Tag: Accreditation

Joint Commission: More accredited hospitals submitting eCQM data

Editor's Note Despite the expansion of requirements for electronic clinical quality measure (eCQM) reporting to the Centers for Medicare & Medicaid Services, an increased number of Joint Commission accredited hospitals are adopting and reporting eCQMs to drive quality improvement, the Joint Commission reports.  In 2016, 470 accredited hospitals submitted eCQM…

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By: Judy Mathias
November 13, 2017
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Joint Commission redesigning Accreditation and Certification reports

Editor's Note The Joint Commission announced November 1 that it is redesigning its Accreditation and Certification reports to be more user-friendly.  The redesigned reports will highlight the most relevant information about surveys and reviews, outcomes, and required follow-ups. Additional changes include: removing unnecessary white space and repetitive text prioritizing and grouping…

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By: Judy Mathias
November 2, 2017
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AAAHC develops new Orthopaedic Certification for ASCs

Editor's Note The Accreditation Association for Ambulatory Health Care (AAHC) announced on November 2 that it has developed a new Orthopaedic Certification program for ambulatory surgery centers (ASCs). After an ASC achieves overall accreditation, it can acquire the Orthopaedic Certification to demonstrate excellence in the specialty of orthopaedics by meeting…

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By: Judy Mathias
November 2, 2017
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Joint Commission abandons proposed telehealth standards

Editor's Note The Joint Commission has abandoned proposed amendments to its accreditation standards that would have required healthcare systems to obtain patient consent, confirm patient location, and predict a patient’s financial responsibility before providing telehealth services, the October 11 mHealth Intelligence reports. The changes, which would have amended two existing…

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By: Judy Mathias
October 16, 2017
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Joint Commission begins Phase 4 revisions of EP Review Project

Editor's Note The Joint Commission on October 4 announced that Phase 4 of the EP [elements of performance] Review Project has begun, with EPs across all accreditation programs being evaluated for streamlining and consolidation. Revisions from the first part of Phase 4 will take effect January 1, 2018. Consolidation is…

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By: Judy Mathias
October 9, 2017
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Joint Commission updates business rules for calculating Life Safety Code surveyor days

Editor's Note The Joint Commission on September 27 announced an update to its business rules that determine the number of days the Life Safety Code surveyor will be part of a hospital’s survey. The changes, which will take effect January 1, 2018, include: Only square footage will be used to…

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By: Judy Mathias
September 28, 2017
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Joint Commission: Top five most challenging requirements for 2017

Editor's Note The Joint Commission on September 20 announced the top five most challenging requirements for the first half of 2017. The top five requirements identified most frequently as “not compliant” during surveys and reviews for hospital accreditation were: 86%--LS.02.01.35: The hospital provides and maintains systems for extinguishing fires. 74%--LS.02.01.30:…

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By: Judy Mathias
September 21, 2017
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Joint Commission temporarily suspends accreditation surveys in Houston

Editor's Note The Joint Commission announced on August 30 that because of flooding in Houston and surrounding areas, it is temporarily suspending accreditation survey activity for organizations severely affected by Hurricane Harvey. Joint Commission Online Weekly Newsletter

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By: Judy Mathias
September 1, 2017
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Joint Commission issues R3 Report on pain assessment and management standards for hospitals

Editor's Note The Joint Commission has issued a new R3 Report to help accredited hospitals better understand and comply with its new and revised pain management standards, which are effective January 1, 2018. This R3 Report provides in-depth rationale, references, and evidence used in the development of the new and…

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By: Judy Mathias
August 30, 2017
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Joint Commission deletes standard related to performance on ORYX measures

Editor's Note The Joint Commission announced August 21 that Standard PI.02.01.03: “The hospital improves its performance on ORYX accountability measures” and the Standard's one Element of Performance: “The hospital achieves a composite performance rate of at least 85% on the ORYX accountability measures transmitted to the Joint Commission” will be…

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By: Judy Mathias
August 22, 2017
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