Tag: Accreditation

Joint Commission posts most challenging requirements

Editor's Note The Joint Commission on March 30 posted the top requirements for accreditation identified most frequently as “not compliant” during surveys and reviews from January 1 through December 31, 2015. Among the most challenging: Granting initial, renewed, or revised clinical privileges to individuals who are permitted by law and…

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By: Judy Mathias
March 31, 2016
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Joint Commission: Blood management certification guide available

Editor's Note The Joint Commission on March 16 announced that the new Patient Blood Management Certification Review Process Guide (2016) is now available. Contents include a description of activities that take place during an on-site certification review and tips to prepare for the review process.   Patient Blood Management Certification…

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By: Judy Mathias
March 17, 2016
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Joint Commission launches new quality reporting initiative

Editor's Note The Joint Commission on February 16 launched a new initiative called “Pioneers in Quality.” The program provides education and support for hospitals as they strive to meet the growing requirements for electronic clinical quality measures. Key components of the initiative include: Educational webinars Resource portal Modified annual report focusing…

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By: Judy Mathias
February 16, 2016
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Johns Hopkins sustains success as top performer

Editor's Note The Johns Hopkins Hospital in Baltimore sustained top performance on all Joint Commission accountability measures from 2012 through 2014, and now more than 96% of patients receive recommended care consistent with national quality measures, this study finds. The sustainability process included: declaring and communicating goals creating an enabling…

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By: Judy Mathias
February 3, 2016
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Joint Commission: Patient Blood Management Certification now available

Editor's Note The Joint Commission on January 27 announced that applications for its new Patient Blood Management Certification are now being accepted. The goal of the certification is to assist hospitals in implementing practices to help eliminate unnecessary transfusions and adverse outcomes. The certification is valid for 2 years.  …

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By: Judy Mathias
January 29, 2016
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Joint Commission awards first Integrated Care Certification

Editor's Note The Joint Commission on January 25 announced that Parrish Medical Center, Titusville, Florida, is the first hospital to be awarded its Integrated Care Certification. The Joint Commission began offering the certification in July 2015 to recognize hospitals and ambulatory care settings that excel at integrating information-sharing, transitions of…

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By: Judy Mathias
January 25, 2016
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Preparation, policy compliance key to positive survey outcome

Preparation for a visit from the Joint Commission or the Centers for Medicare & Medicaid Services is key to a positive survey outcome. “There is nothing mysterious about Joint Commission or CMS compliance,” says John Rosing, MHA, FACHE, vice president and principal, Patton Healthcare Consulting, Naperville, Illinois. Ensuring compliance involves…

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By: Judith M. Mathias, MA, RN
January 20, 2016
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Joint Commission now offering advanced certification for total joints

Editor's Note A new, optional advanced certification program for total hip and total knee replacement is now available from the Joint Commission. The program will help accredited hospitals, critical access hospitals, and ambulatory surgery centers provide a consistent approach to patient care that reduces the risk of error and improves…

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By: Judy Mathias
January 7, 2016
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California issues new regs for outpatient surgery settings

Editor's Note California Senate Bill 396, designed to strengthen regulation of unlicensed outpatient surgery settings, goes into effect January 1, 2016, the Joint Commission reports. The Bill builds upon existing regulations that mandate facility accreditation of ambulatory surgery centers (ASCs) and office-based surgery practices that are not state licensed or…

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By: Judy Mathias
December 17, 2015
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Joint Commission issues Standards BoosterPak on high-level disinfection, sterilization

Editor's Note The Joint Commission on December 7 announced a new Standards BoosterPak on high-level disinfection and sterilization. A Standards BoosterPak is a searchable document that provides detailed information about a standard that has been associated with a high volume of inquiries or non-compliance scores. The goal of the new…

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By: Judy Mathias
December 8, 2015
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