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Quality Management and Certification

Our Committment to Healthcare Quality and Safety

The Joint Commission Gold Seal 

Fort Belvoir Community Hospital has earned The Joint Commission's Gold Seal of Approval.

The Joint Commission is an independent, not-for-profit organization which sets the standards by which healthcare quality is measured in America and around the world, and evaluates the quality and safety of care for more than 15,000 healthcare organizations.

Approximately 80 percent of the nation's hospitals are currently accredited by The Joint Commission.

To maintain and earn accreditation, organizations must have an extensive on-site review by a team of The Joint Commission healthcare professionals, at least once every three years. The purpose of the review is to evaluate the organization's performance in areas which affect patient care. Accreditation may then be awarded based on how well the organization met The Joint Commission standards.This on-site review at Fort Belvoir Community Hospital took place in March 2015.

The Joint Commission standards address the hospital's performance in specific areas, and specify requirements to ensure that patient care is provided in a safe manner and in a secure environment.

Patients with patient care and safety concerns which have not been addressed by the hospital may contact The Joint Commission by calling (800) 994-6610.


The Quality Management Team

Fort Belvoir Community Hospital's Quality Management team includes various departments which are focused on ensuring the highest standards of patient care and safety are met throughout the organization. Departments within the Quality Management team which may be of assistance to our patients include:  


Clinical Staff Services (Credentials) ensures healthcare professionals in the hospital are fully qualified and privileged to support the medical mission. To request medical staff affiliation verification, please fax requests to (571) 231-2894, or contact the office staff directly. Patients may also request verification of Health Care Provider Credentials by contacting the Patient Relations Office at 571-231-4141.
  • Location: Sunrise Pavilion, Floor 3, Room S3.218
  • Hours: Weekdays, 7:30 a.m. to 4:30  p.m.
  • Phone: (571) 231-2928
The Patient Safety office promotes a culture of safety in the hospital, working to eliminate preventable patient safety issues by educating and equipping patient-care teams. Patients are invited to contact the staff with any concerns regarding patient safety.
  • Location: Oaks Pavilion, Floor 1, Room O1.331
  • Hours: Weekdays, 7:30 a.m. to 4:30 p.m.
  • ​Phone: (571) 231-4120 / 4117


The HIPAA Compliance Office

The Health Insurance Portability and Accountability Act Compliance office works to avoid improper disclosures of patient information, and to ensure proper management and oversight should an improper disclosure occur. Patients who believe their health information privacy rights, or another patient's privacy rights have been violated may file a complaint with the hospital's HIPAA Officer. Complaints may also be filed if other violations of the Privacy and Security Rule occur.