The Joint Commission announces changes to hospital redeeming application
Editor's Note The Joint Commission, on February 2, announced that it has made several changes to its elements of performance to reflect Centers for Medicare and Medicaid Services regulatory language more closely. The revisions, which will take effect on July 1, 2022, are applicable to hospitals and critical access hospitals…
The Joint Commission adds new HCSS performance measures
Editor's Note The Joint Commission announced on January 26 that it will add four new performance measures to four recently revised Health Care Staffing Services (HCSS) measures. The new measures will be used to report staff turnover rates and track reasons for staff turnover. The new performance measures apply to…
The Joint Commission revises Environment of Care Chapter
The Joint Commission revises Environment of Care Chapter The Joint Commission on January 26 announced that it has approved several revisions to Elements of Performance (EP) in the Environment of Care (EC) chapter, which will vary across accreditation programs. Among the revisions: Standard EC.02.04.01, EP 11, which addresses reporting incidents…
The Joint Commission to begin surveying for HCW vaccinations
Editor's Note The Joint Commission announced on January 19 that beginning January 27, 2022, for applicable deemed program surveys in progress on that day, it will begin surveying to the “Omnibus COVID-19 Health Care Staff Vaccination” interim final rule published by the Centers for Medicare and Medicaid Services (CMS). As…
The Joint Commission revises requirements for informed consent, AV information
Editor's Note The Joint Commission, on January 12, announced that revisions to the Rights and Responsibilities of the Individual (RI) chapter addressing the written policy on informed consent and organizational use of images, films, and recording of patients will become effective July 1, 2022. Among the revisions: A new bullet…
The Joint Commission implements some off-site processes for DSC on-site reviews
Editor's Note The Joint Commission announced January 5, 2022, that, effective immediately, all disease-specific care (DSC) on-site reviews will implement a portion of the off-site review process developed in response to the COVID-19 pandemic. The off-site review process required organizations to upload documentation before the scheduled review, which organizations told…
The Joint Commission updates 2022 ORYX performance measure requirements
Editor's Note The Joint Commission, on December 15, announced that it had updated its 2022 ORYX performance measure reporting requirements for accredited critical access hospitals and hospitals, effective January 1, 2022. Among the updates: The Joint Commission’s new Direct Data Submission Platform (DDSP) will be available for hospitals to submit…
Mastering surveys by The Joint Commission, CMS during COVID-19 pandemic
The 2021 OR Manager Conference in Chicago saw John R. Rosing, MHA, FACHE, executive vice president and principal of Patton Healthcare Consulting, Naperville, Illinois, give his annual update on mastering Joint Commission standards and Centers for Medicare and Medicaid (CMS) regulations. The past 2 years of COVID-19 restrictions have delayed…
Participate in survey on effects of COVID-19 on evacuation of surgical smoke
Editor's Note Please participate in an important nationwide perioperative survey on surgical smoke evacuation. The purpose of the research led by Brenda Ulmer MN, RN, CNOR, is to determine evacuation behaviors in hospitals before COVID-19, and then note changes as the virus continued to spread in the US. Ulmer and…
The Joint Commission issues new Sentinel Event Alert on healthcare disparities
Editor's Note The Joint Commission, on November 10, released a new Sentinel Event Alert, Issue 64: “Addressing healthcare disparities by improving quality and safety.” The Alert summarizes strategies for healthcare and human services organizations as they begin to address healthcare disparities, and it provides examples of successful initiatives already underway.…
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