Accreditation

Latest Issue of OR Manager
July 2019

Joint Commission evaluating revisions to USP General Chapter <797>

Editor's Note The Joint Commission on June 12 announced that it is reviewing the United States Pharmacopeial Convention (USP) revisions to its General Chapter <797> Pharmaceutical Compounding−Sterile Preparations. The Joint Commission is evaluating the effect of the revisions on its accredited organizations and plans to issue guidance and updated survey…

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By: Judy Mathias
June 13, 2019
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Joint Commission: New requirement for office-based surgery fluoroscopy services

Editor's Note The Joint Commission announced June 5 that beginning January 1, 2020, accredited office-based surgery practices that provide fluoroscopy services will be required to comply with element of performance (EP) 17 of Environment of Care (EC) standard EC.02.02.01: The practice manages risks related to hazardous materials and waste. This…

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By: Judy Mathias
June 6, 2019
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Joint Commission announces performance measures for heart attack certifications

Editor's Note The Joint Commission on May 29 announced performance measures for two newly developed advanced Disease-Specific Care Certification programs−Acute Heart Attack Ready and Primary Heart Attack Center. The measures will go into effect July 1, 2019, for critical access hospitals and hospitals (including freestanding emergency departments) pursuing these certifications.…

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By: Judy Mathias
May 30, 2019
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Joint Commission offers accredited hospitals real-time quality metrics

Editor's Note The Joint Commission on May 14 announced that it is expanding its quality measure program to provide accredited hospitals with year-round, real-time access to quality measures without additional outside vendors. The Joint Commission can now use a single environment to specify, develop, test, and distribute clinical quality language…

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By: Judy Mathias
May 15, 2019
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Joint Commission Ambulatory Care Accreditation team launches new campaign

Editor's Note The Joint Commission on May 8 announced that its Ambulatory Care Accreditation team is launching a "We Know Surgery" campaign to highlight its 45-year history accrediting ambulatory care organizations. The campaign, which is being launched in conjunction with the Ambulatory Surgery Centers Association (ASCA) conference in Nashville May…

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By: Judy Mathias
May 9, 2019
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Joint Commission announces updates to E-dition

Editor's Note The Joint Commission on April 24 announced that it will be posting spring 2019 updates to the E-dition® of its accreditation and certification manuals in May. The changes, which can be viewed on an organization’s Joint Commission Connect® extranet site, will go into effect July 1 unless otherwise…

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By: Judy Mathias
April 25, 2019
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Joint Commission posts ‘Top 5’ most challenging requirements for 2018

Editor's Note The Joint Commission on March 27 posted the “Top 5” requirements identified most frequently as “not compliant” during surveys and reviews in 2018. The Top 5 for hospital accreditation are: LS.02.01.35: The hospital provides and maintains systems for extinguishing fires (88.85%). EC.02.05.01: The hospital manages risks associated with…

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By: Judy Mathias
April 1, 2019
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Joint Commission moves THKR performance measures

Editor's Note The Joint Commission on March 6 announced that it is moving the inpatient and outpatient Total Hip and Total Knee Replacement (THKR) implementation guides from the performance measure webpage to the 2019 Specifications Manual for Joint Commission National Quality Measures. The Manual was published in February. The move will…

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By: Judy Mathias
March 11, 2019
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Joint Commission: March 15 is deadline for CY 2018 eCQM data submission

Editor's Note The Joint Commission on March 6 reminded organizations submitting CY 2018 electronic clinical quality measure (eCQM) data that the deadline is 8 pm CT on March 15. Two submission methods are available: Listed ORYX eCQM Vendor. Direct Data Submission Platform. There will be no extensions, and data cannot…

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By: Judy Mathias
March 7, 2019
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Joint Commission reinstates volume requirement for stroke center certification programs

Editor's Note The Joint Commission on January 23 announced that it is reinstating the individual mechanical thrombectomy volume eligibility requirement for the Thrombectomy-Capable Stroke Center (TSC) and Comprehensive Stroke Center (CSC) certification programs. The Joint Commission is also implementing a revised volume requirement in 6 months that expands which physicians…

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By: Judy Mathias
January 24, 2019
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