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Accreditation Insider
AHAP is a community in which survey coordinators and other accreditation specialists share the latest tested tips, tools, and strategies to implement successful accreditation programs and achieve professional growth. In this e-newsletter, you'll read helpful tips and timely news items related to accreditation and survey-readiness improvement. Plus, train your staff and yourself with our weekly quiz questions included with clickable answers.
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Issue 170, April 30, 2013
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Insured population overuses ED
A recent study from Truven Health Analytics found that 71% of ED visits made by patients with...
Issue 51, December 31, 2013
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From Mac’s Safety Space: When two tribes go to war: EVS to the rescue!
A while back we discussed the two tribes that inhabit the healthcare world—the finders and... -
Staff Challenge: National Patient Safety Goals (NPSG)
True or False: Patients and families of patients with an MDRO should be instructed on techniques...
Issue 50, December 17, 2013
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Hospital Compare adds infection, stroke, readmissions data
The latest update to the federal website that reports hospital quality data adds rates of stroke... -
From Mac’s Safety Space: If you don’t have pictures, you don’t have --!
As you are all no doubt familiar, sometimes those educational topics surrounding safety can come... -
Staff Challenge: Infection Control
Fill in the blank: Hospitals have an obligation to investigate outbreaks of infectious disease...
Issue 49, December 10, 2013
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Telehealth improves patient care in ICUs
Patient survival of ICUs is 26% more likely when backed by eICU services, and patients are... -
From Mac’s Safety Space: And who drills the drillers?
Another email question asked whether there were any specific Joint Commission education... -
Staff Challenge: Environment of Care and Life Safety
If a hospital decides that patients, under certain circumstances, are permitted to smoke, what...
Issue 48, December 3, 2013
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Why you should involve patients in nursing handoffs
A new study finds a patient safety measure that nurses and patients alike agree improves care... -
Get the latest benchmark report and AHAP Insider
The 4th quarter Benchmarking Report and the year’s final AHAP Insider newsletter have been... -
From Mac's Safety Space: Searching so long...
I don’t hear too many stories like this anymore, but I can tell you, as a former manager of...
Issue 47, November 26, 2013
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What’s wrong with healthcare quality measures? Part II
We know that measuring healthcare quality helps healthcare systems improve. But we could and should... -
From the AHAP blog: A look at the future of accreditation
AHAP’s own Jodi Eisenberg was recently interviewed on the changing world of accreditation... -
From Mac’s Safety Space: Calling all cords
During a recent Joint Commission survey, a question was raised regarding the “length&rdquo... -
Staff Challenge: Rights, Ethics, Communication
What is the first step you should take to determine how you should communicate with a deaf or...
Issue 46, November 19, 2013
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Joint Commission releases annual report on quality and safety
The Joint Commission has released its 2013 annual report on quality and safety, which also... -
From Mac's Safety Space: And yet another top 10 list...
Recently, ECRI unveiled its list of the Top 10 Healthcare Technology Hazards. And strangely enough... -
AHAP Staff Challenge: Provision of Care
True or False: When taking a verbal order, it is essential to read back the order to the provider...
Issue 45, November 12, 2013
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Diagnostic error detection comes into focus
A developing discipline aims to find ways to measure efficient accuracy and diagnostic prowess... -
ASHE publishes comparison of accreditation organizations
The American Society for Healthcare Engineering (ASHE) has put together a nice piece on the various... -
From Mac’s Safety Space: What is a Life Safety Code® deficiency?
One of the time-honored pursuits, mostly as a function of what you can and cannot manage through... -
AHAP Staff Challenge: Medication Management
Fill in the blank: Medication storage areas should be designed to address at least three things...
Issue 44, November 5, 2013
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Joint Commission announces 'Top Performers'
One in three hospitals eligible for The Joint Commission's 'top performer' status has provided an... -
From Mac’s Safety Space: Pictograms of matchstick men
In our ongoing series (okay, perhaps that’s a rather ambitious descriptor, but there’s... -
AHAP Staff Challenge: Emergency Management
During an emergency, the hospital should determine the level of control that is needed for the...
Issue 43, October 29, 2013
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Mapping patient-nurse interactions could minimize infections
Research findings call on hospital leaders to take a deeper look at how staff—primarily... -
Adverse events draw $775K in fines at nine CA hospitals
The most recent round of administrative penalties for hospital deficiencies constituting immediate... -
Leapfrog releases another hospital safety report card
The latest round of scores that measure rates of errors and infections, indicators of safe... -
From Mac’s Safety Space: You lift me up!?!
