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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 11, 2007

• Tighten Up Your Universal Protocol!

  This past week, we learned of yet another wrong-site surgery at a hospital in Rhode Island-the...

Issue 11, November 14, 2007

• Mitigating suicide risk in behavioral health settings

  Is the physical environment within your behavioral health settings (including the emergency...

Issue 10, October 24, 2007

• Infection control findings on the rise at The Joint Commission

  Plenty of anecdotal evidence is showing a sharp rise in the Joint Commission full survey...

Issue 9, September 14, 2007

• Post survey advice

  In the period of time following your Joint Commission (JC) (formerly JCAHO) survey, be certain to...

Issue 8, August 22, 2007

• New Emergency Management Standards Will Require Plan Modification

  The Joint Commission has finally unveiled the changes to the Emergency Management standards. The...

Issue 7, July 19, 2007

• July ezine

  In a bulletin emailed recently to all accredited hospitals and republished in the July 2007 issue...

Issue 6, June 25, 2007

• 2008 National Patient Safety Goals

  In a special July 2007 issue of The Joint Commission Perspectives, the Sentinel Event Advisory...

Issue 5, May 22, 2007

• Further Alignment between CMS and Joint Commission announced

  The Joint Commission announced a revision to standard PC.12.90 to align their standard with changes...

Issue 1, January 22, 2007

• Survey Coordinators Beware--Life safety surveyors coming to a hospital near you!

  Among the most significant developments of the unannounced survey process during 2006 has been the...