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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 12, December 19, 2006

• Implications of CMS Changes to H&P Requirements

  I want to bring to your attention that the Centers for Medicare & Medicaid Services (CMS) published...

Issue 11, November 19, 2006

• JCAHO Sentinel Event Alert

  On September 6, 2006, the Joint Commission announced a Sentinel Event Alert advising hospitals and...

Issue 10, October 19, 2006

• Partial Compliance Delay for Electronic Statement of Conditions (eSOC)

  On September 26, 2006, the Joint Commission announced a revised implementation schedule for the...

Issue 9, September 9, 2006

• Medication Management News from JCAHO Executive Briefings

  Medication reconciliation (NPSG 8a and 8b) and pharmacist review of orders prior to first dose...

Issue 8, August 9, 2006

• Don't Lose Sight of these JCAHO Changes

  This month I have two "heads-up" messages for you regarding criteria for obtaining...

Issue 7, July 7, 2006

• July 2006 issue

  Please be on alert that as of July 1, 2006 your hospital organization should be in compliance with...

Issue 6, June 9, 2006

• Critical Test and Critical Result Reporting

  Patient safety and quality of care can be compromised when there are delays in completion of...

Issue 5, May 8, 2006

• Who Should Perform Medication Reconciliation Upon Admission? Why "Shared Account

  Over the last few months I have seen a number of hospitals implement a medication reconciliation...

Issue 4, April 10, 2006

• Don't Overlook this New Medication Management Expectation

  Included in the Spring 2006 "Update 1" to the JCAHO's Comprehensive Accreditation Manual...

Issue 3, March 6, 2006

• Medication Reconciliation

  Well, it is the beginning of March 2006, how well is your organization performing medication...

Issue 2, February 14, 2006

• Help On the Way for Conditional or Preliminary Denial of Accreditation Decisions

  Did you know that about 60 hospitals surveyed by JCAHO will receive Conditional or Preliminary...

Issue 1, January 9, 2006

• JCAHO Surveys to Focus on Emergency Management

  Beginning January 1, 2006 JCAHO is ramping up their assessment of hospital compliance with the...