Accreditation

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Top Stories

• Hospitals face growing financial challenges, ratings agencies say

  Not-for-profit hospitals in the US face increasing financial pressures, two top credit rating agencies reported n January. Moody’s Investors Service reports that the outlook for hospitals looks negative for 2012, and Standard & Poor’s Rating Service says that “an increasingly difficult operating environment” will adversely impact hospital credit quality and ratings.

• Point of Care Coordinator of the Year seeks nominees

  The American Association of Clinical Chemistry Clinical Point of Care Testing (CPOCT) Division is accepting nominations for their 2012 Point of Care Coordinator of the Year Award.

   

• Two new accreditation decision rules approved

  Effective January 1, 2012, two new accreditation decision rules have been approved by The Joint Commission for the Contingent Accreditation decision category. Both require the organization in question to resolve its Contingency Status within one year.

• From the AHAP Blog: Joint Commission releases latest Survey Activity Guide

  The AHAP Blog reports that The Joint Commission has released the 2012 Survey Activity Guide. This annual publication, made available directly through The Joint Commission’s website, is intended to help hospitals prepare for their on-site survey.

• Greeley Reflections

  Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will discuss a hot-button topic or challenging issue facing hospitals in the areas of accreditation, survey preparation, and more. To learn more visit The Center for Healthcare Accreditation.

  

  Laure Dudley
  Senior Consultant
  

  Medication Management and pharmacist first-dose review

  Part 7 of 7

  Performance review and improvement

  A good way to test your process is by incorporating ongoing tracers, along with retrospective record review, for each of your medication administration sites to identify issues or vulnerabilities related to the first review of medication orders.

• Greeley Reflections

  Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will discuss a hot-button topic or challenging issue facing hospitals in the areas of accreditation, survey preparation, and more. To learn more visit The Center for Healthcare Accreditation.

  

  Laure Dudley
  Senior Consultant
  

  Medication Management and pharmacist first-dose review

  Part 6 of 7

  Provide 24/7 accountability

  Even when a pharmacy is not open 24/7 a “qualified” individual must perform a review prior to dispensing and, even then, a pharmacist must be on-call so that expertise is available. A retrospective review of orders must then be completed as soon as a pharmacist is available. There is also the expectation that any discrepancies be resolved prior to dispensing the medications.

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