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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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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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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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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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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Editor's Note The Joint Commission is revising its standards to better address risks related to fluoroscopy in the Ambulatory Care, Critical Access Hospital, Hospital, and Office-Based Surgery accreditation programs. The changes are being made to further promote patient safety and quality of care in addition to aligning the accreditation requirements…

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Editor's Note The Joint Commission on February 26 posted a reminder that whenever non-waived laboratory services are provided on-site (either directly or through contract) within a Joint Commission accredited facility, a separate 2-year cycle laboratory accreditation survey must also be conducted either by the Joint Commission or one of its…

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Editor's Note The Joint Commission on February 14 announced that accredited hospitals should start thinking about electronic clinical quality measure (eCQM) success stories to share in the 2018 Pioneers in Quality Proven Practices Collection. Proven Practices was launched last year and is a peer-to-peer sharing of specific practices that an…

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Editor's Note The Joint Commission on February 7 announced that it is seeking comments on proposed revisions to its credentialing and privileging standards for contract services in Hospital, Critical Access Hospital, Ambulatory Health Care, Office-based Surgery, Nursing Care Center, and Behavioral Health Care accreditation programs. The revisions clarify or consolidate existing…

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Editor's Note Joint Commission Resources on January 17 released the 2018 Hospital Compliance Assessment Checklist, a self-assessment workbook designed to help organizations with standards compliance and survey readiness. In addition to hospital standards and elements of performance (EP), this year’s Checklist includes: High-level prompts to promote staff discussion and cultivate…

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