Accreditation

Accreditation Articles by Topic: Survey Preparation

NPSGs in 2010: A look at the retained goals

  • Briefings on The Joint Commission, 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 The Joint Commission, 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 The Joint Commission, Issue 12, December 1, 2009

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

Taking a quick look at the 2009 NPSGs

  • Briefings on The Joint Commission, 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 The Joint Commission, 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 The Joint Commission, Issue 11, November 1, 2009

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

Joint Commission stroke certification update

  • Briefings on The Joint Commission, Issue 11, November 1, 2009

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

The many variations of CHF discharge instructions

  • Briefings on The Joint Commission, 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 The Joint Commission, Issue 10, October 1, 2009

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

Maintain survey readiness: A primer

  • Briefings on The Joint Commission, Issue 9, September 1, 2009

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

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

  • Briefings on The Joint Commission, Issue 9, September 1, 2009

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

Greeley Reflections

  • Accreditation Connection, Issue 35, August 24, 2009

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

Trio of steps for survey prep

  • Briefings on The Joint Commission, 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 The Joint Commission, Issue 8, August 1, 2009

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

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

  • Briefings on The Joint Commission, Issue 8, August 1, 2009

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

Survey prep: Identify the most frustrating standards

  • Briefings on The Joint Commission, 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 The Joint Commission, 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 The Joint Commission, Issue 7, July 1, 2009

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

Briefings on The Joint Commission June 2009

  • Briefings on The Joint Commission, 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 The Joint Commission, 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 The Joint Commission, Issue 6, June 1, 2009

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

Two-day survey turns into nine-hour success

  • Briefings on The Joint Commission, Issue 6, June 1, 2009

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

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

  • Briefings on The Joint Commission, 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 The Joint Commission, 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 The Joint Commission, Issue 5, May 1, 2009

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

Weighing accreditation options

  • Accreditation Connection, Issue 18, April 17, 2009

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

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...

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...

Washington hospital moves to DNV accreditation

  • Accreditation Connection, Issue 16, April 3, 2009

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

AHAP giveaway continues

  • Accreditation Connection, Issue 16, April 3, 2009

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

Briefings on The Joint Commission April 2009

  • Briefings on The Joint Commission, Issue 4, April 1, 2009

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

Weighing accreditation options

  • Briefings on The Joint Commission, Issue 4, April 1, 2009

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

Establish compliance with new and revised 2009 standards

  • Briefings on The Joint Commission, Issue 4, April 1, 2009

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

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...

AHAP contest heats up

  • Accreditation Connection, Issue 15, March 27, 2009

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

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...

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...

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...

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...

2009 John M. Eisenberg Patient Safety and Quality nomination forms posted

  • Accreditation Connection, Issue 6, February 6, 2009

    Applications and nominations for the 2009 John M. Eisenberg Patient Safety and Quality Awards are...

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...

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...

AHRQ distributes planning model for emergency evacuations

  • Accreditation Connection, Issue 1, January 2, 2009

    The Agency for Healthcare Quality and Research (AHRQ) has made available a new evacuation planning...

Building a better FPPE program

  • Accreditation Connection, Issue 51, December 18, 2008

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

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...

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...

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...

Executive Briefings: CAMH, numbering changes top RFIs

  • Briefings on The Joint Commission, Issue 11, November 1, 2008

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

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...

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...

Know the medication management standards

  • Accreditation Connection, Issue 43, October 10, 2008

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

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 The Joint Commission, 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 The Joint Commission, 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 The Joint Commission, 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 The Joint Commission, 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...

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...

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...

Travel ticket helps New Jersey facility improve handoffs

  • Briefings on The Joint Commission, Issue 9, September 1, 2008

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