As I wander around the countryside visiting hospitals of all shapes and sizes, there are a few... -
AHAP Staff Challenge: National Patient Safety Goals
Fill in the blank: MDRO stands for ____________.
Issue 42, October 22, 2013
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Nurse staffing linked to lower readmission penalties
Researchers estimate that each additional nurse-hour per patient day is associated with 10% lower... -
From Mac's Safety Space: Uniformly clean
Reaching in once again to the viewer mailbag, we find a question regarding the laundering of staff... -
AHAP Staff Challenge: Leadership
How would you prove that the hospital has a sufficient number of competent, qualified, staff to...
Issue 41, October 15, 2013
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How CMS penalizes hospitals for finding blood clots
When it comes to blood clots in surgical patients, "vigilant hospitals get penalized because... -
From Mac’s Safety Space: Do we really hafta?
Recently I received a question from the field regarding whether employers are required to provide... -
AHAP Staff Challenge: Infection Control
The terms “contact,” “droplet,” and “airborne” refer to what?
Issue 40, October 8, 2013
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Countdown to flu shot compliance begins
Encouraging healthcare workers to get their flu shots has been a patient safety and quality of care... -
From Mac’s Safety Space: How many feet in a mile? How many square feet in a smoke compartment?
I recently came across a survey finding that I thought would be worth sharing with the class. In... -
Participate in our benchmarking survey!
For our final 2013 benchmarking survey and report, we decided to go back to our first year to... -
AHAP Staff Challenge: Environment of Care and Life Safety
The standards in the EC chapter are organized around some basic concepts. What are those concepts? -
Q&A: Ongoing compliance success: Creating your action plan
Q: How should I approach monitoring and addressing compliance issues?
Issue 39, October 1, 2013
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Managing patients’ pain improves satisfaction, revenue
Pain represents a growing patient concern and a flourishing service line for healthcare. Hospitals... -
FTC issues compliant over lack of information security
The Federal Trade Commission (FTC) released a complaint against LabMD, Inc. The complaint alleging... -
From Mac’s Safety Space: Many too many...high numbers
In looking through the ol’ e-mail bag, I received a request for info relative to what the... -
AHAP Staff Challenge: Rights, ethics, and communication
When a non-English speaking patient is hospitalized, the hospital must provide translation... -
Q&A: Ongoing compliance success: Orientation considerations
Q: Do you have any suggestions for how to conduct orientation on survey readiness?
Issue 38, September 24, 2013 - VIEW THE FULL ISSUE
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From Mac’s Safety Space: Catch a waiver and you’re sitting on top of the world
Lots going on in the regulatory landscape lately—much of it potentially very beneficial to... -
AHAP Staff Challenge: Provision of Care
Fill in the blank: When behavioral management techniques such as restraint are used, it is... -
Q&A: Ongoing compliance success: Orient the team
Q: Do you have any suggestions for how to keep my survey readiness team organized and...
Issue 37, September 17, 2013
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It’s OK to break the rules, sometimes
A nurse leader advocates for "positive deviance" in nursing—bending or... -
From Mac’s Safety Space: Do you want to know a secret?
Apropos of nothing, on the face of it, I wanted to share with you a cautionary tale relative to the... -
AHAP Staff Challenge: Medication Management
Each hospital is required to have a formal process to evaluate whether a drug should be added to... -
3rd quarter AHAP Insider posted
The latest issue of the AHAP Insider has been posted to the site and can be found by... -
Q&A: Ongoing compliance success: Tracking compliance issues
Q: What tools should I use to track compliance issues and stay organized for survey readiness?
Issue 36, September 10, 2013
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From The Joint Commission: Core measure changes that impact accountability measures
The Centers for Medicare and Medicaid Services (CMS) announced modifications to its hospital... -
Patient experience: Old school approach may be best
The simplest, most effective patient experience strategy may be listening to the patient, directly... -
From Mac's Safety Space: I get (EVS) week in the knees...
Those of you who’ve followed this space for a while know that my first “life” in... -
AHAP Staff Challenge: Emergency Management
During an emergency, the hospital should determine the level of control that is needed for the... -
Q&A: Ongoing compliance success: Organization by focus area
Q: What are some key steps to consider in staying organized for survey readiness?
Issue 35, September 3, 2013
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Standards proposed for new blood management certification program
The Joint Commission’s Laboratory Accreditation program announced earlier this month that it... -
Healthcare-associated Infection costs detailed
Surgical site infections are the most frequently occurring HAI, accounting for one-third of the... -
From Mac’s Safety Space: Prioritize this...
