Accreditation

Surveyor gaze is on dialysis compliance

Briefings on Accreditation and Quality, October 1, 2018

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Surveyors from CMS and The Joint Commission are taking an interest in dialysis compliance. That means you should too. Dialysis is one of the three main topics that have come up repeatedly at Joint Commission presentations, along with sterile compounding and pain standards. And there’s been a corresponding uptick in scoring for all of these areas in 2018.

“When The Joint Commission indicated that dialysis is going to be a focus area, the field should be prepared for more detailed surveys than we have seen in the past,” says Jennifer Cowel, RN, MHSA, president of Patton Healthcare Consulting in Naperville, Illinois. “Take this as a heads-up notice. We have seen an uptick in dialysis scoring; in fact, we have seen scoring in dialysis in more than half of the survey reports we have seen in recent months.”

“Note that hospitals that are providing inpatient hemodialysis or contracting for the service need to pay attention to the room where dialysis is being provided, particularly if [it’s] not in the patient’s room,” adds Kathleen Good, MSN, RN, an associate of Patton Healthcare Consulting.

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