Tag: Accreditation

Joint Commission: Four organizations recognized as Pioneers in Quality Expert Contributors

Editor's Note The Joint Commission on August 8 recognized four healthcare organizations as 2018 Pioneers in Quality Expert Contributors for their efforts to advance the evolution and utilization of electronic clinical quality measures (eCQMs). The organizations are: BJC Healthcare, St Louis MedStar St Mary’s Hospital, Leonardtown, Maryland Texas Health Resources,…

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By: Judy Mathias
August 9, 2018
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Joint Commission: DDS platform available for 2018 eCQM data submission

Editor's Note The Joint Commission announced on July 25 that its Direct Data Submission (DDS) platform is now available for submission of CY 2018 electronic clinical quality measure (eCQM) data and future submissions. For CY 2018, there are now two eCQM data submission methods for accredited hospitals with ORYX eCQM…

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By: Judy Mathias
July 31, 2018
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Joint Commission revises requirements for THKR program

Editor's Note The Joint Commission on July 11 announced that effective January 1, 2019, it will implement a revised eligibility requirement and two revised requirements for the Advanced Certification for Total Hip & Knee Replacement (THKR) program. The revised eligibility requirement and revision to the Performance Measure chapter of the…

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By: Judy Mathias
July 12, 2018
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San Diego hospital in ‘Immediate Jeopardy’ for dirty surgical equipment

Editor's Note After a routine survey, the California Department of Public Health (CDPH) declared “Immediate Jeopardy” at UC San Diego’s Hillcrest campus because of cleaning issues with its surgical equipment, the June 8 10News reports. A CDPH report says that deficiencies found included: trays of surgical equipment with brown stains…

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By: Judy Mathias
June 12, 2018
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Joint Commission: Loss of deemed status must be reported beginning July 1

Editor's Note The Joint Commission on June 6 announced that beginning July 1, it will need to be notified if an accredited organization loses its deemed status after a Centers for Medicare & Medicaid Services (CMS) complaint survey or validation survey. When CMS removes an organization’s deemed status and places…

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By: Judy Mathias
June 8, 2018
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Joint Commission: Minimum thrombectomy requirements added for CSC eligibility

Editor's Note The Joint Commission announced on May 2 that beginning January 1, 2019, it will start applying minimum mechanical thrombectomy volume requirements to the Comprehensive Stroke Center (CSC) certification program. Organizations applying for certification will have to meet the new volume requirements in addition to previous volume requirements, such…

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By: Judy Mathias
May 4, 2018
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Joint Commission releases 2017 top 5 most challenging requirements

Editor's Note The Joint Commission on April 11 released the top 5 requirements identified most frequently as “not compliant” during surveys and reviews that took place from January 1 to December 31, 2017. New to the table is data on Perinatal Care Certification. The top 5 for Hospital Accreditation are:…

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By: Judy Mathias
April 13, 2018
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Joint Commission deletes EP on pain management

Editor's Note The Joint Commission on March 20 announced the deletion of RI.01.01.01, element of performance (EP) 8: “The hospital respects the patient’s right to pain management” because it is no longer relevant and necessary to ensure quality of care and safety. The deletion is effective immediately. The Joint Commission’s…

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By: Judy Mathias
March 21, 2018
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Joint Commission: Revised requirements address doors, inhaled anesthetics

Editor's Note The Joint Commission on March 14 announced that three revised requirements across the Life Safety (LS) and Environment of Care (EC) chapters went into effect March 11. The revisions are: LS.02.01.30, element of performance (EP) 13, is designed to maintain alignment with the Centers for Medicare & Medicaid…

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By: Judy Mathias
March 16, 2018
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Information sought on CMS oversight of hospital accrediting organizations

Editor's Note Energy and Commerce Committee leaders on March 9 sent letters to the Centers for Medicare & Medicaid Services (CMS) and four hospital accrediting organizations to provide information about the hospital survey process and CMS oversight of the organizations by March 23. The letters were sent after questions were…

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By: Judy Mathias
March 14, 2018
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