During a recent survey, an interesting question was posed to the folks in Facilities, a question... -
AHAP Staff Challenge: National Patient Safety Goals (NPSGs)
The CDC states that millions of people each year acquire infections while being treated in a... -
From the AHAP blog: CMS renews HFAP deeming authority
The Healthcare Facilities Accreditation Program (HFAP) has received its continued status as an... -
Q&A: Ongoing compliance success: Team composition
Q: What are some key steps to consider in building an ongoing survey readiness team?
Issue 34, August 27, 2013
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Medical errors at 10 California hospitals draw nearly $625K in fines
California's latest round of penalties for hospital blunders that resulted in patient harm or death... -
From Mac’s Safety Space: Thela Hun Ginjeet (and a great big dose of humidity)
Not to belabor or otherwise abuse the deceased equine, I wanted to share with you a potential... -
AHAP Staff Challenge: Leadership
How would you prove that you communicate important quality and patient safety information to the... -
Q&A: Ongoing compliance success: Team composition
Q: What are some key steps to consider in maintaining ongoing survey readiness?
Issue 33, August 20, 2013
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Docs to disruptive patients: "You're fired"
A California physicians organization is finding that more doctors are dismissing patients because... -
From Mac’s Safety Space: Alien invasion: Take me to your (Emergency Management) leader!
It’s been a fairly busy year when it comes to updates of standards and such and this week... -
AHAP Staff Challenge: Infection control
All hospitals must evaluate whether or not they are willing and able to accept a large influx of... -
From the AHAP blog: Ten California hospitals fines for patient safety issues
The California Department of Public Health (CDPH) issued ten penalties this week to California... -
Q&A: Ongoing compliance success: Organization of teams by standards chapter
Q: What are some key steps to consider in maintaining ongoing survey readiness?
Issue 32, August 13, 2013
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How hospital practices are trimmed at UCSF
One energetic hospitalist, lamenting a "vast culture of overuse and waste," is working... -
From Mac’s Safety Space: What time is it? It’s Joint Commission Standard Time!
In the June 2013 edition of The Joint Commission’s Perspectives, George Mills covers the... -
Three ways to take control over patient flow, staffing
Forget stubborn physicians and wildly fluctuating patient volumes. Nurse leaders really do have... -
AHAP Staff Challenge: Environment of Care and Life Safety
Name the five Environment of Care aspects that are addressed in the current standards. -
Q&A: Ongoing compliance success: The compliance oversight group
Q: What are some key steps to consider in maintaining ongoing survey readiness?
Issue 31, August 6, 2013
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Final IPPS rule elicits objections from hospital groups
The Inpatient Prospective Payment System rule establishes controversial terms that distinguish an... -
Patient dumping scandal may cost accreditation
The Joint Commission has issued preliminary denial of accreditation for Rawson-Neal Psychiatric... -
From Mac’s Safety Space: Take this leaking boat (with apologies to The Swell Season)
As I was cruising through the updated State Operations Manual from CMS, I happened upon something... -
AHAP Staff Challenge: Rights, ethics, and communication
Fill in the blank: Hospitals are expected to provide information to patients in a format that the... -
From the AHAP blog: CIHQ receives deemed status for acute care hospitals
The Center for Improvement in Healthcare Quality has announced that it is the latest organization... -
Annual salary survey results are in!
The results of our latest benchmarking survey, the annual Accreditation Professional Salary... -
Q&A: Ongoing compliance success: Key stakeholders
Q: What are some key steps to consider in maintaining ongoing survey readiness?
Issue 30, July 30, 2013
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Hospital ratings and healthcare
Last week US News and World Report released its annual list of top hospitals. The New York Times... -
From Mac’s Safety Space: This just in: Absolutely nothing
While we are on the subject of the CMS, you may be interested to know that an update of the State... -
AHAP Staff Challenge: Provision of care
Fill in the blank: Restraint and seclusion policies should outline the __________ in which... -
Q&A: Ongoing compliance success: Determining the approach
Q: What are some key steps to consider in maintaining ongoing survey readiness?
Issue 28, July 16, 2013
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For APRNs, innovation trumps barriers
Three healthcare institutions that rely on advanced practice registered nurses prove that a little... -
Joint Commission revises requirements for Ambulatory Care Organizations
The Joint Commission recently approved several revisions to ambulatory care standards, effective... -
How safety-net hospitals are improving the patient experience
Despite some unique challenges, safety-net hospitals are achieving strong patient satisfaction... -
Joint Commission announces 2014 NPSG
The Joint Commission approved new National Patient Safety Goal NPSG.06.01.01 on clinical alarm... -
From Mac’s Safety Space: Time has come today (or perhaps time won’t let me...)
