Accreditation

Accreditation Articles by Topic: Joint Commission Standards

Setting up a tracer training program

  • Accreditation Insider, Issue 45, November 10, 2015

    Here we will focus specifically on tracer training and implementation: the "who,"...

December webcast to highlight survey hot spots for 2016

  • Accreditation Insider, Issue 44, November 3, 2015

    What are the CMS and Joint Commission hot spots for 2016? Join Bud Pate, REHS, and Lisa Eddy, RN...

The first 100 days: Making the transition into the world of accreditation

  • Accreditation Insider, Issue 44, November 3, 2015

    In this guest column, Heather Forbes, clinical education program coordinator for Maine Medical...

How many policies should the medical staff approve?

  • Accreditation Insider, Issue 42, October 20, 2015

    With an increasing number of regulations, National Patient Safety Goals, Sentinel Event Alerts, and...

Joint Commission approves 2016 accreditation decision rules

  • Accreditation Insider, Issue 40, October 6, 2015

    The Joint Commission recently approved the 2016 accreditation and certification decision rules for...

New Sentinel Event Alert focuses on patient falls prevention

  • Accreditation Insider, Issue 39, September 29, 2015

    A new Sentinel Event Alert (SEA) issued by The Joint Commission this week urges healthcare...

Putting together an alarm management plan

  • Accreditation Insider, Issue 39, September 29, 2015

    The topic of alarm hazards has crowned ECRI's top 10 list of health technology hazards for the last...

Infection control is an area of increased concern in 2015

  • Accreditation Insider, Issue 38, September 22, 2015

    When The Joint Commission released its list of the five most-cited standards for the first half of...

Joint Commission releases top five most-cited standards for first half of 2015

  • Accreditation Insider, Issue 35, September 1, 2015

    Safety, infection control, and medical records top The Joint Commission’s list of most-cited...

A day in the life of an accreditation professional

  • Accreditation Insider, Issue 35, September 1, 2015

    This month, we are focusing on Paula Brinn, BSN, MBA, CCRN-K, regulatory compliance manager at...

Recruiting and training chapter leaders

  • Accreditation Insider, Issue 33, August 18, 2015

    As The Joint Commission shifted to a more integrated survey, many hospitals moved away from the...

Joint Commission offers online tool to help hospitals reduce falls

  • Accreditation Insider, Issue 33, August 18, 2015

    A new tool released by The Joint Commission is designed to help hospitals prevent inpatient...

Top 10 most-cited Joint Commission standards

  • Accreditation Insider, Issue 31, August 4, 2015

    For the last several years, The Joint Commission's semiannual list of the most-cited standards has...

Joint Commission clarifies LS, EC survey process

  • Accreditation Insider, Issue 31, August 4, 2015

    The Joint Commission has clarified its expectations for the Life Safety and Environment of Care...

Recruiting and training chapter leaders

  • Accreditation Insider, Issue 30, July 28, 2015

    As The Joint Commission shifted to a more integrated survey, many hospitals moved away from the...

New stroke certification launched by Joint Commission, AHA/ASA

  • Accreditation Insider, Issue 30, July 28, 2015

    The Joint Commission and the American Heart Association/American Stroke Association plan to launch...

Joint Commission, ASHE unveil environmental safety portal

  • Accreditation Insider, Issue 29, July 21, 2015

    The Joint Commission and the American Society for Healthcare Engineering last week rolled out a new...

Blog excerpt: Updated perinatal care performance measures

  • Accreditation Insider, Issue 26, June 30, 2015

    The Joint Commission extended the mandatory reporting of the Perinatal Care performance measure set...

Joint Commission releases prepublication standards for laboratories

  • Accreditation Insider, Issue 24, June 16, 2015

    The Joint Commission has released revised laboratory standards that align with CMS...

Joint Commission details how to comply with fire safety requirements

  • Accreditation Insider, Issue 23, June 9, 2015

    The Joint Commission offered some tips on how to maintain fire extinguishing equipment, an area...

Blog excerpt: Briefings on The Joint Commission feedback survey

  • Accreditation Insider, Issue 22, June 2, 2015

    Help us get your thoughts on Briefings on The Joint Commission.

Joint Commission clarifies accreditation decision process

  • Accreditation Insider, Issue 22, June 2, 2015

    The Joint Commission has revised its accreditation decision process for hospitals undergoing...

Joint Commission revises hospice requirements to align with CMS

  • Accreditation Insider, Issue 21, May 26, 2015

    As of July 1, 2015, several revised Joint Commission hospice requirements will go into effect to...

Joint Commission seeks comments on proposed diagnostic imaging standards changes

  • Accreditation Insider, Issue 20, May 19, 2015

    The Joint Commission seeks input on proposed changes to its diagnostic imaging requirements for...

Joint Commission updates accreditation status policies

  • Accreditation Insider, Issue 19, May 12, 2015

    The Joint Commission recently updated its policies regarding accreditation status following...

Joint Commission updates FAQs

  • Accreditation Insider, Issue 18, May 5, 2015

    The Joint Commission recently updated a slew of online FAQs to its hospital standards.

May webcast examines surgical environment compliance challenges

  • Accreditation Insider, Issue 13, March 31, 2015

    Learn about the complex accreditation challenges presented by management of conditions in the...

EC, LS dominate 2014 list of most-cited Joint Commission standards

  • Accreditation Insider, Issue 13, March 31, 2015

    The Joint Commission’s list of top compliance issues in 2014 features some familiar...

Joint Commission looks for public comment on patient blood management performance measures

  • Accreditation Insider, Issue 12, March 24, 2015

    The Joint Commission seeks public comment on a set of draft patient blood management performance...

Joint Commission releases prepublication standards for perinatal care certification

  • Accreditation Insider, Issue 9, March 3, 2015

    The Joint Commission this week released prepublication standards for a new certification program...

Statement clarifies Joint Commission's sentinel event policy

  • Accreditation Insider, Issue 9, February 10, 2015

    A joint statement released recently clarifies the definition of severe maternal morbidity in The...

Joint Commission releases prepub standards for Acute Stroke-Ready program

  • Accreditation Insider, Issue 5, February 3, 2015

    The Joint Commission has released prepublication standards for a new Acute Stroke-Ready Hospital...

Upcoming webcast examines new Joint Commission Patient Safety chapter

  • Accreditation Insider, Issue 2, January 15, 2015

    An upcoming HCPro webcast will give attendees an in-depth look at The Joint Commission’s new...

New and revised diagnostic standards go into effect July 1

  • Accreditation Insider, Issue 2, January 15, 2015

    The Joint Commission’s new and revised diagnostic imaging standards will go into effect on...

Staff Challenge: National Patient Safety Goals

  • Accreditation Insider, Issue 47, November 25, 2014

    What does the statement “Immediately Administered Medication” mean?

Staff Challenge: National Patient Safety Goals

  • Accreditation Insider, Issue 45, November 11, 2014

    When should staff and physicians be educated about healthcare-associated infections including...

Staff Challenge: Provision of Care

  • Accreditation Insider, Issue 43, October 28, 2014

    Fill in the blank: Each patient should have a written plan of care that has ______________ and...

Joint Commission makes new patient safety chapter available for download

  • Accreditation Insider, Issue 42, October 21, 2014

    The Joint Commission is allowing the public to download its new Patient Safety Systems chapter...

Staff Challenge: Provision of Care

  • Accreditation Insider, Issue 37, September 16, 2014

    Fill in the blank: When a patient is both in restraints AND secluded, the patient must be...

Joint Commission to add new patient safety chapter to manual

  • Accreditation Insider, Issue 37, September 16, 2014

    The Joint Commission is adding a new patient safety-focused chapter to its accreditation manual and...

Safety issues continue to dominate top-cited standards list

  • Accreditation Insider, Issue 36, September 9, 2014

    Eight of The Joint Commission’s top 10 standards compliance issues for the first half of 2014...

Standards revisions align with CMS changes

  • Accreditation Insider, Issue 35, September 2, 2014

    New Joint Commission revisions to hospital standards have been made to align with CMS effort to...

Give us your feedback and win $50 off any HCPro product!

  • Accreditation Insider, Issue 34, August 26, 2014

    Take this HCPro customer survey and get a chance to win $50 off any product in the HCPro...

Staff Challenge: Rights, Ethics, and Communication

  • Accreditation Insider, Issue 32, August 12, 2014

    Name the two major federal laws that support the use of interpreters.

Upcoming webcast provides mock tracer guidance

  • Accreditation Insider, Issue 28, July 15, 2014

    An HCPro webcast on August 20 will walk attendees through the mock survey process to help improve...

CMS renews deeming authority for Joint Commission

  • Accreditation Insider, Issue 27, July 8, 2014

    The CMS has renewed deeming authority for The Joint Commission for hospital accreditation through...

Joint Commission prepublication standards aligning with CMS go into effect next week

  • Accreditation Insider, Issue 25, June 24, 2014

    Revised standards from The Joint Commission that align with CMS requirements go into effect on July...

Staff Challenge: Environment of Care and Life Safety

  • Accreditation Insider, Issue 24, June 17, 2014

    Hospitals should have processes in place that continually monitor for specific types of events...

Staff Challenge: Provision of Care

  • Accreditation Insider, Issue 22, June 3, 2014

    Identify three things that are monitored on a continual basis while a patient is receiving...

Joint Commission postpones implementation of revised diagnostic imaging standards

  • Accreditation Insider, Issue 21, May 27, 2014

    The implementation of new and revised diagnostic imaging standards from The Joint Commission has...

Joint Commission clarifies organ procurement requirements

  • Accreditation Insider, Issue 18, May 6, 2014

    The Joint Commission has released a new clarification for organ procurement organizations as part...

Joint Commission releases top-cited standards of 2013

  • Accreditation Insider, Issue 13, April 1, 2014

    Safety issues continue to top The Joint Commission’s annual list of top standards...

Staff Challenge: Provision of Care

  • Accreditation Insider, Issue 12, March 25, 2014

    Fill in the blank: The scope and content of __________________, _____________, and...

Webinar to focus on worker fatigue

  • Accreditation Insider, Issue 12, March 25, 2014

    A Joint Commission official will discuss hospital worker fatigue and its impact on patient and...

Staff Challenge: Leadership

  • Accreditation Insider, Issue 7, February 18, 2014

    For deemed status purposes, which medical services or departments require a physician leader?

Report explains clinical alarm NPSG

  • Accreditation Insider, Issue 5, February 4, 2014

    The Joint Commission explains how it developed its new National Patient Safety Goal on clinical...

Briefings on The Joint Commission, February 2014

  • Briefings on Accreditation and Quality, Issue 2, February 1, 2014

      When it comes to projects for improving the culture of safety in any healthcare...

Month two post-survey tips

  • Briefings on Accreditation and Quality, Issue 2, February 1, 2014

      Editor’s note: In this new feature, BOJ advisor Jodi Eisenberg, MHA, CPHQ, CPMSM...

CMS requests comments on emergency preparedness rule

  • Accreditation Insider, Issue 3, January 22, 2014

    The CMS is seeking public comments on a new proposed rule on emergency preparedness.

AHAP Staff Challenge: Emergency Management

  • Accreditation Insider, Issue 44, October 30, 2012

    Which of the following topics/sections should be included in the hospital’s Emergency...

From the AHAP Blog: Leadership oversight of emergency management proposed standards

  • Accreditation Insider, Issue 44, October 30, 2012

    Hospital and critical access hospitals, here’s something to watch out for: The Joint...

AHAP Staff Challenge: Medication management

  • Accreditation Insider, Issue 37, September 11, 2012

    True or False: Medication labels should include the expiration date for medications that expire at...

Q&A: Compliant use of flash sterilization

  • Accreditation Insider, Issue 37, September 11, 2012

    Q: How do I stay compliant while using flash sterilization in my facility?

AHAP Staff Challenge: Medication management

  • Accreditation Insider, Issue 28, July 10, 2012

    True or False: Hospitals are expected to take steps to reduce the number of verbal and telephone...

From the AHAP Blog: Joint Commission releases new "Speak Up" campaign addition

  • Accreditation Insider, Issue 28, July 10, 2012

    For those of you following The Joint Commission’s ongoing “Speak Up” campaign...

