Accreditation Articles by Topic: Joint Commission Standards
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Accreditation Insider, Issue 45, November 10, 2015
Here we will focus specifically on tracer training and implementation: the "who,"...
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Accreditation Insider, Issue 44, November 3, 2015
What are the CMS and Joint Commission hot spots for 2016? Join Bud Pate, REHS, and Lisa Eddy, RN...
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Accreditation Insider, Issue 44, November 3, 2015
In this guest column, Heather Forbes, clinical education program coordinator for Maine Medical...
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Accreditation Insider, Issue 42, October 20, 2015
With an increasing number of regulations, National Patient Safety Goals, Sentinel Event Alerts, and...
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Accreditation Insider, Issue 40, October 6, 2015
The Joint Commission recently approved the 2016 accreditation and certification decision rules for...
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Accreditation Insider, Issue 39, September 29, 2015
A new Sentinel Event Alert (SEA) issued by The Joint Commission this week urges healthcare...
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Accreditation Insider, Issue 39, September 29, 2015
The topic of alarm hazards has crowned ECRI's top 10 list of health technology hazards for the last...
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Accreditation Insider, Issue 38, September 22, 2015
When The Joint Commission released its list of the five most-cited standards for the first half of...
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Accreditation Insider, Issue 35, September 1, 2015
Safety, infection control, and medical records top The Joint Commission’s list of most-cited...
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Accreditation Insider, Issue 35, September 1, 2015
This month, we are focusing on Paula Brinn, BSN, MBA, CCRN-K, regulatory compliance manager at...
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Accreditation Insider, Issue 33, August 18, 2015
As The Joint Commission shifted to a more integrated survey, many hospitals moved away from the...
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Accreditation Insider, Issue 33, August 18, 2015
A new tool released by The Joint Commission is designed to help hospitals prevent inpatient...
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Accreditation Insider, Issue 31, August 4, 2015
For the last several years, The Joint Commission's semiannual list of the most-cited standards has...
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Accreditation Insider, Issue 31, August 4, 2015
The Joint Commission has clarified its expectations for the Life Safety and Environment of Care...
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Accreditation Insider, Issue 30, July 28, 2015
As The Joint Commission shifted to a more integrated survey, many hospitals moved away from the...
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Accreditation Insider, Issue 30, July 28, 2015
The Joint Commission and the American Heart Association/American Stroke Association plan to launch...
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Accreditation Insider, Issue 29, July 21, 2015
The Joint Commission and the American Society for Healthcare Engineering last week rolled out a new...
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Accreditation Insider, Issue 26, June 30, 2015
The Joint Commission extended the mandatory reporting of the Perinatal Care performance measure set...
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Accreditation Insider, Issue 24, June 16, 2015
The Joint Commission has released revised laboratory standards that align with CMS...
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Accreditation Insider, Issue 23, June 9, 2015
The Joint Commission offered some tips on how to maintain fire extinguishing equipment, an area...
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Accreditation Insider, Issue 22, June 2, 2015
Help us get your thoughts on Briefings on The Joint Commission.
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Accreditation Insider, Issue 22, June 2, 2015
The Joint Commission has revised its accreditation decision process for hospitals undergoing...
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Accreditation Insider, Issue 21, May 26, 2015
As of July 1, 2015, several revised Joint Commission hospice requirements will go into effect to...
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Accreditation Insider, Issue 20, May 19, 2015
The Joint Commission seeks input on proposed changes to its diagnostic imaging requirements for...
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Accreditation Insider, Issue 19, May 12, 2015
The Joint Commission recently updated its policies regarding accreditation status following...
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Accreditation Insider, Issue 18, May 5, 2015
The Joint Commission recently updated a slew of online FAQs to its hospital standards.
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Accreditation Insider, Issue 13, March 31, 2015
Learn about the complex accreditation challenges presented by management of conditions in the...
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Accreditation Insider, Issue 13, March 31, 2015
The Joint Commission’s list of top compliance issues in 2014 features some familiar...
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Accreditation Insider, Issue 12, March 24, 2015
The Joint Commission seeks public comment on a set of draft patient blood management performance...
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Accreditation Insider, Issue 9, March 3, 2015
The Joint Commission this week released prepublication standards for a new certification program...
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Accreditation Insider, Issue 9, February 10, 2015
A joint statement released recently clarifies the definition of severe maternal morbidity in The...
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Accreditation Insider, Issue 5, February 3, 2015
The Joint Commission has released prepublication standards for a new Acute Stroke-Ready Hospital...
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Accreditation Insider, Issue 2, January 15, 2015
An upcoming HCPro webcast will give attendees an in-depth look at The Joint Commission’s new...
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Accreditation Insider, Issue 2, January 15, 2015
The Joint Commission’s new and revised diagnostic imaging standards will go into effect on...
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Accreditation Insider, Issue 47, November 25, 2014
What does the statement “Immediately Administered Medication” mean?
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Accreditation Insider, Issue 45, November 11, 2014
When should staff and physicians be educated about healthcare-associated infections including...
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Accreditation Insider, Issue 43, October 28, 2014
Fill in the blank: Each patient should have a written plan of care that has ______________ and...
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Accreditation Insider, Issue 42, October 21, 2014
The Joint Commission is allowing the public to download its new Patient Safety Systems chapter...
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Accreditation Insider, Issue 37, September 16, 2014
Fill in the blank: When a patient is both in restraints AND secluded, the patient must be...
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Accreditation Insider, Issue 37, September 16, 2014
The Joint Commission is adding a new patient safety-focused chapter to its accreditation manual and...
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Accreditation Insider, Issue 36, September 9, 2014
Eight of The Joint Commission’s top 10 standards compliance issues for the first half of 2014...
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Accreditation Insider, Issue 35, September 2, 2014
New Joint Commission revisions to hospital standards have been made to align with CMS effort to...
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Accreditation Insider, Issue 34, August 26, 2014
Take this HCPro customer survey and get a chance to win $50 off any product in the HCPro...
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Accreditation Insider, Issue 32, August 12, 2014
Name the two major federal laws that support the use of interpreters.
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Accreditation Insider, Issue 28, July 15, 2014
An HCPro webcast on August 20 will walk attendees through the mock survey process to help improve...
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Accreditation Insider, Issue 27, July 8, 2014
The CMS has renewed deeming authority for The Joint Commission for hospital accreditation through...
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Accreditation Insider, Issue 25, June 24, 2014
Revised standards from The Joint Commission that align with CMS requirements go into effect on July...
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Accreditation Insider, Issue 24, June 17, 2014
Hospitals should have processes in place that continually monitor for specific types of events...
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Accreditation Insider, Issue 22, June 3, 2014
Identify three things that are monitored on a continual basis while a patient is receiving...
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Accreditation Insider, Issue 21, May 27, 2014
The implementation of new and revised diagnostic imaging standards from The Joint Commission has...
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Accreditation Insider, Issue 18, May 6, 2014
The Joint Commission has released a new clarification for organ procurement organizations as part...
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Accreditation Insider, Issue 13, April 1, 2014
Safety issues continue to top The Joint Commission’s annual list of top standards...
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Accreditation Insider, Issue 12, March 25, 2014
Fill in the blank: The scope and content of __________________, _____________, and...
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Accreditation Insider, Issue 12, March 25, 2014
A Joint Commission official will discuss hospital worker fatigue and its impact on patient and...
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Accreditation Insider, Issue 7, February 18, 2014
For deemed status purposes, which medical services or departments require a physician leader?
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Accreditation Insider, Issue 5, February 4, 2014
The Joint Commission explains how it developed its new National Patient Safety Goal on clinical...
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Briefings on Accreditation and Quality, Issue 2, February 1, 2014
When it comes to projects for improving the culture of safety in any healthcare...
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Briefings on Accreditation and Quality, Issue 2, February 1, 2014
Editor’s note: In this new feature, BOJ advisor Jodi Eisenberg, MHA, CPHQ, CPMSM...
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Accreditation Insider, Issue 3, January 22, 2014
The CMS is seeking public comments on a new proposed rule on emergency preparedness.
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Accreditation Insider, Issue 44, October 30, 2012
Which of the following topics/sections should be included in the hospital’s Emergency...
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Accreditation Insider, Issue 44, October 30, 2012
Hospital and critical access hospitals, here’s something to watch out for: The Joint...
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Accreditation Insider, Issue 37, September 11, 2012
True or False: Medication labels should include the expiration date for medications that expire at...
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Accreditation Insider, Issue 37, September 11, 2012
Q: How do I stay compliant while using flash sterilization in my facility?
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Accreditation Insider, Issue 28, July 10, 2012
True or False: Hospitals are expected to take steps to reduce the number of verbal and telephone...
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Accreditation Insider, Issue 28, July 10, 2012
For those of you following The Joint Commission’s ongoing “Speak Up” campaign...