Last week, we started the discussion regarding findings relative to the inspection, testing, and... -
Star wars could be coming to a hospital near you
Medicare is proposing assigning stars or a different easily understood symbol to hospitals so... -
AHAP Staff Challenge: Emergency Management
Give two examples of resources or assets that could potentially be shared between healthcare... -
From Mac’s Safety Space: You may want to smoke during surveys
One of the more interestingly painful survey findings that I’ve come across hinge on the use... -
Participate in our annual salary survey!
AHAP members, we just wanted to send out a reminder that our anonymous, annual salary survey is now... -
AHAP Staff Challenge: Medication Management
What is your process for communicating to the medical staff and other clinical staff when there is... -
Networking call recording posted
The recording of our most recent networking call on preventing drift in infection control and other... -
Q&A: Preparing for the data management system tracer
Q: Do you have any tips of how prepare for the data management system tracer? -
Q&A: Ongoing compliance success: Obtain leadership commitment
Q: What are some key steps to consider in maintaining ongoing survey readiness?
Issue 27, July 9, 2013
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Healthcare and social media: The benefits win out
There's been a lot of buzz—and a lot of articles—about hospitals that are using the... -
Patient safety: Pay now or pay later
Some hospitals believe they can't afford investing in assistive technologies that improve patient... -
From Mac’s Safety Space: I'm feeling a little (medical) gassy...
One Joint Commission survey finding I’ve noticed cropping up in a couple of instances has to... -
Q&A: Manage your data management process (part III)
Q: Do you have any tips of how to manage and display risk assessment data?
Issue 26, July 2, 2013
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How to lose good nurses
Hospitals that fail to stamp out verbal abuse among RNs and those that demand 12-hour shifts risk... -
From Mac’s Safety Space: Take the "M" down, pass it around ? now you’ve got SDS
In case you missed it, OSHA’s Hazard Communications Standard has been revised to align with... -
Emergency management standards revised
The Joint Commission has announced revisions to its Emergency Management standards intended to take... -
AHAP Staff Challenge: Leadership
Governing board members, senior leadership, and medical staff leadership should be oriented to... -
From the AHAP blog: Joint Commission announces alarm safety NPSG
The Joint Commission has announced the creation of a National Patient Safety Goal (NPSG.06.01.01... -
Q&A: Manage your data management process (part II)
Q: Do you have any tips of how to manage and display risk assessment data?
Issue 25, June 25, 2013
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Take 5 with The Joint Commission podcast: NPSG for preventing surgical site infections
A podcast from The Joint Commission on key learnings from the SSI Change Project and The Joint... -
ED tries telemedicine in bid to cut wait times
A medical center with long emergency department wait times is running a pilot study to test... -
From Mac's Safety Space: Jeannie needs a shooter (well, an active shooter response plan...)
The time has come, the Walrus said, to talk of many things…and so today’s tusk... -
AHAP Staff Challenge: Infection Control
If a member of the voluntary medical staff is exposed to a communicable disease while caring for a... -
Q&A: Manage your data management process (part I)
Q: Do you have any tips of how to manage and display risk assessment data?
Issue 24, June 18, 2013
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Healthcare leaders seek strategic sweet spot
Hospitals and health systems are getting squeezed at both ends of the revenue spectrum. To survive... -
Facts about behavioral healthcare accreditation from The Joint Commission
The Joint Commission has released a fact sheet about its behavioral healthcare accreditation... -
From Mac’s Safety Space: Do you have to be so negative/positive?
Time for a little update from the field during survey year 2013. If there’s one topic (or... -
AHAP Staff Challenge: Environment of Care & Life Safety
True or False: Hospitals must have a defined, written procedure for properly handling a utility... -
From the AHAP blog: AHAP networking call, June 19
Hello, AHAP members. I wanted to let you know that we have set up a time for our next AHAP...
