Accreditation

Latest Issue of OR Manager
February 2019

Joint Commission seeks comments on new antimicrobial stewardship requirements

Editor's Note The Joint Commission on January 9 announced that it is seeking feedback on its newly proposed requirements for antimicrobial stewardship at Medication Management (MM) standard MM.09.01.03. The requirements apply to ambulatory healthcare organizations and office-based surgery practices. The proposed requirements align with current recommendations from scientific and professional…

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By: Judy Mathias
January 14, 2019
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Joint Commission: New R3 Report goes in-depth on pain assessment, management standards

Editor's Note The Joint Commission announced on January 9 the publication of a new R3 Report to help organizations better understand the new and revised pain assessment and management standards that will be effective July 1, 2019. The R3 Report, which is for behavioral healthcare organizations, nursing care centers, and…

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By: Judy Mathias
January 10, 2019
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Joint Commission to begin publicly reporting C-section rates

Editor's Note The Joint Commission announced on December 19 that, effective July 1, 2020, it will begin publicly reporting hospitals with consistently high C-section rates on"Quality Check," using hospital data reported during CY 2018 and 2019. The Joint Commission began requiring accredited hospitals to collect and submit data on the…

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By: Judy Mathias
January 3, 2019
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Joint Commission launches webpage covering four high-risk areas

Editor's Note The Joint Commission on December 19 launched a webpage that covers four high-risk areas that surveyors evaluate. The “4-1-1 on Survey Enhancements” interactive page provides resources for: Sterile medication compounding Suicide prevention High-level disinfection and sterilization Hemodialysis. The Joint Commission enhanced its evaluation of these high risk areas…

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By: Judy Mathias
January 2, 2019
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Joint Commission surveys now seek evidence of performance

In the past few months, the Joint Commission has implemented a new process for accreditation surveys and changed the wording and interpretation of some standards, particularly infection control. At the 2018 OR Manager Conference in Nashville, Tennessee, in September, John R. Rosing, MHA, FACHE, executive vice president and principal of…

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By: Judith M. Mathias, MA, RN
December 13, 2018
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Joint Commission announces new requirement for THKR certification

Editor's Note The Joint Commission on November 7 announced a new requirement of participation in a national joint replacement registry for its advanced Total Hip and Total Knee Replacement (THKR) certification, effective July 1, 2019. The Disease Specific Care Performance Measurement (DSPM) standard DSPM.4, element of performance (EP) 2 will…

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By: Judy Mathias
November 8, 2018
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DVN GL announces first US sterile processing certification

Editor's Note Healthcare accreditation organization DNV GL Healthcare on November 7 launched the first sterile processing program certification in the US. The program recognizes excellence in an organization’s sterile processing department within the scope of infection prevention and control, surgical services, endoscopic services, and related departments. An important part of…

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By: Judy Mathias
November 8, 2018
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AAAHC launches 3-year Advanced Orthopaedic Certification program

Editor's Note The Accreditation Association for Ambulatory Health Care (AAAHC) announced on October 25 that it has launched an Advanced Orthopaedic Certification program for ambulatory surgery centers (ASCs) performing total joints and spine procedures. The 3-year certification program was designed by an expert panel of practicing orthopaedic and spine professionals…

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By: Judy Mathias
October 30, 2018
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Joint Commission: 2019 National Patient Safety Goals now available

Editor's Note The Joint Commission announced on October 24 that the 2019 National Patient Safety Goals (NPSGs) are now available on its website. Included is a new element of performance (EP) for NPSG.01.01.01, EP3, which is designed to improve the naming convention of newborns after delivery to prevent medical errors…

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By: Judy Mathias
October 26, 2018
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Joint Commission Resources offers new survey readiness guide for surgical settings

Editor's Note  Joint Commission Resources on October 24 announced the availability of a new accreditation prep guide specific for surgical settings. “Survey Readiness Guide for Surgical Settings: Standards, Tracers, and Tools” is a self-assessment tool that includes all relevant Joint Commission accreditation standards and provides an overview of the survey…

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By: Judy Mathias
October 25, 2018
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