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Accreditation Insider, Issue 28, July 10, 2012
Q: During our recent survey, the surveyor cited three instances where the preprocedure H&P was...
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Accreditation Insider, Issue 27, July 3, 2012
True or False: The Medical Staff bylaws should identify who is allowed to grant temporary...
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Accreditation Insider, Issue 26, June 26, 2012
True or False: A verbal order entered into the patient record should be both dated and times (if...
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Accreditation Insider, Issue 26, June 26, 2012
Q: During our recent survey, a surveyor sited open flash pans poststerilization being transported...
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Accreditation Insider, Issue 25, June 19, 2012
True or False: Prepackaging, such as unit doses for Coumadin and premixed bags of heparin, has...
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Accreditation Insider, Issue 25, June 19, 2012
Q: During the on-site survey, we were cited due to a lack of H&P completions. How can I clarify...
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Accreditation Insider, Issue 24, June 12, 2012
Senior leadership should ensure that decisions regarding quality are:
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Accreditation Insider, Issue 24, June 12, 2012
The Joint Commission has released prepublication standards for a revision to the Waived testing...
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Accreditation Insider, Issue 23, June 5, 2012
True or False: Hospitals do not need to provide influenza vaccine to the voluntary medical staff.
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Accreditation Insider, Issue 23, June 5, 2012
Q: The surveyor cited two behavioral health records not having documentation of medication...
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Accreditation Insider, Issue 22, May 29, 2012
True or False: The Life Safety Code® standards are primarily focused on the...
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Accreditation Insider, Issue 21, May 22, 2012
Fill in the blank: If a patient is unable to participate in decisions about his or her care or...
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Accreditation Insider, Issue 21, May 22, 2012
The Joint Commission has released pre-publication standards for behavioral healthcare...
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Accreditation Insider, Issue 20, May 15, 2012
True or False: A nursing assessment should be completed within 24 hours of the patient’s...
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Accreditation Insider, Issue 19, May 8, 2012
True or False: The risk for potential error is higher when orders are given verbally or over the...
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Accreditation Insider, Issue 18, May 1, 2012
Q: What are the requirements for fire alarm systems and sprinkler systems?
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Accreditation Insider, Issue 17, April 24, 2012
True or False: A verbal order entered into the patient record should be both dated and timed (if...
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Accreditation Insider, Issue 15, April 10, 2012
Hello, AHAP members. We don’t often mention it, but did you know three of our advisory board...
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Accreditation Insider, Issue 14, April 3, 2012
True or False: Evidence-based medicine should be the basis for all infection control policies and...
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Accreditation Insider, Issue 9, February 28, 2012
Q: We are expecting a survey any day now and I’m worried that some of my staff may not know...
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Accreditation Insider, Issue 8, February 21, 2012
True or False: Information in the patient’s record must support the care and treatment the...
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Accreditation Insider, Issue 8, February 21, 2012
The Joint Commission’s Center for Transforming Healthcare has released a new tool for...
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Accreditation Insider, Issue 8, February 21, 2012
I just wanted to let you know that the organization has launched its first benchmarking survey of...
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Accreditation Insider, Issue 7, February 14, 2012
True or False: Medication containers include syringes, medicine cups, and basins.
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Accreditation Connection, Issue 6, February 10, 2012
The Association for Healthcare Accreditation Professionals (AHAP) has launched its first...
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Accreditation Insider, Issue 6, February 7, 2012
True or False: Active members of the medical staff are not allowed to participate as members of the...
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Accreditation Insider, Issue 6, February 7, 2012
The requirements of standard LD.04.04.05 EPs 1, 7, and 13 mandate that governance receives an...
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Accreditation Connection, Issue 5, February 3, 2012
The Joint Commission has unveiled its latest entry in its Speak Up ™program. Released on...
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Accreditation Connection, Issue 5, February 3, 2012
Attention, Accreditation Connection subscribers: in just a few weeks, two of our most popular...
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Accreditation Insider, Issue 5, January 31, 2012
True or False: Although hand washing is known to be one of the best ways to reduce the spread of...
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Accreditation Connection, Issue 4, January 27, 2012
The Joint Commission has released communication guidelines for the organization’s Certified...
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Accreditation Connection, Issue 4, January 27, 2012
The American Association of Clinical Chemistry Clinical Point of Care Testing (CPOCT) Division is...
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Accreditation Insider, Issue 4, January 24, 2012
True or False: The standards require a person to be assigned the responsibility and authority to...
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Accreditation Insider, Issue 4, January 24, 2012
The Joint Commission has unveiled prepublication standards, effective July 1, 2012, to Leadership...
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Accreditation Connection, Issue 3, January 20, 2012
The Joint Commission has released revisions to the elements of performance (EP) of application for...
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Accreditation Connection, Issue 3, January 20, 2012
The Joint Commission has unveiled prepublication standards, effective July 1, 2012, to Leadership...
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Accreditation Connection, Issue 2, January 13, 2012
According to a report released by the Illinois Hospital Association, Illinois hospitals contributed...
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Accreditation Connection, Issue 2, January 13, 2012
The Joint Commission has announced the names of its incoming Board of Commissioners for 2012. The...
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Accreditation Insider, Issue 2, January 10, 2012
True or False: The time frame allowed to complete an initial patient assessment can be defined by...
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Accreditation Connection, Issue 1, January 6, 2012
Effective January 1, 2012, two new accreditation decision rules have been approved by The Joint...
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Accreditation Connection, Issue 1, January 6, 2012
The Joint Commission has released the National Patient Safety Goals (NPSGs) for 2012 in an...
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Accreditation Insider, Issue 1, January 3, 2012
True or False: Once a hospital has developed its list of sound-alike/look-alike drugs, the list...
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Accreditation Insider, Issue 52, December 27, 2011
True or False: Power failures, loss of water or utilities, floods, and tornados are all examples...
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Accreditation Insider, Issue 51, December 20, 2011
Which of the following would be considered a medical record history?
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Accreditation Connection, Issue 51, December 15, 2011
The Patient Safety Monitor Blog has a fantastic post by writer Tami Swartz that might be of...
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Accreditation Insider, Issue 50, December 13, 2011
The Joint Commission has released new information on IC.02.04.01, the Infection Control standard...
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Accreditation Connection, Issue 50, December 8, 2011
The Joint Commission released on December 7, 2011 a set of proposed revisions to the accrediting...
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Accreditation Connection, Issue 50, December 8, 2011
The Joint Commission has released new information on IC.02.04.01, the Infection Control standard...
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Accreditation Insider, Issue 49, December 6, 2011
True or False: The hospital’s scope of service must be approved by the governing board.
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Accreditation Connection, Issue 49, December 2, 2011
The Joint Commission is proposing a new National Patient Safety Goal (NPSG) addressing growing...
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Accreditation Insider, Issue 48, November 29, 2011
True or False: Good infection control practices can have a major, positive impact on patient safety...
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Accreditation Insider, Issue 48, November 29, 2011
The Joint Commission has announced that the previously approved patient-centered communication...
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Accreditation Connection, Issue 48, November 23, 2011
Kaiser Permanente's Northern California hospital unit and medical group has filed a lawsuit against...
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Accreditation Connection, Issue 48, November 23, 2011
Three healthcare organizations were among the winners of this year's Malcolm Baldridge National...
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Accreditation Connection, Issue 48, November 23, 2011
The Joint Commission has announced the formation of a new Department of Engineering, intended to...
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Accreditation Insider, Issue 47, November 22, 2011
True or False: Hospitals have the option to incorporate all the environment of care (EC) areas...
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Accreditation Connection, Issue 47, November 18, 2011
The Joint Commission has announced that it will launch its newly enhanced electronic application...
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Accreditation Connection, Issue 47, November 18, 2011
The Joint Commission has announced that the previously approved patient-centered communication...
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Accreditation Connection, Issue 47, November 18, 2011
The Joint Commission has published an FAQ addresssing texting orders on its Frequently Asked...
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Accreditation Insider, Issue 46, November 15, 2011
True or False: Communication is one of the key cornerstones of patient safety and quality care.
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Accreditation Insider, Issue 46, November 15, 2011
The Joint Commission has altered the term “disruptive behavior” in the...
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Accreditation Connection, Issue 46, November 10, 2011
The Joint Commission has altered the term “disruptive behavior” in the...
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Accreditation Connection, Issue 46, November 10, 2011
The Joint Commission has released a new field guide urging hospitals to create a more welcoming and...
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Accreditation Connection, Issue 46, November 10, 2011
The Association for Healthcare Accreditation Professionals (AHAP) is still seeking participants in...
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Accreditation Insider, Issue 45, November 8, 2011
True or False: It is not necessary for community hospitals to have processes in place for...
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Accreditation Connection, Issue 45, November 4, 2011
The Joint Commission announced this week that it will work with SGS, a leading verification...
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Accreditation Connection, Issue 45, November 4, 2011
The Agency for Healthcare Research and Quality has awarded the the American Hospital...