Issue 23, June 11, 2013
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Study shows lack of teamwork between C-suite and risk managers over patient safety
According to a recent study by American International Group (AIG), an international insurance... -
Revamp nurse staffing policies and cut costs
The more disordered a nursing unit is with its staffing, the more turnover and costs will go up. A... -
How Loyola makes flu shot compliance soar
Loyola University Medical Center endured its share of objections from healthcare workers who did... -
AHAP Staff Challenge: Rights, ethics, and communication
True or False: Hospitals must inform patients regarding the complaint management process. This... -
From the AHAP blog: AHAP kicks off annual conference
Today’s first few sessions have been a huge success. Our 7th annual conference kicked off... -
Q&A: The system tracers and interviews
Q: Do you have any recommendations for how to prepare staff for system tracers and interviews?
Issue 22, June 4, 2013
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Infection expert: Don't rush to change MRSA protocols
Hospitals should continue to conduct routine risk assessments to determine how well their... -
Hospitals thinking beyond 30-day readmissions
Operating under the assumption that the government is moving toward enacting reimbursement... -
CMS proposes changes to survey process
CMS has proposed to revise the survey, certification, and enforcement procedures related to CMS... -
AHAP Staff Challenge: Provision of care
True or False: The plan of care should be considered a living document that needs to be... -
From the AHAP blog: Joint Commission launches adult depression campaign
The Joint Commission has released the latest of its ongoing “Speak Up ™&rdquo... -
Q&A: The opening conference
Q: What is the purpose of the opening conference for surveyors?
Issue 21, May 28, 2013
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Quiet ORs better for patient safety
Music at loud decibels can contribute to miscues among surgeons and nurses in the operating room... -
Briefings on The Joint Commission article: CMS on accreditors
In a recent article by AHAP advisor Elizabeth Geffers, she takes a look at what the regulatory... -
AHAP Staff Challenge: Medication Management
True or False: As long as a hospital has a thorough and complete formulary, the hospital can omit... -
Register for the 7th Annual AHAP conference
Join us for the 7th Annual Association for Healthcare Accreditation Professionals (AHAP... -
2013 AHAP conference poster presenters wanted
The 2013 AHAP conference, to be held June 6-7, 2013 at The Flamingo Las Vegas Hotel and Casino in... -
From the AHAP blog: Open positions- Phoenix, AZ
As a service to our membership we occasionally post job listings that are brought to our attention... -
Q&A: Assess orientation programs
Q: How can I monitor my orientation program to ensure it meets standards compliance?
Issue 20, May 21, 2013
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Approved performance measures for Advanced Certification in heart failure
The Joint Commission has approved a set of standardized performance measures for Disease Specific... -
Joint Commission to offer behavioral health home certification option
Starting in January 2014, The Joint Commission will be offering new Behavioral Health Home... -
AHAP Staff Challenge: Emergency Management (EM)
How and what should the HVA be used for? -
Register for the 7th Annual AHAP conference
Join us for the 7th Annual Association for Healthcare Accreditation Professionals (AHAP... -
2013 AHAP conference poster presenters wanted
The 2013 AHAP conference, to be held June 6-7, 2013 at The Flamingo Las Vegas Hotel and Casino in... -
Q&A: Focused professional practice evaluation (FPPE)
Q: What are the processes required related to meet the standards for FPPE?
Issue 19, May 14, 2013
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Patient-centered design for hospitals offers benefits
Could patient-centered design lead to reduced readmission rates and less expensive outcomes? As... -
Leapfrog Hospital safety scores "depressing"
In the Leapfrog Group's third release of hospital safety grades, overall scores rose minutely, but... -
AHAP Staff Challenge: National Patient Safety Goals
True or False: Only physicians can perform medication reconciliation. -
Register for the 7th Annual AHAP conference
Join us for the 7th Annual Association for Healthcare Accreditation Professionals (AHAP... -
2013 AHAP conference poster presenters wanted
The 2013 AHAP conference, to be held June 6-7, 2013 at The Flamingo Las Vegas Hotel and Casino in... -
Q&A: Evaluating the success of the organization's unannounced survey plan
Q: How do I evaluate whether my organization’s unannounced survey plan is effective?
Issue 18, May 7, 2013
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Joint Commission highlights need for disaster planning following Boston bombings
In a recent post to their site, The Joint Commission announces that the organization is ready to... -
Joint Commission awards ambulatory accreditation to kidney care center
For the first time, The Joint Commission has awarded accreditation through its Ambulatory Health... -
AHAP Staff Challenge: Leadership
How would you prove that the medical staff has the opportunity to participate in meetings of the... -
Register for the 7th Annual AHAP conference
Join us for the 7th Annual Association for Healthcare Accreditation Professionals (AHAP... -
2013 AHAP conference poster presenters wanted
The 2013 AHAP conference, to be held June 6-7, 2013 at The Flamingo Las Vegas Hotel and Casino in... -
From the AHAP blog: Job listing
Hello, AHAP members. I just wanted to share with you a job listing that was sent our way via one... -
Q&A: Patient-centered communication standards
Q: Where can I find requirements on patient-centered communication?