Q&A: Clarifying PC.01.02.01 EP23 (Incomplete preprocedure H&P)

  • Accreditation Insider, Issue 28, July 10, 2012

    Q: During our recent survey, the surveyor cited three instances where the preprocedure H&P was...

AHAP Staff Challenge: Emergency management

  • Accreditation Insider, Issue 27, July 3, 2012

    True or False: The Medical Staff bylaws should identify who is allowed to grant temporary...

AHAP Staff Challenge: Record of care

  • Accreditation Insider, Issue 26, June 26, 2012

    True or False: A verbal order entered into the patient record should be both dated and times (if...

Q&A: Clarifying IC.02.02.01 EP2 (Open pan poststerilization)

  • Accreditation Insider, Issue 26, June 26, 2012

    Q: During our recent survey, a surveyor sited open flash pans poststerilization being transported...

AHAP Staff Challenge: National Patient Safety Goals

  • Accreditation Insider, Issue 25, June 19, 2012

    True or False: Prepackaging, such as unit doses for Coumadin and premixed bags of heparin, has...

Q&A: Clarifying MS.03.01.01 EP 7 (Medical staff monitors quality of H&P examinations)

  • Accreditation Insider, Issue 25, June 19, 2012

    Q: During the on-site survey, we were cited due to a lack of H&P completions. How can I clarify...

AHAP Staff Challenge: Leadership

  • Accreditation Insider, Issue 24, June 12, 2012

    Senior leadership should ensure that decisions regarding quality are:

From the AHAP Blog: Waived Testing prepub standards posted

  • Accreditation Insider, Issue 24, June 12, 2012

    The Joint Commission has released prepublication standards for a revision to the Waived testing...

AHAP Staff Challenge: Infection Control

  • Accreditation Insider, Issue 23, June 5, 2012

    True or False: Hospitals do not need to provide influenza vaccine to the voluntary medical staff.

Q&A: Clarifying PC.02.03.01 EP4 (Medication education)

  • Accreditation Insider, Issue 23, June 5, 2012

    Q: The surveyor cited two behavioral health records not having documentation of medication...

AHAP Staff Challenge: Environment of Care and Life Safety

  • Accreditation Insider, Issue 22, May 29, 2012

    True or False: The Life Safety Code® standards are primarily focused on the...

AHAP Staff Challenge: Rights, ethics, and communication

  • Accreditation Insider, Issue 21, May 22, 2012

    Fill in the blank: If a patient is unable to participate in decisions about his or her care or...

New requirements for Prevention and Wellness Promotion Services (CTS.07.01.01)

  • Accreditation Insider, Issue 21, May 22, 2012

    The Joint Commission has released pre-publication standards for behavioral healthcare...

AHAP Staff Challenge: Provision of care

  • Accreditation Insider, Issue 20, May 15, 2012

    True or False: A nursing assessment should be completed within 24 hours of the patient’s...

AHAP Staff Challenge: Medication management

  • Accreditation Insider, Issue 19, May 8, 2012

    True or False: The risk for potential error is higher when orders are given verbally or over the...

Q&A: Fire alarm systems and sprinkler systems (LS.02.01.34 and LS.02.01.35)

  • Accreditation Insider, Issue 18, May 1, 2012

    Q: What are the requirements for fire alarm systems and sprinkler systems?

AHAP Staff Challenge: Record of care

  • Accreditation Insider, Issue 17, April 24, 2012

    True or False: A verbal order entered into the patient record should be both dated and timed (if...

From the AHAP Blog: Chicago area Boot Camp

  • Accreditation Insider, Issue 15, April 10, 2012

    Hello, AHAP members. We don’t often mention it, but did you know three of our advisory board...

AHAP Staff Challenge: Infection control

  • Accreditation Insider, Issue 14, April 3, 2012

    True or False: Evidence-based medicine should be the basis for all infection control policies and...

Q&A: What if my staff just doesn’t know the answer?

  • Accreditation Insider, Issue 9, February 28, 2012

    Q: We are expecting a survey any day now and I’m worried that some of my staff may not know...

AHAP Staff Challenge: Record of care

  • Accreditation Insider, Issue 8, February 21, 2012

    True or False: Information in the patient’s record must support the care and treatment the...

Joint Commission releases wrong-site surgery prevention toolkit

  • Accreditation Insider, Issue 8, February 21, 2012

    The Joint Commission’s Center for Transforming Healthcare has released a new tool for...

From the AHAP Blog: Have you participated in the latest benchmarking survey?

  • Accreditation Insider, Issue 8, February 21, 2012

    I just wanted to let you know that the organization has launched its first benchmarking survey of...

AHAP Staff Challenge: National Patient Safety Goals

  • Accreditation Insider, Issue 7, February 14, 2012

    True or False: Medication containers include syringes, medicine cups, and basins.

AHAP launches first benchmarking survey of 2012

  • Accreditation Connection, Issue 6, February 10, 2012

    The Association for Healthcare Accreditation Professionals (AHAP) has launched its first...

AHAP Staff Challenge: Leadership

  • Accreditation Insider, Issue 6, February 7, 2012

    True or False: Active members of the medical staff are not allowed to participate as members of the...

From the AHAP Blog: Book Excerpt: Tracking required staffing effectiveness standards

  • Accreditation Insider, Issue 6, February 7, 2012

    The requirements of standard LD.04.04.05 EPs 1, 7, and 13 mandate that governance receives an...

Joint Commission launches stroke education and awareness program

  • Accreditation Connection, Issue 5, February 3, 2012

    The Joint Commission has unveiled its latest entry in its Speak Up ™program. Released on...

An important reminder about your Accreditation Connection subscription

  • Accreditation Connection, Issue 5, February 3, 2012

    Attention, Accreditation Connection subscribers: in just a few weeks, two of our most popular...

AHAP Staff Challenge: Infection Control

  • Accreditation Insider, Issue 5, January 31, 2012

    True or False: Although hand washing is known to be one of the best ways to reduce the spread of...

Joint Commission releases communication guidelines for stroke, heart failure programs

  • Accreditation Connection, Issue 4, January 27, 2012

    The Joint Commission has released communication guidelines for the organization’s Certified...

Point of Care Coordinator of the Year seeks nominees

  • Accreditation Connection, Issue 4, January 27, 2012

    The American Association of Clinical Chemistry Clinical Point of Care Testing (CPOCT) Division is...

AHAP Staff Challenge: Environment of Care & Life Safety

  • Accreditation Insider, Issue 4, January 24, 2012

    True or False: The standards require a person to be assigned the responsibility and authority to...

From the AHAP Blog: LD.03.01.01 revised

  • Accreditation Insider, Issue 4, January 24, 2012

    The Joint Commission has unveiled prepublication standards, effective July 1, 2012, to Leadership...

Joint Commission releases revisions to lab deeming authority application

  • Accreditation Connection, Issue 3, January 20, 2012

    The Joint Commission has released revisions to the elements of performance (EP) of application for...

LD.03.01.01 revised

  • Accreditation Connection, Issue 3, January 20, 2012

    The Joint Commission has unveiled prepublication standards, effective July 1, 2012, to Leadership...

IL hospitals contribute over $4.6 billion in community benefits

  • Accreditation Connection, Issue 2, January 13, 2012

    According to a report released by the Illinois Hospital Association, Illinois hospitals contributed...

Joint Commission announce 2012 board appointments

  • Accreditation Connection, Issue 2, January 13, 2012

    The Joint Commission has announced the names of its incoming Board of Commissioners for 2012. The...

AHAP Staff Challenge: Provision of care

  • Accreditation Insider, Issue 2, January 10, 2012

    True or False: The time frame allowed to complete an initial patient assessment can be defined by...

Two new accreditation decision rules approved

  • Accreditation Connection, Issue 1, January 6, 2012

    Effective January 1, 2012, two new accreditation decision rules have been approved by The Joint...

Joint Commission releases Easy-to-Read 2012 NPSGs

  • Accreditation Connection, Issue 1, January 6, 2012

    The Joint Commission has released the National Patient Safety Goals (NPSGs) for 2012 in an...

AHAP Staff Challenge: Medication management

  • Accreditation Insider, Issue 1, January 3, 2012

    True or False: Once a hospital has developed its list of sound-alike/look-alike drugs, the list...

AHAP Staff Challenge: Emergency Management

  • Accreditation Insider, Issue 52, December 27, 2011

    True or False: Power failures, loss of water or utilities, floods, and tornados are all examples...

AHAP Staff Challenge: Record of care

  • Accreditation Insider, Issue 51, December 20, 2011

    Which of the following would be considered a medical record history?

Texting while rounding?

  • Accreditation Connection, Issue 51, December 15, 2011

    The Patient Safety Monitor Blog has a fantastic post by writer Tami Swartz that might be of...

From the AHAP Blog: Joint Commission releases new information on flu vaccine standard

  • Accreditation Insider, Issue 50, December 13, 2011

    The Joint Commission has released new information on IC.02.04.01, the Infection Control standard...

Joint Commission proposes revisions to patient flow in the ED

  • Accreditation Connection, Issue 50, December 8, 2011

    The Joint Commission released on December 7, 2011 a set of proposed revisions to the accrediting...

Joint Commission releases new information on flu vaccine standard

  • Accreditation Connection, Issue 50, December 8, 2011

    The Joint Commission has released new information on IC.02.04.01, the Infection Control standard...

AHAP Staff Challenge: Leadership

  • Accreditation Insider, Issue 49, December 6, 2011

    True or False: The hospital’s scope of service must be approved by the governing board.

Joint Commission seeks comments on NPSG addressing overuse of treatments

  • Accreditation Connection, Issue 49, December 2, 2011

    The Joint Commission is proposing a new National Patient Safety Goal (NPSG) addressing growing...

AHAP Staff Challenge: Infection control

  • Accreditation Insider, Issue 48, November 29, 2011

    True or False: Good infection control practices can have a major, positive impact on patient safety...

From the AHAP Blog: Effective date announced for patient-centered communication standards

  • Accreditation Insider, Issue 48, November 29, 2011

    The Joint Commission has announced that the previously approved patient-centered communication...

Kaiser sues nurses’ union over strike

  • Accreditation Connection, Issue 48, November 23, 2011

    Kaiser Permanente's Northern California hospital unit and medical group has filed a lawsuit against...

Three healthcare organizations take home Baldridge Awards

  • Accreditation Connection, Issue 48, November 23, 2011

    Three healthcare organizations were among the winners of this year's Malcolm Baldridge National...

Joint Commission announces new engineering department, names Mills director

  • Accreditation Connection, Issue 48, November 23, 2011

    The Joint Commission has announced the formation of a new Department of Engineering, intended to...

AHAP Staff Challenge: Environment of Care and Life Safety

  • Accreditation Insider, Issue 47, November 22, 2011

    True or False: Hospitals have the option to incorporate all the environment of care (EC) areas...

Joint Commission announces new E-App launch, downtime

  • Accreditation Connection, Issue 47, November 18, 2011

    The Joint Commission has announced that it will launch its newly enhanced electronic application...

Effective date announced for patient-centered communication standards

  • Accreditation Connection, Issue 47, November 18, 2011

    The Joint Commission has announced that the previously approved patient-centered communication...

Texting verbal orders FAQ published

  • Accreditation Connection, Issue 47, November 18, 2011

    The Joint Commission has published an FAQ addresssing texting orders on its Frequently Asked...

AHAP Staff Challenge: Rights, ethics, and communication

  • Accreditation Insider, Issue 46, November 15, 2011

    True or False: Communication is one of the key cornerstones of patient safety and quality care.

From the AHAP Blog: Joint Commission changes term "disruptive behavior" in the standards

  • Accreditation Insider, Issue 46, November 15, 2011

    The Joint Commission has altered the term “disruptive behavior” in the...

Joint Commission changes term "disruptive behavior" in the standards

  • Accreditation Connection, Issue 46, November 10, 2011

    The Joint Commission has altered the term “disruptive behavior” in the...

Joint Commission releases field guide for improving patient care for LGBT community

  • Accreditation Connection, Issue 46, November 10, 2011

    The Joint Commission has released a new field guide urging hospitals to create a more welcoming and...

AHAP still seeks participants for document management survey

  • Accreditation Connection, Issue 46, November 10, 2011

    The Association for Healthcare Accreditation Professionals (AHAP) is still seeking participants in...