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Accreditation Insider, Issue 44, November 1, 2011
True or False: A hospital may use some discretion when developing its list of...
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Accreditation Connection, Issue 44, October 28, 2011
The US Food and Drug Administration (FDA) has launched a new initiative and program designed to...
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Accreditation Connection, Issue 44, October 28, 2011
The Joint Commission has posted its latest Frequently Asked Question (FAQ) information, discussing...
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Accreditation Connection, Issue 44, October 28, 2011
The Joint Commission is looking to the field for feedback on proposed revisions to its home care...
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Accreditation Insider, Issue 43, October 25, 2011
True or False: When developing your Emergency Operations Plan, you should seek input from medical...
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Accreditation Insider, Issue 43, October 25, 2011
The Centers for Medicare and Medicaid Services (CMS) have granted deeming authority to The Joint...
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Accreditation Connection, Issue 43, October 21, 2011
The Centers for Medicare and Medicaid Services (CMS) have granted deeming authority to The Joint...
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Accreditation Connection, Issue 43, October 21, 2011
The Healthcare Facilities Accreditation Program (HFAP) announced it has named a new director of...
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Accreditation Insider, Issue 42, October 18, 2011
True or False: Heparin should be administered continuously, via a programmable pump, intravenously...
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Accreditation Connection, Issue 42, October 14, 2011
The following topic is being discussed in the Association for Healthcare Accreditation...
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Accreditation Connection, Issue 42, October 14, 2011
A recent study published in the Journal of Hospital Medicine found that hospitals accredited by The...
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Accreditation Insider, Issue 41, October 11, 2011
True or False: Hospitals must define critical test/ procedure values/results.
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Accreditation Connection, Issue 41, October 7, 2011
In order to help organizations provide even better care through Certified Primary Stroke Centers...
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Accreditation Insider, Issue 40, October 4, 2011
True or False: The Universal Protocol applies to both surgical and non-surgical invasive...
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Accreditation Insider, Issue 40, October 4, 2011
The Joint Commission has just released a new R3 report examining the 2012 National Patient Safety...
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Accreditation Connection, Issue 40, October 3, 2011
Joseph L. Cappiello has been appointed new Chief Operating Officer of the Chicago-based Healthcare...
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Accreditation Connection, Issue 40, October 3, 2011
The Joint Commission has just released a new R3 report examining the 2012 National Patient Safety...
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Accreditation Connection, Issue 40, October 3, 2011
The Joint Commission has announced that to Illinois nursing homes have become the first facilities...
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Accreditation Insider, Issue 39, September 27, 2011
Complete this sentence: On an inpatient psychiatric unit, staffed 24 hours a day, seven days a...
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Accreditation Connection, Issue 36, September 2, 2011
The Joint Commission has announced it will launch a program for performance measurement recognition...
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Accreditation Connection, Issue 36, September 2, 2011
The Joint Commission has announced it will implement new enhancements to its electronic application...
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Accreditation Connection, Issue 36, September 2, 2011
Temporary emergency room nurses who are unfamiliar with their surroundings may inadvertently be a...
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Accreditation Connection, Issue 35, August 26, 2011
The Joint Commission has released its 47th Sentinel Event Alert, this time targeting the risks...
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Accreditation Connection, Issue 35, August 26, 2011
The Joint Commission has announced a new head of Joint Commission Resources (JCR) and Joint...
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Accreditation Connection, Issue 34, August 19, 2011
The Joint Commission unveiled this week a free PDF publication entitled “Sudden Cardiac...
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Accreditation Connection, Issue 34, August 19, 2011
The Joint Commission has awarded the first Primary Care Medical Home (PCMH) award to AltaMed Health...
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Accreditation Connection, Issue 33, August 12, 2011
The Joint Commission stated this week that is has submitted proposed changes to its standards...
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Accreditation Connection, Issue 33, August 12, 2011
The John M. Eisenberg Patient Safety and Quality Award is now accepting nominations for the 2011...
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Accreditation Insider, Issue 32, August 9, 2011
The Joint Commission has published its prepublication standards for telemedicine (LD.04.03.09 and...
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Accreditation Connection, Issue 32, August 5, 2011
In an effort to ensure more reporting of adverse events, Minister for Health James Reilly is...
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Accreditation Connection, Issue 32, August 5, 2011
As part of its ongoing "Speak Up" ™ campaign, The Joint Commission has unveiled its...
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Accreditation Connection, Issue 32, August 5, 2011
The Joint Commission has published its prepublication standards for telemedicine (LD.04.03.09 and...
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Accreditation Connection, Issue 31, July 27, 2011
In a recent announcement, The Joint Commission has urged hospitals and other accredited...
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Accreditation Connection, Issue 31, July 27, 2011
HealthLeaders Media reporter Cheryl Clark attended the American Hospital Association’s...
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Accreditation Connection, Issue 31, July 27, 2011
The Association for Healthcare Accreditation Professionals (AHAP) is currently running a survey...
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Accreditation Insider, Issue 30, July 26, 2011
When core measures data are out of compliance for _____________ or more consecutive quarters, you...
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Accreditation Insider, Issue 29, July 19, 2011
Needle boxes should be removed when they are _____________.
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Accreditation Insider, Issue 29, July 19, 2011
New Survey
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Accreditation Insider, Issue 28, July 12, 2011
True or false: Surgical hand and forearm scrubs should follow manufacturer instructions but are...
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Accreditation Connection, Issue 28, July 8, 2011
The Joint Commission announced recently that its electronic application for accreditation (E-App...
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Accreditation Connection, Issue 27, July 1, 2011
The Association for Healthcare Accreditation Professionals (AHAP) recently launched a survey for...
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Accreditation Connection, Issue 26, June 24, 2011
The Association for Healthcare Accreditation Professionals (AHAP) has launched its latest...
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Accreditation Insider, Issue 25, June 21, 2011
Would a patient death while in restraint or seclusion be considered a sentinel event?
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Accreditation Connection, Issue 24, June 10, 2011
The Association for Healthcare Accreditation Professionals (AHAP) surveys its members regularly on...
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Accreditation Connection, Issue 24, June 10, 2011
Lab Advantage ™ has launched a new web site to help highlight the concerted efforts of The...
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Accreditation Connection, Issue 23, June 3, 2011
The Joint Commission has released the latest in a series of short animated videos in its Speak Up...
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Accreditation Connection, Issue 23, June 3, 2011
In 2010, the annual Association for Healthcare Accreditation Professionals (AHAP) salary survey...
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Accreditation Insider, Issue 22, May 31, 2011
The American Nurses Association (ANA) issued a press release applauding The Joint Commission for...
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Accreditation Insider, Issue 21, May 24, 2011
True or false: We need to define what are critical values, as well as the time frames for...
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Accreditation Insider, Issue 21, May 24, 2011
They Joint Commission has approved a new National Patient Safety Goal (NPSG) set to go into effect...
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Accreditation Connection, Issue 22, May 24, 2011
The Joint Commission has issued a new set of Frequently Asked Questions (FAQ) for its Human...
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Accreditation Connection, Issue 22, May 24, 2011
The Joint Commission has announced that it is seeking comment on the proposed specifications for...
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Accreditation Connection, Issue 22, May 24, 2011
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Connection, Issue 21, May 20, 2011
The Joint Commission has announced that its latest Disease-Specific Care (DSC) certification...
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Accreditation Connection, Issue 21, May 20, 2011
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Insider, Issue 20, May 17, 2011
The Joint Commission has released an official statement reacting to revisions by the Centers for...
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Accreditation Connection, Issue 20, May 13, 2011
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Connection, Issue 20, May 13, 2011
The Joint Commission has released an official statement reacting to revisions by the Centers for...
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Accreditation Connection, Issue 20, May 13, 2011
The Joint Commission is in the process of developing Sudden Cardiac Arrest performance measures...
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Accreditation Insider, Issue 19, May 10, 2011
The Joint Commission requires which of the following?
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Accreditation Connection, Issue 19, May 6, 2011
The Joint Commission released this week the latest in a line of animated short videos as part of...
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Accreditation Connection, Issue 19, May 6, 2011
The Centers for Medicare and Medicaid Services (CMS) have released a much-anticipated final rule...
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Accreditation Connection, Issue 19, May 6, 2011
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Insider, Issue 18, May 3, 2011
True or false: "A" EPs without an MOS require at least four months of monitoring.
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Accreditation Connection, Issue 18, April 28, 2011
According to the latest edition of the Archive of Surgery, a basic bedside technique of gently...
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Accreditation Connection, Issue 18, April 28, 2011
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Insider, Issue 17, April 26, 2011
True or false: Hands should be cleaned after taking a patient's pulse, moving the patient up in...
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Accreditation Insider, Issue 17, April 26, 2011
The Joint Commission recently told The Boston Globe that it would work with the Food and Drug...