Issue 17, April 30, 2013
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Patient outcomes is focus of professional development program
At Baylor Health Care System, many nurses do more to develop professionally than simply attend... -
AHAP Staff Challenge: Infection Control
Hospital leadership must ensure that the infection control program had adequate access to the... -
2013 AHAP conference poster presenters wanted
The 2013 AHAP conference, to be held June 6-7, 2013 at The Flamingo Las Vegas Hotel and Casino in... -
Q&A: Preparing for the data management system tracer
Q: Where should I focus my data management system tracer?
Issue 16, April 23, 2013
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Study finds Magnet hospitals have better outcomes, lower death rates
Healthcare Finance News reports that according to research done by the University of Pennsylvania... -
Diagnostic errors common and costly
Wrong site surgeries and medication mishaps get all the gory malpractice headlines, but diagnostic... -
Hospitals crack down on repeat ED users
They come into the emergency department as if it's their second home; indeed, they often are on a... -
AHAP Staff Challenge: Environment of Care and Life Safety
True or False: Medical gas and vacuum systems must be tested regularly and the main supply area... -
Register for the 7th Annual AHAP conference
Join us for the 7th Annual Association for Healthcare Accreditation Professionals (AHAP) Conference... -
2013 AHAP conference poster presenters wanted
The 2013 AHAP conference, to be held June 6-7, 2013 at The Flamingo Las Vegas Hotel and Casino in... -
Q&A: Your survey team
Q: Can you tell me a little more about the surveyors? What should I expect? Who will be doing the...
Issue 15, April 16, 2013
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SC hospitals push coordinated care
With all of the challenges facing healthcare providers under the Affordable Care Act, it's... -
Evidence-based practice and nursing research: Avoiding confusion
The ANCC Magnet Recognition Program® (MRP) requires hospitals to have evidence-based practice... -
AHAP Staff Challenge: Rights, Ethics, and Communication
Fill in the blank: Patients have both rights and _______________. -
Register for the 7th Annual AHAP conference
Join us for the 7th Annual Association for Healthcare Accreditation Professionals (AHAP... -
2013 AHAP conference poster presenters wanted
The 2013 AHAP conference, to be held June 6-7, 2013 at The Flamingo Las Vegas Hotel and Casino in... -
From the AHAP blog: Proposed requirements for Behavioral Health Home certification product
The Joint Commission is developing an optional Behavior Health Home Care certification product... -
Q&A: Basic risk assessment
Q: What is the basic model for a risk assessment?
Issue 14, April 9, 2013
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Patients like online health records access
When patients at the VA Medical Center in Portland, Ore., were given access to key parts of their... -
Nurse leadership skills made, not granted
As the healthcare industry continues to evolve and endure periods of upheaval, smart and savvy... -
AHAP Staff Challenge: Provision of Care
True or False: Only tertiary care hospitals are required to have written policies and procedures... -
Register for the 7th Annual AHAP conference
Join us for the 7th Annual Association for Healthcare Accreditation Professionals (AHAP) Conference... -
2013 AHAP conference poster presenters wanted
The 2013 AHAP conference, to be held June 6-7, 2013 at The Flamingo Las Vegas Hotel and Casino in... -
From the AHAP blog: Columbus Regional Hospital recognized as first Heart Failure Center in its class for 2013
Columbus Regional Hospital has been recognized by the Healthcare Accreditation Colloquium as the... -
Q&A: Documenting patient education
Q: How should we properly handle patient education when it comes to care plan assessment...
Issue 13, April 2, 2013
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Scores predict readmission likelihood
A team from Brigham and Women's Hospital in Boston, collaborating with a team in Bern... -
Needlestick safety challenges continue
On November 6, 2000, the Needlestick Safety and Prevention Act was signed into law, and since... -
AHAP Staff Challenge: Medication Management
What should the hospital formulary include in addition to the medication names? -
Register for the 7th Annual AHAP conference
Join us for the 7th Annual Association for Healthcare Accreditation Professionals (AHAP... -
2013 AHAP conference poster presenters wanted
The 2013 AHAP conference, to be held June 6-7, 2013 at The Flamingo Las Vegas Hotel and Casino in... -
From the AHAP blog: 2014 NPSG proposed on alarm management
The Joint Commission has put forth a proposed National Patient Safety Goal for 2014 addressing... -
Q&A: Anesthesia services oversight
Q: What are the supervision requirements for anesthesia services?
