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point. The government even hinted that insurance company shareholders would be responsible - billed - for the fines not covered by the corporations. Christ! Legal or not, it ended right there. Think about it. If shareholder greed drives corporate greed and leads to bad practices, why not fine them? Their hands are out for the dividends. Why not a ruler slap across the knuckles? Who rules, anyway? WtP. We the People. Don't piss'em off. In any event, this was the very next inspection following that fiasco. You could bet that there may well be some feelings of payback time on the JC panel. Some of them were still settling their own personal legal fees. You just know what arrogance delivers to the thought process. The gall of these hospital people! Complaining about our process! How dare anybody judge us, the judges! Revenge was in the air. There were so many possible targets. Getting charts in order was the killer. Somehow, in Joint Commission mentality, a doctor treats only one patient and then spends the rest of his career reworking his one and only chart. Medical excellence is not about outcomes. The JC does not review outcomes. They review charts. A serial killer on staff who keeps beautifully organized and highly readable falsified charts could actually be a boon to this review mechanism. It isn't ever about how true the chart is, but how neat, how parceled, how signed. A Doctor Foedus was suing the hospital for revocation of privileges without cause. He never had a single chart infraction. Paper. He might very well win. Signatures! Sign every declarative sentence. Yes! Sign under the signatures of others. Yes! Cosignatures are wonderful. Write Thank You and sign then add a doctor's identification number after the signature. Don't forget the leading meaningless computer space keeping zeros. Dr. Killerforhire, 00234567. Very good. Date the top