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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Editor's Note The Joint Commission announced on October 4 that it is deleting element of performance (EP) 3 for Medication Management 09.01.01 for hospitals and critical access hospitals, effective October 1. The standard states: “The [critical access] hospital educates patients, and their families as needed, regarding the appropriate use of…

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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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Editor's Note The Joint Commission on September 20 posted sentinel event statistics from its database through June 30, 2017. Of the top 10 most frequently reported sentinel events during this time period: Falls topped the list with 49 events. Unintended retention of a foreign object was 3rd with 41 events.…

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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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Editor's Note The Joint Commission on September 13 announced a new Sentinel Event Alert that focuses on inadequate hand-offs and tips to improve them. A common problem with hand-offs is communication, which is the focus of “Sentinel Event Alert, Issue 58: Inadequate hand-off communication.” The alert includes an infographic of…

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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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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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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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Editor's Note This study from the Joint Commission finds that criteria for assessing whether outcome measures are accurate and valid enough to use for public reporting, payment, and accreditation are not well-defined. The authors propose four criteria to assess outcome measures: Strong evidence should exist that good medical care leads…

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