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√TJCsvyrMD_Flocks_Jay S. Flocks, MD

Jay S. Flocks, MD


Surveyor Program(s): Hospital

Surveyor Tenure: x 2005

Lives: California

TJC Bio:

  • Currently Clinical Professor of Psychiatry at the University of California, San Diego. Prior to joining The Joint Commission, Dr. Flocks was a partner physician with Southern California Permanente Medical Group, Kaiser Permanente Medical Care Plan.  He is board certified in Adult Psychiatry, and is currently licensed in California as an MD.  Dr. Flocks is also a Distinguished Life Fellow of the American Psychiatric Association.

Other Background:


Comments & Recommendations


  • As indicated by SPHCC advice a stickler for the hand hygiene between each patient on medication pass,  He focused on Medical Staff and the OPPE and FPPE practices and meet with treatment teams and medical staff.  Overall friendly and helpful paid a lot of attention to our clinical contracts, especially radiology, and wanted to see proof (e.g., minutes) of the Medical Staff’s review and evaluation of those contracts. 03242010
  • Conducted tracer or survey activities in patient care, Performance Improvement, Contracts, Credentialing, Medical Staff, record of care, medication management, rights of individuals and NPSG.  This is not our first visit from Dr. Flocks, he also surveyed our hospital in 2007, so there was familiarity between senior management and this surveyor. He does have a focus on moving performance improvement out of bar charts and graphs to statistically evaluated information, which he mentioned in 07 and fortunately he was able to find in this survey. Did provide a educational presentation on medical staff credentialing that was helpful to staff managing that process. Generally very willing to talk through findings and expectations. Was a bit pressured to work through what is now a 2 day survey (three day in 2007). 03122010


  • Friendly but very focused.  A high emphasis on risk assessment; especially as related to suicide, both from an environmental and clinical aspect.  Loves to teach and is very knowledgeable.  A true statistician who loves data presentation in the form of graphics, charts, etc. as related to any area being discussed.  Very focused on the credentialing process and  legibility within the medical record.  Believes it is disrespectful for someone to be late to a given meeting, etc. stickler for the hand hygiene between each patient on medication pass, He focused on Medical Staff and the OPPE and FPPE practices and meet with treatment teams and medical staff. Overall friendly and helpful. 11202009
  • Would get focused on one issue and would discuss that topic the rest of the session.  Wants to see statistical analysis. 052009
  • Very engaging, friendly. He had a real focus on applying simple statistical tools to our data for the purpose of determining siginificance. We have lots of data/graphs/oryx benchmarked which did not satisfy him, he wanted the significance to us internally. We did not get a RFI but it did show up as a supplemental. Made some really good points on data analysis and medication reconcilliation.


Recent Survey History:

• Chester Mental Health Center 03242010  • Alaska Psychiatric Institute 03122010
• Searcy Hospital 11202009 • North Alabama Regional Hospital 052209
• Alaska Psychiatric Institute 03062007 • Chicago Read Mental Health Center 05152007


** Sample Survey Citations (Premier Level)**

[private Membership premier]


Sample Citations:

  • XX.00.00.00/EP x/ Observed in Tracer Activities: 
  • XX.00.00.00/EP x/ Observed in Individual Tracer: /Direct
  • XX.00.00.00/EP x/ Observed in /Indirect
  • XX.00.00.00/EP x Observed in Individual Tracer:  /Direct


You may provide surveyor feedback by clicking on the ‘Comments’ link above (2nd line, top left) and/or via the New Post Survey Questionnaire (PSQ).

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