w{wSZ3@`|4iE"'-*5wIsr]gI qyO'WAm)U1Ys96S=ffXTjMJ5P)TTOVyN9xddiV,ey-E% Select from the topics below to get started. endstream endobj 155 0 obj <>/Size 127/Type/XRef>>stream 0000002447 00000 n More than 2,100 individuals are employed throughout health system and approximately 125 providers representing 28 medical specialties provide care to patients. HtTKo0Wh( About South Central Regional Medical Center. Blood use Prescribing of medications Surgical Case Review Specific departmental indicators Moderate Sedation Outcomes Anesthesia events Appropriateness of care for noninvasive procedures/interventions Utilization data Significant deviations from established standards of practice Timely and legible completion of patients medical records Variants analyzed for statistical significance 19, Addressed by TJC, Not NIAHO Verification of applicant identity Use of CVO (DNV does allow is addressed under telemedicine) Health status (DNV only under surgical privileges) Applicant required to provide info re: previously successful or currently pending challenges to licensure or voluntary relinquishment, felony convictions Leadership standards place additional responsibilities on MS Residency program requirements 20, Addressed by NIAHO, not TJC Receipt of database profile from OIG Medicare/Medicaid Exclusions initial/reappointment/temporary privileges 21, Resources Standards: NIAHO Standards, Interpretive Guidelines, or Accreditation Process www. What is hospital accreditation The accreditation programs DNV offers either directly address regulatory requirements for hospitals, such as US Government's Centers for Medicare and Medicaid (CMS), or provide guidance and best practices for clinical specialty organizations across healthcare. DNVs NIAHO standards is approved by CMS. All Rochester Regional Health labor and delivery hospitals. Rex Zordan . )CL:E8 $@eB5(ABRg]._e p`'ih]ao]|. %%EOF DNVs accreditation program, called NIAHO (Integrated Accreditation of Healthcare Organizations), involves annual hospital surveys instead of every three years and encourages hospitals to openly share information across departments and to discover improvements in clinical workflows and safety protocols. %PDF-1.4 % I was never aware there were any Accreditation Canada accredited its first organization internationally in 1967 in Bermuda. These audits confirm your companys on-going compliance with specified requirements of the standard while re-evaluating performance in focus areas. The Joint Commission (TJC) is a non-profit organization that accredits and certifies over 22,000 healthcare organizations and programs in the United States. 0000007461 00000 n BPHC Accreditation Initiative . When found compliant, we issue the certificate. The International Standards Organization (ISO) Web site. The DNV/ISO 9001 process required a lot of hard work on our part, but has provided tremendous benefits for our health system, Higginbotham. Accredited certification of management systems is used to demonstrate compliance to a standard in a trusted way. 8667 0 obj <>stream View our list of disease-specific and specialty program certifications. WebWe have a variety of resources to help you explore and master the accreditation process. See upcoming training courses. The important role of the Joint Commission AORN J. An integrated health services organization serving the people of Western New York. %PDF-1.6 DNV draws on its wide technical and industry expertise to help companies worldwide build consumer and stakeholder trust. xb```f``ue` ea *(ltSa{+ 9QQ (MHKX*?6Y ,8v'83rXrE0C;;[70^} Ua vHCO4@ZT Dr g$ I*Rt>[?Yim*>"1t>hvYJa`h0vh` 2+@,F0)fP`c6e,ITWhLVJCXLFu @B@h6{E@E"% @lT- g Hu.5LL00~gPdpMej8 PClY~p=Tt n`xH108Y * ~ D\z wG xR^[ochg`>b$*~ :Eb~,m,-,Y*6X[F=3Y~d tizf6~`{v.Ng#{}}jc1X6fm;'_9 r:8q:O:8uJqnv=MmR 4 2023 Rochester Regional Health. All rights reserved. Fundao So Francisco Xavier / Hospital Mrcio Cunha. After the audit you need to address and respond to non-conformities within an agreed deadline. We use cookies to help provide and enhance our service and tailor content. xbbg`b``3E0 ) Public Records Policy | hTkSI?ssMl ISO is the International Organization for Standardization. 0000006234 00000 n hbbd``b` @)H0A@"*HpE$> oL,F6~0 d If you don't remember your password, you can reset it by entering your email address and clicking the Reset Password button. WebAccredited hospitals. HyTSwoc [5laQIBHADED2mtFOE.c}088GNg9w '0 Jb Search our services and programs offered by our experts at our hundreds of locations throughout Western New York and the Finger Lakes region. WebDNV offers a number of standards - Hospital Accreditation, Stroke Center, Orthopedic Service Line, Infection Risk and more. Using an accredited third party certification body/registrars demonstrates that the auditing company is meets the required quality standard set by the accrediting authority. WebAddressed by TJC, Not NIAHO Verification of applicant