Joint Commission

Latest Issue of OR Manager
February 2018

Joint Commission: New requirement for maternal status assessment and documentation

Editor's Note The Joint Commission on January 10 announced that three new requirements for maternal status assessment and documentation will become effective July 1, 2018, for accredited hospitals and critical access hospitals that offer obstetric services, specifically labor and delivery. The new requirements were designed to: Document or assess the…

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By: Judy Mathias
January 10, 2018
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Joint Commission Resources releases two new publications

Editor's Note Joint Commission Resources announced on January 3 the release of two new publications to help organizations comply with requirements for accreditation. “Medical Staff Essentials” breaks down difficult concepts in the Medical Staff (MS) standards. “Root Cause Analysis in Health Care: Tools and Techniques” provides a systematic approach to…

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By: Judy Mathias
January 8, 2018
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Joint Commission changes requirements for independent pathologists

Editor's Note The Joint Commission on January 3 announced that it is no longer requiring hospitals, critical access hospitals, or ambulatory care organizations to credential and privilege pathologists who provide diagnostic services through independent reference (contract) laboratories. The Joint Commission says accredited organizations can safely presume that pathologists who work…

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By: Judy Mathias
January 4, 2018
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Joint Commission new and revised standards effective January 2018

Editor's Note The Joint Commission on December 20, 2017, posted new and revised standards that go into effect in January 2018. Included are: Life Safety Code revisions that address topics such as testing of emergency lighting systems and inspection and testing of piped medical gas and vacuum systems. Medication Management…

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By: Judy Mathias
January 2, 2018
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Joint Commission cites ‘continuous improvement’ as 2018 survey goal

When Medicare and Medicaid legislation was passed and signed into law in 1965, the US Congress formed the precursor federal agency to the Centers for Medicare & Medicaid Services (CMS) to write the rules and regulations spelling out the “Conditions of Participation” (CoPs) required to obtain federal funding under these…

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By: Judith M. Mathias, MA, RN
December 14, 2017
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Bulletproof Solutions for Finding-Free Joint Commission and CMS Surveys

After this session you’ll be able to: 1. Summarize 2017 Joint Commission standards and Centers for Medicare & Medicaid Services (CMS) regulations. 2. Develop strategies to ensure ongoing compliance and survey readiness. 3. Understand methodologies surveyors utilize to assess compliance. Why this is important: As anyone who has undergone a…

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Joint Commission posts decision rule changes for 2018

Editor's Note The Joint Commission on December 12 posted its summary of changes to accreditation and certification decision rules for all programs for 2018. Changes include initial accreditation, reaccreditation, and certification. The decision rules are effective for surveys and reviews beginning January 1, 2018.   Joint Commission requirement. Read More…

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By: Judy Mathias
December 12, 2017
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Joint Commission continues to revise LS, EC chapters

Editor's Note The Joint Commission on December 6 announced that revisions are continuing to be made to the Life Safety (LS) and Environment of Care (EC) chapters of its accreditation manuals. The revisions are a result of the Centers for Medicare & Medicaid Services’ adoption of the 2012 editions of…

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By: Judy Mathias
December 7, 2017
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Joint Commission announces new tool to help with accreditation, CMS compliance

Editor's Note The Joint Commission on November 29 announced a new software tool, “Tracers with AMPTM plus CMS,” to help hospitals and critical access hospitals manage their Joint Commission accreditation and Centers for Medicare & Medicaid Services (CMS) compliance efforts. The tool is a web-based platform that stores a hospital’s…

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By: Judy Mathias
November 30, 2017
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Joint Commission chooses Apervita platform to ease eCQM submission

Editor's Note The Joint Commission has selected Chicago-based Apervita’s platform to enable thousands of hospitals with ORYX data reporting requirement to directly submit electronic clinical quality measure (eCQM) data in 2018, the November 14 Healthcare Informatics reports. Since the shift to eCQM data submission began 2 years ago, the Joint…

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By: Judy Mathias
November 15, 2017
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Joint Commission: More accredited hospitals submitting eCQM data

Editor's Note Despite the expansion of requirements for electronic clinical quality measure (eCQM) reporting to the Centers for Medicare & Medicaid Services, an increased number of Joint Commission accredited hospitals are adopting and reporting eCQMs to drive quality improvement, the Joint Commission reports.  In 2016, 470 accredited hospitals submitted eCQM…

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By: Judy Mathias
November 13, 2017
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Friend or Foe? Preparing for Your Joint Commission Survey

As anyone who has undergone a Joint Commission Survey knows, preparation is key to a positive survey outcome. To ensure you are equipped with up-to-date Joint Commission standards and Centers for Medicare & Medicaid Services (CMS) requirements affecting surgical services and areas that perform invasive procedures, Rosing returns to lead…

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