AHAP Staff Challenge: Provision of care

  • Accreditation Insider, Issue 45, November 8, 2011

    True or False: It is not necessary for community hospitals to have processes in place for...

Joint Commission and SGS team up for accreditation/ISO program

  • Accreditation Connection, Issue 45, November 4, 2011

    The Joint Commission announced this week that it will work with SGS, a leading verification...

HRET awarded contract toward reduction of catheter-associated infections

  • Accreditation Connection, Issue 45, November 4, 2011

    The Agency for Healthcare Research and Quality has awarded the the American Hospital...

AHAP Staff Challenge: Medication management

  • Accreditation Insider, Issue 44, November 1, 2011

    True or False: A hospital may use some discretion when developing its list of...

FDA launches initiative to prevent surgical fires

  • Accreditation Connection, Issue 44, October 28, 2011

    The US Food and Drug Administration (FDA) has launched a new initiative and program designed to...

New FAQ posted on storing laryngoscope blades

  • Accreditation Connection, Issue 44, October 28, 2011

    The Joint Commission has posted its latest Frequently Asked Question (FAQ) information, discussing...

Joint Commission seeks feedback for EM drills for home care program

  • Accreditation Connection, Issue 44, October 28, 2011

    The Joint Commission is looking to the field for feedback on proposed revisions to its home care...

AHAP Staff Challenge: Emergency Management

  • Accreditation Insider, Issue 43, October 25, 2011

    True or False: When developing your Emergency Operations Plan, you should seek input from medical...

From the AHAP Blog: Joint Commission Critical Access Hospital Accreditation program receives CMS recognition

  • Accreditation Insider, Issue 43, October 25, 2011

    The Centers for Medicare and Medicaid Services (CMS) have granted deeming authority to The Joint...

Joint Commission Critical Access Hospital Accreditation program receives CMS recognition

  • Accreditation Connection, Issue 43, October 21, 2011

    The Centers for Medicare and Medicaid Services (CMS) have granted deeming authority to The Joint...

HFAP appoints new director of accreditation services

  • Accreditation Connection, Issue 43, October 21, 2011

    The Healthcare Facilities Accreditation Program (HFAP) announced it has named a new director of...

AHAP Staff Challenge: Medication safety

  • Accreditation Insider, Issue 42, October 18, 2011

    True or False: Heparin should be administered continuously, via a programmable pump, intravenously...

Accreditation in fiction

  • Accreditation Connection, Issue 42, October 14, 2011

    The following topic is being discussed in the Association for Healthcare Accreditation...

Study finds performance trends tied to Joint Commission accreditation

  • Accreditation Connection, Issue 42, October 14, 2011

    A recent study published in the Journal of Hospital Medicine found that hospitals accredited by The...

AHAP Staff Challenge: Communication

  • Accreditation Insider, Issue 41, October 11, 2011

    True or False: Hospitals must define critical test/ procedure values/results.

Enhanced certification alliance expands connection between Joint Commission and American Heart Association

  • Accreditation Connection, Issue 41, October 7, 2011

    In order to help organizations provide even better care through Certified Primary Stroke Centers...

AHAP Staff Challenge: Universal protocol

  • Accreditation Insider, Issue 40, October 4, 2011

    True or False: The Universal Protocol applies to both surgical and non-surgical invasive...

From the AHAP Blog: Joint Commission releases R3 report looking at CAUTI

  • Accreditation Insider, Issue 40, October 4, 2011

    The Joint Commission has just released a new R3 report examining the 2012 National Patient Safety...

Cappiello named COO of Healthcare Facilities Accreditation Program

  • Accreditation Connection, Issue 40, October 3, 2011

    Joseph L. Cappiello has been appointed new Chief Operating Officer of the Chicago-based Healthcare...

Joint Commission releases R3 report looking at CAUTI

  • Accreditation Connection, Issue 40, October 3, 2011

    The Joint Commission has just released a new R3 report examining the 2012 National Patient Safety...

First Disease-Specific Care certifications for nursing homes issued by Joint Commission

  • Accreditation Connection, Issue 40, October 3, 2011

    The Joint Commission has announced that to Illinois nursing homes have become the first facilities...

AHAP Staff Challenge: Risk assessment

  • Accreditation Insider, Issue 39, September 27, 2011

    Complete this sentence: On an inpatient psychiatric unit, staffed 24 hours a day, seven days a...

New performance measurement program provides incentives for excellence

  • Accreditation Connection, Issue 36, September 2, 2011

    The Joint Commission has announced it will launch a program for performance measurement recognition...

Joint Commission to launch E-App enhancements in October

  • Accreditation Connection, Issue 36, September 2, 2011

    The Joint Commission has announced it will implement new enhancements to its electronic application...

Study shows temporary ED nurses a potential safety threat

  • Accreditation Connection, Issue 36, September 2, 2011

    Temporary emergency room nurses who are unfamiliar with their surroundings may inadvertently be a...

Latest Sentinel Event Alert focuses on radiation risks

  • Accreditation Connection, Issue 35, August 26, 2011

    The Joint Commission has released its 47th Sentinel Event Alert, this time targeting the risks...

Joint Commission announces new president of JCR and JCI

  • Accreditation Connection, Issue 35, August 26, 2011

    The Joint Commission has announced a new head of Joint Commission Resources (JCR) and Joint...

Joint Commission posts "Sudden Cardiac Arrest Initiatives" publication

  • Accreditation Connection, Issue 34, August 19, 2011

    The Joint Commission unveiled this week a free PDF publication entitled “Sudden Cardiac...

First Primary Care Medical Home option awarded

  • Accreditation Connection, Issue 34, August 19, 2011

    The Joint Commission has awarded the first Primary Care Medical Home (PCMH) award to AltaMed Health...

Joint Commission continues telemedicine discussion with CMS

  • Accreditation Connection, Issue 33, August 12, 2011

    The Joint Commission stated this week that is has submitted proposed changes to its standards...

John M. Eisenberg Patient Safety and Quality Award accepting nominations

  • Accreditation Connection, Issue 33, August 12, 2011

    The John M. Eisenberg Patient Safety and Quality Award is now accepting nominations for the 2011...

From the AHAP Blog: Telemedicine pre-pub standards available

  • Accreditation Insider, Issue 32, August 9, 2011

    The Joint Commission has published its prepublication standards for telemedicine (LD.04.03.09 and...

Irish law would require admission of medical mistakes

  • Accreditation Connection, Issue 32, August 5, 2011

    In an effort to ensure more reporting of adverse events, Minister for Health James Reilly is...

Joint Commission releases two new educational videos

  • Accreditation Connection, Issue 32, August 5, 2011

    As part of its ongoing "Speak Up" ™ campaign, The Joint Commission has unveiled its...

Telemedicine prepublication standards released

  • Accreditation Connection, Issue 32, August 5, 2011

    The Joint Commission has published its prepublication standards for telemedicine (LD.04.03.09 and...

Joint Commission recommends a look at sterilization and high-level disinfection

  • Accreditation Connection, Issue 31, July 27, 2011

    In a recent announcement, The Joint Commission has urged hospitals and other accredited...

Surgical standardization a takeaway from AHA Leadership Summit

  • Accreditation Connection, Issue 31, July 27, 2011

    HealthLeaders Media reporter Cheryl Clark attended the American Hospital Association’s...

Most challenging standards chapter?

  • Accreditation Connection, Issue 31, July 27, 2011

    The Association for Healthcare Accreditation Professionals (AHAP) is currently running a survey...

AHAP Staff Challenge: Performance improvement

  • Accreditation Insider, Issue 30, July 26, 2011

    When core measures data are out of compliance for _____________ or more consecutive quarters, you...

AHAP Staff Challenge: Environment of Care

  • Accreditation Insider, Issue 29, July 19, 2011

    Needle boxes should be removed when they are _____________.

What’s new with AHAP!

  • Accreditation Insider, Issue 29, July 19, 2011

    New Survey

AHAP Staff Challenge: Infection control

  • Accreditation Insider, Issue 28, July 12, 2011

    True or false: Surgical hand and forearm scrubs should follow manufacturer instructions but are...

Joint Commission announces improved E-App later in 2011

  • Accreditation Connection, Issue 28, July 8, 2011

    The Joint Commission announced recently that its electronic application for accreditation (E-App...

Last chance to participate in AHAP tracer survey

  • Accreditation Connection, Issue 27, July 1, 2011

    The Association for Healthcare Accreditation Professionals (AHAP) recently launched a survey for...

AHAP launches benchmarking survey on tracers

  • Accreditation Connection, Issue 26, June 24, 2011

    The Association for Healthcare Accreditation Professionals (AHAP) has launched its latest...

AHAP Staff Challenge: Restraint and seclusion

  • Accreditation Insider, Issue 25, June 21, 2011

    Would a patient death while in restraint or seclusion be considered a sentinel event?

AHAP shares survey results on restraint and seclusion

  • Accreditation Connection, Issue 24, June 10, 2011

    The Association for Healthcare Accreditation Professionals (AHAP) surveys its members regularly on...

Website hosts combined efforts for improving medical labs

  • Accreditation Connection, Issue 24, June 10, 2011

    Lab Advantage ™ has launched a new web site to help highlight the concerted efforts of The...

Joint Commission releases latest educational video

  • Accreditation Connection, Issue 23, June 3, 2011

    The Joint Commission has released the latest in a series of short animated videos in its Speak Up...

AHAP unveils salary survey results

  • Accreditation Connection, Issue 23, June 3, 2011

    In 2010, the annual Association for Healthcare Accreditation Professionals (AHAP) salary survey...

From the AHAP Blog: ANA praises Joint Commission standards for nurse-led medical homes

  • Accreditation Insider, Issue 22, May 31, 2011

    The American Nurses Association (ANA) issued a press release applauding The Joint Commission for...

AHAP Staff Challenge: Communication

  • Accreditation Insider, Issue 21, May 24, 2011

    True or false: We need to define what are critical values, as well as the time frames for...

From the AHAP Blog: New NPSG announced

  • Accreditation Insider, Issue 21, May 24, 2011

    They Joint Commission has approved a new National Patient Safety Goal (NPSG) set to go into effect...

Joint Commission posts new FAQs for HR standards

  • Accreditation Connection, Issue 22, May 24, 2011

    The Joint Commission has issued a new set of Frequently Asked Questions (FAQ) for its Human...

Comment period for Advanced Certification in Heart Failure Measures open

  • Accreditation Connection, Issue 22, May 24, 2011

    The Joint Commission has announced that it is seeking comment on the proposed specifications for...

Greeley Reflections

  • Accreditation Connection, Issue 22, May 24, 2011

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

Joint Commission announces launch of new Disease-Specific Careprogram

  • Accreditation Connection, Issue 21, May 20, 2011

    The Joint Commission has announced that its latest Disease-Specific Care (DSC) certification...

Greeley Reflections

  • Accreditation Connection, Issue 21, May 20, 2011

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

From the AHAP Blog: Joint Commission calls CMS revised telemedicine standards a "positive step"

  • Accreditation Insider, Issue 20, May 17, 2011

    The Joint Commission has released an official statement reacting to revisions by the Centers for...

Greeley Reflections

  • Accreditation Connection, Issue 20, May 13, 2011

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

Joint Commission calls CMS revised telemedicine standards a "positive step"

  • Accreditation Connection, Issue 20, May 13, 2011

    The Joint Commission has released an official statement reacting to revisions by the Centers for...

Joint Commission seeks volunteer hospitals to test new performance measures

  • Accreditation Connection, Issue 20, May 13, 2011

    The Joint Commission is in the process of developing Sudden Cardiac Arrest performance measures...

AHAP Staff Challenge: Universal protocol

  • Accreditation Insider, Issue 19, May 10, 2011

    The Joint Commission requires which of the following?

Joint Commission releases new animated Speak Up video

  • Accreditation Connection, Issue 19, May 6, 2011

    The Joint Commission released this week the latest in a line of animated short videos as part of...

CMS posts telemedicine final rule in Federal Register

  • Accreditation Connection, Issue 19, May 6, 2011

    The Centers for Medicare and Medicaid Services (CMS) have released a much-anticipated final rule...

