Accreditation

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May 2024
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The Joint Commission raises healthcare equity standard to NPSG

Editor's Note The Joint Commission on January 10 announced that it had elevated the Leadership (LD) Standard LD.04.03.08, which addresses healthcare disparities as a quality and safety priority, to a National Patient Safety Goal (NPSG), effective July 1, 2023. Current requirements for accreditation will not change, and the intent behind…

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By: Judy Mathias
January 11, 2023
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The Joint Commission: Northside Hospital receives first Maternal Levels of Care Verification

Editor's Note The Joint Commission announced January 4 that Northside Hospital, Atlanta, is the first in the country to receive Maternal Levels of Care Verification and the first in the state to receive a Level IV Maternal Center Designation from the Georgia Department of Public Health. Georgia is one of…

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By: Judy Mathias
January 5, 2023
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The Joint Commission announces standards reductions, revisions for 2023

Editor's Note The Joint Commission announced on December 21 that they are eliminating 168 standards (14%) and revising 14 other standards across its accreditation programs in the new year. The Joint Commission additionally announced that it will not raise accreditation fees for domestic hospitals in the coming year due the…

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By: Bridget Brown
December 29, 2022
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The Joint Commission is eliminating licensed independent practitioner term

Editor's Note The Joint Commission announced on December 14 that it will be eliminating the term “licensed independent practitioner” from its critical access hospital and hospital programs, effective February 19, 2023. The updated terminology is consistent with that used by the Centers for Medicare and Medicaid Services Conditions of Participation…

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By: Judy Mathias
December 15, 2022
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Accreditation updates from The Joint Commission, CMS

Takeaways Many OR managers said they were overdue for a survey by The Joint Commission because of the pandemic. The Joint Commission is said to be 3,000 surveys behind. More checklists are being used by surveyors, which are available in The Joint Commission’s Perspectives and EC News newsletters. New in…

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By: Judith M. Mathias, MA, BS, RN
December 15, 2022
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The Joint Commission joins White House pledge to decarbonize healthcare

Editor's Note The Joint Commission announced on December 7 that it was recognized by the Department of Health and Human Services at the 2022 United Nations Climate Change Conference for its actions to decarbonize the healthcare sector and make healthcare facilities more resilient to climate change. The Joint Commission formally…

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By: Judy Mathias
December 8, 2022
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The Joint Commission launches new Speak Up About Vaccinations campaign

Editor's Note The Joint Commission on November 30 announced the launch of a new patient safety campaign—Speak Up About Vaccinations—that is designed to help patients better understand vaccines. The campaign includes: an infographic poster/flyer in three sizes an animated video a distribution guide with recommendations on how healthcare organizations can…

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By: Judy Mathias
December 1, 2022
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The Joint Commission updates ORYX performance measure requirements

Editor's Note The Joint Commission on November 23 announced that it had updated its 2023 ORYX performance measure reporting requirements, effective January 1, 2023. Key updates for hospitals and critical access hospitals include: Three new electronic clinical quality measures (eCQMs)—hospital harm, severe hypoglycemia; hospital harm, severe hyperglycemia; and ST-segment elevation…

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By: Judy Mathias
November 30, 2022
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The Joint Commission: New Accelerate PI Dashboard Reports available

Editor's Note The Joint Commission announced on November 9 that refreshed Accelerate PI Dashboard Reports are available for accredited hospitals and critical access hospitals to provide updated performance measurement data on certain quality measures. Refreshed “Other” reports contain data through the third quarter of 2021. Data in the reports comes…

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By: Judy Mathias
November 10, 2022
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The Joint Commission adds safety briefing to accreditation surveys

Editor's Note The Joint Commission on November 2 announced that it has added safety briefings to all accreditation surveys as well as certification and verification reviews, effective January 1, 2023. The informal, 5-minute briefing allows organizations to tell surveyors and reviewers about any potential safety concerns and how they should…

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By: Judy Mathias
November 3, 2022
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