Tag: Accreditation

Joint Commission deletes standard related to performance on ORYX measures

Editor's Note The Joint Commission announced August 21 that Standard PI.02.01.03: “The hospital improves its performance on ORYX accountability measures” and the Standard's one Element of Performance: “The hospital achieves a composite performance rate of at least 85% on the ORYX accountability measures transmitted to the Joint Commission” will be…

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By: Judy Mathias
August 22, 2017
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Joint Commission revises 2018 Medication Management standards

Editor's Note The Joint Commission on July 12 announced revisions to its Medication Management standards that will become effective January 1, 2018. Among the revisions: Implementing a policy to provide emergency backup of medication dispensing equipment. Adding “wasting” of medication to required written policies. Implementing a policy for medication overrides…

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By: Judy Mathias
July 13, 2017
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Joint Commission: Four new performance measures for total joint certification

Editor's Note Four new performance measures are available for the Joint Commission’s Total Hip and Total Knee Replacement (THKR) advanced certification program, the Joint Commission announced on July 5. They are: THKR-1 Regional anesthesia THKR-2 Postoperative ambulation on the day of surgery THKR-3 Discharged to home THKR-4 Preoperative functional/health status…

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By: Judy Mathias
July 6, 2017
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National Accreditation Program for Rectal Cancer accepting applications

Editor's Note Hospitals with rectal cancer programs may now earn accreditation from the new National Accreditation Program for Rectal Cancer (NAPRC), the American College of Surgeons (ACS) announced on June 21. NAPRC is based on successful international models that have resulted in better outcomes and emphasize a multidisciplinary team approach…

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By: Judy Mathias
June 22, 2017
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Joint Commission redesigns ESC form

Editor's Note The Joint Commission announced on June 21 a redesign of its Evidence of Standards Compliance (ESC) form. The form was redesigned to help organizations focus on describing the critical aspects of corrective actions they have taken to resolve Requirements for Improvement, and to help ensure sustainability of those…

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By: Judy Mathias
June 21, 2017
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Joint Commission: Revisions to LS, EC chapters effective January 2018

Editor's Note Revisions to the Life Safety (LS) and Environment of Care (EC) chapters for Behavioral Health Care, Laboratory, Nursing Care Centers, and Office-Based Surgery accreditation programs, based on adoption of the 2012 editions of the National Fire Protection Association’s NFPA 101: Life Safety Code and NFPA 99: Health Care…

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By: Judy Mathias
June 16, 2017
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AAAHC releases new Opioid Stewardship Toolkit

Editor's Note The Accreditation Association for Ambulatory Health Care (AAAHC) on May 8 announced the release of its new Opioid Stewardship Toolkit to help providers review and assess the volume and length of opioid prescriptions and dosages to mitigate risk of patient overdose and death. AAAHC created the toolkit to…

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By: Judy Mathias
May 9, 2017
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Joint Commission: Phase 3 of EP Review Project yields 515 more deletions

Editor's Note The Joint Commission announced on May 3 that accreditation programs for ambulatory care (85 fewer), behavioral healthcare (63 fewer), critical access hospitals (143 fewer), home care (65 fewer), laboratories (50 fewer), nursing care centers (59 fewer), and office-based surgery practices (50 fewer) will see fewer elements of performance…

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By: Judy Mathias
May 4, 2017
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Joint Commission creates new SAFER Matrix resources portal

Editor's Note The Joint Commission on May 3 announced the creation of a new SAFER [Survey Analysis for Evaluating Risk] Matrix web portal for information and resources on the scoring methodology that went into effect on January 1. Among the portal features: A webinar and slide deck that discusses the…

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By: Judy Mathias
May 4, 2017
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Surgical outcomes vary at bariatric centers of excellence

Editor's Note Center accreditation alone does not ensure high-quality care for bariatric surgical patients, this study finds. In this analysis of 145,527 patients across 165 bariatric centers of excellence, serious complication rates varied 17-fold at the national level and 2.1-fold at the state level. Complication rates varied at centers with…

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By: Judy Mathias
May 1, 2017
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