Issue 12, March 26, 2013
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Connecticut hospitals looking to the aviation industry for safety help
Hospitals in Connecticut—from Bridgeport to Greenwich and beyond—have looked toward... -
Less than 1% of health plan premiums spent on quality
Health insurance providers have spent less than 1% of the premium dollars they collected from... -
AHAP Staff Challenge: Emergency Management (EM)
There are four phases of emergency management. Name them and identify which two occur prior to the... -
Last chance for AHAP conference early bird discount!
Join us for the 7th Annual Association for Healthcare Accreditation Professionals (AHAP) Conference... -
2013 AHAP conference poster presenters wanted
The 2013 AHAP conference, to be held June 6-7, 2013 at The Flamingo Las Vegas Hotel and Casino in... -
From the AHAP blog: New job openings
Hello AHAP members, we’ve received a couple job openings and have been asked if we could... -
Q&A: Risk reduction strategies to demonstrate compliance (part III)
Q: What is the basic model for conducting a risk assessment?
Issue 11, March 19, 2013
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Hospital ratings are in the eye of the beholder
According to a recent post on the AARP blog, various companies and nonprofit organizations, such... -
CMS unveils hospital violations database
For the first time, providers, payers, and patients now have an enormous searchable database... -
Register for the 7th Annual AHAP Conference!
Join us for the 7th Annual Association for Healthcare Accreditation Professionals (AHAP) Conference... -
AHAP Staff Challenge: Record of Care
Whose name(s) should be documented in the patient record when a verbal order is given? -
From the AHAP blog: UK medical chief calls antibiotic resistance a "catastrophic threat"
We’ve often heard that the building up of resistances to antibiotics by bacterial infections... -
Q&A: Risk reduction strategies to demonstrate compliance (part II)
Q: What is the basic model for conducting a risk assessment?
Issue 10, March 12, 2013
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Quality improvement shows significant savings for Hawaii health system
Hawaii Pacific Health has proved that high levels of quality improvement coupled with... -
CMS releases ED wait times, upsetting some hospitals
Hospital executives are lashing out at the Centers for Medicare & Medicaid Services and... -
AHAP Staff Challenge: National Patient Safety Goals
True or False: The Joint Commission includes the ED as “a non-24 hour setting." -
Register for the 7th Annual AHAP Conference!
Join us for the 7th Annual AHAP Conference on June 6-7 in Las Vegas! Previous attendees can attest... -
Q&A: Risk reduction strategies to demonstrate compliance (part I)
Q: What is the basic model for conducting a risk assessment? -
How one hospital zapped infection rates
It isn't every day top health officials in the Obama administration and two national...
Issue 9, March 5, 2013
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How to make hospital staff accountable for patient experience
An organization's culture, despite what's written on its mission statement, is the collective body... -
Patient Safety Awareness Week
Patient Safety Awareness Week, an annual education and awareness campaign for healthcare safety... -
AHAP Staff Challenge: Leadership
How would you prove that the medical staff has the opportunity to participate in meetings of the... -
Register for the 7th Annual AHAP Conference!
Join us for the 7th Annual AHAP Conference on June 6-7 in Las Vegas! Previous attendees can attest... -
From the AHAP blog: Joint Commission releases new "Speak Up" offerings
The Joint Commission has released the latest in its ongoing series of “Speak Up&rdquo...
Issue 7, February 26, 2013
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Healthgrades acknowledges top cities for care
A new report released Feb. 19 recognizes Dayton; Ohio, Phoenix; Cincinnati; and Milwaukee, among... -
Sloppy EHR data signals need for standards
Motivated by improved efficiencies and monetary incentives, healthcare is migrating to electronic... -
AHAP Staff Challenge: Infection Control (IC)
The practitioner with clinical responsibilities for infection control is responsible for ensuring... -
Register for the 7th Annual AHAP Conference!
Join us for the 7th Annual AHAP Conference on June 6-7 in Las Vegas! Previous attendees can attest... -
From the AHAP blog: Portland hospital investigated after child?s clothing unexpectedly catches fire
Here is a story that will cause more than one hospital to take a look at its own policies and... -
Q&A: Fire alarm systems and sprinkler systems (LS.02.01.34 and LS.02.01.35)
Q: What are some tips to stay compliant with our fire alarm and sprinkler systems?