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Accreditation Connection, Issue 17, April 22, 2011
The 5th Annual Association for Healthcare Accreditation Professionals (AHAP) Conference will...
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Accreditation Connection, Issue 17, April 22, 2011
The Joint Commission recently told The Boston Globe that it would work with the Food and Drug...
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Accreditation Connection, Issue 17, April 22, 2011
The Joint Commission is seeking feedback on two separate field reviews, both closing in early May...
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Accreditation Connection, Issue 17, April 22, 2011
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Connection, Issue 16, April 15, 2011
This year's Association for Healthcare Accreditation Professionals (AHAP) Annual conference will...
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Accreditation Connection, Issue 16, April 15, 2011
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Insider, Issue 15, April 12, 2011
The Joint Commission’s Speak Up ™ campaign has launched the second in a series of...
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Accreditation Connection, Issue 15, April 8, 2011
The Joint Commission has announced that several additional Frequently Asked Questions (FAQ) have...
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Accreditation Connection, Issue 15, April 8, 2011
The Joint Commission’s Speak Up ™ campaign has launched the second in a series of...
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Accreditation Connection, Issue 15, April 8, 2011
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Insider, Issue 14, April 5, 2011
The Joint Commission announced this week that its annual “Update 1″ to its...
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Accreditation Connection, Issue 14, April 1, 2011
The Joint Commission announced this week that its annual "Update 1" to its accreditation...
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Accreditation Connection, Issue 14, April 1, 2011
The Joint Commission has posted a significant number of new FAQs on the following topics...
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Accreditation Connection, Issue 14, April 1, 2011
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Connection, Issue 13, March 25, 2011
National Healthcare Decisions Day, an event intended to encourage patients to express their wishes...
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Accreditation Insider, Issue 12, March 22, 2011
True or false: When providing data for an MOS, four monthly data points are required.
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Accreditation Insider, Issue 12, March 22, 2011
The Joint Commission has posted the latest in a series of BoosterPaks ™ to assist hospitals...
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Accreditation Insider, Issue 12, March 22, 2011
The AHAP team selected at random our first winner for our AHAP Conference giveaway. We received a...
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Accreditation Connection, Issue 12, March 18, 2011
The Joint Commission has posted the latest in a series of BoosterPaks ™ to assist hospitals...
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Accreditation Connection, Issue 12, March 18, 2011
The Joint Commission has posted two new Frequently Asked Questions (FAQ) on the ever-challenging...
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Accreditation Connection, Issue 12, March 18, 2011
The formal agenda for this year’s Association for Healthcare Accreditation Professionals...
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Accreditation Connection, Issue 12, March 18, 2011
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Insider, Issue 5, March 15, 2011
True or false: Pre-procedure verification is an ongoing process where information is gathered...
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Accreditation Insider, Issue 11, March 15, 2011
AHAP Conference Contest
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Accreditation Connection, Issue 11, March 11, 2011
The Joint Commission has launched the latest in its ongoing Speak Up™ campaign, this time...
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Accreditation Connection, Issue 11, March 11, 2011
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Insider, Issue 10, March 8, 2011
True or false: "A" EPs without an MOS require at least four months of monitoring.
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Accreditation Insider, Issue 10, March 8, 2011
AHAP Conference Contest winner!
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Accreditation Connection, Issue 10, March 4, 2011
CMS announced that is has granted deemed status to The Joint Commission for the accreditation of...
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Accreditation Insider, Issue 9, March 1, 2011
True or false: Hospitals must establish time frames for the reporting of critical results AND they...
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Accreditation Insider, Issue 9, March 1, 2011
Two former language-expert hospital administrators in conjunction with Language Line Services have...
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Accreditation Connection, Issue 9, February 25, 2011
The Joint Commission has launched its field review of its Primary Care Home program and is...
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Accreditation Connection, Issue 9, February 25, 2011
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Insider, Issue 8, February 22, 2011
True or false: CMS exempts hospitals that use The Joint Commission for deemed status from having...
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Accreditation Connection, Issue 8, February 17, 2011
The Association for Healthcare Accreditation Professionals (AHAP) recently announced a contest for...
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Accreditation Connection, Issue 8, February 17, 2011
The Joint Commission announced this week that, because the Centers for Medicare & Medicaid...
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Accreditation Connection, Issue 8, February 17, 2011
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Connection, Issue 7, February 11, 2011
The Association for Healthcare Accreditation Professionals (AHAP) announced this week that they...
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Accreditation Connection, Issue 7, February 11, 2011
The Joint Commission has updated its sentinel event statistics webpage with the latest statistics...
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Accreditation Connection, Issue 7, February 11, 2011
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Connection, Issue 6, February 4, 2011
The Joint Commission has published a new Frequently Asked Question (FAQ) clarifying a common point...
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Accreditation Connection, Issue 5, January 28, 2011
A change to the Elements of Performance (EP) for The Joint Commission’s Medication Management...
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Accreditation Connection, Issue 5, January 28, 2011
The Joint Commission has opened for field review a proposed requirement intended to establish...
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Accreditation Connection, Issue 5, January 28, 2011
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Connection, Issue 4, January 21, 2011
The Joint Commission has announced the recipients of this year’s John M. Eisenberg Patient...
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Accreditation Connection, Issue 4, January 21, 2011
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Insider, Issue 3, January 18, 2011
The new benchmarking report has been added to the AHAP website, and is now available for download.
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Accreditation Connection, Issue 3, January 14, 2011
As part of the organization’s ongoing process to comply with CMS Conditions of Participation...
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Accreditation Connection, Issue 3, January 14, 2011
CMS has recently updated its requirements under the Conditions of Participation (CoP) for patient...
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Accreditation Connection, Issue 3, January 14, 2011
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Insider, Issue 2, January 11, 2011
True or false: Patient and family education is a critical component when discharging a patient who...
-
Accreditation Insider, Issue 2, January 11, 2011
The Joint Commission continues to request comments on its proposed National Patient Safety Goals...
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Accreditation Insider, Issue 2, January 11, 2011
AHAP’s next working group call will take place on January 25th at 3 pm EST (2 pm Central...
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Accreditation Connection, Issue 2, January 7, 2011
The Joint Commission continues to request comments on its proposed National Patient Safety Goals...
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Accreditation Connection, Issue 2, January 7, 2011
Boston’s Beth Israel Deaconess Medical Center is in the spotlight after its surgeons made...
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Accreditation Connection, Issue 2, January 7, 2011
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Insider, Issue 1, January 4, 2011
The Joint Commission’s Center for Transforming Healthcare has published a new online video...
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Accreditation Connection, Issue 1, December 29, 2010
The Joint Commission has announced Ana Pujols-McKee, MD, will take on the role of the accrediting...
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Accreditation Connection, Issue 1, December 29, 2010
The Joint Commission’s Center for Transforming Healthcare has published a new online video...
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Accreditation Connection, Issue 1, December 29, 2010
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Insider, Issue 51, December 28, 2010
Updated and revised laboratory standards have been announced by the Joint Commission, to go into...
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Accreditation Insider, Issue 51, December 28, 2010
Keep an eye out for the latest AHAP Insider in your email inboxes—the latest updates on AHAP...
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Accreditation Connection, Issue 52, December 22, 2010
Updated and revised laboratory standards have been announced by the Joint Commission. These changes...
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Accreditation Connection, Issue 52, December 22, 2010
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Connection, Issue 51, December 17, 2010
The Joint Commission has opened 2012 National Patient Safety Goals (NSPG) for ventilator-associated...
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Accreditation Connection, Issue 51, December 17, 2010
Medication reconciliation has received a facelift: revisions to the medication reconciliation...
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Accreditation Connection, Issue 6, December 17, 2010
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Insider, Issue 49, December 14, 2010
Medication reconciliation has received a facelift: revisions to the medication reconciliation...
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Accreditation Connection, Issue 50, December 8, 2010
The Joint Commission has updated its website with its latest sentinel event statistics. As of...
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Accreditation Connection, Issue 50, December 8, 2010
In a recent announcement on their Web site, The Joint Commission has updated the language of its...
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Accreditation Connection, Issue 50, December 8, 2010
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Connection, Issue 49, December 1, 2010
The Joint Commission has launched extensive upgrades to its website in order to improve access to...
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Accreditation Connection, Issue 48, November 24, 2010
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Connection, Issue 48, November 24, 2010
The majority of ED directors participating in a survey reported inadequate staff coverage for...
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Accreditation Insider, Issue 46, November 23, 2010
Save the date!
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Accreditation Connection, Issue 47, November 19, 2010
The Joint Commission will reduce the timeframe for surveys by three months. This new rule will go...
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Accreditation Connection, Issue 47, November 19, 2010
the Joint Commission’s latest Sentinel Event Alert targets suicide risk in the...
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Accreditation Insider, Issue 45, November 16, 2010
Save the date!
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Accreditation Connection, Issue 46, November 12, 2010
The Joint Commission has launched the much-discussed “Leading Practice Library,” in...
