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June 2024
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The Joint Commission updates requirements for addressing ethical issues

Editor's Note The Joint Commission, on May 31, announced an update to the Leadership (LD) requirement addressing ethical issues, effective August 27. Element of Performance (EP) 1 of the standard LD.04.02.03—Ethical principles guide the [organization’s] business practices—now states: “The [organization] develops and implements a process that allows staff, [patients], and…

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By: Judy Mathias
June 1, 2023
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CMS eliminates HCW COVID-19 vaccination requirements

Editor's Note The Centers for Medicare and Medicaid Services (CMS), on May 31, withdrew the COVID-19 healthcare worker (HCW) vaccination requirements, including removing the requirement for COVID-19 vaccination policies and procedures for HCWs, the May 31 AHAToday reports. The rule also eliminated long-term care facility COVID-19 testing requirements that required…

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By: Judy Mathias
June 1, 2023
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The Joint Commission seeking comments on proposed new infection control requirements for hospitals, critical access hospitals

Editor's Note The Joint Commission, on May 24, announced that it is seeking comments on new infection control (IC) requirements for hospitals and critical access hospitals on preparedness for high-consequence diseases or special pathogens. These new requirements will replace the current standard IC.01.06.01 on preparing for an influx of potentially…

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By: Judy Mathias
May 25, 2023
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The Joint Commission: Licensed independent practitioner term eliminated from AHC, OBS accreditation programs

Editor's Note The Joint Commission, on May 24, announced that it was eliminating the term licensed independent practitioner from its Ambulatory Health Care and Office-Based Surgery accreditation programs, beginning August 27. The revisions are consistent with terminology used by the Centers for Medicare and Medicaid Services’ Conditions for Coverage and…

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By: Judy Mathias
May 25, 2023
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The Joint Commission announces new Health Care Equity Certification Resource Center

Editor's Note The Joint Commission, on May 3, announced the launch of its new Health Care Equity Certification Resource Center, which provides practical strategies for meeting the new certification program’s standards and elements of performance. Resources, such as tools, templates, and guides, are organized in the center by certification domains…

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By: Judy Mathias
May 4, 2023
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The Joint Commission revises several EPs for critical access hospitals to align with CMS

Editor's Note The Joint Commission, on May 3, announced the revision of several of its elements of performance (EPs) for critical access hospitals to align with the Centers for Medicare and Medicaid Services’ (CMS’) Conditions of Participation (CoPs). The revisions primarily address restraint and seclusion, the complaint process, and unified…

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By: Judy Mathias
May 4, 2023
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VAD implant requirement reinstated

Editor's Note The Joint Commission, on April 26, announced that the Centers for Medicare & Medicaid Services (CMS) requirement to count the volume of ventricular assist device (VAD) implants by surgeons will be reinstated on May 11. CMS stopped this requirement during the COVID-19 public health emergency.

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By: Judy Mathias
April 27, 2023
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AAAHC updates Certification Handbook for Advanced Orthopaedics

Editor's Note The Accreditation Association for Ambulatory Health Care (AAAHC), on April 10, announced the release of updated standards for its 3-year Advanced Orthopaedic Certification program, which will take effect July 1, 2023. The updated Certification Handbook for Advanced Orthopaedics, v42, introduces new terminology and standards architecture plus a revised…

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By: Judy Mathias
April 26, 2023
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The Joint Commission: Top 5 most challenging requirements for 2022

Editor's Note The Joint Commission, on April 19, posted the Top 5 requirements and corresponding elements of performance (EPs) identified most frequently as “not compliant” during surveys and reviews in 2022. The Top 5 for Hospitals have to do with: Implementing infection control activities when performing intermediate and high-level disinfection…

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By: Judy Mathias
April 20, 2023
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ACS releases new breast cancer standards

Editor's Note The American College of Surgeons (ACS) National Accreditation Program for Breast Centers (NAPBC), on April 19, released new breast cancer standards that put the individualized needs of the patients first and focus on shared decision-making. Previous standards addressed surgical care issues through an interdisciplinary lens, but they were…

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By: Judy Mathias
April 19, 2023
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