Tag: Accreditation

The Joint Commission releases 10 most common sentinel events of 2021

Editor's Note The Joint Commission recently released a Sentinel Event Data summary that includes a 2021 update and the 10 most common sentinel events reported to the accreditation body last year, the February 22 Becker’s Hospital Review reports. Only a small portion of all sentinel events are reported to The…

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By: Tarsilla Moura
February 23, 2022
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The Joint Commission FAQ on educational expectations for privileged practitioners

Editor's Note In addition to education required to maintain licensure and certifications, each practitioner privileged through the medical staff process is expected to participate in hospital-sponsored continuing education, The Joint Commission says in a February 16 answer to a frequently asked question (FAQ) on accreditation requirements. The education is based…

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By: Judy Mathias
February 17, 2022
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The Joint Commission, AHA announce new advanced certification program for heart attack patient care

Editor's Note The Joint Commission, on February 13, announced that it has partnered with the American Heart Association (AHA) to develop a new advanced disease-specific care certification program for heart attack patient care. The Comprehensive Heart Attack Center (CHAC) Certification Program (CHAC), which is based on AHA clinical practice guidelines…

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By: Judy Mathias
February 14, 2022
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The Joint Commission begins surveying for COVID-19 vaccinations in 24 states

Editor's Note As of February 14, The Joint Commission began surveying to the COVID-19 vaccination requirements in the 24 states that were not previously subject to the Centers for Medicare and Medicaid Services (CMS) “Omnibus COVID-19 Health Care Staff Vaccination” interim final rule. Healthcare organizations in these 24 states must…

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By: Judy Mathias
February 14, 2022
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The Joint Commission adds requirements, expands review process for PSCs

Editor's Note The Joint Commission announced on February 9 that it will add requirements and expand the review process to 2-days for Primary Stroke Centers (PSCs) that provide mechanical thrombectomy (MT) and are seeking advanced certification or recertification, effective July 1, 2022. The additional tracer time and requirements will help…

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By: Judy Mathias
February 10, 2022
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The Joint Commission announces changes to hospital redeeming application

Editor's Note The Joint Commission, on February 2, announced that it has made several changes to its elements of performance to reflect Centers for Medicare and Medicaid Services regulatory language more closely. The revisions, which will take effect on July 1, 2022, are applicable to hospitals and critical access hospitals…

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By: Judy Mathias
February 3, 2022
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The Joint Commission revises Environment of Care Chapter

The Joint Commission revises Environment of Care Chapter The Joint Commission on January 26 announced that it has approved several revisions to Elements of Performance (EP) in the Environment of Care (EC) chapter, which will vary across accreditation programs. Among the revisions: Standard EC.02.04.01, EP 11, which addresses reporting incidents…

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By: Judy Mathias
January 27, 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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