Greeley Reflections

  • Accreditation Connection, Issue 19, May 6, 2011

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

AHAP Staff Challenge: Evidence of standards compliance

  • Accreditation Insider, Issue 18, May 3, 2011

    True or false: "A" EPs without an MOS require at least four months of monitoring.

Research shows simple post-surgical step reduces infections

  • Accreditation Connection, Issue 18, April 28, 2011

    According to the latest edition of the Archive of Surgery, a basic bedside technique of gently...

Greeley Reflections

  • Accreditation Connection, Issue 18, April 28, 2011

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

AHAP Staff Challenge: Infection control

  • Accreditation Insider, Issue 17, April 26, 2011

    True or false: Hands should be cleaned after taking a patient's pulse, moving the patient up in...

From the AHAP Blog: Joint Commission and FDA target alarm fatigue

  • Accreditation Insider, Issue 17, April 26, 2011

    The Joint Commission recently told The Boston Globe that it would work with the Food and Drug...

AHAP conference features data management tips

  • Accreditation Connection, Issue 17, April 22, 2011

    The 5th Annual Association for Healthcare Accreditation Professionals (AHAP) Conference will...

Joint Commission and FDA target alarm fatigue

  • Accreditation Connection, Issue 17, April 22, 2011

    The Joint Commission recently told The Boston Globe that it would work with the Food and Drug...

Joint Commission opens two new field reviews

  • Accreditation Connection, Issue 17, April 22, 2011

    The Joint Commission is seeking feedback on two separate field reviews, both closing in early May...

Greeley Reflections

  • Accreditation Connection, Issue 17, April 22, 2011

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

AHAP Conference features panel discussion

  • Accreditation Connection, Issue 16, April 15, 2011

    This year's Association for Healthcare Accreditation Professionals (AHAP) Annual conference will...

Greeley Reflections

  • Accreditation Connection, Issue 16, April 15, 2011

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

From the AHAP Blog: Animated short reminds people to "Speak Up"

  • Accreditation Insider, Issue 15, April 12, 2011

    The Joint Commission’s Speak Up ™ campaign has launched the second in a series of...

Joint Commission releases additional FAQs

  • Accreditation Connection, Issue 15, April 8, 2011

    The Joint Commission has announced that several additional Frequently Asked Questions (FAQ) have...

Animated short encourages patients to be engaged in healthcare

  • Accreditation Connection, Issue 15, April 8, 2011

    The Joint Commission’s Speak Up ™ campaign has launched the second in a series of...

Greeley Reflections

  • Accreditation Connection, Issue 15, April 8, 2011

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

From the AHAP Blog: Joint Commission to release update to manual in April

  • Accreditation Insider, Issue 14, April 5, 2011

    The Joint Commission announced this week that its annual “Update 1″ to its...

Joint Commission to release update to manual in April

  • Accreditation Connection, Issue 14, April 1, 2011

    The Joint Commission announced this week that its annual "Update 1" to its accreditation...

Joint Commission posts new FAQs

  • Accreditation Connection, Issue 14, April 1, 2011

    The Joint Commission has posted a significant number of new FAQs on the following topics...

Greeley Reflections

  • Accreditation Connection, Issue 14, April 1, 2011

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

National Healthcare Decisions Day is April 16, 2011

  • Accreditation Connection, Issue 13, March 25, 2011

    National Healthcare Decisions Day, an event intended to encourage patients to express their wishes...

AHAP Staff Challenge: Evidence of standards compliance

  • Accreditation Insider, Issue 12, March 22, 2011

    True or false: When providing data for an MOS, four monthly data points are required.

From the AHAP Blog: Joint Commission releases new BoosterPak

  • Accreditation Insider, Issue 12, March 22, 2011

    The Joint Commission has posted the latest in a series of BoosterPaks ™ to assist hospitals...

What’s new with AHAP!

  • Accreditation Insider, Issue 12, March 22, 2011

    The AHAP team selected at random our first winner for our AHAP Conference giveaway. We received a...

Joint Commission releases new BoosterPak

  • Accreditation Connection, Issue 12, March 18, 2011

    The Joint Commission has posted the latest in a series of BoosterPaks ™ to assist hospitals...

Two MS.01.01.01 FAQs posted

  • Accreditation Connection, Issue 12, March 18, 2011

    The Joint Commission has posted two new Frequently Asked Questions (FAQ) on the ever-challenging...

AHAP Conference announces 2011 agenda

  • Accreditation Connection, Issue 12, March 18, 2011

    The formal agenda for this year’s Association for Healthcare Accreditation Professionals...

Greeley Reflections

  • Accreditation Connection, Issue 12, March 18, 2011

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

AHAP Staff Challenge: Universal protocol

  • Accreditation Insider, Issue 5, March 15, 2011

    True or false: Pre-procedure verification is an ongoing process where information is gathered...

What’s new with AHAP!

  • Accreditation Insider, Issue 11, March 15, 2011

    AHAP Conference Contest

Joint Commission launches latest Speak Up program

  • Accreditation Connection, Issue 11, March 11, 2011

    The Joint Commission has launched the latest in its ongoing Speak Up™ campaign, this time...

Greeley Reflections

  • Accreditation Connection, Issue 11, March 11, 2011

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

AHAP Staff Challenge: Evidence of standards compliance

  • Accreditation Insider, Issue 10, March 8, 2011

    True or false: "A" EPs without an MOS require at least four months of monitoring.

What’s new with AHAP!

  • Accreditation Insider, Issue 10, March 8, 2011

    AHAP Conference Contest winner!

CMS recognizes Joint Commission for psychiatric hospital accreditation

  • Accreditation Connection, Issue 10, March 4, 2011

    CMS announced that is has granted deemed status to The Joint Commission for the accreditation of...

AHAP Staff Challenge: Communication

  • Accreditation Insider, Issue 9, March 1, 2011

    True or false: Hospitals must establish time frames for the reporting of critical results AND they...

From the AHAP blog: Hospitals failing on communication compliance

  • Accreditation Insider, Issue 9, March 1, 2011

    Two former language-expert hospital administrators in conjunction with Language Line Services have...

Joint Commission opens field review for Primary Care Home program

  • Accreditation Connection, Issue 9, February 25, 2011

    The Joint Commission has launched its field review of its Primary Care Home program and is...

Greeley Reflections

  • Accreditation Connection, Issue 9, February 25, 2011

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

AHAP Staff Challenge: Restraint and seclusion

  • Accreditation Insider, Issue 8, February 22, 2011

    True or false: CMS exempts hospitals that use The Joint Commission for deemed status from having...

AHAP contest brings out the best

  • Accreditation Connection, Issue 8, February 17, 2011

    The Association for Healthcare Accreditation Professionals (AHAP) recently announced a contest for...

Deadline for implementing telemedicine requirements extended

  • Accreditation Connection, Issue 8, February 17, 2011

    The Joint Commission announced this week that, because the Centers for Medicare & Medicaid...

Greeley Reflections

  • Accreditation Connection, Issue 8, February 17, 2011

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

AHAP sponsors conference giveaway

  • Accreditation Connection, Issue 7, February 11, 2011

    The Association for Healthcare Accreditation Professionals (AHAP) announced this week that they...

Joint Commission updates sentinel event page

  • Accreditation Connection, Issue 7, February 11, 2011

    The Joint Commission has updated its sentinel event statistics webpage with the latest statistics...

Greeley Reflections

  • Accreditation Connection, Issue 7, February 11, 2011

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

New FAQ published for lab services standards

  • Accreditation Connection, Issue 6, February 4, 2011

    The Joint Commission has published a new Frequently Asked Question (FAQ) clarifying a common point...

EP deleted from Medication Management standards

  • Accreditation Connection, Issue 5, January 28, 2011

    A change to the Elements of Performance (EP) for The Joint Commission’s Medication Management...

Joint Commission proposes performance expectations for ORYX measures

  • Accreditation Connection, Issue 5, January 28, 2011

    The Joint Commission has opened for field review a proposed requirement intended to establish...

Greeley Reflections

  • Accreditation Connection, Issue 5, January 28, 2011

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

2010 John M. Eisenberg winners announced

  • Accreditation Connection, Issue 4, January 21, 2011

    The Joint Commission has announced the recipients of this year’s John M. Eisenberg Patient...

Greeley Reflections

  • Accreditation Connection, Issue 4, January 21, 2011

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

What’s new with AHAP!

  • Accreditation Insider, Issue 3, January 18, 2011

    The new benchmarking report has been added to the AHAP website, and is now available for download.

New standards changes towards CMS compliance

  • Accreditation Connection, Issue 3, January 14, 2011

    As part of the organization’s ongoing process to comply with CMS Conditions of Participation...

Joint Commission to align with CMS changes to patient visitation CoPs

  • Accreditation Connection, Issue 3, January 14, 2011

    CMS has recently updated its requirements under the Conditions of Participation (CoP) for patient...

Greeley Reflections

  • Accreditation Connection, Issue 3, January 14, 2011

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

AHAP Staff Challenge: Suicide Risk Assessment

  • Accreditation Insider, Issue 2, January 11, 2011

    True or false: Patient and family education is a critical component when discharging a patient who...

From the AHAP Blog: NPSG field review still open for comment

  • Accreditation Insider, Issue 2, January 11, 2011

    The Joint Commission continues to request comments on its proposed National Patient Safety Goals...

What’s new with AHAP!

  • Accreditation Insider, Issue 2, January 11, 2011

    AHAP’s next working group call will take place on January 25th at 3 pm EST (2 pm Central...

NPSG field review still open for comment

  • Accreditation Connection, Issue 2, January 7, 2011

    The Joint Commission continues to request comments on its proposed National Patient Safety Goals...

Boston hospital admits three spinal surgery errors in two months

  • Accreditation Connection, Issue 2, January 7, 2011

    Boston’s Beth Israel Deaconess Medical Center is in the spotlight after its surgeons made...

Greeley Reflections

  • Accreditation Connection, Issue 2, January 7, 2011

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

From the AHAP Blog: Center for transforming healthcare releases new video

  • Accreditation Insider, Issue 1, January 4, 2011

    The Joint Commission’s Center for Transforming Healthcare has published a new online video...

Joint Commission appoints new chief medical officer

  • Accreditation Connection, Issue 1, December 29, 2010

    The Joint Commission has announced Ana Pujols-McKee, MD, will take on the role of the accrediting...

Center for Transforming Healthcare releases new video

  • Accreditation Connection, Issue 1, December 29, 2010

    The Joint Commission’s Center for Transforming Healthcare has published a new online video...

Greeley Reflections

  • Accreditation Connection, Issue 1, December 29, 2010

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

From the AHAP Blog: Joint Commission launches new lab standards for 2011

  • Accreditation Insider, Issue 51, December 28, 2010

    Updated and revised laboratory standards have been announced by the Joint Commission, to go into...

What’s new with AHAP!

  • Accreditation Insider, Issue 51, December 28, 2010

    Keep an eye out for the latest AHAP Insider in your email inboxes—the latest updates on AHAP...

Joint Commission announces new lab standards in 2011

  • Accreditation Connection, Issue 52, December 22, 2010

    Updated and revised laboratory standards have been announced by the Joint Commission. These changes...

Greeley Reflections

  • Accreditation Connection, Issue 52, December 22, 2010

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

Field review for proposed VAP/CAUTI NPSGs

  • Accreditation Connection, Issue 51, December 17, 2010

    The Joint Commission has opened 2012 National Patient Safety Goals (NSPG) for ventilator-associated...

Joint Commission announces revisions to medication reconciliation goal

  • Accreditation Connection, Issue 51, December 17, 2010

    Medication reconciliation has received a facelift: revisions to the medication reconciliation...

Greeley Reflections

  • Accreditation Connection, Issue 6, December 17, 2010

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

Joint Commissions announces revision to medication reconciliation goal

  • Accreditation Insider, Issue 49, December 14, 2010

    Medication reconciliation has received a facelift: revisions to the medication reconciliation...

Joint Commission updates sentinel event statistics

  • Accreditation Connection, Issue 50, December 8, 2010

    The Joint Commission has updated its website with its latest sentinel event statistics. As of...

Joint Commission updates public information policy

  • Accreditation Connection, Issue 50, December 8, 2010

    In a recent announcement on their Web site, The Joint Commission has updated the language of its...

