MD hospital avoids hand hygiene RFI, finds areas for improvement
Briefings on The Joint Commission, April 1, 2008
This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Briefings on The Joint Commission.
Multiple mock surveys prove to be one of the best ways to prepare staff members and hospital systems for unannounced Joint Commission surveys.
Mary Williams, RN, Joint Commission (formerly JCAHO) regulatory coordinator at Peninsula Regional Medical Center in Salisbury, MD, orchestrated three mock surveys before the unannounced survey in December 2007.
The 375-bed hospital, located 29 miles from Ocean City, MD, created a J-code to notify medical staff, managers, and supervisors when the survey or mock survey was taking place.
“Staff were familiar with this code and were trained to respond quickly,” says Williams. During the practice surveys, Peninsula used executive staff members as overseers, which added tension and proved useful when the survey team arrived.
This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Briefings on The Joint Commission.
Comments
0 comments on “MD hospital avoids hand hygiene RFI, finds areas for improvement ”
Related Products
-
Briefings on The Joint Commission
Briefings on The Joint Commission will help you with all of your accreditation and survey preparation needs. Every month...
-
The Joint Commission Mock Tracer Made Simple
This updated edition of our annual best-seller includes new tools and case studies of successful tracers from facilities...
-
Staffing Effectiveness Data:
You've spent an enormous amount of time, money, and effort collecting staffing effectiveness data - and you can still put it...
-
Simplifying Nursing Documentation
Implement a "two-form" solution that will cut nursing documentation in half while fully complying with Joint Commission...
Most Popular
- Articles
-
- Nurse posts picture of athlete/patient on Facebook
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Case Management Q&A
- News and briefs: AAMC's president calls residency expansion key to physician shortage problem
- Q/A: Payment for HCPCS code J2354
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- Capturing all necessary codes for IUD insertion and removal can be challenging
- Tip of the week: Expand M&M conferences into the program
- CMS issues IPPS proposed rule for FY 2013
- E-mailed
-
- CMS issues IPPS proposed rule for FY 2013
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- What does case-mix index mean to you?
- Examine RAC audit of acute respiratory failure
- 2012 CPT code changes for ASCs: Shoulder and knee scopes and pain management
- Increase patient satisfaction by improving your discharge process
- New conflicts of interest create new challenges
- News and briefs: AAMC's president calls residency expansion key to physician shortage problem
- Nurse posts picture of athlete/patient on Facebook
- Tip of the week: Expand M&M conferences into the program
- Searched