identity Use of CVO (DNV does allow is addressed under telemedicine) Health status (DNV only under surgical Learn how to plan your visit or hospital stay, pay your bill, contact us, and more information about visiting any of our facilities. Unlike previous approaches to accreditation, DNV focuses on what works best for each hospital and therefore opens the door to innovation. Agreeing on focus areas is a collaborative effort, and our auditors can help suggest focus areas if necessary. Innovative hospitals have started embracing ISO as a way to identify and focus on the most successful approaches to patient care, billing and other critical aspects of running a modern hospital system. In the few years since DNV Healthcare became the first new Antibiotic Susceptibility | SCRMC has three years from the date of its accreditation to achieve compliance with ISO 9001, the worlds most trusted quality management system used by performance-driven organizations around the world to advance their quality and sustainability objectives. Biocor Hospital De Doencas Cardiovasculares LTDA. WebAssistant Director - Accreditation Services . 0000006807 00000 n Therefore, accredited certification consists of a 3-step cycle: To tailor the audit, we need to know what is important to your organisation. 0000020794 00000 n As with all accreditation programs, surveyors from the organization will visit the hospital on regular annual intervals to monitor the organizations progress in implementing the new requirements. WebThe organizations are surveyed annually. 847-324-7487 | msweeney@aaahc.org . com Jointcomission. Top management should be involved at this stage. Admin, South Central Family Medicine & Urgent Care, Directions to South Central Regional Medical Center, Where to Get the Best Care and When to Go. endstream endobj 139 0 obj <>stream 630-792-5509 | rzordan@jointcommission.org. 0 Mitigating and preventing hepatitis B virus exposures during hemodialysis across a large regional health system. We focus on achieving this aspect at every survey. % Digital monitoring of medium-voltage cable networks, Offshore classification fleet in service, Electric grid performance and reliability, Reliability, availability and maintainability (RAM), Ship management, operations and ship design, procedure for suspension and withdrawal of certificates. Learning happens when staff are comfortable and not intimidated by the process. This collaborative approach is crucial in continuing to improve and be a quality improvement hospital. There is always an opportunity to improve. WebIn addition to Department of Health and Joint Commission program compliance, all of our hospitals are accredited by DNV Healthcare. Hover over the "Register" button in the top right corner to see the price, 1 Question|Unlimited attempts|1/1 points to pass|Graded as Pass/Fail. Vendor Login | xref Accreditation | Reflective of an organizations performance with respect to Joint Commission standards and elements of performance (EPs).Transparent all components of the process are fully disclosed to accredited and certified organizations.Easily understood by all involved parties.More items Accessed April 27, 2010. Published by Elsevier Inc. All rights reserved. 0000013305 00000 n Midland Memorial happy with DNV shift. endstream endobj 138 0 obj <>stream This electronic reference tool provides plain-language interpretations of the credentialing standards for The Joint Commission, NCQA, Healthcare Facilities Accreditation Program, DNV, URAC, the Accreditation Association for Ambulatory Health Care, as well as the Medicare Conditions of Participation. Learn About Accreditation Survey Available at: http://www.cms.gov/SurveyCertificationGenInfo/downloads/SCLetter09-02.pdf. Infection Control & Hospital Epidemiology (2020), 41, 13441347. Compliance is viewed as a 3-year By earning accreditation, SCRMC has demonstrated it meets or exceeds patient safety standards (Conditions of Participation) set forth by the U.S. Centers for Medicare and Medicaid Services. This product includes updates that will be made by NAMSS over the next 12 months. Accessed April 23, 2010. Medical Student H&P | Det [fy^Mx_6vbvX,'Mqtr)yzQn.^%~&PdXfbpqxu5Y)Vwuq_DO1ou{)v]tiply/m}+s[(E}Zyc"F%x.%i%NW?VE\gcuJ[Q[Ka/.W. HSMo0+TR E9dR-,Q trailer 127 30 Project Director, CHC Accreditation . This accreditation underscores our commitment to developing and continually improving quality and safety for employees, patients and visitors throughout our system. endstream endobj 8619 0 obj <>/Metadata 315 0 R/Outlines 731 0 R/Pages 8594 0 R/StructTreeRoot 1070 0 R/Type/Catalog>> endobj 8620 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 8621 0 obj <>stream WebCommission, Healthcare Facilities Accreditation Program (HFAP) and Det Norske Veritas Healthcare, Inc. (DNV) for hospitals; gives deeming authority to NCQA for Medicare Advantage health plans Accrediting Organizations Targets for Accreditation Types of Standards Accreditation Categories NCQA Joint Commission Health plans PMID: 12085409 Joint Commission on Accreditation of Healthcare Organizations* / history The purpose of the initial visit is twofold: Based on this, the scope and audit plan are agreed upon. 0000000016 00000 n COVID-19 Updates: Get the latest information from our experts: Vaccines Testing Visitor & Mask Guidelines Closings. v4?fBHQ [C. To update your cookie settings, please visit the. hbbd```b``= "@$nDEH`=d`L""@$?