William A. (Bill) Johnson, MS, SASHE, CHFM, CHSP, CHEP
Surveyor Program(s): Hospital, Critical Access
Surveyor Tenure: x 2010
Lives: Texas
TJC Bio:
- Texas native
- Retired U. S. Air Force
- Earned B.S. degree from Wayland Baptist University, Plainview, TX; and M.S. degree from Embry Riddle Aeronautical University, Daytona Beach, FL
- Has worked with Central Texas Medical Center, San Marco, TX; South Austin Hospital, Austin, TX; and St. Luke’s Baptist Hospital, San Antonio, TX.
- Served as adjunct professor at Texas State University
- Awarded Senior status, (SASHE), by the American Society for Healthcare Engineering, and maintains the following certifications: Certified Healthcare Facilities Manager, Certified Healthcare Safety Professional (Master Level), and Certified Healthcare Emergency Professional (Master Level)
Other Background:
Comments & Recommendations
2013
- Was very easy to engage, provided consultative advice, wanted to help us meet standards during the survey. Unfortunately, we have new people in some key positions that have not been in a JC survey and were wholly unprepared, resulting in lots of avoidable citations around issues of disaster preparedness. EOC review and planning. The hospital had been doing the work, but our documentation not coordinated. The surprise citation was door closures on small rooms that are basically housekeeping closets LS.02.01.30, EP 2.
2012
2011
2010
Relevant Surveying History:
| • Metropolitan Regional Hospital ### | • Alaska Psychiatric Hospital 2/28/13 |
| • Psychiatric Mental Health Centers |
102
** Sample Survey Citations (Premier Level)**
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Sample Citations:
2013
- EC.02.06.05/EP 2/Observed in EOC Session The hospitals preconstruction risk assessment did not include provisions to consider noise and vibration issues
during construction. - EC.04.01.01/EP 15/Observed in EOC Session: At the time of the survey there were no annual evaluations available for any of the environment of care management plans.
- EC.04.01.03/EP 3/Observed in EOC Session: There were no priorities identified for improving the environment of care for 2012 or 2013.
- EM.01.01.01/EP 8/ Observed in EM Session: At the time of the survey there was no documented inventory of the hospitals resources and assets it had on site, that may be needed during and emergency.
- EM.02.01.01/EP 3/Observed in EM Session: At the time of the survey the hospital did not have a plan (96 hour plan) that identified the capabilities and establish
response procedures for when they could not be supported. - EM.03.01.03/EP 1/Observed in EOC Session: The hospital had one actual emergency during 2012, but did not participate in any drills.
- LS.02.01.30/EP 2/
- Observed in Bldg Tour: Room 123 on the XYZ unit was over 50 sq ft, used for housekeeping storage and was not equipped with a self-closing or automatic-closing device on the door.
- Observed in Bldg Tour: Room 123 on the XYZ unit was over 50 sq ft, used for computer storage and was not equipped with a self-closing or automatic-closing device on the door.
2012
2011
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