Three strikes and you're out
Briefings on The Joint Commission, March 1, 2005
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.
Surveyors will now score two National Patient Safety Goal (NPSG) requirements that no longer require 100% compliance with a "three-strikes," frequency-based rule.
The requirements do not allow prohibited abbreviations (Goal #2b) and mandate hand hygiene (Goal #7a), and they require 90% compliance. Organizations will be in compliance as long as surveyors observe no more than two strikes.
Surveyors learned about the scoring change in January during their annual conference in Chicago . One source close to the JCAHO says surveyors were after the conference sent the two-page scoring guidelines to be used in the field.
Three strikes and you're out- of compliance
The number of observations a surveyor conducts may affect compliance, says Robert Marder, MD, practice director of quality and patient safety for The Greeley Company in Marblehead, MA, a division of HCPro, Inc., which publishes this newsletter.
For example, if surveyors observe 20 incidents and find three strikes, the organization is at 85% compliance.
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.
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
-
- HIPAA Q&A: Level of encryption needed for email
- HIPAA Q&A: TPO disclosures to a business associate
- Q&A: Acute respiratory failure diagnosis does not require intubation
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Q/A: Coding infusions to correct low potassium levels
- What does case-mix index mean to you?
- Capturing all necessary codes for IUD insertion and removal can be challenging
- Topic: CMS, OESS post new security compliance review information, checklist
- News and briefs: Oklahoma Osteopathic Association against residency bill change
- OB services: Coding inside and outside of the package
- E-mailed
-
- HIPAA Q&A: Level of encryption needed for email
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Q&A: Acute respiratory failure diagnosis does not require intubation
- Q/A: Coding infusions to correct low potassium levels
- Oxygen Cylinder Storage Requirements
- CMS has reformulated payments for some bilateral procedures
- Q/A: New code for image-guided minimally invasive lumbar decompression
- Understand the spine to code back procedures correctly
- Cut through the confusion related to different kinds of wound debridements
- Cohesive History and Physical Requirements
- Searched