Domestic
Domestic Services
Gooch and Associates brings over 14 years of surveyor and consultant experience into practice. Since 1994, Brian Gooch has been providing accreditation preparation and support services to domestic healthcare providers; initially as a surveyor for the Joint Commission and subsequently with Gooch and Associates.
Our services focus on issues that help you provide better care and services to your patients.

Domestic Services
- Mock surveys performed only by JCAHO trained surveyors
- Education programs on current and emerging Joint Commission issues, such as using tracer methodology in self-assessments, patient safety and medication errors
- A Program of routine, periodic, on-site support tailored to the client to help them maintain continuous standards compliance and survey readiness
- Support, ad hoc, with problem issues such as response to a Sentinel Event, evaluating and strengthening critical systems and processes, patient safety program development, and medical staff leadership and nursing issues
- Support and assistance with development and implementation of a Plan of Action or Evidence of Standards Compliance (ESC) following a “difficult” survey
Domestic Client Success
Our clients consistently perform well on their accreditation surveys.

Your success is our success.
Gooch & Associates contributes to your success through the quality and competence of our consultants, our attention to detail, our listening and understanding your needs, our pragmatic, patient-oriented approach and solutions and our follow-up with you after the consultation.
We maximize the value of our consultation by providing a verbal summary before we leave. But possibly more importantly, we will provide our written report within two weeks of our on-site consultation to enhance the educational value, while memories are still fresh.
[top]Domestic Client Comments
Olympic Medical Center, Port Angles, WA
Director, Quality & Strategic ValueGooch & Associates conducted a Mock Survey for JCAHO standards compliance at our hospital in January. Brian and his team were professional and thorough, finding several areas for improvement. In February, we were given two weeks notice for our State DOH survey. We were rewarded with a deficiency free DOH survey, a first for us. In June, JCAHO conducted our triennial survey. We again achieved a perfect score. Words fall short when it comes to describing this event.
Natchez Community Hospital, Natchez, MS
Chief Executive OfficerBrian’s approach gets to the core issues quickly and his experience and leadership facilitate the development of processes that bring about results, all within budget and on time. His wit and sense of humor kept our team’s attention and made the work fun. I highly recommend Gooch & Associates.
[top]Health First (a three hospital system), Melbourne, FL
Vice President Quality ManagementHealth First has been working with Gooch & Associates for several years. We continue to benefit from his insightful guidance. On our most recent accreditation surveys (one deficiency free, the other nearly the same) his collaboration with leaders and staff enabled us to successfully demonstrate the strength of our practices and confirm our compliance with JCAHO standards as we strive to maintain the highest quality of patient care.