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Accreditation Connection, Issue 46, November 12, 2010
The Joint Commission issued a reminder this week that it is still collecting opinions from the...
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Accreditation Insider, Issue 44, November 9, 2010
The Joint Commission’s Target Solutions Tool™ (TST) launched in September has made...
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Accreditation Connection, Issue 45, November 5, 2010
The Joint Commission’s Target Solutions Tool™ (TST) launched in September has made...
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Accreditation Connection, Issue 45, November 5, 2010
The Joint Commission announced this week a new brochure, as part of its Speak Up™ campaign...
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Accreditation Insider, Issue 43, November 2, 2010
The Joint Commission has added a clarification to standard RC.02.01.01, EP 4, under the Record of...
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Accreditation Connection, Issue 44, October 29, 2010
The Joint Commission has added a clarification to stanadrd RC.o2.01.01, EP 4, under the Record of...
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Accreditation Connection, Issue 44, October 29, 2010
The Joint Commission’s Center for Transforming Healthcare has announced the makeup of its new...
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Accreditation Connection, Issue 44, October 29, 2010
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Insider, Issue 42, October 26, 2010
The Joint Commission’s Center for Transforming Healthcare (CTH) has announced the second in...
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Accreditation Connection, Issue 43, October 22, 2010
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Connection, Issue 43, October 22, 2010
The Joint Commission’s Center for Transforming Healthcare (CTH) has announced the second in...
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Accreditation Connection, Issue 43, October 22, 2010
The Joint Commission announced this week that new accreditation and certification decision...
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Accreditation Connection, Issue 42, October 15, 2010
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Connection, Issue 42, October 15, 2010
In order to comply with changes to CMS Conditions of Participation for hospitals regarding who may...
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Accreditation Connection, Issue 42, October 15, 2010
The Joint Commission has announced that there has been a slight delay in the publication of its...
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Accreditation Connection, Issue 41, October 8, 2010
The Joint Commission has stated that "Update 2" to its comprehensive manuals will mail in...
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Accreditation Connection, Issue 41, October 8, 2010
the Joint Commission published a brief reminder this week that changes to Medical Staff standard...
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Accreditation Insider, Issue 39, October 5, 2010
The Joint Commission continues to accept comments from the field on new and revised laboratory...
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Accreditation Connection, Issue 40, October 1, 2010
The Joint Commission continues to accept comments from the field on new and revised laboratory...
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Accreditation Connection, Issue 40, October 1, 2010
The Joint Commission announced this week the appointment of 21 new members from across the country...
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Accreditation Connection, Issue 39, September 24, 2010
The Joint Commission has announced that Element of Performance (EP) 1 of National Patient Safety...
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Accreditation Connection, Issue 39, September 24, 2010
The Joint Commission has provided its most challenging standards list for the first half of 2010...
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Accreditation Connection, Issue 39, September 24, 2010
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Connection, Issue 38, September 17, 2010
The Joint Commission has posted for public comment new and revised lab standards for 2011. The...
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Accreditation Connection, Issue 38, September 17, 2010
The Joint Commission has announced the launch of the Targeted Solutions Tool™ (TST), an...
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Accreditation Connection, Issue 38, September 17, 2010
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
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Accreditation Insider, Issue 37, September 14, 2010
The Joint Commission intents to expand its ambulatory health care organization accreditation...
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Accreditation Connection, Issue 37, September 10, 2010
The Joint Commission has posted new and revised laboratory services standards for 2011 for field...
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Accreditation Insider, Issue 36, September 7, 2010
True or false: It is not necessary to use two patient identifiers when you are administering...
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Accreditation Insider, Issue 36, September 7, 2010
The Joint Commission issued a brief reminder to organizations on how to provide feedback and...
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Accreditation Connection, Issue 36, September 3, 2010
The Joint Commission has announced the appointment of Alex Vandiver, MBB, as director of Business...
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Accreditation Connection, Issue 36, September 3, 2010
The Joint Commission issued a brief reminder to organizations on how to provide feedback and...
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Accreditation Insider, Issue 35, August 31, 2010
The Joint Commission Center for Transforming Healthcare has announced it will release a tool...
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Accreditation Insider, Issue 35, August 31, 2010
Fall Working Group call
We are currently looking for ideas or potential speakers for our fall...
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Accreditation Connection, Issue 35, August 27, 2010
The Joint Commission Center for Transforming Healthcare has announced it will release a tool...
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Accreditation Connection, Issue 35, August 27, 2010
PC.02.01.05, element of performance (EP) 2, has been updated in order to meet requirements...
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Accreditation Insider, Issue 34, August 24, 2010
True or false: Hospitals should perform a risk assessment to determine what areas of the hospital...
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Accreditation Connection, Issue 34, August 20, 2010
The Joint Commission released this week its most recent figures for sentinel event reporting...
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Accreditation Connection, Issue 34, August 20, 2010
The Joint Commission announced this week its most challenging requirements list for the first half...
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Accreditation Insider, Issue 33, August 16, 2010
AHAP would like to remind any members who would like to participate in our upcoming benchmarking...
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Accreditation Insider, Issue 33, August 16, 2010
The Joint Commission seeks feedback on revisions to the 2010 version of Universal Protocol...
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Accreditation Insider, Issue 33, August 16, 2010
True or false: Patient and family education is a critical component when discharging a patient who...
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Accreditation Connection, Issue 32, August 6, 2010
The Joint Commission announced this week the results of a July 27 discussion of the results of its...
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Accreditation Connection, Issue 32, August 6, 2010
The Joint Commission has released its most recent free downloadable monograph. This document...
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Accreditation Connection, Issue 31, July 30, 2010
In late July, The Joint Commission released an update to its popular “Speak Up&rdquo...
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Accreditation Connection, Issue 31, July 30, 2010
The Joint Commission has announced that it will undertake a follow-up field review for two proposed...
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Accreditation Connection, Issue 30, July 26, 2010
Those healthcare systems with more than one hospital or other accredited body organized as a single...
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Accreditation Connection, Issue 28, July 12, 2010
The Joint Commission is looking to refine and improve its tracer methodology, according to an...
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Briefings on Accreditation and Quality, Issue 7, July 1, 2010
Inside:
Learn methods to improve continual readiness
CRR data collection tool (pdf...
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Briefings on Accreditation and Quality, Issue 7, July 1, 2010
Sometimes, it’s all about implementation.
When Northwest Texas Healthcare System (NWTHS) in...
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Briefings on Accreditation and Quality, Issue 7, July 1, 2010
On July 1, The Joint Commission resumed surveying for the new version of staffing effectiveness...
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Briefings on Accreditation and Quality, Issue 7, July 1, 2010
Education and training for hospital staff has always been time-consuming and costly for both...
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Briefings on Accreditation and Quality, Issue 7, July 1, 2010
Facilities across the country struggle daily with the challenges inherent to the use of restraints...
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Accreditation Connection, Issue 26, June 28, 2010
The Joint Commission announced revisions to four Elements of Performance within the National...
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Accreditation Connection, Issue 24, June 14, 2010
The Joint Commission's plan to implement CMS telemedicine standards for hospitals, both acute and...
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Accreditation Connection, Issue 23, June 7, 2010
The Joint Commission has released its latest Sentinel Event Alert, this time on preventing violence...
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Briefings on Accreditation and Quality, Issue 6, June 1, 2010
Inside:
Start from the beginning
Focused Professional Practice Evaluation: Keep it simple
Joint...
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Briefings on Accreditation and Quality, Issue 6, June 1, 2010
When Heather Forbes, RN, BSN, CEN, CSHA, HACP, accreditation and regulatory coordinator at Southern...
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Briefings on Accreditation and Quality, Issue 6, June 1, 2010
In 2007, The Joint Commission issued the Focused Professional Practice Evaluation (FPPE) standard...
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Briefings on Accreditation and Quality, Issue 6, June 1, 2010
For years, the Medical Staff standard MS.01.01.01 has been a battleground for hospitals—an...
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Accreditation Connection, Issue 22, May 31, 2010
The American Society of Health-System Pharmacists (ASHP) is happy with the proposed revisions made...
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Accreditation Connection, Issue 21, May 24, 2010
The Joint Commission has followed up its announcement regarding deletion of Measures of Success for...
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Accreditation Connection, Issue 20, May 17, 2010
The Joint Commission has published a list of the most challenging requirements identified in 2009...
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Accreditation Connection, Issue 20, May 17, 2010
The Joint Commission has suspended the policy that triggers an "automatic" adverse...
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Accreditation Connection, Issue 19, May 10, 2010
The Joint Commission has announced a clarification on Information Management standard IM.02.02.01...
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Briefings on Accreditation and Quality, Issue 5, May 1, 2010
Every month, Briefings on The Joint Commission brings you the latest news in Joint Commission...