Greeley Reflections

  • Accreditation Connection, Issue 50, December 8, 2010

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

Joint Commission releases new website

  • Accreditation Connection, Issue 49, December 1, 2010

    The Joint Commission has launched extensive upgrades to its website in order to improve access to...

Greeley Reflections

  • Accreditation Connection, Issue 48, November 24, 2010

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

ED directors report inadequate emergency surgery coverage

  • Accreditation Connection, Issue 48, November 24, 2010

    The majority of ED directors participating in a survey reported inadequate staff coverage for...

What’s new with AHAP!

  • Accreditation Insider, Issue 46, November 23, 2010

    Save the date!

Joint Commission reduces full survey timeframe from 39 to 36 months

  • Accreditation Connection, Issue 47, November 19, 2010

    The Joint Commission will reduce the timeframe for surveys by three months. This new rule will go...

Joint Commission issues suicide risk Sentinel Event Alert

  • Accreditation Connection, Issue 47, November 19, 2010

    the Joint Commission’s latest Sentinel Event Alert targets suicide risk in the...

What's new with AHAP!

  • Accreditation Insider, Issue 45, November 16, 2010

    Save the date!

Joint Commission launches library of best practices

  • Accreditation Connection, Issue 46, November 12, 2010

    The Joint Commission has launched the much-discussed “Leading Practice Library,” in...

Joint Commission still accepting comments on heart failure certification proposed requirements

  • Accreditation Connection, Issue 46, November 12, 2010

    The Joint Commission issued a reminder this week that it is still collecting opinions from the...

Joint Commission's Target Solutions Tool makes headway

  • Accreditation Insider, Issue 44, November 9, 2010

    The Joint Commission’s Target Solutions Tool™ (TST) launched in September has made...

Joint Commission hand hygiene project makes progress

  • Accreditation Connection, Issue 45, November 5, 2010

    The Joint Commission’s Target Solutions Tool™ (TST) launched in September has made...

Joint Commission announces diabetes Speak Up campaign

  • Accreditation Connection, Issue 45, November 5, 2010

    The Joint Commission announced this week a new brochure, as part of its Speak Up™ campaign...

Clarification of informed consent standards

  • Accreditation Insider, Issue 43, November 2, 2010

    The Joint Commission has added a clarification to standard RC.02.01.01, EP 4, under the Record of...

Clarification of informed consent standards

  • Accreditation Connection, Issue 44, October 29, 2010

    The Joint Commission has added a clarification to stanadrd RC.o2.01.01, EP 4, under the Record of...

Center for Transforming Healthcare announces leadership council

  • Accreditation Connection, Issue 44, October 29, 2010

    The Joint Commission’s Center for Transforming Healthcare has announced the makeup of its new...

Greeley Reflections

  • Accreditation Connection, Issue 44, October 29, 2010

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

Hand-off communication solutions revealed by CTH

  • Accreditation Insider, Issue 42, October 26, 2010

    The Joint Commission’s Center for Transforming Healthcare (CTH) has announced the second in...

Greeley Reflections

  • Accreditation Connection, Issue 43, October 22, 2010

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

Hand-off communication solutions revealed by CTH

  • Accreditation Connection, Issue 43, October 22, 2010

    The Joint Commission’s Center for Transforming Healthcare (CTH) has announced the second in...

2011 accreditation and certification categories

  • Accreditation Connection, Issue 43, October 22, 2010

    The Joint Commission announced this week that new accreditation and certification decision...

Greeley Reflections

  • Accreditation Connection, Issue 42, October 15, 2010

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

CMS updates requirements for ordering respiratory services

  • Accreditation Connection, Issue 42, October 15, 2010

    In order to comply with changes to CMS Conditions of Participation for hospitals regarding who may...

Joint Commission manual update expected in late October

  • Accreditation Connection, Issue 42, October 15, 2010

    The Joint Commission has announced that there has been a slight delay in the publication of its...

Watch for Update 2

  • Accreditation Connection, Issue 41, October 8, 2010

    The Joint Commission has stated that "Update 2" to its comprehensive manuals will mail in...

Joint Commission issues reminder of MS.01.01.01 changes

  • Accreditation Connection, Issue 41, October 8, 2010

    the Joint Commission published a brief reminder this week that changes to Medical Staff standard...

Lab standard field review closing date approaches

  • Accreditation Insider, Issue 39, October 5, 2010

    The Joint Commission continues to accept comments from the field on new and revised laboratory...

Lab standard field review closing date approaches

  • Accreditation Connection, Issue 40, October 1, 2010

    The Joint Commission continues to accept comments from the field on new and revised laboratory...

Joint Commission appoints 21 to advisory council

  • Accreditation Connection, Issue 40, October 1, 2010

    The Joint Commission announced this week the appointment of 21 new members from across the country...

NPSG.01.03.01 EP 1 revised

  • Accreditation Connection, Issue 39, September 24, 2010

    The Joint Commission has announced that Element of Performance (EP) 1 of National Patient Safety...

Most cited standards updated

  • Accreditation Connection, Issue 39, September 24, 2010

    The Joint Commission has provided its most challenging standards list for the first half of 2010...

Greeley Reflections

  • Accreditation Connection, Issue 39, September 24, 2010

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

Joint Commission seeks feedback on field review for lab standards

  • Accreditation Connection, Issue 38, September 17, 2010

    The Joint Commission has posted for public comment new and revised lab standards for 2011. The...

Joint Commission launches Targeted Solutions Tool

  • Accreditation Connection, Issue 38, September 17, 2010

    The Joint Commission has announced the launch of the Targeted Solutions Tool™ (TST), an...

Greeley Reflections

  • Accreditation Connection, Issue 38, September 17, 2010

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

Joint Commission set to launch primary care home option

  • Accreditation Insider, Issue 37, September 14, 2010

    The Joint Commission intents to expand its ambulatory health care organization accreditation...

Joint Commission proposes new and revised lab standards for 2011

  • Accreditation Connection, Issue 37, September 10, 2010

    The Joint Commission has posted new and revised laboratory services standards for 2011 for field...

AHAP Staff Challenge: Patient identification

  • Accreditation Insider, Issue 36, September 7, 2010

    True or false: It is not necessary to use two patient identifiers when you are administering...

From the AHAP Blog: Joint Commission reminder: How to comment on standards

  • Accreditation Insider, Issue 36, September 7, 2010

    The Joint Commission issued a brief reminder to organizations on how to provide feedback and...

Joint Commission appoints new Director of Business Excellence

  • Accreditation Connection, Issue 36, September 3, 2010

    The Joint Commission has announced the appointment of Alex Vandiver, MBB, as director of Business...

Joint Commission reminder: How to comment on standards

  • Accreditation Connection, Issue 36, September 3, 2010

    The Joint Commission issued a brief reminder to organizations on how to provide feedback and...

From the AHAP Blog: Center for Transforming Healthcare hand hygiene compliance project

  • Accreditation Insider, Issue 35, August 31, 2010

    The Joint Commission Center for Transforming Healthcare has announced it will release a tool...

What's new with AHAP!

  • Accreditation Insider, Issue 35, August 31, 2010

    Fall Working Group call We are currently looking for ideas or potential speakers for our fall...

Center for Transforming Healthcare hand hygiene compliance project

  • Accreditation Connection, Issue 35, August 27, 2010

    The Joint Commission Center for Transforming Healthcare has announced it will release a tool...

PC.02.01.05 revisions released

  • Accreditation Connection, Issue 35, August 27, 2010

    PC.02.01.05, element of performance (EP) 2, has been updated in order to meet requirements...

Staff Challenge of the Week: Environment of care

  • Accreditation Insider, Issue 34, August 24, 2010

    True or false: Hospitals should perform a risk assessment to determine what areas of the hospital...

Joint Commission updates Sentinel Event statistics

  • Accreditation Connection, Issue 34, August 20, 2010

    The Joint Commission released this week its most recent figures for sentinel event reporting...

Joint Commission releases latest list of most challenging requirements

  • Accreditation Connection, Issue 34, August 20, 2010

    The Joint Commission announced this week its most challenging requirements list for the first half...

What’s new with AHAP!

  • Accreditation Insider, Issue 33, August 16, 2010

    AHAP would like to remind any members who would like to participate in our upcoming benchmarking...

From the AHAP Blog: Universal Protocol feedback

  • Accreditation Insider, Issue 33, August 16, 2010

    The Joint Commission seeks feedback on revisions to the 2010 version of Universal Protocol...

Staff Challenge of the Week: Suicide risk assessment

  • Accreditation Insider, Issue 33, August 16, 2010

    True or false: Patient and family education is a critical component when discharging a patient who...

Medication Reconciliation update

  • Accreditation Connection, Issue 32, August 6, 2010

    The Joint Commission announced this week the results of a July 27 discussion of the results of its...

Joint Commission releases new free monograph

  • Accreditation Connection, Issue 32, August 6, 2010

    The Joint Commission has released its most recent free downloadable monograph. This document...

’Speak Up’ campaign targets patient falls

  • Accreditation Connection, Issue 31, July 30, 2010

    In late July, The Joint Commission released an update to its popular “Speak Up&rdquo...

Interim Staffing Effectiveness standards to receive field review

  • Accreditation Connection, Issue 31, July 30, 2010

    The Joint Commission has announced that it will undertake a follow-up field review for two proposed...

Healthcare systems with more than one hospital can opt for concurrent survey

  • Accreditation Connection, Issue 30, July 26, 2010

    Those healthcare systems with more than one hospital or other accredited body organized as a single...

Joint Commission looks to refine, improve tracer methodology

  • Accreditation Connection, Issue 28, July 12, 2010

    The Joint Commission is looking to refine and improve its tracer methodology, according to an...

Briefings on The Joint Commission July 2010

  • Briefings on Accreditation and Quality, Issue 7, July 1, 2010

    Inside: Learn methods to improve continual readiness CRR data collection tool (pdf...

Learn methods to improve continual readiness

  • Briefings on Accreditation and Quality, Issue 7, July 1, 2010

    Sometimes, it’s all about implementation. When Northwest Texas Healthcare System (NWTHS) in...

It's time to dust off staffing effectiveness: Take steps to prepare for the July 1 implementation date

  • Briefings on Accreditation and Quality, Issue 7, July 1, 2010

    On July 1, The Joint Commission resumed surveying for the new version of staffing effectiveness...

Keeping up with education and training with The Joint Commission and CMS

  • Briefings on Accreditation and Quality, Issue 7, July 1, 2010

    Education and training for hospital staff has always been time-consuming and costly for both...

Patients benefit at CTCA from restraint-free care

  • Briefings on Accreditation and Quality, Issue 7, July 1, 2010

    Facilities across the country struggle daily with the challenges inherent to the use of restraints...

National Patient Safety Goals Element of Performance revisions

  • Accreditation Connection, Issue 26, June 28, 2010

    The Joint Commission announced revisions to four Elements of Performance within the National...

The Joint Commission pushes back telemedicine requirements until March 2011

  • Accreditation Connection, Issue 24, June 14, 2010

    The Joint Commission's plan to implement CMS telemedicine standards for hospitals, both acute and...

The Joint Commission releases its latest sentinel event alert

  • Accreditation Connection, Issue 23, June 7, 2010

    The Joint Commission has released its latest Sentinel Event Alert, this time on preventing violence...

Briefings on The Joint Commission June 2010

  • Briefings on Accreditation and Quality, Issue 6, June 1, 2010

    Inside: Start from the beginning Focused Professional Practice Evaluation: Keep it simple Joint...

Start from the beginning

  • Briefings on Accreditation and Quality, Issue 6, June 1, 2010

    When Heather Forbes, RN, BSN, CEN, CSHA, HACP, accreditation and regulatory coordinator at Southern...

Focused Professional Practice Evaluation: Keep it simple

  • Briefings on Accreditation and Quality, Issue 6, June 1, 2010

    In 2007, The Joint Commission issued the Focused Professional Practice Evaluation (FPPE) standard...

MS.01.01.01 changes spell end to standard controversy

  • Briefings on Accreditation and Quality, Issue 6, June 1, 2010

    For years, the Medical Staff standard MS.01.01.01 has been a battleground for hospitals—an...

ASHP comments on proposed revisions to medication reconciliation

  • Accreditation Connection, Issue 22, May 31, 2010

    The American Society of Health-System Pharmacists (ASHP) is happy with the proposed revisions made...