/O@o_@H b4l4k#%4#3` , Today, 300 follow DNV Accreditation procedures, and 80 more are in the process In 2020, Rochester Regional Health participated in 123 regulatory surveys in our acute care settings, outpatient settings and specialty programs from compliance agencies like DNV Healthcare, The Joint Commission and the Department of Health. The password to view the NAMSS Comparison of Accreditation Standards is: Q7r&Km The scope of certification may need to be changed during the 3 year certification cycle. We currently have 26 Beacon Awards across our system. endobj DNV understands the important role Psychiatric Hospitals play in caring for the underserved and underinsured population. We felt that by moving from Joint Commission accreditation to DNV accreditation we were taking our organization to an all new level, he said. {(oFA`=My$RqH+#~/aDh4:G}_.Q8f(fVJ7*7/oG|t6FG\kpvaGx2?yxz RlG@-e0&9zWez|U( v 0000002975 00000 n dnvaccreditation. All surveyors have a healthcare background and specialize in one of three areas: clinical care, physical environment, or quality management. %%EOF Read Part 3: Accreditation Options: Understanding the Joint Commission DNV Healthcare originated in Norway in 1864 as a risk management company. 0 0000012451 00000 n Hospital Mater Dei. To review focus area input and agree on one to three particular focus areas upon which the audit will focus. The scope of certification is agreed at an early stage in the certification process. Academic & Personal: 24 hour online access, Corporate R&D Professionals: 24 hour online access, https://doi.org/10.1016/j.mnl.2009.10.004, Comparisons of the NIAHO and Joint Commission Approaches to Accreditation, Available at: http://www.cms.gov/SurveyCertificationGenInfo/downloads/SCLetter09-02.pdf, Available at: http://www.dnv.com/binaries/NIAHO%20Accreditation%20Requirements-Rev%20307-8%200(2)_tcm4-347543.pdf, Available at: http://www.jointcommission.org/NR/rdonlyres/2F04C126-906D-4155-B16F-1F1A6570C387/0/jconlineAug1209.pdf, For academic or personal research use, select 'Academic and Personal', For corporate R&D use, select 'Corporate R&D Professionals', Association for periOperative Registered Nurses. By 1991, TJC had learned that it was not possible to ensure quality and had moved on to quality improvement and its many iterations, now known as performance improvement. David Eickemeyer, MBA; Associate Director, Hospital Business Development. Find out more about our accreditation, certification & training programs. In case of expanding the scope the process will restart at section 2 with a documentation review (if needed) and will further follow the normal process from section 4 with a (scope extension) certification audit. The annual survey model keeps hospitals moving forward on the path of continued improvement. Find the location that's most convenient for you! Medical Student SOAP Note | DNV: Det Norske Veritas: DNV: Der Norske Veritas: DNV: District of North Vancouver (British At Newark-Wayne, Rochester General Hospital, United Memorial and Unity Hospital. 0000038715 00000 n This 2.5-day course is a basic course designed to train healthcare professionals in the principles and requirements of DNV's approach to hospital accreditation. The scope of certification may however need to be expanded or reduced due to factors such as acquisitions, downsizing, adding new divisions etc. Before the actual certification audit, we will normally make a preliminary visit to your organisation. South Central Regional Medical Center has been Joint Commission accredited for years and hospital personnel are very familiar with the accreditation process, but Joint Commission does not require ISO certification. The outcome is still a certificate if the management system is found compliant but with added dimension to your improvement journey. N')].uJr WebThe JCAHO and its accreditation programs are described, the history of the Medicare-JCAHO relationship is reviewed, and why the federal Medicare program has relied on accreditation as an indicator of the quality of participating hospitals is examined. 