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Briefings on Accreditation and Quality, Issue 5, May 1, 2010
Core measures—they’re a part of the fabric of hospital life, particularly given their...
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Briefings on Accreditation and Quality, Issue 5, May 1, 2010
The new guidelines contain information on the supervision of a certified registered nurse...
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Briefings on Accreditation and Quality, Issue 5, May 1, 2010
In 2007, when The Joint Commission issued the Ongoing Professional Practice Evaluation (OPPE...
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Briefings on Accreditation and Quality, Issue 5, May 1, 2010
National Patient Safety Goal NPSG.15.01.01 requires that patients being treated for emotional or...
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Briefings on Accreditation and Quality, Issue 5, May 1, 2010
Medical Staff standard MS.01.01.01 has undergone quite a journey over the years. The standard, once...
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Accreditation Connection, Issue 17, April 26, 2010
The Joint Commission has announced it will reinstate an anti-discrimination requirement which had...
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Briefings on Accreditation and Quality, Issue 4, April 1, 2010
Every month, Briefings on The Joint Commission brings you the latest news in Joint Commission...
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Briefings on Accreditation and Quality, Issue 4, April 1, 2010
Did you happen to note that the Survey Activity Guide (SAG) was last updated by The Joint...
-
Briefings on Accreditation and Quality, Issue 4, April 1, 2010
The Centers for Medicare & Medicaid Services (CMS) published revised interpretive guidelines...
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Briefings on Accreditation and Quality, Issue 4, April 1, 2010
The Periodic Performance Review (PPR) is an annual self-assessment process aimed at supporting...
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Briefings on Accreditation and Quality, Issue 4, April 1, 2010
Ectopic pregnancy will be used throughout this article to illustrate some of the 2010 standards...
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Briefings on Accreditation and Quality, Issue 4, April 1, 2010
In a year that saw budgets cut, travel expenses slashed, and jobs lost, it is unsurprising to...
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Accreditation Connection, Issue 12, March 22, 2010
The Joint Commission released its fourth annual report, stating accredited hospitals continue to...
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Accreditation Connection, Issue 12, March 22, 2010
The Joint Commission has approved the revised medical staff bylaws standard MS.01.01.01, according...
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Accreditation Connection, Issue 11, March 15, 2010
The Joint Commission has made minor changes to two National Patient Safety Goals (NPSG), according...
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Accreditation Connection, Issue 10, March 8, 2010
The Association of Health Care Journalists (AHCJ) recently wrote a letter to the Joint Commission's...
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Accreditation Connection, Issue 9, March 1, 2010
At recent site visits, the Joint Commission has been using the term "observed but corrected...
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Briefings on Accreditation and Quality, Issue 3, March 1, 2010
Every month, Briefings on The Joint Commission brings you the latest news in Joint Commission...
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Briefings on Accreditation and Quality, Issue 3, March 1, 2010
Normal.dotm
0
0
1
34
197
HCPro
1
1
241
12.0
0
false...
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Briefings on Accreditation and Quality, Issue 3, March 1, 2010
Imagine this scenario: The Joint Commission surveyor arrives in the surgical services suite and...
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Briefings on Accreditation and Quality, Issue 3, March 1, 2010
Hospitals look for ways to improve patient education all the time. Once in a while, this education...
-
Briefings on Accreditation and Quality, Issue 3, March 1, 2010
Many hospitals still struggle with understanding the CMS survey process—particularly...
-
Briefings on Accreditation and Quality, Issue 3, March 1, 2010
Normal.dotm
0
0
1
35
204
HCPro
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1
250
12.0
0
false...
-
Accreditation Connection, Issue 6, February 8, 2010
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
-
Accreditation Connection, Issue 5, February 1, 2010
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
-
Briefings on Accreditation and Quality, Issue 2, February 1, 2010
Every month, Briefings on The Joint Commission brings you the latest news in Joint Commission...
-
Briefings on Accreditation and Quality, Issue 2, February 1, 2010
The Joint Commission officially announced the most-cited standards for the first half of 2009 and...
-
Briefings on Accreditation and Quality, Issue 2, February 1, 2010
When the Joint Commission released its "Power Pack" on medication storage it suggested at...
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Briefings on Accreditation and Quality, Issue 2, February 1, 2010
In 2006, Pam Harmon, RN, legal nurse consultant and chief nursing officer at Fredonia (KS) Regional...
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Briefings on Accreditation and Quality, Issue 2, February 1, 2010
Patient and family education is one of those problematic standards and requirements for improvement...
-
Briefings on Accreditation and Quality, Issue 2, February 1, 2010
The Joint Commission’s hospital accreditation program has been approved for continued deeming...
-
Accreditation Connection, Issue 4, January 25, 2010
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
-
Accreditation Connection, Issue 3, January 18, 2010
The fourth annual report released by The Joint Commission shows there has been a steady increase in...
-
Accreditation Connection, Issue 3, January 18, 2010
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
-
Accreditation Connection, Issue 2, January 11, 2010
The Joint Commission Board of Commissioners has approved the distribution of the proposed...
-
Accreditation Connection, Issue 1, January 4, 2010
After receiving negative feedback from hospitals and physicians about MS.01.01.01 and then allowing...
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Briefings on Accreditation and Quality, Issue 1, January 1, 2010
On September 23, 2009, Cindy McKeon, BS, BSMT, MS, MBA, ASEP, lab director of Bothwell Regional...
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Briefings on Accreditation and Quality, Issue 1, January 1, 2010
Collective experience from The Greeley Company’s consultants supports the Joint...
-
Briefings on Accreditation and Quality, Issue 1, January 1, 2010
As a healthcare accreditation consultant and quality management professional, I have been exposed...
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Briefings on Accreditation and Quality, Issue 1, January 1, 2010
Let’s throw a pair of numbers out there: 26% and 3%. Those are the percentages for emergency...
-
Accreditation Connection, Issue 53, December 28, 2009
The Joint Commission has released a proposed version of medical staff standard MS.01.01.01...
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Accreditation Connection, Issue 51, December 14, 2009
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
-
Accreditation Connection, Issue 50, December 7, 2009
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
-
Briefings on Accreditation and Quality, Issue 12, December 1, 2009
I will freely admit that things are a little calmer this year on the survey front, at least in...
-
Briefings on Accreditation and Quality, Issue 12, December 1, 2009
There are significant changes in the NPSG, many of which are refreshing. The intent in making these...
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Briefings on Accreditation and Quality, Issue 12, December 1, 2009
There are various ways pain can be measured by hospital staff members, depending on the...
-
Briefings on Accreditation and Quality, Issue 12, December 1, 2009
It takes more than one method to bring a hospital’s hand hygiene compliance rate up over 90...
-
Accreditation Connection, Issue 49, November 30, 2009
The Veterans Administration (VA) recently released an in-house study concluding that poor...
-
Accreditation Connection, Issue 49, November 30, 2009
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
-
Accreditation Connection, Issue 48, November 23, 2009
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
-
Accreditation Connection, Issue 47, November 16, 2009
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
-
Accreditation Connection, Issue 46, November 9, 2009
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
-
Accreditation Connection, Issue 45, November 2, 2009
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
-
Briefings on Accreditation and Quality, Issue 11, November 1, 2009
So far, so good. The release of the 2010 National Patient Safety Goals (NPSG) rolled back some of...
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Briefings on Accreditation and Quality, Issue 11, November 1, 2009
The Joint Commission has made significant steps to improve its performance and culture in 2009, the...
-
Briefings on Accreditation and Quality, Issue 11, November 1, 2009
In a world where a consumer can collect encyclopedic knowledge on a car or home electronics...
-
Briefings on Accreditation and Quality, Issue 11, November 1, 2009
Ever feel like navigating the world of CMS changes is an uphill battle? You are not alone. Survey...
-
Briefings on Accreditation and Quality, Issue 11, November 1, 2009
Q: Are there additional factors to monitor outside of the required stroke center measures?
-
Accreditation Connection, Issue 43, October 19, 2009
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
-
Accreditation Connection, Issue 41, October 5, 2009
The official version of the 2010 National Patient Safety Goals (NPSG) have been released by the...
-
Briefings on Accreditation and Quality, Issue 10, October 1, 2009
When patients come into the hospital with an illness or health problem, staff members must do all...
-
Briefings on Accreditation and Quality, Issue 10, October 1, 2009
On the upside, disease-specific care (DSC) certification surveys provide a little more notice for...
-
Accreditation Connection, Issue 38, September 14, 2009
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
-
Accreditation Connection, Issue 37, September 7, 2009
The Joint Commission is seeking public comment on candidate measures for assessing and treating...
-
Briefings on Accreditation and Quality, Issue 9, September 1, 2009
Once your survey is completed, your work has just begun. You must keep the momentum going and stay...
-
Briefings on Accreditation and Quality, Issue 9, September 1, 2009
In 2008, Linda Severson, RN, of Cherokee Mental Health Institute (CMHI), Cherokee, IA, was called...