The Joint Commission releases updated list of Measure of Success requirements

  • Accreditation Connection, Issue 21, May 24, 2010

    The Joint Commission has followed up its announcement regarding deletion of Measures of Success for...

The Joint Commission releases most challenging requirements of 2009

  • Accreditation Connection, Issue 20, May 17, 2010

    The Joint Commission has published a list of the most challenging requirements identified in 2009...

The Joint Commission suspends 'automatic' sentinel event adverse decision

  • Accreditation Connection, Issue 20, May 17, 2010

    The Joint Commission has suspended the policy that triggers an "automatic" adverse...

Joint Commission clarifies IM standards

  • Accreditation Connection, Issue 19, May 10, 2010

    The Joint Commission has announced a clarification on Information Management standard IM.02.02.01...

Briefings on The Joint Commission May 2010

  • Briefings on Accreditation and Quality, Issue 5, May 1, 2010

    Every month, Briefings on The Joint Commission brings you the latest news in Joint Commission...

Hospital uses pocket-sized handout to improve core measures compliance

  • Briefings on Accreditation and Quality, Issue 5, May 1, 2010

    Core measures—they’re a part of the fabric of hospital life, particularly given their...

A look at CMS' newest anesthesia standards

  • Briefings on Accreditation and Quality, Issue 5, May 1, 2010

    The new guidelines contain information on the supervision of a certified registered nurse...

Demystifying Ongoing Professional Practice Evaluation

  • Briefings on Accreditation and Quality, Issue 5, May 1, 2010

    In 2007, when The Joint Commission issued the Ongoing Professional Practice Evaluation (OPPE...

Ongoing safety assessment in the psychiatric milieu

  • Briefings on Accreditation and Quality, Issue 5, May 1, 2010

    National Patient Safety Goal NPSG.15.01.01 requires that patients being treated for emotional or...

MS.01.01.01: Revisions to standard receive approval

  • Briefings on Accreditation and Quality, Issue 5, May 1, 2010

    Medical Staff standard MS.01.01.01 has undergone quite a journey over the years. The standard, once...

The Joint Commission reinstates anti-discrimination requirements to Leadership standards

  • Accreditation Connection, Issue 17, April 26, 2010

    The Joint Commission has announced it will reinstate an anti-discrimination requirement which had...

Briefings on The Joint Commission April 2010

  • Briefings on Accreditation and Quality, Issue 4, April 1, 2010

    Every month, Briefings on The Joint Commission brings you the latest news in Joint Commission...

Joint Commission Survey Activity Guide for Hospitals

  • Briefings on Accreditation and Quality, Issue 4, April 1, 2010

    Did you happen to note that the Survey Activity Guide (SAG) was last updated by The Joint...

A look at CMS' newest anesthesia standards

  • Briefings on Accreditation and Quality, Issue 4, April 1, 2010

    The Centers for Medicare & Medicaid Services (CMS) published revised interpretive guidelines...

Issues surrounding the PPR

  • Briefings on Accreditation and Quality, Issue 4, April 1, 2010

    The Periodic Performance Review (PPR) is an annual self-assessment process aimed at supporting...

Applying standards to pharmaceutical management of ectopic pregnancy

  • Briefings on Accreditation and Quality, Issue 4, April 1, 2010

    Ectopic pregnancy will be used throughout this article to illustrate some of the 2010 standards...

Slow year for wage increases for survey coordinators

  • Briefings on Accreditation and Quality, Issue 4, April 1, 2010

    In a year that saw budgets cut, travel expenses slashed, and jobs lost, it is unsurprising to...

Joint Commission releases findings from 2009 annual report

  • Accreditation Connection, Issue 12, March 22, 2010

    The Joint Commission released its fourth annual report, stating accredited hospitals continue to...

Revised medical staff bylaws receive approval from Joint Commission

  • Accreditation Connection, Issue 12, March 22, 2010

    The Joint Commission has approved the revised medical staff bylaws standard MS.01.01.01, according...

Two National Patient Safety Goals receive minor changes

  • Accreditation Connection, Issue 11, March 15, 2010

    The Joint Commission has made minor changes to two National Patient Safety Goals (NPSG), according...

AHCJ requests better reporting from The Joint Commission’s Web site

  • Accreditation Connection, Issue 10, March 8, 2010

    The Association of Health Care Journalists (AHCJ) recently wrote a letter to the Joint Commission's...

Joint Commission introduces new survey terminology

  • Accreditation Connection, Issue 9, March 1, 2010

    At recent site visits, the Joint Commission has been using the term "observed but corrected...

Briefings on The Joint Commission March 2010

  • Briefings on Accreditation and Quality, Issue 3, March 1, 2010

    Every month, Briefings on The Joint Commission brings you the latest news in Joint Commission...

Standards changes and deeming CMS requirements: what this means to hospitals

  • Briefings on Accreditation and Quality, Issue 3, March 1, 2010

    Normal.dotm 0 0 1 34 197 HCPro 1 1 241 12.0 0 false...

Flash sterilization: Back to basics

  • Briefings on Accreditation and Quality, Issue 3, March 1, 2010

    Imagine this scenario: The Joint Commission surveyor arrives in the surgical services suite and...

Hospital educates patients on dangers of PAD

  • Briefings on Accreditation and Quality, Issue 3, March 1, 2010

    Hospitals look for ways to improve patient education all the time. Once in a while, this education...

Survey terminology update: A look at CMS terms, medical records review, and more

  • Briefings on Accreditation and Quality, Issue 3, March 1, 2010

    Many hospitals still struggle with understanding the CMS survey process—particularly...

Staffing effectiveness in 2010: The interim standards

  • Briefings on Accreditation and Quality, Issue 3, March 1, 2010

    Normal.dotm 0 0 1 35 204 HCPro 1 1 250 12.0 0 false...

Greeley Reflections

  • Accreditation Connection, Issue 6, February 8, 2010

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

Greeley Reflections

  • Accreditation Connection, Issue 5, February 1, 2010

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

Briefings on The Joint Commission February 2010

  • Briefings on Accreditation and Quality, Issue 2, February 1, 2010

    Every month, Briefings on The Joint Commission brings you the latest news in Joint Commission...

Joint Commission top-cited standards: Toughest challenges of the year

  • Briefings on Accreditation and Quality, Issue 2, February 1, 2010

    The Joint Commission officially announced the most-cited standards for the first half of 2009 and...

Risk assessments for unclear standards

  • Briefings on Accreditation and Quality, Issue 2, February 1, 2010

    When the Joint Commission released its "Power Pack" on medication storage it suggested at...

New code of conduct improves employee outlook, patient satisfaction

  • Briefings on Accreditation and Quality, Issue 2, February 1, 2010

    In 2006, Pam Harmon, RN, legal nurse consultant and chief nursing officer at Fredonia (KS) Regional...

Patient and family education: a continued item on the problematic standards

  • Briefings on Accreditation and Quality, Issue 2, February 1, 2010

    Patient and family education is one of those problematic standards and requirements for improvement...

CMS approves Joint Commission's application for deeming authority

  • Briefings on Accreditation and Quality, Issue 2, February 1, 2010

    The Joint Commission’s hospital accreditation program has been approved for continued deeming...

Greeley Reflections

  • Accreditation Connection, Issue 4, January 25, 2010

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

Patient Care Quality shows improvement over a seven-year period

  • Accreditation Connection, Issue 3, January 18, 2010

    The fourth annual report released by The Joint Commission shows there has been a steady increase in...

Greeley Reflections

  • Accreditation Connection, Issue 3, January 18, 2010

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

Joint Commission opens field review of modifications of MS.01.01.01

  • Accreditation Connection, Issue 2, January 11, 2010

    The Joint Commission Board of Commissioners has approved the distribution of the proposed...

Joint Commission approves field review of MS.01.01.01 (formerly MS.1.20)

  • Accreditation Connection, Issue 1, January 4, 2010

    After receiving negative feedback from hospitals and physicians about MS.01.01.01 and then allowing...

Missouri health center survives thorough lab inspection

  • Briefings on Accreditation and Quality, Issue 1, January 1, 2010

    On September 23, 2009, Cindy McKeon, BS, BSMT, MS, MBA, ASEP, lab director of Bothwell Regional...

Key methods for simplifying medication storage

  • Briefings on Accreditation and Quality, Issue 1, January 1, 2010

    Collective experience from The Greeley Company’s consultants supports the Joint...

‘Going to Gemba’—an accreditation specialist relates how Lean Six Sigma experience can work in healthcare

  • Briefings on Accreditation and Quality, Issue 1, January 1, 2010

    As a healthcare accreditation consultant and quality management professional, I have been exposed...

Targeting trouble areas with Six Sigma tactics shows major results

  • Briefings on Accreditation and Quality, Issue 1, January 1, 2010

    Let’s throw a pair of numbers out there: 26% and 3%. Those are the percentages for emergency...

Joint Commission opens proposed version of MS.01.01.01 (formerly MS.1.20) for comment

  • Accreditation Connection, Issue 53, December 28, 2009

    The Joint Commission has released a proposed version of medical staff standard MS.01.01.01...

Greeley Reflections

  • Accreditation Connection, Issue 51, December 14, 2009

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

Greeley Reflections

  • Accreditation Connection, Issue 50, December 7, 2009

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

Gray matters: Red alert

  • Briefings on Accreditation and Quality, Issue 12, December 1, 2009

    I will freely admit that things are a little calmer this year on the survey front, at least in...

NPSGs in 2010: A look at the retained goals

  • Briefings on Accreditation and Quality, Issue 12, December 1, 2009

    There are significant changes in the NPSG, many of which are refreshing. The intent in making these...

Facility cuts timelines, develops a standardized pain tool

  • Briefings on Accreditation and Quality, Issue 12, December 1, 2009

    There are various ways pain can be measured by hospital staff members, depending on the...

Hand hygiene rates improved through variety of reinforcement styles

  • Briefings on Accreditation and Quality, Issue 12, December 1, 2009

    It takes more than one method to bring a hospital’s hand hygiene compliance rate up over 90...

VA study shows communication is main reason for surgical errors

  • Accreditation Connection, Issue 49, November 30, 2009

    The Veterans Administration (VA) recently released an in-house study concluding that poor...

Greeley Reflections

  • Accreditation Connection, Issue 49, November 30, 2009

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

Greeley Reflections

  • Accreditation Connection, Issue 48, November 23, 2009

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

Greeley Reflections

  • Accreditation Connection, Issue 47, November 16, 2009

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

Greeley Reflections

  • Accreditation Connection, Issue 46, November 9, 2009

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

Greeley Reflections

  • Accreditation Connection, Issue 45, November 2, 2009

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

Taking a quick look at the 2009 NPSGs

  • Briefings on Accreditation and Quality, Issue 11, November 1, 2009

    So far, so good. The release of the 2010 National Patient Safety Goals (NPSG) rolled back some of...

Joint Commission looks at culture, improvements

  • Briefings on Accreditation and Quality, Issue 11, November 1, 2009

    The Joint Commission has made significant steps to improve its performance and culture in 2009, the...

Joint Commission’s role in internal quality data

  • Briefings on Accreditation and Quality, Issue 11, November 1, 2009

    In a world where a consumer can collect encyclopedic knowledge on a car or home electronics...

How to track CMS changes and announcements

  • Briefings on Accreditation and Quality, Issue 11, November 1, 2009

    Ever feel like navigating the world of CMS changes is an uphill battle? You are not alone. Survey...

Joint Commission stroke certification update

  • Briefings on Accreditation and Quality, Issue 11, November 1, 2009

    Q: Are there additional factors to monitor outside of the required stroke center measures?

Greeley Reflections

  • Accreditation Connection, Issue 43, October 19, 2009

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

The Joint Commission announces 2010 National Patient Safety Goals

  • Accreditation Connection, Issue 41, October 5, 2009

    The official version of the 2010 National Patient Safety Goals (NPSG) have been released by the...

The many variations of CHF discharge instructions

  • Briefings on Accreditation and Quality, Issue 10, October 1, 2009

    When patients come into the hospital with an illness or health problem, staff members must do all...

When multiple disease- specific care surveys arrive

  • Briefings on Accreditation and Quality, Issue 10, October 1, 2009

    On the upside, disease-specific care (DSC) certification surveys provide a little more notice for...

