Tag: Accreditation

AAAHC releases new Opioid Stewardship Toolkit

Editor's Note The Accreditation Association for Ambulatory Health Care (AAAHC) on May 8 announced the release of its new Opioid Stewardship Toolkit to help providers review and assess the volume and length of opioid prescriptions and dosages to mitigate risk of patient overdose and death. AAAHC created the toolkit to…

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By: Judy Mathias
May 9, 2017
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Joint Commission: Phase 3 of EP Review Project yields 515 more deletions

Editor's Note The Joint Commission announced on May 3 that accreditation programs for ambulatory care (85 fewer), behavioral healthcare (63 fewer), critical access hospitals (143 fewer), home care (65 fewer), laboratories (50 fewer), nursing care centers (59 fewer), and office-based surgery practices (50 fewer) will see fewer elements of performance…

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By: Judy Mathias
May 4, 2017
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Joint Commission creates new SAFER Matrix resources portal

Editor's Note The Joint Commission on May 3 announced the creation of a new SAFER [Survey Analysis for Evaluating Risk] Matrix web portal for information and resources on the scoring methodology that went into effect on January 1. Among the portal features: A webinar and slide deck that discusses the…

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By: Judy Mathias
May 4, 2017
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Surgical outcomes vary at bariatric centers of excellence

Editor's Note Center accreditation alone does not ensure high-quality care for bariatric surgical patients, this study finds. In this analysis of 145,527 patients across 165 bariatric centers of excellence, serious complication rates varied 17-fold at the national level and 2.1-fold at the state level. Complication rates varied at centers with…

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By: Judy Mathias
May 1, 2017
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Joint Commission: Changes to post-survey processes, decision rules

Editor's Note The Joint Commission on February 22 announced that recent changes had been made to simplify and streamline the accreditation post-survey process and decision rules. Among the changes: An organization with an accredited with follow-up decision will receive full accreditation once it has successfully submitted evidence of standards compliance.…

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By: Judy Mathias
February 24, 2017
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CMS immediate jeopardy trail may lead to the OR

What makes an OR subject to an immediate jeopardy finding from a Medicare inspection? Immediate jeopardy is cited when a provider’s noncompliance with one or more of the Centers for Medicare & Medicaid’s (CMS) Conditions of Participation causes or is likely to cause serious injury, harm, impairment, or death.  …

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By: Judith M. Mathais, MA, RN
February 17, 2017
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DNV accreditation: A positive spin on survey preparation

There is a lot of buzz in the healthcare community about a newcomer to the accreditation process. For many years, the Joint Commission was the first choice for providing accreditation for hospitals in the US. But Norway-based Det Norske Veritas (DNV) is gaining ground, representing more than 350 hospitals and…

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By: Judith M. Mathais, MA, RN
February 17, 2017
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Joint Commission offers new blog for infection preventionists

Editor's Note A new blog from the Joint Commission on Infection Prevention & Control covers experiences, case studies, and news for infection preventionists. The latest blog post details the BoosterPak for High-Level Disinfection and Sterilization processes, which is applicable to hospitals, critical access hospitals, plus ambulatory and office-based surgery settings.…

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By: Judy Mathias
December 14, 2016
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New Joint Commission cardiac center certification

Editor's Note The Joint Commission on December 7 announced that it is offering a new Comprehensive Cardiac Center Certification, starting January 1. The voluntary program has been developed to recognize accredited hospitals that demonstrate excellence in delivering cardiac care through a combination of standards compliance, performance on targeted metrics, and…

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By: Judy Mathias
December 9, 2016
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Joint Commission survey standards tighten for 2017

Beginning January 1, 2017, the Joint Commission is “making significant changes in its survey methods and its standards manual,” says John R. Rosing, MHA, FACHE, executive vice president and principal, Patton Healthcare Consulting, Milwaukee, Wisconsin, and OR managers need to be prepared for them. The reason, he says, is that…

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By: Judith M. Mathias, MA, RN
November 14, 2016
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