-
Briefings on Accreditation and Quality, Issue 9, September 1, 2009
After working with multiple professional and trade organizations on the common and proper use of...
-
Briefings on Accreditation and Quality, Issue 9, September 1, 2009
In July, The Joint Commission announced a focus on the interpretation of standards and survey...
-
Briefings on Accreditation and Quality, Issue 9, September 1, 2009
The Joint Commission has announced it will adopt a new accreditation decision for 2010. This...
-
Briefings on Accreditation and Quality, Issue 9, September 1, 2009
The standard formerly known as MS.1.20 is on the move again. The Joint Commission opened up the...
-
Accreditation Connection, Issue 36, August 31, 2009
The first draft of The Joint Commission’s revised staffing effectiveness standards is now...
-
Accreditation Connection, Issue 36, August 31, 2009
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
-
Accreditation Connection, Issue 35, August 24, 2009
A recent study in the September issue of Emerging Infectious Diseases found that...
-
Accreditation Connection, Issue 35, August 24, 2009
Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will...
-
Accreditation Connection, Issue 32, August 3, 2009
Each week, a senior consultant from The Greeley Company’s Center for Healthcare Accreditation...
-
Briefings on Accreditation and Quality, Issue 8, August 1, 2009
After reading this article, you will be able to:
Discuss recent changes to National Patient...
-
Briefings on Accreditation and Quality, Issue 8, August 1, 2009
After reading this article, you will be able to:
Describe the J-Day Blitz List concept...
-
Briefings on Accreditation and Quality, Issue 8, August 1, 2009
After reading this article, you will be able to:
Identify common medication errors
Explain...
-
Briefings on Accreditation and Quality, Issue 8, August 1, 2009
Restraint remains one of the most challenging issues in hospital accreditation today. To that end...
-
Briefings on Accreditation and Quality, Issue 8, August 1, 2009
Editor’s note: This feature explores problematic Joint Commission standards with expert...
-
Accreditation Connection, Issue 31, July 27, 2009
Each week, a senior consultant from The Greeley Company’s Center for Healthcare Accreditation...
-
Accreditation Connection, Issue 30, July 20, 2009
The Joint Commission is seeking feedback on changes to standard MS.01.01.01 recommended by a task...
-
Accreditation Connection, Issue 30, July 20, 2009
The Joint Commission has again received deeming authority from the Department of Health and Human...
-
Accreditation Connection, Issue 28, July 6, 2009
Rhode Island will become the first state to have all surgical providers adopt a uniform protocol to...
-
Accreditation Connection, Issue 28, July 6, 2009
After having discussions with multiple professional and trade organizations regarding the common...
-
Briefings on Accreditation and Quality, Issue 7, July 1, 2009
According to an old Chinese proverb, it is better to sweat more during peace and bleed less during...
-
Briefings on Accreditation and Quality, Issue 7, July 1, 2009
Tracer methodology, used by The Joint Commission since 2004, has increased the focus on the patient...
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Briefings on Accreditation and Quality, Issue 7, July 1, 2009
In January 2006, Rehabilitation Hospital of the Cape and Islands (RHCI) in East Sandwich, MA, had...
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Briefings on Accreditation and Quality, Issue 7, July 1, 2009
When the concept of introducing ISO 9001 to the hospital setting first arose, hospital leaders...
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Briefings on Accreditation and Quality, Issue 6, June 1, 2009
Every month, Briefings on The Joint Commission brings you the latest news in Joint Commission...
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Briefings on Accreditation and Quality, Issue 6, June 1, 2009
For a long time, ventilator-associated pneumonia (VAP) had been viewed as an unavoidable evil...
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Briefings on Accreditation and Quality, Issue 6, June 1, 2009
Propped up on a pillow, wearing a baseball hat and a pink cast on his ankle, the patient is...
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Briefings on Accreditation and Quality, Issue 6, June 1, 2009
In our April column, we took a look at the changes released earlier this year by The Joint...
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Briefings on Accreditation and Quality, Issue 6, June 1, 2009
Brattleboro (VT) Retreat, a freestanding psychiatric hospital, was expecting its most recent...
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Briefings on Accreditation and Quality, Issue 6, June 1, 2009
What is conflict of interest and why is it important? Isn’t it just a concern of the board...
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Accreditation Connection, Issue 22, May 15, 2009
The Joint Commission has asked the field to review and comment on revisions to the 2009 National...
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Accreditation Connection, Issue 22, May 15, 2009
Q. Our infection control nurse would like to know where to find literature to support not using...
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Briefings on Accreditation and Quality, Issue 5, May 1, 2009
I am looking for policies and procedures on insertion of central lines at the bedside, especially...
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Briefings on Accreditation and Quality, Issue 5, May 1, 2009
In 2009, three infection control goals were added to the National Patient Safety Goals list...
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Briefings on Accreditation and Quality, Issue 5, May 1, 2009
When Rochester (NY) General Health System determined to cut down on methicillin-resistant...
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Accreditation Connection, Issue 18, April 17, 2009
The American College of Physician Executives (ACPE) and the American Organization of Nurse...
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Accreditation Connection, Issue 17, April 10, 2009
Accreditation professionals across the country have known for months that revisions to Joint...
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Accreditation Connection, Issue 17, April 10, 2009
The Centers for Medicare & Medicaid Services (CMS) has renewed the deeming authority status for...
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Accreditation Connection, Issue 17, April 10, 2009
For a number of years, Nassau University Medical Center in Long Island, has been beset upon by...
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Accreditation Connection, Issue 16, April 3, 2009
The Association for Healthcare Accreditation Professionals (AHAP) continues its contest for free...
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Accreditation Connection, Issue 16, April 3, 2009
In order to clear the lines of communication between healthcare providers and a diverse population...
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Briefings on Accreditation and Quality, Issue 4, April 1, 2009
Every month, Briefings on The Joint Commission brings you the latest news in Joint Commission...
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Briefings on Accreditation and Quality, Issue 4, April 1, 2009
For one Washington hospital, making the move from Joint Commission accreditation to DNV Healthcare...
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Briefings on Accreditation and Quality, Issue 4, April 1, 2009
Reports from the field indicate that validation surveys by state surveyors on behalf of CMS are...
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Briefings on Accreditation and Quality, Issue 4, April 1, 2009
Reports from the field indicate that validation surveys by state surveyors on behalf of CMS are...
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Briefings on Accreditation and Quality, Issue 4, April 1, 2009
It has been a little more than six months since Det Norske Veritas (DNV) was awarded hospital...
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Briefings on Accreditation and Quality, Issue 4, April 1, 2009
Community Memorial Hospital (CMH) in Hicksville, OH, was expecting The Joint Commission sometime in...
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Briefings on Accreditation and Quality, Issue 4, April 1, 2009
CMS has clarified its ruling on the physician supervision of on-campus hospital outpatient...
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Accreditation Connection, Issue 15, March 27, 2009
The Joint Commission has announced changes to the 2009 standards revisions originally released...
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Accreditation Connection, Issue 15, March 27, 2009
The Joint Commission, in collaboration with the American Heart Association, has rolled out the...
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Accreditation Connection, Issue 15, March 27, 2009
Only approximately 1.5% of U.S. hospitals have a comprehensive electronic health record (EHR...
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Accreditation Connection, Issue 15, March 27, 2009
The Association for Healthcare Accreditation Professionals (AHAP) has sponsored a contest for free...
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Accreditation Connection, Issue 14, March 20, 2009
The Maryland Department of Health and Hygiene has cited a Silver Spring, MD hospital treating...
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Accreditation Connection, Issue 14, March 20, 2009
In 2005, Pam Stodghill, MS, RN, director of performance improvement and risk management at Shriners...
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Accreditation Connection, Issue 13, March 13, 2009
Taking a cue from the aviation industry, facilities such as Lucile Packard Children’s...
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Accreditation Connection, Issue 13, March 13, 2009
According to a report issued by the office of the City Comptroller, New York City hospitals are the...
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Accreditation Connection, Issue 13, March 13, 2009
Although electronic prescriptions were thought to bring about the end of stereotypical...
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Accreditation Connection, Issue 10, March 6, 2009
The California Department of Health has issued fines to three hospitals in Orange County for...
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Accreditation Connection, Issue 10, March 6, 2009
The Centers for Disease Control and Prevention (CDC) has seen an increase in reports of hospital...
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Accreditation Connection, Issue 10, March 6, 2009
Medication management compliance is difficult enough, but when you are trying to comply while...
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Accreditation Connection, Issue 9, February 27, 2009
One in six physicians reported they regularly encountered patients who appeared to be dissatisfied...
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Accreditation Connection, Issue 9, February 27, 2009
The American Recovery and Reinvestment Act of 2009 will include financial incentives promoting the...
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Accreditation Connection, Issue 9, February 27, 2009
A new report by the Agency for Healthcare Research and Quality (AHRQ) suggests that the federal...