Greeley Reflections

  • Accreditation Connection, Issue 38, September 14, 2009

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

The Joint Commission seeks comments on tobacco, alcohol, and similar issues

  • Accreditation Connection, Issue 37, September 7, 2009

    The Joint Commission is seeking public comment on candidate measures for assessing and treating...

Maintain survey readiness: A primer

  • Briefings on Accreditation and Quality, Issue 9, September 1, 2009

    Once your survey is completed, your work has just begun. You must keep the momentum going and stay...

Best practice: Avoiding near misses with look-alike/soundalike drugs

  • Briefings on Accreditation and Quality, Issue 9, September 1, 2009

    In 2008, Linda Severson, RN, of Cherokee Mental Health Institute (CMHI), Cherokee, IA, was called...

Joint Commission updates position on steam sterilization

  • Briefings on Accreditation and Quality, Issue 9, September 1, 2009

    After working with multiple professional and trade organizations on the common and proper use of...

Surveys focus on steam sterilization

  • Briefings on Accreditation and Quality, Issue 9, September 1, 2009

    In July, The Joint Commission announced a focus on the interpretation of standards and survey...

New accreditation decision: What will this mean for your facility in 2010 surveys?

  • Briefings on Accreditation and Quality, Issue 9, September 1, 2009

    The Joint Commission has announced it will adopt a new accreditation decision for 2010. This...

MS.01.01.01: A step forward or a return to older methods?

  • Briefings on Accreditation and Quality, Issue 9, September 1, 2009

    The standard formerly known as MS.1.20 is on the move again. The Joint Commission opened up the...

The Joint Commission circulates the first draft of revised staffing effectiveness

  • Accreditation Connection, Issue 36, August 31, 2009

    The first draft of The Joint Commission’s revised staffing effectiveness standards is now...

Greeley Reflections

  • Accreditation Connection, Issue 36, August 31, 2009

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

MRSA infection believed to be surging in U.S.

  • Accreditation Connection, Issue 35, August 24, 2009

    A recent study in the September issue of Emerging Infectious Diseases found that...

Greeley Reflections

  • Accreditation Connection, Issue 35, August 24, 2009

    Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...

Greeley Reflections

  • Accreditation Connection, Issue 32, August 3, 2009

    Each week, a senior consultant from The Greeley Company’s Center for Healthcare Accreditation...

Critical test? Critical value? Critical result—yes!

  • Briefings on Accreditation and Quality, Issue 8, August 1, 2009

    After reading this article, you will be able to: Discuss recent changes to National Patient...

Trio of steps for survey prep

  • Briefings on Accreditation and Quality, Issue 8, August 1, 2009

    After reading this article, you will be able to: Describe the J-Day Blitz List concept...

Medication error prevention: Defeating work-arounds

  • Briefings on Accreditation and Quality, Issue 8, August 1, 2009

    After reading this article, you will be able to: Identify common medication errors Explain...

Standards update: Answering your questions on restraints and more

  • Briefings on Accreditation and Quality, Issue 8, August 1, 2009

    Restraint remains one of the most challenging issues in hospital accreditation today. To that end...

Flu pandemic preparation: What does your facility need to know?

  • Briefings on Accreditation and Quality, Issue 8, August 1, 2009

    Editor’s note: This feature explores problematic Joint Commission standards with expert...

Greeley Reflections

  • Accreditation Connection, Issue 31, July 27, 2009

    Each week, a senior consultant from The Greeley Company’s Center for Healthcare Accreditation...

MS.1.20 Task Force reaches consensus

  • Accreditation Connection, Issue 30, July 20, 2009

    The Joint Commission is seeking feedback on changes to standard MS.01.01.01 recommended by a task...

The Joint Commission’s critical access hospital program receives CMS deeming authority

  • Accreditation Connection, Issue 30, July 20, 2009

    The Joint Commission has again received deeming authority from the Department of Health and Human...

Rhode Island hospitals agree on same safety protocol for surgeries

  • Accreditation Connection, Issue 28, July 6, 2009

    Rhode Island will become the first state to have all surgical providers adopt a uniform protocol to...

Joint Commission updates position on steam sterilization

  • Accreditation Connection, Issue 28, July 6, 2009

    After having discussions with multiple professional and trade organizations regarding the common...

Survey prep: Identify the most frustrating standards

  • Briefings on Accreditation and Quality, Issue 7, July 1, 2009

    According to an old Chinese proverb, it is better to sweat more during peace and bleed less during...

Standard of the month: Making tracers work for you

  • Briefings on Accreditation and Quality, Issue 7, July 1, 2009

    Tracer methodology, used by The Joint Commission since 2004, has increased the focus on the patient...

Unannounced survey monitor: Hospital lives and learns through mistakes

  • Briefings on Accreditation and Quality, Issue 7, July 1, 2009

    In January 2006, Rehabilitation Hospital of the Cape and Islands (RHCI) in East Sandwich, MA, had...

Documentation control highlights ISO certification

  • Briefings on Accreditation and Quality, Issue 7, July 1, 2009

    When the concept of introducing ISO 9001 to the hospital setting first arose, hospital leaders...

Briefings on The Joint Commission June 2009

  • Briefings on Accreditation and Quality, Issue 6, June 1, 2009

    Every month, Briefings on The Joint Commission brings you the latest news in Joint Commission...

Putting a stop to ventilator-associated pneumonia

  • Briefings on Accreditation and Quality, Issue 6, June 1, 2009

    For a long time, ventilator-associated pneumonia (VAP) had been viewed as an unavoidable evil...

Sight gags abound in patient safety "room of horrors"

  • Briefings on Accreditation and Quality, Issue 6, June 1, 2009

    Propped up on a pillow, wearing a baseball hat and a pink cast on his ankle, the patient is...

Joint Commission standards update: Deemed status application revisions for 2009

  • Briefings on Accreditation and Quality, Issue 6, June 1, 2009

    In our April column, we took a look at the changes released earlier this year by The Joint...

Two-day survey turns into nine-hour success

  • Briefings on Accreditation and Quality, Issue 6, June 1, 2009

    Brattleboro (VT) Retreat, a freestanding psychiatric hospital, was expecting its most recent...

The board?s role in conflict-of-interest situations

  • Briefings on Accreditation and Quality, Issue 6, June 1, 2009

    What is conflict of interest and why is it important? Isn’t it just a concern of the board...

Joint Commission solicits feedback on NPSG, Universal Protocol updates

  • Accreditation Connection, Issue 22, May 15, 2009

    The Joint Commission has asked the field to review and comment on revisions to the 2009 National...

Infection Control Q and A

  • Accreditation Connection, Issue 22, May 15, 2009

    Q. Our infection control nurse would like to know where to find literature to support not using...

Q&A with MARSHA BARNDEN: Answers to your questions about infection control issues

  • Briefings on Accreditation and Quality, Issue 5, May 1, 2009

    I am looking for policies and procedures on insertion of central lines at the bedside, especially...

Greeley Survey Solutions: Tips to meeting infection control milestones

  • Briefings on Accreditation and Quality, Issue 5, May 1, 2009

    In 2009, three infection control goals were added to the National Patient Safety Goals list...

New York hospital aims to eliminate MRSA cases

  • Briefings on Accreditation and Quality, Issue 5, May 1, 2009

    When Rochester (NY) General Health System determined to cut down on methicillin-resistant...

Organizations team up to address disruptive behavior

  • Accreditation Connection, Issue 18, April 17, 2009

    The American College of Physician Executives (ACPE) and the American Organization of Nurse...

Scoring guidelines released for revised Joint Commission standards

  • Accreditation Connection, Issue 17, April 10, 2009

    Accreditation professionals across the country have known for months that revisions to Joint...

Joint Commission renews deeming authority for hospice

  • Accreditation Connection, Issue 17, April 10, 2009

    The Centers for Medicare & Medicaid Services (CMS) has renewed the deeming authority status for...

Hospital prepares for accreditation survey, sheds troubled past

  • Accreditation Connection, Issue 17, April 10, 2009

    For a number of years, Nassau University Medical Center in Long Island, has been beset upon by...

AHAP giveaway continues

  • Accreditation Connection, Issue 16, April 3, 2009

    The Association for Healthcare Accreditation Professionals (AHAP) continues its contest for free...

Hospital spends $3 million a year to remove language barriers

  • Accreditation Connection, Issue 16, April 3, 2009

    In order to clear the lines of communication between healthcare providers and a diverse population...

Briefings on The Joint Commission April 2009

  • Briefings on Accreditation and Quality, Issue 4, April 1, 2009

    Every month, Briefings on The Joint Commission brings you the latest news in Joint Commission...

Washington hospital moves to DNV accreditation

  • Briefings on Accreditation and Quality, Issue 4, April 1, 2009

    For one Washington hospital, making the move from Joint Commission accreditation to DNV Healthcare...

Validation surveys: Tips for maintaining readiness

  • Briefings on Accreditation and Quality, Issue 4, April 1, 2009

    Reports from the field indicate that validation surveys by state surveyors on behalf of CMS are...

Weighing accreditation options

  • Briefings on Accreditation and Quality, Issue 4, April 1, 2009

    Reports from the field indicate that validation surveys by state surveyors on behalf of CMS are...

Life safety success highlights survey

  • Briefings on Accreditation and Quality, Issue 4, April 1, 2009

    It has been a little more than six months since Det Norske Veritas (DNV) was awarded hospital...

Establish compliance with new and revised 2009 standards

  • Briefings on Accreditation and Quality, Issue 4, April 1, 2009

    Community Memorial Hospital (CMH) in Hicksville, OH, was expecting The Joint Commission sometime in...

CMS and physician supervision: Off-site physicians

  • Briefings on Accreditation and Quality, Issue 4, April 1, 2009

    CMS has clarified its ruling on the physician supervision of on-campus hospital outpatient...

Joint Commission revises January 5 changes

  • Accreditation Connection, Issue 15, March 27, 2009

    The Joint Commission has announced changes to the 2009 standards revisions originally released...

Joint Commission announces heart failure disease-specific care advanced certification

  • Accreditation Connection, Issue 15, March 27, 2009

    The Joint Commission, in collaboration with the American Heart Association, has rolled out the...

Few hospitals have electronic medical records in all units

  • Accreditation Connection, Issue 15, March 27, 2009

    Only approximately 1.5% of U.S. hospitals have a comprehensive electronic health record (EHR...

AHAP contest heats up

  • Accreditation Connection, Issue 15, March 27, 2009

    The Association for Healthcare Accreditation Professionals (AHAP) has sponsored a contest for free...

Maryland hospital cited for safety issues

  • Accreditation Connection, Issue 14, March 20, 2009

    The Maryland Department of Health and Hygiene has cited a Silver Spring, MD hospital treating...

Hospital offers helping HAND

  • Accreditation Connection, Issue 14, March 20, 2009

    In 2005, Pam Stodghill, MS, RN, director of performance improvement and risk management at Shriners...

Facility uses simulation training to educate staff

  • Accreditation Connection, Issue 13, March 13, 2009

    Taking a cue from the aviation industry, facilities such as Lucile Packard Children’s...

Medical error reporting in NYC faulty

  • Accreditation Connection, Issue 13, March 13, 2009

    According to a report issued by the office of the City Comptroller, New York City hospitals are the...

California physicians slow to give up handwritten prescriptions

  • Accreditation Connection, Issue 13, March 13, 2009

    Although electronic prescriptions were thought to bring about the end of stereotypical...

Three CA hospitals fined over safety concerns

  • Accreditation Connection, Issue 10, March 6, 2009

    The California Department of Health has issued fines to three hospitals in Orange County for...

MRSA infections rising in children

  • Accreditation Connection, Issue 10, March 6, 2009

    The Centers for Disease Control and Prevention (CDC) has seen an increase in reports of hospital...

Cameras help rural sites meet med management compliance needs

  • Accreditation Connection, Issue 10, March 6, 2009

    Medication management compliance is difficult enough, but when you are trying to comply while...

Difficult patients increase challenges for physicians

  • Accreditation Connection, Issue 9, February 27, 2009

    One in six physicians reported they regularly encountered patients who appeared to be dissatisfied...

