Tag: Accreditation

Joint Commission updates information on offsite surveys, reviews

Editor's Note The Joint Commission, on February 17, announced that it had updated its information on offsite (ie, virtual) surveys and reviews. In response to COVID-19, the Joint Commission stopped most onsite surveys and reviews from March 16 to May 31, 2020, and they developed processes for offsite events. As…

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By: Judy Mathias
February 18, 2021
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Joint Commission conducting both virtual and onsite surveys in 2021

The Joint Commission stopped doing most onsite surveys and reviews from March 16 to May 31, 2020, in response to the COVID-19 pandemic. During that time, they developed processes for conducting offsite or virtual events, and as of mid-December, more than 1,200 offsite surveys and reviews had been conducted across…

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By: Judith M. Mathias, MA, RN
February 17, 2021
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Joint Commission adds new performance measure for THKR certification

Editor's Note The Joint Commission, on January 20, announced that data collection for a new standardized performance measure assessing a patient’s functional and health status postoperatively will be required for the Advanced Certification for Total Hip and Total Knee Replacement (THKR) program. Organizations will be required to assess a patient’s…

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By: Judy Mathias
January 21, 2021
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Joint Commission approves four new EPs for office-based surgery

Editor's Note The Joint Commission, on January 13, announced that it had approved four new elements of performance (EPs) for office-based surgery practices that prescribe medication. The EPs for Medication Management Standard MM.04.01.01, which will become effective July 1, address the following: Having a written policy that identifies specific medication…

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By: Judy Mathias
January 14, 2021
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Joint Commission issues update on offsite surveys, reviews

Editor's Note The Joint Commission on January 6, 2020, issued an update on offsite surveys and reviews, noting that it had stopped most onsite surveys and reviews from March 16 to May 31, 2020. During that time they developed processes for conducting offsite or virtual events. As of mid-December, more…

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By: Judy Mathias
January 7, 2021
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Joint Commission questionnaire identifies COVID-19 impact on organizations

Editor's Note The Joint Commission on January 6, 2021, reported on an online questionnaire sent to organizations in September 2020 to learn about their challenges and needs during the COVID-19 pandemic. A total of 735 respondents, representing a variety of healthcare settings, reported: a medium to high impact on their…

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By: Judy Mathias
January 7, 2021
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Joint Commission modifies Environment of Care survey process

Editor's Note The Joint Commission announced November 11 that it has modified its Environment of Care (EC) survey process for ambulatory surgery centers (those deemed and/or assigned life safety code surveyors), critical access hospitals, and hospitals, effective January 1, 2021. The change eliminates the 1-hour, sit-down discussion with members of…

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By: Judy Mathias
November 12, 2020
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Joint Commission selected to provide VA lab accreditation

Editor's Note The Joint Commission announced October 27 that it had been selected to provide Laboratory Accreditation Program services for the US Department of Veterans Affairs (VA). These services will be provided for moderate and high-complexity clinical laboratories at VA Medical Centers and community-based outpatient clinics. Services include education on…

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By: Judy Mathias
October 28, 2020
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Joint Commission issues new Heads-Up Report on challenges presented by COVID-19

Editor's Note The Joint Commission on October 21 issued a new Heads-Up Report on challenges that accredited organizations are facing during the COVID-19 pandemic. Report topics include: Hospital and critical access hospital emergency privileges Ambulatory healthcare competency assessments Behavioral healthcare identification of environmental risks for suicide Laboratory record keeping for…

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By: Judy Mathias
October 22, 2020
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Impact of COVID-19 on HAIs

Editor's Note To provide flexibility to healthcare workers responding to the COVID-19 crisis, the Centers for Medicare & Medicaid Services (CMS) waived reporting requirements for healthcare associated infections (HAIs) through June 2020. Using the experience of hospitals in New York City and St Louis, Missouri, the authors provide commentary on…

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By: Judy Mathias
October 21, 2020
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