Joint Commission

Latest Issue of OR Manager
February 2022

The Joint Commission to begin surveying for HCW vaccinations

Editor's Note The Joint Commission announced on January 19 that beginning January 27, 2022, for applicable deemed program surveys in progress on that day, it will begin surveying to the “Omnibus COVID-19 Health Care Staff Vaccination” interim final rule published by the Centers for Medicare and Medicaid Services (CMS). As…

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By: Judy Mathias
January 20, 2022
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The Joint Commission revises requirements for informed consent, AV information

Editor's Note The Joint Commission, on January 12, announced that revisions to the Rights and Responsibilities of the Individual (RI) chapter addressing the written policy on informed consent and organizational use of images, films, and recording of patients will become effective July 1, 2022. Among the revisions: A new bullet…

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By: Judy Mathias
January 13, 2022
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The Joint Commission implements some off-site processes for DSC on-site reviews

Editor's Note The Joint Commission announced January 5, 2022, that, effective immediately, all disease-specific care (DSC) on-site reviews will implement a portion of the off-site review process developed in response to the COVID-19 pandemic. The off-site review process required organizations to upload documentation before the scheduled review, which organizations told…

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By: Judy Mathias
January 6, 2022
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The Joint Commission updates 2022 ORYX performance measure requirements

Editor's Note The Joint Commission, on December 15, announced that it had updated its 2022 ORYX performance measure reporting requirements for accredited critical access hospitals and hospitals, effective January 1, 2022. Among the updates: The Joint Commission’s new Direct Data Submission Platform (DDSP) will be available for hospitals to submit…

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By: Judy Mathias
December 16, 2021
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Mastering surveys by The Joint Commission, CMS during COVID-19 pandemic

The 2021 OR Manager Conference in Chicago saw John R. Rosing, MHA, FACHE, executive vice president and principal of Patton Healthcare Consulting, Naperville, Illinois, give his annual update on mastering Joint Commission standards and Centers for Medicare and Medicaid (CMS) regulations. The past 2 years of COVID-19 restrictions have delayed…

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By: Judith M. Mathias, MA, RN
December 16, 2021
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Participate in survey on effects of COVID-19 on evacuation of surgical smoke

Editor's Note Please participate in an important nationwide perioperative survey on surgical smoke evacuation. The purpose of the research led by Brenda Ulmer MN, RN, CNOR, is to determine evacuation behaviors in hospitals before COVID-19, and then note changes as the virus continued to spread in the US. Ulmer and…

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By: Judy Mathias
November 10, 2021
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The Joint Commission issues new Sentinel Event Alert on healthcare disparities

Editor's Note The Joint Commission, on November 10, released a new Sentinel Event Alert, Issue 64: “Addressing healthcare disparities by improving quality and safety.” The Alert summarizes strategies for healthcare and human services organizations as they begin to address healthcare disparities, and it provides examples of successful initiatives already underway.…

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By: Judy Mathias
November 10, 2021
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The Joint Commission seeking comments on new heart attack certification program

Editor's Note The Joint Commission, on October 27, announced that it will launch a new Comprehensive Heart Attack Center Certification in July 2022 and is seeking comments on the newly proposed standards. The Joint Commission also has revised standards for its current certification programs: Acute Heart Attack Ready and Primary…

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By: Judy Mathias
October 28, 2021
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The Joint Commission issues new Quick Safety on cybersecurity

  Editor's Note The Joint Commission, on October 20, announced a new Quick Safety—“Organization-wide cybersecurity: Creating a culture of defense.” Cybersecurity can no longer be viewed as just the province of the IT department. It must be the responsibility of all staff that have access to digital information, electronic health…

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By: Judy Mathias
October 25, 2021
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The Joint Commission to implement new, revised PI, LD accreditation standards for labs

Editor's Note The Joint Commission on October 12 announced that it will implement new and revised Performance Improvement (PI) and Leadership (LD) accreditation standards for its Laboratory Accreditation Program, effective January 1, 2022. The revisions factor in two common themes of organizations with successful improvement programs: Adoption of an established…

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By: Judy Mathias
October 13, 2021
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Latest Issue of OR Manager
February 2022
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