Stimulus package to benefit use of electronic medical records

  • Accreditation Connection, Issue 9, February 27, 2009

    The American Recovery and Reinvestment Act of 2009 will include financial incentives promoting the...

Should the government fund evacuation plans?

  • Accreditation Connection, Issue 9, February 27, 2009

    A new report by the Agency for Healthcare Research and Quality (AHRQ) suggests that the federal...

NQF aims for improved, culturally appropriate patient care

  • Accreditation Connection, Issue 9, February 27, 2009

    The National Quality Forum has endorsed 45 voluntary practices intended to benefit patient care and...

Clarifying processes for patient identifiers

  • Accreditation Connection, Issue 9, February 27, 2009

    Q. Our cardiopulmonary staff members have a short period of time to perform EKGs on patients coming...

ICUs in 600 hospitals see drop in staph superbugs

  • Accreditation Connection, Issue 8, February 20, 2009

    A recent government report has found a dramatic drop in the rate of dangerous staph infections in...

Fall assessment policy raises the bar

  • Accreditation Connection, Issue 8, February 20, 2009

    In summer 2006, Bellin Home Health Care in Green Bay, WI, created a tool to assess patients&rsquo...

Texas hospital streamlines ED procedures following Joint Commission visit

  • Accreditation Connection, Issue 7, February 13, 2009

    Parkland Memorial Hospital in Dallas, TX, has announced major improvements to its emergency...

Hospital rises again after near-collapse

  • Accreditation Connection, Issue 7, February 13, 2009

    Two years after it lost its accreditation and its own physicians were writing to the city to warn...

Canadian study finds disparities in hand washing recommendations

  • Accreditation Connection, Issue 7, February 13, 2009

    A recent discussion between Ontario and federal officials uncovered disparities in the amount of...

A look at Joint Commission scoring 101

  • Accreditation Connection, Issue 7, February 13, 2009

    During its Standards Improvement Initiative, The Joint Commission’s goal was to review its...

Florida hospital system weathers survey surprises

  • Accreditation Connection, Issue 6, February 6, 2009

    One survey. Five hospitals. More than 40 ambulatory and outpatient locations. When Joint Commission...

Death rate 27% lower in America’s top rated hospitals

  • Accreditation Connection, Issue 5, January 30, 2009

    According to a recent survey conducted by HealthGrades, an independent healthcare ratings...

Mock surveys make a difference in staff education

  • Accreditation Connection, Issue 5, January 30, 2009

    Constructing a tracer process from scratch for a 645-bed hospital is no simple matter, but that was...

LD.03.01.01: Leadership evaluation of culture of safety

  • Accreditation Connection, Issue 4, January 23, 2009

    Q. The new leadership standard LD.03.01.01 says leaders regularly evaluate the culture of safety...

Kentucky increases efforts to prevent hospital-associated infections

  • Accreditation Connection, Issue 3, January 15, 2009

    Two new initiatives with very different approaches have targeted hospital-associated infections in...

Group calls for standardization of patient IDs

  • Accreditation Connection, Issue 3, January 15, 2009

    The Medical Group Management Association (MGMA) has launched a campaign to push for standardized...

Joint Commission survey brings positive insight to hospital's policies and procedures

  • Accreditation Connection, Issue 3, January 15, 2009

    When Joint Commission surveyors came to St. Luke’s Hospital in Chesterfield, MO, the morning...

Understand the guiding principles of behavioral restraint

  • Accreditation Connection, Issue 2, January 9, 2009

    Implementing, utilizing, and monitoring behavioral restraints continue to pose challenges and...

Joint Commission appoints executive director of Hospital Programs, Accreditation and Certification Services

  • Accreditation Connection, Issue 2, January 9, 2009

    The Joint Commission has announced Mark G. Pelletier, RN, MS, as the organization’s new...

Building a better FPPE program

  • Accreditation Connection, Issue 51, December 18, 2008

    When The Joint Commission implemented focused professional practice evaluations (FPPE) in January...

Sentinel Event Alert targets technology-related medical errors

  • Accreditation Connection, Issue 50, December 11, 2008

    The Joint Commission has released its latest Sentinel Event Alert, this time looking at prevention...

Who is responsible for preanesthesia reevaluation?

  • Accreditation Connection, Issue 50, December 11, 2008

    Q. 2009 standard PC.03.01.03, element of performance (EP) 8, requires that hospitals reevaluate...

Hospital makes staff preparedness a priority

  • Accreditation Connection, Issue 49, December 4, 2008

    Early on September 15, The Joint Commission posted on its extranet news that surveyors would be...

Hospital makes staff preparedness a priority

  • Briefings on Accreditation and Quality, Issue 12, December 1, 2008

    Early on September 15, The Joint Commission posted on its extranet news that surveyors would be...

Immediate-threat-to-life situations in 2009

  • Briefings on Accreditation and Quality, Issue 12, December 1, 2008

    With the introduction of Life Safety Code® (LSC) surveyors to The Joint Commission’s...

Hospitals undergo process to change accrediting organizations

  • Briefings on Accreditation and Quality, Issue 12, December 1, 2008

    CMS announced September 26 that it had granted deeming authority to Oslo, Norway–based Det...

Briefings on The Joint Commission, December 2008

  • Briefings on Accreditation and Quality, Issue 12, December 1, 2008

    Inside: Hospitals undergo process to change accrediting organizations Immediate-threat-to-life...

Joint Commission report shows improvements in safety and quality

  • Accreditation Connection, Issue 49, November 26, 2008

    American hospitals have demonstrated significant gains in patient safety and quality of care over...

Immediate-threat-to-life situations in 2009

  • Accreditation Connection, Issue 49, November 26, 2008

    With the introduction of Life Safety Code® (LSC) surveyors to The Joint Commission’s...

Joint Commission names Codman winners

  • Accreditation Connection, Issue 48, November 13, 2008

    The Joint Commission has unveiled the winners of the 2008 Ernest Amory Codman Awards. The awards...

Spotlight on pain management

  • Accreditation Connection, Issue 47, November 7, 2008

    The Joint Commission has brought a renewed focus to the area of pain management with its recently...

Lab decisions to no longer affect hospital decisions

  • Accreditation Connection, Issue 47, November 7, 2008

    The Joint Commission announced this week that, under a new Joint Commission policy, laboratory...

FAQ released on NPSG.01.01.01, Universal Protocol

  • Accreditation Connection, Issue 47, November 7, 2008

    The Joint Commission has released an FAQ on National Patient Safety Goal NPSG.01.01.01. The FAQ...

CMS approves DNV to accredit hospitals

  • Briefings on Accreditation and Quality, Issue 11, November 1, 2008

    CMS has announced the approval of DNV Healthcare, Inc., as a deeming authority for U.S. hospitals...

Executive Briefings: CAMH, numbering changes top RFIs

  • Briefings on Accreditation and Quality, Issue 11, November 1, 2008

    After reading this article, you will be able to: Discuss the new numbering system used in...

Spotlight on pain management

  • Briefings on Accreditation and Quality, Issue 11, November 1, 2008

    Editor’s note: This feature explores problematic Joint Commission standards with expert...

Restraints Interpretive Guideline: Questions answered

  • Briefings on Accreditation and Quality, Issue 11, November 1, 2008

    Editor’s note: The following question and answer session took place during HCPro’s...

Recommendation to avoid errors with drug samples

  • Briefings on Accreditation and Quality, Issue 11, November 1, 2008

    The National Coordinating Council for Medication Error Reporting and Prevention is an organization...

Who is responsible for preanesthesia reevaluation?

  • Briefings on Accreditation and Quality, Issue 11, November 1, 2008

    After reading this article, you will be able to: Identify pertinent EPs for preanesthesia...

2009 scoring changes: A look at clarifications, thresholds, and more

  • Accreditation Connection, Issue 46, October 31, 2008

    The Joint Commission in August announced a new scoring system for its hospital accreditation...

Study: Unique patient identifiers would benefit healthcare

  • Accreditation Connection, Issue 45, October 24, 2008

    According to a study by the Rand Corporation, the creation of unique patient identifiers that would...

Universal Protocol in 2009

  • Accreditation Connection, Issue 45, October 24, 2008

    Q. Why is The Joint Commission now saying that, beginning in 2009, surgical timeouts should ideally...

Universal Protocol, surgical timeouts, and EPs for 2009

  • Accreditation Connection, Issue 44, October 16, 2008

    Q. Why is The Joint Commission now saying that, beginning in 2009, surgical timeouts should ideally...

2009 scoring changes: A look at clarifications, thresholds, and more

  • Accreditation Connection, Issue 42, October 3, 2008

    The Joint Commission in August announced a new scoring system for its hospital accreditation...

2009 scoring changes: A look at clarifications, thresholds, and more

  • Briefings on Accreditation and Quality, Issue 10, October 1, 2008

    The Joint Commission in August announced a new scoring system for its hospital accreditation...

Leadership chapter changes: Defining top roles, relationships

  • Briefings on Accreditation and Quality, Issue 10, October 1, 2008

    As of January 1, 2009, a revised Leadership standards chapter takes effect, detailing requirements...

Know the medication management standards

  • Briefings on Accreditation and Quality, Issue 10, October 1, 2008

    The Medication Management chapter is set up to reflect the continuum of the process, from...

Universal Protocol, surgical timeouts, and EPs for 2009

  • Briefings on Accreditation and Quality, Issue 10, October 1, 2008

    Q. Why is The Joint Commission now saying that, beginning in 2009, surgical timeouts should ideally...

Understand new rules for reporting restraint deaths

  • Accreditation Connection, Issue 41, September 26, 2008

    CMS revised the new Interpretive Guidelines for hospitals in April. The changes were not...

John M. Eisenberg Patient Safety and Quality Award winners announced

  • Accreditation Connection, Issue 41, September 26, 2008

    The 2008 recipients of the John M. Eisenberg Patient Safety and Quality Awards have been released...

Hospitals hesitant to help docs with EMR

  • Accreditation Connection, Issue 40, September 19, 2008

    Hospitals are frequently slow to help physicians purchase electronic medical record (EMR) systems...

SII Phase II chapters available for review

  • Accreditation Connection, Issue 39, September 12, 2008

    The Joint Commission has released several chapters for public review as part of its Standard...

Florida Supreme Court finds hospital law unconstitutional

  • Accreditation Connection, Issue 38, September 8, 2008

    In a historic case, the Florida Supreme Court has deemed that hospitals must ensure medical staff...

Travel ticket helps New Jersey facility improve handoffs

  • Accreditation Connection, Issue 38, September 8, 2008

    Sometimes, it’s all about the journey, not the destination. And in hospitals, the journey a...

Alcohol-based hand rinses and impaired populations

  • Briefings on Accreditation and Quality, Issue 9, September 1, 2008

    Editor's note: Patton is the former Joint Commission executive director of accreditation services...

Understand new rules for reporting restraint deaths

  • Briefings on Accreditation and Quality, Issue 9, September 1, 2008

    Editor's note: Sue Dill Calloway, RN, MSN, JD, director of hospital risk management at OHIC...

Travel ticket helps New Jersey facility improve handoffs

  • Briefings on Accreditation and Quality, Issue 9, September 1, 2008

    Sometimes, it's all about the journey, not the destination. And in hospitals, the journey a patient...

Gwinnett Medical Center creates a three-tiered approach to address medication security questions

  • Briefings on Accreditation and Quality, Issue 9, September 1, 2008

    Gwinnett Medical Center in Lawrenceville, GA, is preparing to roll out a new, three-tiered approach...

Most recent Sentinel Event Alert highlights disruptive behavior

  • Briefings on Accreditation and Quality, Issue 9, September 1, 2008

    Rude behavior, unpleasant language, hostile attitudes, and other bad behaviors not only create an...

Investigation finds verbal check at heart of surgical error

  • Accreditation Connection, Issue 37, August 29, 2008

    Operating room staff skipped a key verbal safety check prior to performing surgery on the wrong...

Study examines role of hospital governing boards

  • Accreditation Connection, Issue 37, August 29, 2008

    A new study by the Health Research and Educational Trust looks at hospital governing boards...

Language adds twist to unannounced survey

  • Accreditation Connection, Issue 37, August 29, 2008

    Hospitals can prepare for their Joint Commission (formerly JCAHO) surveys through several methods...