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Accreditation Connection, Issue 9, February 27, 2009
The National Quality Forum has endorsed 45 voluntary practices intended to benefit patient care and...
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Accreditation Connection, Issue 9, February 27, 2009
Q. Our cardiopulmonary staff members have a short period of time to perform EKGs on patients coming...
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Accreditation Connection, Issue 8, February 20, 2009
A recent government report has found a dramatic drop in the rate of dangerous staph infections in...
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Accreditation Connection, Issue 8, February 20, 2009
In summer 2006, Bellin Home Health Care in Green Bay, WI, created a tool to assess patients&rsquo...
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Accreditation Connection, Issue 7, February 13, 2009
Parkland Memorial Hospital in Dallas, TX, has announced major improvements to its emergency...
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Accreditation Connection, Issue 7, February 13, 2009
Two years after it lost its accreditation and its own physicians were writing to the city to warn...
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Accreditation Connection, Issue 7, February 13, 2009
A recent discussion between Ontario and federal officials uncovered disparities in the amount of...
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Accreditation Connection, Issue 7, February 13, 2009
During its Standards Improvement Initiative, The Joint Commission’s goal was to review its...
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Accreditation Connection, Issue 6, February 6, 2009
One survey. Five hospitals. More than 40 ambulatory and outpatient locations. When Joint Commission...
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Accreditation Connection, Issue 5, January 30, 2009
According to a recent survey conducted by HealthGrades, an independent healthcare ratings...
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Accreditation Connection, Issue 5, January 30, 2009
Constructing a tracer process from scratch for a 645-bed hospital is no simple matter, but that was...
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Accreditation Connection, Issue 4, January 23, 2009
Q. The new leadership standard LD.03.01.01 says leaders regularly evaluate the culture of safety...
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Accreditation Connection, Issue 3, January 15, 2009
Two new initiatives with very different approaches have targeted hospital-associated infections in...
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Accreditation Connection, Issue 3, January 15, 2009
The Medical Group Management Association (MGMA) has launched a campaign to push for standardized...
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Accreditation Connection, Issue 3, January 15, 2009
When Joint Commission surveyors came to St. Luke’s Hospital in Chesterfield, MO, the morning...
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Accreditation Connection, Issue 2, January 9, 2009
Implementing, utilizing, and monitoring behavioral restraints continue to pose challenges and...
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Accreditation Connection, Issue 2, January 9, 2009
The Joint Commission has announced Mark G. Pelletier, RN, MS, as the organization’s new...
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Accreditation Connection, Issue 51, December 18, 2008
When The Joint Commission implemented focused professional practice evaluations (FPPE) in January...
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Accreditation Connection, Issue 50, December 11, 2008
The Joint Commission has released its latest Sentinel Event Alert, this time looking at prevention...
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Accreditation Connection, Issue 50, December 11, 2008
Q. 2009 standard PC.03.01.03, element of performance (EP) 8, requires that hospitals reevaluate...
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Accreditation Connection, Issue 49, December 4, 2008
Early on September 15, The Joint Commission posted on its extranet news that surveyors would be...
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Briefings on Accreditation and Quality, Issue 12, December 1, 2008
Early on September 15, The Joint Commission posted on its extranet news that surveyors would be...
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Briefings on Accreditation and Quality, Issue 12, December 1, 2008
With the introduction of Life Safety Code® (LSC) surveyors to The Joint Commission’s...
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Briefings on Accreditation and Quality, Issue 12, December 1, 2008
CMS announced September 26 that it had granted deeming authority to Oslo, Norway–based Det...
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Briefings on Accreditation and Quality, Issue 12, December 1, 2008
Inside:
Hospitals undergo process to change accrediting organizations
Immediate-threat-to-life...
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Accreditation Connection, Issue 49, November 26, 2008
American hospitals have demonstrated significant gains in patient safety and quality of care over...
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Accreditation Connection, Issue 49, November 26, 2008
With the introduction of Life Safety Code® (LSC) surveyors to The Joint Commission’s...
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Accreditation Connection, Issue 48, November 13, 2008
The Joint Commission has unveiled the winners of the 2008 Ernest Amory Codman Awards. The awards...
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Accreditation Connection, Issue 47, November 7, 2008
The Joint Commission has brought a renewed focus to the area of pain management with its recently...
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Accreditation Connection, Issue 47, November 7, 2008
The Joint Commission announced this week that, under a new Joint Commission policy, laboratory...
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Accreditation Connection, Issue 47, November 7, 2008
The Joint Commission has released an FAQ on National Patient Safety Goal NPSG.01.01.01. The FAQ...
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Briefings on Accreditation and Quality, Issue 11, November 1, 2008
CMS has announced the approval of DNV Healthcare, Inc., as a deeming authority for U.S. hospitals...
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Briefings on Accreditation and Quality, Issue 11, November 1, 2008
After reading this article, you will be able to:
Discuss the new numbering system used in...
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Briefings on Accreditation and Quality, Issue 11, November 1, 2008
Editor’s note: This feature explores problematic Joint Commission standards with expert...
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Briefings on Accreditation and Quality, Issue 11, November 1, 2008
Editor’s note: The following question and answer session took place during HCPro’s...
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Briefings on Accreditation and Quality, Issue 11, November 1, 2008
The National Coordinating Council for Medication Error Reporting and Prevention is an organization...
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Briefings on Accreditation and Quality, Issue 11, November 1, 2008
After reading this article, you will be able to:
Identify pertinent EPs for preanesthesia...
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Accreditation Connection, Issue 46, October 31, 2008
The Joint Commission in August announced a new scoring system for its hospital accreditation...
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Accreditation Connection, Issue 45, October 24, 2008
According to a study by the Rand Corporation, the creation of unique patient identifiers that would...
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Accreditation Connection, Issue 45, October 24, 2008
Q. Why is The Joint Commission now saying that, beginning in 2009, surgical timeouts should ideally...
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Accreditation Connection, Issue 44, October 16, 2008
Q. Why is The Joint Commission now saying that, beginning in 2009, surgical timeouts should ideally...
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Accreditation Connection, Issue 42, October 3, 2008
The Joint Commission in August announced a new scoring system for its hospital accreditation...
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Briefings on Accreditation and Quality, Issue 10, October 1, 2008
The Joint Commission in August announced a new scoring system for its hospital accreditation...
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Briefings on Accreditation and Quality, Issue 10, October 1, 2008
As of January 1, 2009, a revised Leadership standards chapter takes effect, detailing requirements...
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Briefings on Accreditation and Quality, Issue 10, October 1, 2008
The Medication Management chapter is set up to reflect the continuum of the process, from...
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Briefings on Accreditation and Quality, Issue 10, October 1, 2008
Q. Why is The Joint Commission now saying that, beginning in 2009, surgical timeouts should ideally...
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Accreditation Connection, Issue 41, September 26, 2008
CMS revised the new Interpretive Guidelines for hospitals in April. The changes were not...
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Accreditation Connection, Issue 41, September 26, 2008
The 2008 recipients of the John M. Eisenberg Patient Safety and Quality Awards have been released...
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Accreditation Connection, Issue 40, September 19, 2008
Hospitals are frequently slow to help physicians purchase electronic medical record (EMR) systems...
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Accreditation Connection, Issue 39, September 12, 2008
The Joint Commission has released several chapters for public review as part of its Standard...
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Accreditation Connection, Issue 38, September 8, 2008
In a historic case, the Florida Supreme Court has deemed that hospitals must ensure medical staff...
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Accreditation Connection, Issue 38, September 8, 2008
Sometimes, it’s all about the journey, not the destination. And in hospitals, the journey a...
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Briefings on Accreditation and Quality, Issue 9, September 1, 2008
Editor's note: Patton is the former Joint Commission executive director of accreditation services...
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Briefings on Accreditation and Quality, Issue 9, September 1, 2008
Editor's note: Sue Dill Calloway, RN, MSN, JD, director of hospital risk management at OHIC...
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Briefings on Accreditation and Quality, Issue 9, September 1, 2008
Sometimes, it's all about the journey, not the destination. And in hospitals, the journey a patient...
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Briefings on Accreditation and Quality, Issue 9, September 1, 2008
Gwinnett Medical Center in Lawrenceville, GA, is preparing to roll out a new, three-tiered approach...
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Briefings on Accreditation and Quality, Issue 9, September 1, 2008
Rude behavior, unpleasant language, hostile attitudes, and other bad behaviors not only create an...
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Accreditation Connection, Issue 37, August 29, 2008
Operating room staff skipped a key verbal safety check prior to performing surgery on the wrong...
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Accreditation Connection, Issue 37, August 29, 2008
A new study by the Health Research and Educational Trust looks at hospital governing boards...
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Accreditation Connection, Issue 37, August 29, 2008
Hospitals can prepare for their Joint Commission (formerly JCAHO) surveys through several methods...