Issue 6, February 19, 2013
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NCQA announces first ACO accreditations
Last week, the National Committee of Quality Assurance (NCQA) president issued accreditation to... -
Hospitals team to find beds for psych patients
A small but growing number of hospitals in Maryland have joined together to track and share... -
Healthcare leaders discuss report on decreasing readmissions
A panel of healthcare leaders met recently to discuss a recent Robert Wood Johnson Foundation... -
AHAP Staff Challenge: Environment of Care and Life Safety
True or False: Most hazardous materials/waste spills in hospitals are of a minor threat to people... -
Register for the 7th Annual AHAP Conference!
Join us for the 7th Annual AHAP Conference on June 6-7 in Las Vegas! Previous attendees can attest... -
Q&A: Maintaining survey readiness
Q: What are some ways to stay current with Joint Commission standards changes?
Issue 5, February 12, 2013
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New OIG report warns Medicare providers
The Office of Inspector General (OIG) released a report recently as a warning to Medicaid... -
AMA issues five patient safety guidelines
The American Medical Association has developed five key responsibilities physicians should adopt... -
AHAP Staff Challenge: Rights, ethics, and communication
True or False: Hospitals must provide patients, in writing, about their right to refuse care... -
Register for the 7th Annual AHAP Conference!
Join us for the 7th Annual AHAP Conference on June 6-7 in Las Vegas! Previous attendees can attest... -
From the AHAP Blog: Coming soon: Tools and forms library to the AHAP website
AHAP is gathering tried-and-tested tracers, policies, and education/training materials for the... -
Q&A: Evaluating the success of the organization’s unannounced survey plan
Q: How do I know if my organization’s unannounced survey plan is a good one?
Issue 4, February 5, 2013
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CMS unveils bundled payment models
Some hospitals and doctors will soon embrace big financial risks with four federal bundled payment... -
AHAP Staff Challenge: Provision of care
True or false: A presedation assessment of the patient is required prior to the administration of... -
Register for the 7th Annual AHAP Conference!
Join us for the 7th Annual AHAP Conference on June 6-7 in Las Vegas! Previous attendees can attest... -
Q&A: Pursing new certifications or accreditations
Q: How do you and your organization decide whether to pursue new certifications or accreditations...
Issue 3, January 29, 2013
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Proposed 2014 NPSG on Alarm Management
The Joint Commission is seeking comments through February 26, 2013 on a proposed National Patient... -
AHAP Staff Challenge: Medication Management
Certain information should be available when medication errors are being prescribed. Age is one of... -
AHAP Staff Challenge: Medication Management
Certain information should be available when medication errors are being prescribed. Age is one of... -
Register for the 7th Annual AHAP Conference!
Join us for the 7th Annual AHAP Conference on June 6-7 in Las Vegas! Previous attendees can attest... -
From the AHAP Blog: January issue of AHAP Insider available for download
AHAP members- the latest issue of the AHAP Insider, our quarterly association journal is now... -
Q&A: Noncompliance with Medication Management (MM.04.01.01 EP 13)
Q: At our facility, we were found noncompliant with MM.04.01.01 EP 13, requiring a hospital to...
Issue 2, January 22, 2013
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Register for the 7th Annual AHAP Conference!
Join us for the 7th Annual AHAP Conference on June 6-7 in Las Vegas! Previous attendees can attest... -
AHAP Staff Challenge: Emergency Management
Describe why an “All Hazards” approach Emergency Operations Plan makes sense for... -
From the AHAP Blog: AHAP 2013: We’re betting on red
What can we say, we like our odds! That’s why we’re headed back to Las Vegas for the... -
Join us on the podium for the 2013 AHAP conference!
There’s still time left to submit your application to speak at this year’s AHAP... -
Q&A: Immediate threat to health and safety
Q: What happens if something is deemed an immediate threat to health or safety?
Issue 1, January 15, 2013
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Happy New Year!
Did you hear? The 2013 AHAP conference will be held on June 6-7, 2013, and we’re going back... -
AHAP Staff Challenge: Record of Care
Whose name(s) should be documented in the patient record when a verbal order is given? Click... -
From the AHAP Blog: Chart for tracking Environment of Care issues
In this month’s issue of our sister newsletter, Briefings on The Joint Commission, AHAP... -
Join us on the podium for the 2013 AHAP conference!
We are currently seeking speakers to present at the seventh annual AHAP Conference to be held June... -
Q&A: Using tracers to assess risk (Part III)
Q: What tracer process should I put in place to stay prepared for a survey as well as to identify...