Tag: Accreditation

Joint Commission seeking comments on ePBM performance measures

Editor's Note The Joint Commission on October 17 announced that it is seeking public comment on three draft electronic Patient Blood Management (ePBM) performance measures: PBM-01 Preoperative Anemia Screening  PBM-03 Preoperative Blood Type Testing and Antibody Screening  PBM-04 Initial Transfusion Threshold. The Joint Commission is looking at options for using…

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By: Judy Mathias
October 17, 2018
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Joint Commission: 2019 ORYX updates now available

Editor's Note The Joint Commission on October 3 announced that key updates are now available for its 2019 ORYX performance measurement program reporting requirements. The Joint Commission continues to align its performance measure reporting requirements with the Centers for Medicare & Medicaid Services, which published its 2019 Inpatient Prospective Payment…

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By: Judy Mathias
October 8, 2018
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Joint Commission: ‘Top 5’ most challenging requirements

Editor's Note The Joint Commission on September 19 released the “Top 5” requirements identified most frequently as “not compliant” during accreditation surveys and reviews in the first half of 2018. The Top 5 most challenging for Hospital Accreditation are: LS.02.01.35 The hospital provides and maintains systems for extinguishing fires (88%).…

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By: Judy Mathias
September 24, 2018
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Joint Commission concludes EP revisions

Editor's Note The Joint Commission on August 29 announced that it has concluded its efforts to streamline and consolidate its elements of performance (EPs) for its accreditation programs as part of its EP Review Project. The Equipment Management chapter of the Home Care Accreditation program and the Leadership chapter for…

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By: Judy Mathias
August 31, 2018
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Joint Commission: Additional changes made to elements of performance

Editor's Note The Joint Commission announced on August 15 that additional changes will be made to elements of performance (EPs) in the Nursing and Provision of Care, Treatment, and Services chapters of the accreditation manuals for critical access hospitals and deemed-status hospital programs, effective January 1, 2019. The Centers for…

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By: Judy Mathias
August 17, 2018
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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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