0000001631 00000 n Our Privacy Policy | WebThis background is fascinating in view of The Joint Commissions (TJC) history. Our surveyors employ a variety of methods for assessment, including staff interviews, medical record review, organizational document review, building and offsite visits, as well as patient interviews and feedback. The report indicates if your organisation is ready to proceed with the certification audit. Driven by its purpose, to safeguard life, property, and the environment, DNV helps tackle the challenges and global transformations facing its customers and the world today and is a trusted voice for many of the worlds most successful and forward-thinking companies. 121 0 obj Contracts with insurers may require certain accreditation and may need renegotiation Will there be a saving in direct and indirect accreditation costs? This is applicable in situations where an organisation persistently and seriously fails to maintain compliance with the management system standard or due to other situations, as defined in the procedure for suspension and withdrawal of certificates. At least one periodic audit per year is required. Our Risk Based Certification approach tailors the process to evaluate your select business risks in addition to compliance with the standards requirements. Available at: http://cert.branswijck.com/. H|S[o0~WL3CJ)d[+ej8["ChT(/>| Lr= 1A/?7_]"`WW0 MB%pf4{R)"~"LeC$X8 V+I::'p8%I^H$pfr>8hY6/Fd&JA#aNj,'{?li1z\) 0000005823 00000 n The American Nurses Credentialing Center has recognized Clifton Springs Hospital & Clinic, Rochester General, Unity, Newark-Wayne Community hospitals and PCASI with the highest honor available for nursing excellence. 127 0 obj <> endobj DNV has accredited about 300 hospitals with another 80 or so awaiting accreditation, according to Horine. 0000003418 00000 n Senior Account Executive . Accreditation verifies the certification body/registrars competence. endstream endobj 1328 0 obj <>/Metadata 142 0 R/OCProperties<>/OCGs[1339 0 R 1340 0 R 1341 0 R]>>/Outlines 204 0 R/Pages 1318 0 R/StructTreeRoot 287 0 R/Type/Catalog>> endobj 1329 0 obj <>/ExtGState<>/Font<>/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1330 0 obj <>stream DNV Healthcares hospital accreditation program is unique in that it integrates the ISO 9001 standards (international quality standards that define To fulfill the accreditation criteria, an accrediting authority assesses the certification body/registrar to verify that the certification body/registrar complies with existing requirements. 4NuH.z)z06q?Rt|E"vzQV-\\-U=^4/M6z`| Y, 2mKe59\^9xg6`?,^eaQ)PHwzX=ixf#`x[aA;B|A3 $z(Gc(A%aC@)4"44SY S20L: 2("ukvVhMg9a,"J0$8 1sb s6s[fPE<1I!4XOLv^+d2(i}%C9X It is widely recognized as the gold standard in healthcare accreditation, and its standards are considered rigorous and comprehensive. This accreditation underscores our commitment to developing and continually improving quality and safety for employees, patients and visitors throughout our system. 2y.-;!KZ ^i"L0- @8(r;q7Ly&Qq4j|9 Because while undergoing the accreditation process, a hospital makes critical decisions about how it provides services, manages medications and allocates resources. All rights reserved. Hospitals are no longer stuck in a cycle of addressing the same issue every three years. CMS-2895-FN, September, 26, 2008. Centers for Medicare and Medicaid Services. 2019 HIMSS Annual Conference: Clinical Optimization: One Approach to Integration, 2019 Breakthroughs Conference: Clinical Optimization: A Panel Discussion. Det Norske Veritas (DNV) NIAHO Accreditation Requirements Interpretive Guidelines & Surveyor Guidance Revision 7, 2008. WebAccredited certification of management systems is used to demonstrate compliance to a standard in a trusted way. We have to get a clear understanding of your business strategy and conditions that affect your ability to reach said strategy. This commitment to safe, reliable and high-quality care is also demonstrated through our regulatory compliance and accreditations, awards and recognition and participation in national conferences and journals. After the three years are up, your certification will be extended through a re-certification audit. In addition to Department of Health and Joint Commission program compliance, all of our hospitals are accredited by DNV Healthcare. The Joint Commission on the Accreditation of Healthcare Organizations. Our lead auditor evaluates your management system documentation. We have taken an entirely different approach to accreditation, and hospitals are really responding, says DNV Healthcare USA Inc. President Patrick Horine. <>/XObject<>/ExtGState<>/ProcSet[/PDF/Text/ImageC]/Font<>>>/MediaBox[ 0 0 612 792]/Contents 168 0 R /Parent 117 0 R /Type/Page/CropBox[ 0 0 612 792]/Rotate 0/Annots 145 0 R /Tabs/S/Group 166 0 R >> 8644 0 obj <>/Filter/FlateDecode/ID[<80A28E873128684998433581F605455E>]/Index[8618 50]/Info 8617 0 R/Length 123/Prev 1023342/Root 8619 0 R/Size 8668/Type/XRef/W[1 3 1]>>stream x- [ 0}y)7ta>jT7@t`q2&6ZL?_yxg)zLU*uSkSeO4?c. R -25 S>Vd`rn~Y&+`;A4 A9 =-tl`;~p Gp| [`L` "AYA+Cb(R, *T2B- South Central was the first DNV accredited healthcare organization in Mississippi.

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