Standards

Latest Issue of OR Manager
March 2021

Joint Commission updates information on offsite surveys, reviews

Editor's Note The Joint Commission, on February 17, announced that it had updated its information on offsite (ie, virtual) surveys and reviews. In response to COVID-19, the Joint Commission stopped most onsite surveys and reviews from March 16 to May 31, 2020, and they developed processes for offsite events. As…

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By: Judy Mathias
February 18, 2021
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Joint Commission conducting both virtual and onsite surveys in 2021

The Joint Commission stopped doing most onsite surveys and reviews from March 16 to May 31, 2020, in response to the COVID-19 pandemic. During that time, they developed processes for conducting offsite or virtual events, and as of mid-December, more than 1,200 offsite surveys and reviews had been conducted across…

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By: Judith M. Mathias, MA, RN
February 17, 2021
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Joint Commission adds new performance measure for THKR certification

Editor's Note The Joint Commission, on January 20, announced that data collection for a new standardized performance measure assessing a patient’s functional and health status postoperatively will be required for the Advanced Certification for Total Hip and Total Knee Replacement (THKR) program. Organizations will be required to assess a patient’s…

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By: Judy Mathias
January 21, 2021
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Parsing COVID-19 transmission routes informs levels of protection needed

Information about COVID-19 transmission and treatment has evolved between the time this infectious disease first emerged and now. As evidence-based knowledge grows and protocols change, and as populations are vaccinated to develop herd immunity, there is increasing optimism about the ability to combat the virus. Meanwhile, it is important to…

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By: Judith M. Mathias, MA, RN
January 19, 2021
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Joint Commission approves four new EPs for office-based surgery

Editor's Note The Joint Commission, on January 13, announced that it had approved four new elements of performance (EPs) for office-based surgery practices that prescribe medication. The EPs for Medication Management Standard MM.04.01.01, which will become effective July 1, address the following: Having a written policy that identifies specific medication…

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By: Judy Mathias
January 14, 2021
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Joint Commission modifies Environment of Care survey process

Editor's Note The Joint Commission announced November 11 that it has modified its Environment of Care (EC) survey process for ambulatory surgery centers (those deemed and/or assigned life safety code surveyors), critical access hospitals, and hospitals, effective January 1, 2021. The change eliminates the 1-hour, sit-down discussion with members of…

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By: Judy Mathias
November 12, 2020
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Joint Commission deletes EP on flu vaccination goal

Editor's Note The Joint Commission on October 28 announced that beginning January 1, 2021, it is eliminating the element of performance (EP) for Infection Control Standard IC.02.04.01, which sets incremental influenza vaccination goals to try and achieve the 90% rate set by national initiatives. The US Department of Health and…

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By: Judy Mathias
October 29, 2020
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Joint Commission: Lab surveyors to evaluate CMS reporting requirements for COVID-19 testing results

Editor's Note The Joint Commission announced October 14 that, effective October 15, surveyors will evaluate the Centers for Medicare and Medicaid Services (CMS) reporting requirements for COVID-19 testing results in the Laboratory Accreditation Program. Surveyors will review documentation of COVID-19 test result reporting during the Regulatory Review session of an…

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By: Judy Mathias
October 15, 2020
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Joint Commission revises EC standard for fluoroscopy services

Editor's Note The Joint Commission on September 30 announced a revision to its Environment of Care (EC) standard EC.02.04.03, element of performance (EP) 34, which will take effect January 1, 2021, for ambulatory care organizations, office based surgery practices, hospitals, and critical access hospitals. The Joint Commission has determined that…

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By: Judy Mathias
October 1, 2020
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Joint Commission seeks comments on new requirements for office-based surgery

Editor's Note The Joint Commission on September 23 announced that it is seeking comments on newly developed medication order requirements for the Office-Based Surgery (OBS) Accreditation Program. The proposed requirements align with clinical guidelines to prevent medication errors. Comments will be accepted through October 26, 2020.

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By: Judy Mathias
September 24, 2020
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