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Accreditation Monthly

Sharon Courage, MPH, RN, Vice President of Hospital Services, and other Joint Commission accreditation and regulatory compliance subject matter experts share their views monthly to help accreditation professionals meet standards and compliance expectations.

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Accreditation Monthly

Issue 11, November 12, 2009

• The Joint Commission Back to Closed Record Review?

  Have you heard that the Joint Commission survey will again be doing closed record review? For...

Issue 10, October 21, 2009

• Blanket Warmers, What Is Safe?

  When completing readiness assessments, I have noticed much disparity in the temperature of blanket...

Issue 9, September 15, 2009

• Problem Lists - What is Required?

  When on-site assessing ambulatory care for standard compliance, I am often asked about what is...

Issue 8, August 26, 2009

• Policies: Say What You Do and Do What You Say

  There is sometimes a tendency to want to write everything down in great detail, but more may not be...

Issue 7, July 14, 2009

• More from the March 2009 Joint Commission Changes: Anesthesia

  Many of the published March 2009 changes were made to align with CMS’ Conditions of...

Issue 6, June 9, 2009

• Joint Commission and CMS Alignment: Restraint Management

  Before tracers, restraint was one of the most frequently cited requirements for improvement (RFI...

Issue 5, May 13, 2009

• The Joint Commission and Telemedicine: The Final Word?

  In the April issue, we discussed the potential changes to The Joint Commission’s position on...

Issue 4, April 16, 2009

• Hold Off on Credentialing Changes

  There are two versions of the 2009 CMS changes made by The Joint Commission: the version that was...

Issue 3, March 11, 2009

• Joint Commission Changes to Align with CMS

  On January 6, The Joint Commission announced the addition of 165 new elements of performance (EP...

Issue 2, February 10, 2009

• CMS Pushes for More Joint Commission Changes

  The Joint Commission must for the first time meet CMS expectations to maintain its Medicare deeming...

Issue 1, January 13, 2009

• The Future of the Building Maintenance Program

  The concept for the Building Maintenance Program (BMP) began in 1998, as described in an American...